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FORM-IDRAJ-XXX-Rev.0
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FORM-IDRAJ-XXX-Rev.0
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5. Check the equipment for its adherence to the general safety requirements for construction sites such as overhead protection for operator cabin, Side screens, Rear view mirror, Revolving beacon, Seat Belt, Horn, Reverse Alarm indication, Head Light, Indicators and any other important safety features necessary for the particular equipment and for the particular site. 6. It is essential that all wheels and tires are maintained in very good condition as truck stability is dependent on this for lifting and traveling with the load. Check the security of all wheels fixings and for damage, tires for bugles, cracks, gauges or any other apparent damage. Equal tire pressure is essential. 7. If installed the outriggers when raised along with their respective housing support the weight of the truck and that of the load. Check all welded joints for cracks very carefully flaked or cracked paint work is good justification for further investigation. 8. Check whether all moving parts of the equipment have been protected from outsiders. Also check the level of engine oil 9. Check that all steps hand holds and walk ways are fitted and secure. 10. Check articulated hitch frame assembly and related components for wear and damage. 11. Check bucket for wear and damage. 12. Check lifting arms and articulations for wear and damage, lifting linkages, pins, bores, bushes and fasteners. 13. Check tilting arms and articulations for wear and damage tilting linkages, pins, boxes, bushes, and fasteners. 14. Witness all functional operations of the excavator fully laden, loading and off loading. 15. Check the Brakes for its proper operation
FORM-IDRAJ-XXX-Rev.0
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EXCAVATORS USED AS CRANES. 1. The adaptation for use as a crane must solely be by securely attaching lifting gear to the bucket or other part of the machine designed for that purposes. 2. Check the permanently attached lifting attachment in accordance with 5.4 of this document. LOAD TEST 1. A load equivalent to the rated full load shall be raised approximately two meters ground and left elevated for a period of ten minutes, during which time there should not be any significant creep age from the lifting arm hydraulics. 2. For crane operation the safe working load shall be determined by test and must be the same for all operating radii of the machine and not greater than the load which the machine can safely lift in its least stable configuration. 3. Check that the safe working load is clearly marked on both lifting arms. 5.0 DISTRIBUTION 1. Work order & report shall be distributed to the client through IDRAJ Manager. 2. Copies shall be maintained in the office file. 6.0 TEST EQUIPMENT 1. Vernier caliper, Distance Meter , Measuring tape 7.0 DOCUMENT REQUIRED 1. Inspection Checklist. 2. Work Order form. 3. Test Certificate format.
FORM-IDRAJ-XXX-Rev.0
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9.1 FIGURE
FORM-IDRAJ-XXX-Rev.0
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FORM-IDRAJ-XXX-Rev.0
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9.3 FIGURE
10.0 APPROVAL
FORM-IDRAJ-XXX-Rev.0
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Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: Mr. BS EN 474
EQUIPMENT DETAILS
Equipments Description: BACKHOE LOADER Chassis / Serial No.: Type of Inspection Test Method : IDRAJ/TM/01
I DRAJ
Location of the Equipment: Engine No: ID No. / Traffic Plate No: Calibrated Test Equipment : IDRAJ/TE/
This is to certify, that the above items described in this certificate were tested and particulars are correct.
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
FORM-IDRAJ-XXX-Rev.0
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CHECKLIST
EQUIPMENT PARTS Document Verification Hydraulic system Engine Ignition Out triggers Extension Jib Front Bucket condition Rear Bucket Condition Emergency stop Steering Mechanism Side Mirrors Fire Extinguisher Hand Brake Foot Brake Tires Horn Operating Control Load Chart in cab Reverse Alarm Indication Revolving Beacon Cab - Roof, Seat belt, Seat Brake Lights Indication-Head, Brake, Reverse Load test REMARKS
: :
Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: EQUIPMENT DETAILS Equipments Description: EXCAVATOR Chassis No.: Type of inspection: Test Method : IDRAJ / TM / 01 Location of Inspection: Engine No: ID No. / Traffic Plate No.: Calibrated Test Equipments : IDRAJ / TE / Make: Model / Year of Manufacture: Rated Bucket Capacity : Previous inspection report: MR. BS EN 474
This is to certify, that the above items described in this certificate were tested and particulars are correct.
I DRAJ
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
FORM-IDRAJ-XXX-Rev.0
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CHECKLIST
EQUIPMENT PARTS Document verification
Hydraulic system Counterweight Engine Ignition Emergency stop Bucket / Power Crusher condition Brakes Operating Control Fire Extinguisher Tracks Side Mirrors Horn Reverse Alarm Indication Revolving Beacon Cab - Roof, Seat belt, Seat Brake Lights, General condition, Maintenance Load test
REMARKS
: :
Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: EQUIPMENT DETAILS Equipments Description: SHOVEL Chassis No.: Location of the Equipment: Engine No: ID No. / Traffic Plate No: Calibrated Test Equipment : IDRAJ / TE / Make : Model / Year of Manufacture: Rated Bucket Capacity : Previous inspection report: Mr. BS EN 474
This is to certify, that the above items described in this certificate were tested and particulars are correct.
I DRAJ
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
FORM-IDRAJ-XXX-Rev.0
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IDRAJ SAFETY CONSULTANCY GENERAL EARTH MOVING TEST METHOD SHOVEL EXAMINATION REPORT
CERTIFICATE NO. WORK ORDER NO. SAFETY INSPECTOR : : :
CHECKLIST
EQUIPMENT PARTS
Document verification Hydraulic system Counterweight Engine Ignition Emergency stop Bucket condition Brakes Operating Control Fire Extinguisher Tires Side Mirrors Horn Reverse Alarm Indication Revolving Beacon Cab - Roof, Seat belt, Seat Brake Lights, General condition, Maintenance Load Test
REMARKS
FORM-IDRAJ-XXX-Rev.0
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Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: Mr. BS EN 474 - 1
EQUIPMENT DETAILS
Equipments Description: Skid Steer Chassis No.: Location of the Equipment: Engine No: ID No. / Traffic Plate No: Calibrated Test Equipment : IDRAJ / TE / Make : Model / Year of Manufacture: Rated Bucket Capacity : Previous inspection report:
This is to certify, that the above items described in this certificate were tested and particulars are correct.
I DRAJ
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
FORM-IDRAJ-XXX-Rev.0
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CHECKLIST
EQUIPMENT PARTS Document Verification Hydraulic system Attachments Safety Bar Counterweight Engine Bucket condition Side Screens Fire Extinguisher Brake Emergency Stop Tires Horn Reverse Alarm Indication Revolving Beacon Lights Indication-Head, Brake, Reverse Load Test REMARKS
Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: EQUIPMENT DETAILS Equipments Description: Roller Chassis No.: Location of the Equipment: Engine No: ID No. / Traffic Plate No: Calibrated Test Equipment : IDRAJ / TE / Make : Model / Year of Manufacture: Unladen Weight: Previous inspection report: Mr. BS EN 474
This is to certify, that the above items described in this certificate were tested and particulars are correct.
I DRAJ
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
CHECKLIST EQUIPMENT PARTS Document verification Roller condition Engine Ignition Safety lock against the movement Vibrator function & control Emergency stop Lubricant oil condition & its level Hand Guard Brakes Fire Extinguisher Tires Horn Side mirrors Reverse Alarm Indication Revolving Beacon Cab Roof Seat belt safety Operating controllers & levers Lights Indication Load test REMARKS
FORM-IDRAJ-XXX-Rev.0
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Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: Mr. BS EN 474
EQUIPMENT DETAILS
Equipments Description: DOZER Chassis / Serial No.: Location of the Equipment: Engine No: ID No. / Traffic Plate No: Calibrated Test Equipment : IDRAJ / TE / Make : Model / Year of Manufacture: Blade Dimension : Previous inspection report:
This is to certify, that the above items described in this certificate were tested and particulars are correct.
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
FORM-IDRAJ-XXX-Rev.0
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IDRAJ SAFETY CONSULTANCY GENERAL EARTH MOVING TEST METHOD DOZER EXAMINATION REPORT
CERTIFICATE NO. WORK ORDER NO. SAFETY INSPECTOR : : :
CHECKLIST
EQUIPMENT PARTS
Document verification Hydraulic system Blade Assembly condition Ripper Shank Assembly Engine Ignition Emergency stop Brakes Operating Control Fire Extinguisher Tracks Side Mirrors Horn Reverse Alarm Indication Revolving Beacon Cab - Roof, Seat belt, Seat Brake Lights, General condition, Maintenance Load Test
REMARKS
FORM-IDRAJ-XXX-Rev.0
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Name & Address of the Customer: Date of Inspection: Date of Expiry: Survey Requested by: Reference Standards: Mr. BS EN 474
EQUIPMENT DETAILS
Equipments Description: Grader Chassis / Serial No.: Type of inspection: Test Method : IDRAJ/TM/01
I DRAJ
Location of the Equipment: Engine No: ID No. / Traffic Plate No: Calibrated Test Equipment : IDRAJ/TE/
This is to certify, that the above items described in this certificate were tested and particulars are correct.
SAFETY CONSULTANCY HAS INVENTORIED , INSPECTED , VERIFIED , AND TESTED ABOVE MENTIONED EQUIPMENT ' S IN ACCORDANCE WITH THE REFERENCE STANDARDS CITED HEREIN AND CONSISTENT WITH I DRAJ SAFETY CONSULTANCY POLICIES AND PROCEDURE . W E CERTIFY THIS ABOVE MENTIONED EQUIPMENT ' S IS , AT THE TIME OF THIS INSPECTION , SAFE TO USE FURTHER WITH QUALIFIED OPERATOR . T HAT THE OWNER OR HIS DESIGNATED AGENT OR CONTRACTOR , HEREAFTER OWNER , CONTINUES TO PERFORM MAINTENANCE IN ACCORDANCE WITH THE ORIGINAL EQUIPMENT MANUFACTURERS PREVENTIVE MAINTENANCE GUIDELINE AND PROCEDURES AND MAKES NO UNAUTHORIZED CHANGES TO THE EQUIPMENT ' S CONTROLS AND EQUIPMENT . I DRAJ SAFETY CONSULTANCY MAKES NO CLAIMS REGARDING THE CONDITION OR SAFETY OF THE EQUIPMENT AFTER WE HAVE COMPLETED THIS INSPECTION AND DEPARTED THE PROPERTY . I DRAJ SAFETY CONSULTANCY DISCLAIMS ANY WARRANTY OF ANY KIND EITHER EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE . T HE OWNER SHALL PERFORM THE NEXT INSPECTION AS REQUIRED BY THE D UBAI MUNICIPALITY NO LATER THAN 6 MONTH FROM DATE OF ISSUE . THIS CERTIFICATE BECOMES INVALID IN THE EVENT IF ANY REPAIR OR ALTERATION IS DONE , IN WHICH CASE IT MUST BE RETESTED .
RECOMMENDATIONS/ COMMENTS
Authorized Signatory:
THIS DOCUMENT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF IDRAJ
THIS INSPECTION HAS BEEN CARRIED OUT AS PER LOCAL ORDER NO: 52/1990 & MINISTERIAL ORDER NO 32/1982 OF DUBAI MUNICIPALITY Approved by Dubai Municipality, FORM-IDRAJ-XXX-Rev.0 Turn overleaf
FORM-IDRAJ-XXX-Rev.0
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CHECKLIST
EQUIPMENT PARTS Document Verification Hydraulic system Engine Ignition Blade Assembly Condition Ripper Shank Assembly Emergency stop Side Mirrors Fire Extinguisher Hand Brake Foot Brake Tires Horn Operating Control Reverse Alarm Indication Revolving Beacon Cab Roof, Seat belt, Seat Brake Lights Indication-Head, Brake, Reverse Load test REMARKS
FORM-IDRAJ-XXX-Rev.0
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