DOCUMENT OWNER
Surkhandarya CCGT Power Project HJH
EPC contractor: Subcontractor DOCUMENT NUMBER DATE 1.06.2025
HJH-ESHS-Checklist-No.005
DOCUMENT NAME PAGE
Checklist for Trailor truck 1/3
Inspection Rev.: 0
PROJECT DOCUMENT OWNER
Safety Inspection Checklist for Trailer Truck
Subcontractor Working Capacity Ton
ID No.
Manufacturer
(Controlled by EPC)
Model Driver Name
Model Plate No. Driver Certification No.
Insurance No.
No. Checklist Method Pass Fail Action Taken
CAB
1 Check Cleanliness Visual
2 Check Seat Condition Visual
3 Check Restraint(seat belt, etc.) Provided Visual
4 Check Instrument Operational & Labelled Visual
5 Check Levers / Controls Operational Operational
6 Check Pedals in Good Condition Visual
7 Check ROPS (Roll Over Protective Structure) Visual
8 Check Window / Wipers / Washers Visual
9 Check Rear View Mirrors Visual
Warning Signs (in cabin)
10 ‘SEAT BELTS’ Visual
Warning Devices
11 Horn Operational
Visual &
12 Reversing Alarm
operational
Visual &
13 Amber Flashing Beacon (when on site)
operational
This is to certify that the plant being supplied conforms to the relevant HSE Legislation, and the requirements as detailed above. HSE Department
will check this Pre- start
Checklist to ensure the supplier has verified compliance to Legislative requirements and, to register the plant onto the site. The operator will be
required to participate in ongoing training and perform work in accordance with the relevant Work Method Statement. Should the plant be found
to not conform to the above, then it will be prevented from commencing work on the site until the non-compliance is rectified. HSE Management
will not reimburse the Owner / Supplier / Contractor for any down / lost time so caused from the non-conformance.
This form does not remove any liability for the plant supplier to conform with the relevant Legalisation
DOCUMENT OWNER
Surkhandarya CCGT Power Project HJH
EPC contractor: Subcontractor DOCUMENT NUMBER DATE 1.06.2025
HJH-ESHS-Checklist-No.005
DOCUMENT NAME PAGE
Checklist for Trailor truck 1/3
Inspection Rev.: 0
PROJECT DOCUMENT OWNER
Visual &
14 Head, Tail and Turn Signals
operational
Mechanical Parts (Air, Hydraulics)
Visual &
15 Check Rams
operational
Visual &
16 Check Hoses
operational
Check Connections (Excessive wear, leaks and Visual &
17 operational
creep)
Visual &
18 Tail Gate Control from Cabin
operational
Tire
19 No Cuts or Splits Visual
20 Good Thread Condition Visual
21 Not Recaps Visual
22 Check Wheels Visual
Visual &
23 Check Brakes
operational
Visual &
24 Check Park Brake
operational
General
25 Check Handrails Visual
26 Check Steps Visual
This is to certify that the plant being supplied conforms to the relevant HSE Legislation, and the requirements as detailed above. HSE Department
will check this Pre- start
Checklist to ensure the supplier has verified compliance to Legislative requirements and, to register the plant onto the site. The operator will be
required to participate in ongoing training and perform work in accordance with the relevant Work Method Statement. Should the plant be found
to not conform to the above, then it will be prevented from commencing work on the site until the non-compliance is rectified. HSE Management
will not reimburse the Owner / Supplier / Contractor for any down / lost time so caused from the non-conformance.
This form does not remove any liability for the plant supplier to conform with the relevant Legalisation
DOCUMENT OWNER
Surkhandarya CCGT Power Project HJH
EPC contractor: Subcontractor DOCUMENT NUMBER DATE 1.06.2025
HJH-ESHS-Checklist-No.005
DOCUMENT NAME PAGE
Checklist for Trailor truck 1/3
Inspection Rev.: 0
PROJECT DOCUMENT OWNER
INSPECTION RESULT:
PASS FAIL
Inspected by Subcontractor
Inspected by (Print Name)
Company / Position
Sign
Date / /
Review and Approved by EPC Machinery Department
Inspected by (Print Name)
Position
Sign
Date / /
This is to certify that the plant being supplied conforms to the relevant HSE Legislation, and the requirements as detailed above. HSE Department
will check this Pre- start
Checklist to ensure the supplier has verified compliance to Legislative requirements and, to register the plant onto the site. The operator will be
required to participate in ongoing training and perform work in accordance with the relevant Work Method Statement. Should the plant be found
to not conform to the above, then it will be prevented from commencing work on the site until the non-compliance is rectified. HSE Management
will not reimburse the Owner / Supplier / Contractor for any down / lost time so caused from the non-conformance.
This form does not remove any liability for the plant supplier to conform with the relevant Legalisation
