CHECKLIST FOR PORTABLE BREAKING MACHINE
Project Name: Equipment No.:
Contractor Name: Inspection Date:
Equipment Specs. Next Inspection Date:
3
2 6
4
1
5
7
SR N0 CHECK ITEM PHOTOS YES / NO SR N0 CHECK ITEM PHOTOS YES / NO
Fore handle Chisel in
1 without 2 damaged
damage. condition
Chisel holder Speed Limit
3 without any 4 Switch
Damage available
Presence of Trigger
Cord strain switch
5 6
reliever without
(glands). damage.
Electric
All body in
cable without
7 good 8
cuts and
condition
joints.
Presence of
9 Industrial Other
pluge Top
NAME SIGNATURE Date
Checked by Contractor Safety Officer
NAME SIGNATURE Date
Checked by Contractor Site Supervisor
PMC / Client Reviewed Accepted…………………………………… Rejected………………………………………
NAME SIGNATURE Date
Checked by PMC / Client
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