If your business is using hoists, you know how important it is to ensure the safety and reliability of these indispensable pieces of equipment. In order for that to happen, regular inspections are essential – which means having a checklist form in place. An effective hoist inspection checklist will not only reinforce safety protocols but also help minimize costly downtimes related to unexpected machine problems. In this blog post, we'll take a look at some tips for creating an organized and comprehensive Hoist Inspection Form that can be used in any workplace environment.
Question | Answer |
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Form Name | Hoist Inspection Checklist Form |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | Hoist Safety Inspection Form, Pre-Use and Monthly Inspection Checklist Form for Overhead Cranes and Hoists |
SAFETY INSPECTION FOR CRANES AND HOISTING EQUIPMENT
USACE, Galveston District
Safety and Health Requirements Manual (EM
Contract No. |
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Date of Inspection: |
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Prime contractor Name: |
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Inspector Name/signature: |
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Make: |
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Name of competent person: |
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Model: |
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Signature of CP/QP: |
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Serial no. |
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CRANE INSPECTION CHECKLIST |
yesn no n/a |
1Inspector Qualification and Certification - 16.D.02
2 Operator manual available in the cab - 16.A.03
3 Documents of certified mechanic inspection
4 Does equipment have and in working condition: 16.A.08 A- Fuel gage
B- Auditable warning devise (horn) C- Adequate rearview mirrors
D-
E- Power operator starting device F- A seat for the operator
G- At minimum two head lights and two taillights H- Windshield, windows and door
I- A fire extinguisher
J- A Back or motion alarm
K- Rollover protective
5 Operator manual for hydraulic equipment and attachment- 16.A.10 6 Are all guarding and safety devices in place- 16.A.11
7 Operator qualification and certificated available- 16.B.01
8 Is wire rope in good condition in accordance with- 16.D.12 9 Are all documents available in the cab- 16.G.01
10Is load test in accordance with- 16.F.03.b
11Is a
Attachments:
AHA for crane
Communications system
Electrical clearance plan
Critical lift plan
SWG form |
Previous Edition Obsolete |
19/Aug/2010 |
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Report of Crane Test: |
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Government Owned: |
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Contractor Owned/Rented: |
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If Rented who Owned: |
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Length of boom: |
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Manufacture Rate Capacity: |
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Max Work Load Anticipated: |
Tons : |
Radius Ft: |
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Position # 1 |
Load: |
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Radius: |
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Position # 2 |
Load: |
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Radius: |
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Position # 3 |
Load: |
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Radius: |
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Position # 4 |
Load: |
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Radius: |
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Results of Performance Test: |
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Note: Performance load test shall be conducted in accordance with the manufacturer's |
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recommendations. Loads test shall not exceed 100% of the manufacturer's load rating capacity |
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chart at the configuration of the test. |
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The test shall consist of lifting, lowering, swinging and braking the test load through all |
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positions and operations normally performed to demonstrated the equipment's ability to safety |
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maneuver the load. |
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Written reports of the rated load test, showing test procedures and confirming the adequacy |
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of repairs or alterations, shall be maintains with the crane, derrick or at the |
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Condition of following: |
S= serviceable U= unserviceable N/A= |
S |
U |
N/A |
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Load Chart |
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Boom hoist kick out |
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Interior clean and oil free |
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Hearing protection available |
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Operable warning device |
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load indicating device |
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Bulkhead lifting device |
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Boom angle indicator |
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Drum rotation sensor |
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Engine throttle and controls |
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Swing controls, clutches and brakes |
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Swing lock |
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Boom hoist controls, clutches and brakes |
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Main drum controls, clutches and brakes |
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Aux. drum controls, clutches and brakes |
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Travel controls, clutches and brakes |
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Master clutch |
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Hoist lines- main, aux. and boom |
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Hooks, blocks |
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Drums |
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Rope anchor on drum |
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Shavers, rollers, equalizers |
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Crawler chain, tracks, sprockets, rollers |
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Rotating parts guarded |
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Mast jib and live mast |
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SWG form |
Previous Edition Obsolete |
19/Aug/2010 |
Condition of following: (Continuing)
Boom and jib:
Cords, lacings, pins and cotter
Welds, foot and hinge pins
Ware pads and blackstrap
Boom stop
Remarks:
All dents, scratches or damage that do not interfere with the safe operation of the equipment
1- ___________________________________________________________________________________
2- ___________________________________________________________________________________
3- ___________________________________________________________________________________
4- ___________________________________________________________________________________
5- ___________________________________________________________________________________
Corrections of Deficiencies and date corrected:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Note: Crane shall not be utilized until all deficiencies have been corrected. If at anytime the crane or derrick is removed from and subsequently returned to the project it shall be
Name and Signatures: |
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Prime Contractor Superintendent: ____________________ |
____________________________ |
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Prime Contractor Quality Control Rep: ___________________ |
__________________________ |
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Subcontractor Forman: ___________________ |
_____________________________ |
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Crane Operator: _____________________ |
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______________________________ |
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QA/PE : _______________________ |
_________________________________ |
SWG form |
Previous Edition Obsolete |
19/Aug/2010 |