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>rm <br /> t <br /> ' <br /> !- C>nHdd T ai In±C$estttl E den}xi5(s t <br /> SAFETY CHECKLIST FOR MACHINERY, MECHANIZED <br /> EQUIPMENT, AND OTHER MOBILE EQUIPMENT <br /> Project Name: Soil Excavation at California National Guard Armory <br /> Lodi, California <br /> Contract Number: W91238-09-D-0017, DO 0004 <br /> Pae 1 of 2 <br /> Equipment name and number: <br /> Owned or leased? AERN 36,11- f0 <br /> f? <br /> Contractor: Subcontractor: <br /> C;&V00 1,4 <br /> Co a or i pe tor: Date inspected: <br /> CH CKLIST Yes No N/A <br /> 1. Are initial and dail /shift inspection records available? <br /> 2. Are only qualified operators assigned tooperate equipment? <br /> 3. Are sufficient lights provided for night operations? <br /> 4. Does the unit have as a minimum a 5-B:C fire extinguisher? <br /> 5. Is there an effective working reverse alarm? <br /> 6. Is the unit shut down for refueling? or <br /> 7. Are moving parts, shafts, sprockets, belts, etc., guarded? <br /> 8. Is protection against hot surfaces, exhausts, etc., provided? <br /> 9. Are fuel tanks located in a manner to prevent spills or overflow from <br /> running onto engine exhaust or electrical equipment? <br /> 10. Are exhaust discharges directed so they do not endanger persons or <br /> obstruct operator vision? <br /> 11. Are seat belts provided for each person required to ride on the <br /> equipment? <br /> 12. Is protection (grills, canopies, screens) provided to shield operators <br /> from falling or flying objects? <br /> 13. Is roll over protection provided ROPS ? <br /> 14. Is a safe means of access to the cab provided (steps, grab bars, non- <br /> slip surfaces)? <br /> 15. Are adequate head and taillights provided? <br />