Banyu Urip Project
Production Processing Facilities
PRE-ENTRY INSPECTION CHECKLIST
BULLDOZER
NAME OF SUB CONTRACTOR: ______________________________________________________________
CONTRACTOR EQUIPMENT No: _____________________________________________________________
EQUIPMENT MAKE/MODEL: ______________________ EQUIPMENT SERIAL No: __________________
EQUIPMENT SUPPLIER: _________________________ INSPECTION AREA: _______________________
DATE OF INSPECTION: _____________ TIME START: ___________ TIME FINISH: __________________
TS INSPECTOR: __________________________ TS INSPECTOR SIGNATURE: _____________________
TS MECHANIC: __________________________ TS MECHANIC SIGNATURE: _____________________
CONTRACTOR REPRESENTATIVE: _________________________ BADGE NO: _____________________
AUTHORISED FOR USE IN: _____ OPERATIONAL AREAS (SPARK ARRESTOR FITTED)
SPARK ARRESTOR SERIAL No.:_______________________
_____ NON-OPERATIONAL AREAS
REGULATORY EXPIRY DATE (INSURANCE): _________________________
PRE-ENTRY INSPECTION RESULT
PASS FAIL Permanent Ban
(S) INSPECTED & (N/A) NOT
(M) MANDATORY ITEM (R) REPAIR REQUIRED
SATISFACTORY APPLICABLE
NOTE: A TICK ON THE (R) COLUMN ON ANY ONE (1) MANDATORY ITEM MEANS OUTRIGHT FAILURE OF THE INSPECTION!
N/A - SUBJECT TO/DEPENDS ON THE RISK ASSESSMENT
A - OPERATOR’S CABIN S R N/A COMMENTS
Cabin/Platform/Overhead Guard
Step, Door Handle, Latch
Operator’s Seat, Mechanism, Mounting
M Windshield, Cab Glass (Check for Cracks)
Windshield Wiper, Washer
Dashboard (Cigarette Lighter removed)
Fan (Air circulation)
Sun Visor
Audio, Visual Alarms
Indicators, Gauges
Switches, Control Levers (properly identified
– labelled)
Mirrors, Rear, Left, Right
M Seatbelts in place & in working condition
No loose/flammable items inside the cab
Anti slip step(pad) for access, egress and
M platform (grill type step is also acceptable)
Banyu Urip Project
Production Processing Facilities
Throttle Control Lever/Pedal
Foot Brake/Pedal
Transmission/Travel Controls
Dozer, Ripper Control Lever
Steering/Steering Clutch Controls
Engine Emergency/Manual Shutoff
B - ELECTRICAL SYSTEM S R N/A COMMENTS
Work Lights, Front, Rear
Signal / Hazard Lights, Front, Rear
M Beacon Lights, permanently mounted
Horn in working condition
M Back Up Lights / Alarm
Alternator Charging Condition
Electrical Wiring Harness Condition
Batteries, Covers, Hold Down bolts
Battery Terminals, Cables
C – ENGINE COMPARTMENT S R N/A COMMENTS
Clean - Free of Dust, Dirt, Oil & Grease
M Oil – Filter, Cooler, Piping Leaks
M Fuel filter, Water-Fuel Separator, Leaks
Fan – Belts & Guards
Air Induction System, Hoses, Clip & Joints
M Turbocharger, Oil Pipe, Fittings, Oil Leaks
Exhaust System, Joints, Gasket Leaks
Radiator – Hoses, Cap, Gasket, Coolant
M Leaks
Spark Arrestor (US Forestry Approved)
M Subject to Base Plant & IRF Requirement
D - FUEL TANK/FUEL SYSTEM S R N/A COMMENTS
Clean, Free of Dust, Dirt, Oil & Grease
M Cap Gasket, Fuel line, Drain Valve, Leaks
Mounting - Bolts, Brackets
M Fuel – Pump, Injectors, Hoses Leaks
E - BRAKE SYSTEM S R N/A COMMENTS
Air Hydraulic
M Brake Tubes, Hoses, Front, Rear, Leaks
Foot Brakes, working Properly
Parking Brakes, working properly
F - SAFETY S R N/A COMMENTS
M Fire Extinguisher
Capacity (4.5 Kg), Date Charged
- Regular Inspection Tag, Current
M - Rigidly Mounted & readily available
Safety Warning/Danger Signs at Rear
G – SPILL MITIGATION S R N/A COMMENTS
M Oil Spill Absorbent Pad
Banyu Urip Project
Production Processing Facilities
H – POWER TRAIN (with Tracks) S R N/A COMMENTS
Clean, Free of Dust, Dirt, Oil & Grease
M Mounting Bolts, Oil Leaks
M Pipes, Hoses, Oil Leaks,
M Hose Rubber Insulation, Damage
M Hose Steel Braiding, Damage, Corrosion
M Hose End Fitting, Damage, Bent, Kinked
M Trunnion Bearing, Tubes, Hose, Oil Leaks
Drive Shaft, Universal Joints
M Torque Converter, Noise, Oil Leaks
M Power Shift Transmission, Noise, Oil Leak
M Gear Type Transmission, Noise, Oil Leaks
Transmission Operates in all ranges
Steering Clutches, Right, Left
Steering Brakes, Right, Left
Final Drive, Right, Left (Sprocket)
I - HYDRAULIC SYSTEM S R N/A COMMENTS
Clean - Free of Dust, Dirt, Oil & Grease
Lift Cylinders, pins, bushings (Blade)
Tilt Cylinders, pins, bushings (Blade)
Ripper Cylinder, Pin, Bushing
M Hydraulic pump, Noise, Oil Leaks
M Control valves, Hoses, Oil Leaks
M Hydraulic tank, Filters, Leaks, Cap seal
Tank - Bolts, Mountings, Brackets
M Hydraulic Hose, Tubes, Oil Leaks
M Hose Rubber Insulation, Damage
M Hose Steel Braiding, Damage, Corrosion
M Hose End Fitting, Damage, Bent, Kinked
J – ATTACHMENTS (Blade & Ripper) S R N/A COMMENTS
M Structural Cracks, Dozer/Blade
Cutting Edges, Adopters, End Bits
Mountings, Pins, Locks
Push Arm, Trunnion, Mounting Bolts
Braces, Mounting, Pins
Frame, Structural Cracks, Mounting Bolts
M Hydraulic Cylinder, Blade, Oil Leaks
Ripper Shank, Pins, Locks
Ripper Tooth, Pins, Locks
K - UNDERCARRIAGE S R N/A COMMENTS
Clean - Free of Dust, Dirt, Oil & Grease
Sprockets, Mounting Bolts, Nuts
M Equalizer Bar, Structural Cracks
Mounting Pad, Sprockets
M Track Frames, Alignment, Cracks
Frame Guards, Hardware
M Bottom Track Rollers, Bolts, Oil Leaks
M Track Carrier Rollers, Bolts, Oil Leaks
M Track Idlers, Left, Right, Oil Leaks
Track Shoes, Pins, Bolts
Track Links, Pins, Bushings
Banyu Urip Project
Production Processing Facilities
Master Link joints, Bolts, Master pins
End Tumblers
Track Tension
