DATE OF INSPECTION : _____________________ LOCATION : _____________ PLATE NO. _______
Damaged
Boom Excav xcavat ator or Drill rill Trunks Lights Wind Wind Shie Shield ld/W /Wip iper er Cabin Door Travel Le Lever Cross rossw wise Lever ver Lock Lever Load Load Indica Indicator tor Mirror Mirror (Side (Side/R /Rear ear)) AC Fire Fire Exting Extinguis uisher her Leak Leakag agee
Boom Exca xcavato vatorr Dr Drill ill Trunks Lights Wind Wind Shie Shield ld/W /Wip iper er Cabin Door Travel Le Lever Cros Crossw swis isee Lev Lever er Lock Lever Load Load Indica Indicator tor Mirror Mirror (Side/ (Side/Re Rear) ar) AC Fire Fire Exting Extinguis uisher her Leak Leakag agee
Comment: Comment: ________________________ _____________________ _____________________________________________ __________________________ ___________________ _____________________________________________ _____________________________________________ _____________________ _____________________________________________ __________________________ ___________________ ________________________ DATE OF INSPECTION : _____________________ LOCATION : _____________ PLATE NO. _______ Good
Boom Excav xcavat ator or Drill rill Trunks Lights Wind Wind Shie Shield ld/W /Wip iper er Cabin Door Travel Le Lever Cross rossw wise Lever ver Lock Lever Load Load Indica Indicator tor Mirror Mirror (Side (Side/R /Rear ear)) AC Fire Fire Exting Extinguis uisher her Leak Leakag agee
DATE OF INSPECTION : _____________________ LOCATION : _____________ PLATE NO. _______
Boom Exca xcavato vatorr Dr Drill ill Trunks Lights Wind Wind Shie Shield ld/W /Wip iper er Cabin Door Travel Le Lever Cros Crossw swis isee Lev Lever er Lock Lever Load Load Indica Indicator tor Mirror Mirror (Side/ (Side/Re Rear) ar) AC Fire Fire Exting Extinguis uisher her Leak Leakag agee