ELECTRICAL TOOL AND EQUIPMENT

INSPECTION CHECKLIST

KI 64115 - 014 Appendix - 1 Form - 010

Subjects Saw Planer Bender Cutter Grinder Blower Pump

Result Column : Yes/Good, Acceptable, : Not/Bad, Not to use, NA: Not applicable
Type of Equipment : CARRY-IN CERTIFICATE
Equipment No. : Permit No. :
Capacity : Date :
Manufacturer : Approved by :
Subcontractor : Reviewed by :
Month of Inspection :
This form must be completed by the operator and company user before entering the equipment to be
operated in the site project area, and at any time of setting location. All equipment condition must meet to the
Safety Regulation and KWRK HSE Management Plan

No. Check Item Check Points Result Remarks

1. Equipment/Tools
a Appearance Damage, Defects, Fixing

b Motor Abnormal sound, Overheat

c Safe Guards Damage, Missing

d Earth for Movable Equip. Missing, Resistance

e Frame (body) Earth Missing, Resistance

f Installation/Fixing Stable, Securely

g Abrasive Disk/Blade Abrasion, Defect

h Hand Switch Function, Damage, Location

i Pilot Lamp Function, Damage

2. Cable/Connector
a Cable/Insulation Quality, Capacity, Damage

b Cable Connectors Weather-proof, Damage

c Cable Terminals/Clamp Damage, Secure, No naked

d Laying (Not to be damaged) Overhung, Buried, Protection

3. Miscellaneous
a Carry-in Certificate Indication

b Safe Guards for moving parts Breakage, Missing

General Comment:

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 ELECTRICAL TOOL AND EQUIPMENT
INSPECTION CHECKLIST

KI 64115 - 014 Appendix - 1 Form - 010

Subcontractor/Supplier KWRK
Approved by : HSE :
Reviewed by : Reviewer :
Inspected by : Inspector :
Date : Date :

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