Hoist Inspection Checklist Form PDF Details

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.

QuestionAnswer
Form NameHoist Inspection Checklist Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesHoist Safety Inspection Form, Pre-Use and Monthly Inspection Checklist Form for Overhead Cranes and Hoists

Form Preview Example

SAFETY INSPECTION FOR CRANES AND HOISTING EQUIPMENT

USACE, Galveston District

Safety and Health Requirements Manual (EM 385-1-1 15/sep/2008)

Contract No.

 

 

 

Date of Inspection:

 

 

 

Prime contractor Name:

 

 

 

 

 

 

 

 

Inspector Name/signature:

 

 

 

 

 

 

 

 

Make:

 

Name of competent person:

 

 

 

 

 

 

 

 

 

 

 

Model:

 

 

Signature of CP/QP:

 

 

 

Serial no.

 

 

 

 

 

 

 

 

 

 

 

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 -16.A.02

4 Does equipment have and in working condition: 16.A.08 A- Fuel gage

B- Auditable warning devise (horn) C- Adequate rearview mirrors

D- Non-slip surface on steps

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 structures-(ROPS)

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 wind-indicating device available at the cab- 16.I.01

Attachments:

AHA for crane set-up and set down

Communications system

Electrical clearance plan

Critical lift plan

SWG form 1192-J

Previous Edition Obsolete

19/Aug/2010

 

Report of Crane Test:

 

 

 

 

 

 

 

Government Owned:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contractor Owned/Rented:

 

If Rented who Owned:

 

 

 

 

 

 

 

 

 

 

 

 

Length of boom:

 

 

 

 

 

 

 

Manufacture Rate Capacity:

 

 

 

 

 

 

 

 

 

 

 

 

 

Max Work Load Anticipated:

Tons :

Radius Ft:

 

 

 

 

Position # 1

Load:

 

Radius:

 

 

 

 

 

 

 

 

 

 

 

 

Position # 2

Load:

 

Radius:

 

 

 

 

 

 

 

 

 

 

 

 

Position # 3

Load:

 

Radius:

 

 

 

 

Position # 4

Load:

 

Radius:

 

 

 

 

 

 

 

 

 

 

 

Results of Performance Test:

 

 

 

 

 

 

 

 

 

 

 

Note: Performance load test shall be conducted in accordance with the manufacturer's

 

 

 

 

recommendations. Loads test shall not exceed 100% of the manufacturer's load rating capacity

 

 

 

 

 

 

 

 

 

 

chart at the configuration of the test.

 

 

 

 

 

 

 

 

 

 

The test shall consist of lifting, lowering, swinging and braking the test load through all

 

 

 

 

positions and operations normally performed to demonstrated the equipment's ability to safety

 

 

 

 

 

 

 

 

 

 

 

 

maneuver the load.

 

 

 

 

 

 

 

Written reports of the rated load test, showing test procedures and confirming the adequacy

 

 

 

 

 

 

 

 

 

of repairs or alterations, shall be maintains with the crane, derrick or at the on-site project office.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condition of following:

S= serviceable U= unserviceable N/A= non-applicable

S

U

N/A

 

 

 

 

 

 

 

 

 

Load Chart

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boom hoist kick out

 

 

 

 

 

 

 

Interior clean and oil free

 

 

 

 

 

 

 

 

 

 

 

 

 

Hearing protection available

 

 

 

 

 

 

 

 

 

 

 

 

 

Operable warning device

 

 

 

 

 

 

Anti-two blocking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

load indicating device

 

 

 

 

 

 

 

Bulkhead lifting device

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boom angle indicator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Drum rotation sensor

 

 

 

 

 

 

 

Engine throttle and controls

 

 

 

 

 

 

 

 

 

 

 

 

 

Swing controls, clutches and brakes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Swing lock

 

 

 

 

 

 

 

Boom hoist controls, clutches and brakes

 

 

 

 

 

 

 

 

 

 

 

Main drum controls, clutches and brakes

 

 

 

 

 

 

 

 

 

 

 

Aux. drum controls, clutches and brakes

 

 

 

 

 

Travel controls, clutches and brakes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Master clutch

 

 

 

 

 

 

 

Hoist lines- main, aux. and boom

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hooks, blocks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Drums

 

 

 

 

 

 

 

Rope anchor on drum

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shavers, rollers, equalizers

 

 

 

 

 

 

 

 

 

 

 

 

Crawler chain, tracks, sprockets, rollers

 

 

 

 

 

Rotating parts guarded

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mast jib and live mast

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SWG form 1192-J

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 re-inspected and re-certified prior to use.

Name and Signatures:

 

 

 

Prime Contractor Superintendent: ____________________

____________________________

Prime Contractor Quality Control Rep: ___________________

__________________________

Subcontractor Forman: ___________________

_____________________________

Crane Operator: _____________________

 

______________________________

QA/PE : _______________________

_________________________________

SWG form 1192-J

Previous Edition Obsolete

19/Aug/2010