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AGFAB Engineering LIFTING GEAR REGISTER (Rev A)
AGFAB Engineering LIFTING GEAR REGISTER (Rev A)
Peter Cations

AGFAB Engineering LIFTING GEAR REGISTER (Rev A)

Document No. HSE-R-003

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Free AGFAB Engineering LIFTING GEAR REGISTER (Rev A) Checklist

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Title Page

  • Conducted on

DETAILS

  • Client / Site: Barwon Water - Black Rock WRP Inlet Works Upgrade 400 Black Rock Connewarre

  • Document No. HSE-R-003

EQUIPMENT IDENTIFICATION / INSPECTION AND RESULTS

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

  • Item Description:

  • Serial Number:

  • Size/Capacity:

  • Length/Lift:

  • Pass/Fail

  • Inspection Instruction:

  • Test Certificate Date:

APPROVALS

  • Agfab personnel conducting the inspection:

    • Greg Oman
    • John Toner
    • Ian McCormick
    • Greg Grima
    • David Howard
    • Shane Dando
    • Alan Nield
    • Peter Cations
    • Steve Sweeney
    • Chadi Khodr
    • Andrew Roberts
    • Joseph Frattin

  • Signature of Agfab personnel conducting the inspection:

  • External company personnel (if relevant)

  • Signature of personnel from external company:

  • Note* This is an IAuditor- IPad/IPhone version of HSE-R-003

AGFAB Engineering LIFTING GEAR REGISTER (Rev A)
Peter Cations

AGFAB Engineering LIFTING GEAR REGISTER (Rev A)

Document No. HSE-R-003

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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