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DAILY PRE-START CHECKLIST FOR DUMP TRUCK

User company Site Name Vehicle pass number


‫ﺷرﻛﺔ اﻟﻣﺳﺗﻌﻣل‬
Ayen Sumer Co. (ASC) ‫اﺳم ﻣوﻗﻊ اﻟﻌﻣل‬ ‫اﻟﺳﯾﺎرة رﻗم ﺗﻣرﯾر‬
Operator’s name Inspection date Capacity
‫اﺳم اﻟﻣﺷﻐل‬ ‫ﺗﺎرﯾﺦ اﻟﺗﻔﺗﯾش‬ ‫اﻟﺳﻌﺔ‬
Beacon
‫اﻟﻣرﺷد اﻟﻼﺳﻠﻛﻲ‬

2 Rearview Mirror 1 operator 's vision


‫ﻣرأة اﻟرؤﯾﺔ اﻟﺧﻠﻔﯾﺔ‬ ‫رؤﯾﺔ اﻟﻤﺸﻐﻞ اﻟﺼﻮرة‬

3
Parking Brake
6 Tire ‫ﻓﺮاﻣﻞ اﻟﺘﻮﻗﻒ‬
Brake
Wheel Assembly ‫ﻓﺮاﻣﻞ‬
‫ﺗﺟﻣﻊ اﻻطﺎر و اﻟﻌﺟﻠﺔ‬ horn
‫اﻟﺒﻮق‬

4
7 cylinder leakage
‫ﺗﺳرب اﺳطواﻧﺔ‬ head light
‫رﺋﯿﺲ ﺿﻮء‬
fog light
‫ﺿﻮء اﻟﻀﺒﺎب‬

5 Access step
‫ﺧﻄﻮة اﻟﻮﺻﻮل‬

8 safety stand
‫ﻣﻮﻗﻒ ﺳﻼﻣﺔ‬
11 Reverse Alarm

9 ‫ﻣُﻧﺑﮫ اﻟﺣرﻛﺔ اﻟﺧﻠﻔﯾﺔ‬


frame bolts
‫اﻟﺒﺮاﻏﻲ إطﺎر‬

12
tailgate lock
‫ﻗﻔل اﻟﺑﺎب اﻟﺧﻠﻔﻲ‬

4
Tail Light
10
leaf spring ‫اﻟﻤﺼﺒﺎح اﻟﺨﻠﻔﻲ‬
‫أوراق اﻟﺮﺑﯿﻊ‬

Certification Oil Leakage Fire Extinguisher


13 15 17 19
‫اﻟﺗراﺧﯾص‬ ‫ﺗﺳرﯾب اﻟزﯾت‬ ‫ﻣطﻔﺎة اﻟﺣرﯾق‬
Permit to Work Banksman/Signal Man Warning labels
14 16 18 20
‫ﺗﺻرﯾﺢ اﻟﻌﻣل‬ ‫ﺷرﻛﺔ إﺷﺎرة‬ ‫ﻻﻓﺗﺎت ﺗﺣذﯾر‬
Operator HSE Personnel (Sign) ‫اﻟﺗوﻗﯾﻊ‬
(sign)‫اﻟﺗوﻗﯾﻊ‬
‫اﻟﻣًﺷﻐﱢل‬ ‫ﻗﺳم اﻟﺳﻼﻣﺔ‬
(Keep the copy of Daily Pre-Start Equipment Checklist on Site for the Job Duration. Submit a copy to the Project HSE Department, if requested/required)
(‫ و ﻗدﱢم ﻧﺳﺧﺔ ﻣن ﺧطﺔ اﻟﺳﻼﻣﺔ ﻟﻘﺳم اﻟﺳﻼﻣﺔ)ﻋﻧد اﻟﺣﺎﺟﺔ او ﻓﻲ ﺣﺎل ﺗم طﻠﺑﮭﺎ‬.‫) أﺑق ﻧﺳﺧﺔ ﻓﺣص اﻻﻟﯾﺎت ھذه ﻓﻲ ﻣوﻗﻊ اﻟﻣوﻗﻊ طﯾﻠﺔ ﻓﺗرة اﻟﻌﻣل‬
Note: Mark appropriate boxes with: Acceptable; Need Further Check; Not Applicable ‫ﻏﯾر‬
Unacceptable; ‫ﻏﯾر‬
‫أﺷر )أﺧﺗر( اﺣدى اﻟﺻﻧﺎدﯾق اﻟﻣﺟﺎورة‬  ‫ﻣﻘﺑوﻟﺔ‬  ‫ﻣﻘﺑوﻟﺔ‬  ‫ﺗﺣﺗﺎج ﻓﺣص اﺧر‬ NA ‫ﻣﺷﻣوﻟﺔ ﺑﮭذا اﻟﻔﺣص‬

ASCHDGSK
HSE Rev.
JV HSE Rev.0

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