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PNEUMATICLadder

TOOLSInspection
INSPECTION FORM
Pneumatic or Hydraulic Tool (Specify) :
Model :
Manufacturer :
Tool Identification Number :
Subcontractor :
Date of Inspection :
First Inspection Second Inspection Third Inspection
S/No. Items Inspected
Pass Fail Pass Fail Pass Fail
1. Pneumatic Tools
Is the compressed air hose in a good condition with no visible
1
cracks, bubbles or kinks?
Does the hose connection to the tool and to the compressor fit
2
snugly so there are no noticeable leaks?
3 If the air hose is re-coilable, doe it pull and retract freely?

4 Are there pressure reduction devices installed on the tool?


Is there a whip lash arrestor at all the fittings to prevent whipping
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of the hose if a connection comes loose?
Is there a safety check valve in the air hose at or near the
6 compressor connection that will shut off or bypass the air flow if
a break occurs in the air hose?
7 Are there any visible cracks to defects in the tool hauling?
Is there a trigger lock or guard to prevent accidental activation of
8
the tool?
Are there effective guards whenever possible for all moving parts
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of saws, grinders and similar tools?
10 Do moveable guards operate freely?

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12

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2. Hydraulic Power Tools


Are there signs of fluid leakage around hydraulic lines, cylinders,
1
reservoirs, pumps, or other system components?
Are hydraulic lines in good condition with no visible cracks or
2
bubbles or kinks?
3 Are all hydraulic lines connections secure?

4 Are there any visible cracks or defects in the tool?

3. Other Tools

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Inspected By:

Subcontractor Equipment Inspector


(Sign/Date) (Sign/Date) (Sign/Date)

Contractor Equipment Inspector


(Sign/Date) (Sign/Date) (Sign/Date)
Remarks:
___________________________________________________________________________________________________________________________________________________________

Subcontractor Company: Sticker Number Issued (If pass)

Noted by Contractor HSE Manager


Revision 0 : 26 June 2017