10-F20 Fuel Driven Equipment Inspection
10-F20 Fuel Driven Equipment Inspection
10-F20 Fuel Driven Equipment Inspection
9EPARTMENT:
MONTH:
INSPECTOR:
Notes: Do not “tick”. Write Ok or use the code of the specific deviation in the legend. If the Equipment is defective it must be tagged “Defective”
and must be reported to the person responsible for the repair of the equipment. If the equipment is beyond repair it must be destroyed and
discarded. New equipment to replace the discarded equipment must be obtained to discourage the use of make shift equipment.
LEGEND: OK – ALL IN GOOD CONDITION, REP – ITEM NEEDS REPAIR/REPLACEMENT, C – COMMENTS
DEVIATIONS NOTED:
D1 EVIDENCE OF OIL/FUEL LEAKS D6 STOP/START/EMERGENCY BUTTONS FAULTY
D2 GUARDS NOT IN PLACE AROUND MOVING PARTS/DAMAGED D7 FIRE EXTINGUISHER FAULTY/NOT PROVIDED
D3 GUAGES/COUNTERS FAULTY D8 THROTTLE/BRAKE DEVICES DAMAGED/DEFECTIVE
D4 EXCESSIVE NOISE/HEAT FROM MACHINE D9 WARNING/INFORMATION SIGNAGE NOT DISPLYED ON MACHINE/INADEQUATE
D5 EXCESSIVE EXHAUST FUMES/SMOKE D10 DRIP TRAY DAMAGED/NOT PROVIDED
SITE ID EQUIPMENT DESCRIPTION LOCATION TYPE OF FUEL JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
INSPECTOR INITIALS
OUT