GAMA GÜÇ SİSTEMLERİ MÜHENDİSLİK VE TAAHHÜT A. Ş.
DISI – MUDAWARRA TO AMMAN WATER CONVEYANCE SYSTEM PROJECT
FORM 0014: HEAVY MACHINERY INSPECTION
Section: Sub-Contract : Time & Date:
TYPE OF HGV: (Tick where applicable)
Tipper Heap Shovel
Bob Cat JCB Excavator
Pick Up Water Tanker Grader
Drum Roller Mobile/Crawler/tower Crane DOZERS
Owned Hired (if so, name of hiring company) :
PHYSICAL CHECKS: DLN:
Registration No.
Registration Certificate * Yes No Expired Valid Date:
Competency Cert/Driving License * Yes No Expired Valid Date:
Load Test Certificate * Yes No Expired Valid Date:
1 2-1 2-2 3 4 5 6-1 6-2
Vehicle Permitted To Drive Construction Agricultural
Private
passenger
Commercial
passenger &
Minibus &
cargo vehicle Trailer & semi
Motor Cycle Busses
vehicle vehicle vehicle cargo vehicle less than trailer
(5000)Kgs (7500)Kgs (20000) Kgs
(*)This report should be attached with the copy of the registration, operator/driver driving license and load test certificate where ever
applicable
Head Lights Sound Horn Reverse Horn Beacon Light
Side Mirrors Rearview Mirror Parking Break Reg. No. Plate
Safe Load Indicator Jib Radius Indicator Fire extinguisher & First aid box
Remarks: Not allowed for any tipper working in the site without reverse horn.
Inspected by: Name: Signature:.....................................................
Project Manager Remarks:
Signature
REPORT DISTRIBUTION (tick appropriate boxes):
HSE Supervisor Plant Coordinator Others (Specify) ………………………………………………...