Check list for Drilling Machine
Contractor Name Serial No Model No Date
DESCRIPTION YES NO REMARKS
SL NO
Equipment should be double
insulated .(written in the machine
1 body)
Equipment should be free from any
defect like broken Handel, broken parts
2 etc
Wire should be free from any defect.
3
Wire top plug should be present.
4
Drilling Bit should be in good condition.
5
Presence of drilling bit holder
6
Condition and presence of the switch
7
NAME SIGNATURE DATE
Inspected by
Inspected by
Check list for Drilling Machine
Contractor Name Serial No Model No Date
DESCRIPTION YES NO REMARKS
SL NO
Equipment should be double
insulated .(written in the machine
1 body)
Equipment should be free from any
defect like broken Handel, broken parts
2 etc
Wire should be free from any defect.
3
Wire top plug should be present.
4
Drilling Bit should be in good condition.
5
Presence of drilling bit holder
6
Condition and presence of the switch
7
NAME SIGNATURE DATE
Inspected by
Inspected by
Check list for Drilling Machine
Contractor Name Serial No Model No Date
DESCRIPTION YES NO REMARKS
SL NO
Equipment should be double
insulated .(written in the machine
1 body)
Equipment should be free from any
defect like broken Handel, broken parts
2 etc
Wire should be free from any defect.
3
Wire top plug should be present.
4
Drilling Bit should be in good condition.
5
Presence of drilling bit holder
6
Condition and presence of the switch
7
NAME SIGNATURE DATE
Inspected by
Inspected by
CHECK LIST FOR CHOP-SAW CUTTER
Contractor Name Machine No Document No Date
SL NO CHECK ITEMS PHOTOS Y/N SL NO CHECK ITEMS PHOTOS
Crack & Presence of
1 Damage of the 2 Cutting plate
Cutting plate guard
Presence of
Presence of
locking
3 4 job clamp and
system for the
its condition
plate & Guard
Cable
condition(Any
Presence of
cut,wear etc)
5 handel and its 6
and presence
condition
of wire top
plug
Presence
7 cutting dust
guard
NAME SIGNATURE DATE
Checked by
Check List For Main Distribution Board / Panel Board
Contractor Name Machine No Document No Date
SL SL
NO
CHECK ITEM PHOTOS Y/N NO
CHECK ITEM PHOTOS Y/N
Firm Base with The Housing &
grouting & Easily connections of D.B is
1 accessable panel 2 weather proof.
(height of the leg (minimum of IP 44
is equal to 1m) type)
Authorized Visualization of
Operator Name voltage, current and
3 Photo, Contact 4 type of tools to be
[Link] DB panel used in the socket &
(Confirmation) Panel.
Identification of
Confirmation of LOTO
5 input and output 6
availability
cables
Separate MCB for Safety sign / isolate
7 8
every socket flammable Fire Hazard
Double Earthing Separate ELCB with
System of MDB / tripping current of 30
9 10
DB panel with Std mA & in working
earthing pit condition.
Hylem sheet to be
Presence & Condition
11 provided over live 12
of Bus bar/ Terminal
bus bars
Condition of
Color coding to be
Cable,Power
13 14 followed (RYB) for all
Socket and Plug
cables/wires
without damage
Presence of
rubber mat infornt
Plug-Socket should be
of the D.B
15 16 Industrial type (IP 44
(Operator
type)
standing
Location)
Presence of
rubber mat infornt
Plug-Socket should be
of the D.B
15 16 Industrial type (IP 44
(Operator
type)
standing
Location)
NAME SIGNATURE DATE
Checked by
CHECK LIST FOR MAN LIFT/CHERRY PICKER
z
Contractor Name Machine No Registration No Date
DESCRIPTION YES NO REMARKS
SL NO
1 No Damage in Tire ( Crack, cut, air pressure etc).
2 Platform is securely fastened to platform support.
Ensure not more than 3 members loaded at a time in
3 the platform.
4 All member in the platform have safety belt
5 Foot pedal in the bucket is in working condition.
Outriggers & extendable axles are in smooth
6
working condition.
High engine and height drive cutout is in working
7
condition.
8 Any oil leakage in the Hydraulic systems.
LOTO system is available in the ground panel
9
board.
10 Warning lamp is in working condition.
The cherry picker movement/ work area is leveled
11
,compacted and free from all obstructions
Operator details(Photograph,Licence, Mobile no,
12
Cherry picker details etc) displayed in the cabin.
NAME SIGNATURE DATE
Inspected by
CHECK LIST FOR STAND DRILLING MACHINE
Contractor Name Model Serial No Date
SL N0 CHECK ITEM PHOTOS Y/N SL N0 CHECK ITEM PHOTOS Y/N
Double
insulation
Fore handle in
provided for the
1 good operating 2
equipment
condition
(written in the
machine body)
Equipment
should be free
Magnetic base
from any defect
3 4 is in charged
like broken
condition
Handle, broken
parts etc
Presence of
Cord strain Fuse is in good
5 6
reliever condition
(glands).
Presence of Electric wire
7 Drilling trigger 8 without cuts and
switch lock. joints.
Drilling Bit Condition and
should be in presence of the
good condition. On/off switch
Presence of
dust cleaning
brush near the
equipment
NAME SIGNATURE DATE
Checked by
Check List For Generator
Contractor Name Model Serial No Date
DESCRIPTION YES NO REMARKS
SL NO
1 Guard provided for any rotating parts.
2 Hot surface is provided with guard.
Rubber mat is provided in operator standing area.(
3 around the D.G)
No oil leakage from the oil tank & other parts
4
of the m/c.
Wheel stopper in case of vehicle mounted D.
5
G
6 Proper access to the D.G control panel
Exhaust smoke pipe faced upwards &
7
outside of D.G shelter.
8 Dip tray for any oil leakage.
2
Drive belt is in good condition(any cut,dent or
9
damage)
Adequate ventilation in case of indoor
10
generator
11 Presence of fire extinguisher (ABC type)
Presence of damage free operating switch,
12 Voltage and temperature meter,circuite
breaker,Oil level indicator, Emergency switch
Earthing is provided with standard earthing
13
pit.
In case of mobile gen set, confirmation of
14 inbuilt acoustic system.( If sound is more
than 85 dbi)
NAME SIGNATURE DATE
Checked by
CHECK LIST FOR SAFETY BELT
Contractor Name Document No Date:
No
damage in the
inspect
following element--
harness webbing for
Check for damage due 1. Brace.
Harness is full body Safety harness is cuts, tears, burns and
Harness is ISI No damage in the Hook in the lanyard is to contact with heat, [Link] Strap.
Safety with double lanyard ( Lanyard length is made of Polyester abrasion damage
Sl. No. certified and tested lanyard and lanyard in working condition paint, solvents or corro 3. Under bottom
Belt No. separate lanyard not more than 1.2m with polyamide Fiber especially where
by manufacturer. joints. and with out damage sives strap.
fixed in D-ring) rope there is contact with
[Link] strap.
hardware
[Link]
element.
[Link] element
NAME SIGNATURE DATE
Inspected by
Weekly Check sheet For Cherry Picker
Contactor Name Machine No MONTH
RBIPL
DESCRIPTION WEEK-1 WEEK-2 WEEK-3 WEEK-4 WEEK-5 REMARKS
SL NO
1 No Damage in Tire ( Crack, cut, air pressure etc).
Platform is securely fastened to platform
2
support.
Ensure not more than 3 members loaded at a time
3 in the platform.
4 All member in the platform have safety belt
Foot pedal in the bucket is in working
5
condition.
Outriggers & extendable axles are in smooth
6
working condition.
High engine and height drive cutout is in
7
working condition.
8 Any oil leakage in the Hydraulic systems.
LOTO system is available in the ground
9
panel board.
10 Warning lamp is in working condition.
The cherry picker movement/ work area is
11 leveled ,compacted and free from all
obstructions
Operator details(Photograph,Licence, Mobile
12 no,Cherry picker details etc) displayed in the
cabin.
Checked by safety Officer
CHECK LIST FOR ARC WELDING MACHINE
Contractor Name Model No Serial No. Date
SL SL
CHECK ITEM PHOTOS Y/N CHECK ITEM PHOTOS Y/N
NO NO
ON / OFF knob is
Regulator with
provided(Check
1 2 indicator is
for damage and
provided
uninsulated knob)
Welding cables
connected to the No damage in the
3 welding machine 4 insulation of
with lugs at the welding cables
joints
Electrode rod
Industrial type
holder and
Plug for power
5 earthing holder 6
tapping cable of
are without
welding machine
damage
No internal live
electrical parts of 30MA ELCB should 8
Trolley without
7 welding machine damaged wheels
be used.
is exposed
Fire extinguisher
9 or fire bucket with
sand availability
NAME SIGNATURE DATE
Checked by
Checked by
MONTHLY CHECKLIST FOR SAFETY BELT
Contractor Name Document No Month
No
damage in the
inspect
following element--
harness webbing for
Check for damage due 1. Brace.
Harness is full body Safety harness is cuts, tears, burns and
Harness is ISI No damage in the Hook in the lanyard is to contact with heat, [Link] Strap.
Safety with double lanyard ( Lanyard length is made of Polyester abrasion damage
Sl. No. certified and tested lanyard and lanyard in working condition paint, solvents or corro 3. Under bottom
Belt No. separate lanyard not more than 1.2m with polyamide Fiber especially where
by manufacturer. joints. and with out damage sives strap.
fixed in D-ring) rope there is contact with
[Link] strap.
hardware
[Link]
element.
[Link] element
NAME SIGNATURE DATE
Checked by Safety in charge
CHECK LIST FOR MOBILE CRANE
Contractor Name Machine No Document No Date
CHECK ITEM PHOTOS Y/N SL NO CHECK ITEMS PHOTOS Y/N
SL NO
Hoist limit switch
Safety latch in
1 2 (Or presence of
hook.
plate).
Wire rope and
slings free from
SWL marked in tolerable damage(
3 4
crane. No kinks, broken
wires more than
10% is N.G).
No oil leak in No Damage in Tire
5 hydraulic parts 6 ( Crack, cut, air
(piston drums). pressure etc).
Head and tail
Front and reverse
7 lamps (for night 8
horn.
working).
Boom structure
condition while full
expansion Fire extinguisher in
9 10
(damage, crack operator cabin.
and jamming while
extending).
Boom structure
condition while full
expansion Fire extinguisher in
9 10
(damage, crack operator cabin.
and jamming while
extending).
11 DOCUMENTS 11 DOCUMENTS
11.A Third party certificate(Form 11/12) 11.C Operator license (heavy duty).
11.B Vehicle valid insurance 11.D Operator Third party Certificate
NAME SIGNATURE DATE
Checked by
NAME SIGNATURE DATE
Approved by
CHECK LIST FOR GAS CUTTING SET
Contractor Name Trolley No Document No Date
SL SL
NO
CHECK ITEM PHOTOS Y/N NO
CHECK ITEM PHOTOS Y/N
Protective valve
Pressure gauges two
cap firmly fixed for
for each cylinder(inlet
both cylinder
1 2 & out)are in working
(Check for
condition(both Oxygen
damage/crack in
& Acetylene gas)
the valve cap)
Flash back arrestor Non return valves
(FBAs) is provided (NRVs) is provided for
3 4
for acetylene & both acetylene &
oxygen cylinders oxygen cylinders.
Tight Crimping of
Hose free from damage
5 hoses with jubilee 6
(cut and cracks )
clamps.
Cylinder secured
Trolley tire shall be
7 by chain to the 8
free from damages.
trolley.
Availability of
industrial type
9 lighter(no match
box / commercial
lighters).
NAME SIGNATURE DATE
Checked by
CHECK LIST FOR PORTABLE GRINDING MACHINE
Contractor Name Machine No Document No Date
SL N0 CHECK ITEM PHOTOS Y/N SL N0 CHECK ITEM PHOTOS Y/N
Wheel guard
Fore handle
1 2 (covering 3/4th
without damage.
area).
Grinding wheel Rear handle
3 without any 4 without any
crack. damage.
Presence of
Cord strain Trigger switch
5 6
reliever without damage.
(glands).
Electric wire
Presence of
7 8 without cuts and
Switch lock.
joints.
NAME SIGNATURE DATE
Checked by
NAME SIGNATURE DATE
Approved By
Approved By
Inspection sheet for Air Compressor
Contractor Name Machine No Document No
Date
[Link] Check Points Remarks
Ok Not Ok N/A
A Engine
1 Engine Oil Level
2 Radiator Water Level
3 Air Inlet System
4 Guard for Rotating Part
5 Battery Condition
B Compressor
6 Air Filter
7 Oil Level
8 Pressure Gauges
9 Air Receiver
10 Safety Valve
11 Hose Condition
Safety Officer
WEEKLY CHECK LIST FOR HYDRA
Contractor Name Machine No Document No Date
RBIPL
Sl .No Check items WEEK-1 WEEK-2 WEEK-3 WEEK-4 WEEK-5 REMARKS
1 Safety latch in hook.
2 Hoist limit switch (Or presence of plate).
3 SWL marked in crane.
Wire rope and slings free from tolerable damage
4
( No kinks, broken wires more than 10% is N.G).
5 No oil leak in hydraulic parts (piston drums).
6 No Damage in Tire ( Crack, cut, air pressure etc).
7 Head and tail lamps (for night working).
8 Front and reverse horn.
Boom structure condition while full expansion
9
(damage, crack and jamming while extending).
10 Fire extinguisher in operator cabin.
11 Operator license (heavy duty).
Checked by Safety Officer