APS GRP - DUCT LIFT INSPECTION

• Client

• Purchase Number

• Document Number

• Service Technician

• Location
  Address

• Date

  Date

• Machine ID#

• Make & Model:

• Serial# :

Inspection

• Inspect Ops Manual and Decals legible

  Pass

  Fail

  N/A

• All Welds structurally visibly sound

  Pass

  Fail

  N/A

• Clean Columns

  Pass

  Fail

  N/A

• Inspect winch and wire cable

  Pass

  Fail

  N/A

• Inspect pulleys

  Pass

  Fail

  N/A

• Winch Operates Correctly

  Pass

  Fail

  N/A

• Carriage Hold Down Bar Operates

  Pass

  Fail

  N/A

• Inspect and lubricate wheels including brakes

  Pass

  Fail

  N/A

• Mast assembly Wear

  Pass

  Fail

  N/A

• Safety brake system

  Pass

  Fail

  N/A

• Carry out function test

  Pass

  Fail

  N/A

Administartion

• Service Notes

• Parts Used

• Flagged Items

• Take Photos

  Media

• Service Technician Name and Signature

  Sign