Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Audit prepared by

  • Location

Task Information

  • Job number

  • Purchase Order Number

  • Work Order Number

  • SCR tag number

  • Visitor Pass number

  • Time on site

  • Any delays in gaining access to the site

  • Delay details.

JOB SAFETY ANALYSIS

  • Working at a height

  • Working at heights permit number

  • Controls to be used

  • Harness required?

  • Working on or near live electrical power?

  • Controls to be used for electrical work

  • Traffic and staff in the area?

  • Controls to be used

  • Loud noise in the work area.

  • Hearing protection to be worn

  • Spare Ear plugs should be carried on you working aloft.

  • Hazardous chemicals.

  • Controls to be used.

  • Any other comments

HOIST

  • Hoist

  • hoist
  • Hoist type

  • Hoist Manufacturer

  • Photo of Hoist

  • MRC Maximum Rated Capacity

  • Height of lift

  • Serial Number

  • Motors / drives

  • Working height limit adjustment

  • Working height limit switches

  • Transmission noise and vibration

  • Couplings

  • Free from any fluid leaks.

  • Overload pressure setting.

  • Drum is free of back lash

  • Wire rope condition

  • Hook and safety catch

  • Wire rope anchor point

  • Mountings

  • Sheaves condition

  • Overall Visual Condition.10=Good.1=Bad

  • Hoist Manufacturer

  • Photo of the Hoist

  • MRC Maximum Rated Capacity.

  • Height of lift

  • Motors

  • Serial Number

  • Motors / drives

  • Drum free of back lash

  • Wire rope condition

  • Hook and safety catch

  • Wire rope anchor point

  • Transmission noise and vibration

  • Mountings

  • Sheaves condition

  • Overall Visual Condition.10=Good.1=Bad

  • Hoist Manufacturer?

  • Photo of the Hoist.

  • MRC Maximum Rated Capacity.

  • Chain condition

  • Height of lift

  • Serial Number

  • Hook and safety catch

  • Chain bag condition

  • Gypsy gear condition

  • Gypsy gear free from any back lash.

  • Chain Anchor point safe

  • Air gap

  • Mountings

  • Overall Visual Condition.10=Good.1=Bad

  • Hoist Manufacturer.

  • Photo of the Hoist

  • MRC Maximum Rated Capacity.

  • Height Of lift

  • Chain condition

  • Hook and safety catch

  • Gypsy gear condition

  • Gypsy gear free from any back lash.

  • Mountings

  • Overall Visual Condition.10=Good.1=Bad

  • Hoist Manufacturer.

  • Photo of the Hoist

  • MRC Maximum Rated Capacity.

  • Height of lift

  • Serial Number.

  • Chain condition

  • Hook and safety catch

  • Gypsy gear condition

  • Gypsy gear free from any back lash.

  • Chain Anchor point safe

  • Mountings

  • Overall Visual Condition.10=Good.1=Bad

CROSS TRAVEL

  • Cross travel trolley

  • Trolley type

  • Anchor point

  • Mountings

  • Overall visual wear condition.10=good.1=bad

  • Pic of wheels

  • Anchor point

  • Fit to rail

  • Buffers

  • Mountings

  • Overall visual wear condition.10=good.1=bad

  • Pic of wheels

  • Continuous chain condition

  • Gear condition

  • Fit to rail

  • Buffers

  • Anchor point

  • Mountings

  • Overall visual wear condition.10=good.1=bad

  • Pic of wheels

  • Motors

  • Air gap

  • Transmission free from noises and vibrations

  • Gearboxes free from oil leaks

  • Gears and keyways

  • Limit switches and control sensors

  • Couplings

  • Mountings

  • Fit to rail

  • Buffers

  • Anchor point

  • Overall visual wear condition.10=good.1=bad

LONG TRAVEL

  • Long travel

  • Long travel wheels

  • Pic of wheels

  • Overall condition of the long travel wheels.

  • Transmission is free from noises and vibrations.

  • Couplings.

  • Gears and key ways.

  • Motors.

  • Air Gap

  • All gear boxes free from Oil leaks

  • Mountings

  • Buffers and end stops

  • Limits and speed control sensors

ELECTRICAL

  • Energy supply

  • Air fittings are in a sound condition.

  • Air Supply is dry

  • Air Supply lubricator operational

  • Air pressure is set to the Hoists maximum setting.

  • Air supply volume is adequate for the Hoist

  • Pump condition

  • Pump is free from any oil leaks

  • Hydraulic hoses in good condition

  • Hoses are all held securely.

  • Hydraulic oil level.

  • Hydraulic oil level at highest stowed level.

  • Hydraulic oil is clear and free of metal flake

  • Hydraulic filter condition

  • Date the filter was last replaced

  • Control box condition

  • Control box

  • Contactors

  • Pendant / Radio TX unit

  • Isolators

  • Isolator signage

  • Live rail signage present

  • Energy Supply system

  • Hard drawn wire wear

  • Double ring wear

  • Cable condition

  • Tow arm

  • trolley condition

  • Cable condition

  • Cable condition

  • tension and reaction time

  • cable tray area clean

  • Pic of collector heads and bus bar

  • Collector Arms

  • Bus bar Signage

  • Earth supply fitted

  • Advise fitting of earth supply to meet current Australian standards.

STRUCTURAL CONDITION

Suitable for continued safe use.

  • Year of manufacture or the year of the last major inspection

  • Hoist is over 10 years old?

  • 7.4 ASSESSMENT FOR SUITABILITY FOR CONTINUED SAFE USE
    7.4.1 Assessment for continued safe operation
    Cranes that have reached the end of their design life shall be assessed to ensure their suitability for continued use. Where the design life is unknown, this assessment should be carried out at 10-year intervals for the mechanical components and at 25-year intervals for the structure.
    The assessment shall also be undertaken where maintenance records indicate repeated failures of any critical component or where the crane has been subjected to an overload greater than 10% of the safe working load for either or both the structure and hoist.


    Persons carrying out such an assessment should be supervised by a professional engineer.

    NOTES.


    1. A cranes design life may not be the same as its actual life and depends on such factors as its classification, usage and its operating environment.
    2. Devices are available to record the actual usage of a crane to enable assessment of its remaining design life. Guidance on such devices is given in ISO 12452, 1.
    3. Appendix 1 provides guidance on items that may be included in such an assessment.
    As part of the assessment, a major inspection of the crane may be necessary (see Clause 7.3.4).

  • Is the crane in a suitable condition to return into operation safely until the next regular inspection in 12 weeks.

  • The Crane has been removed from service and is tagged out.

  • Any items that may require immediate attention.

  • List of urgent faults.

  • Will any of these faults deem the crane unsuitable to use until repaired.

  • Crane has been tagged "out of service"

  • Please note the working life of a crane is as per the manufacturer specifications or a maximum of 10 years of service. Whichever is the lesser

  • Is the crane fitted with a load usage monitoring device.

  • Is the crane operating within it's designed duty cycle

  • Is the crane over 25 years' old

  • A Crane has a structural Service life of 25 years maximum. After this time period the Crane must be removed from service and full dismantled, internally inspected and repaired and modified to comply with the latest Australian standards or just scrapped.

  • 7.4 ASSESSMENT FOR SUITABILITY FOR CONTINUED SAFE USE
    7.4.1 Assessment for continued safe operation
    Cranes that have reached the end of their design life shall be assessed to ensure their suitability for continued use. Where the design life is unknown, this assessment should be carried out at 10-year intervals for the mechanical components and at 25-year intervals for the structure.
    The assessment shall also be undertaken where maintenance records indicate repeated failures of any critical component or where the crane has been subjected to an overload greater than 10% of the safe working load for either or both the structure and hoist.


    Persons carrying out such an assessment should be supervised by a professional engineer.

    NOTES.


    1. A cranes design life may not be the same as its actual life and depends on such factors as its classification, usage and its operating environment.
    2. Devices are available to record the actual usage of a crane to enable assessment of its remaining design life. Guidance on such devices is given in ISO 12452, 1.
    3. Appendix 1 provides guidance on items that may be included in such an assessment.
    As part of the assessment, a major inspection of the crane may be necessary (see Clause 7.3.4).

Structure

  • Beam is free from any signs of structural deformation?

  • is the crane suitable to be returned into continued service

  • Locked out and removed from service

  • All structural bolts are tight and corrosion free?

  • All mating flanges are free from corrosion

  • Protective coatings are in a sound and serviceable condition?

  • Building structure in sound condition

  • All foundations are in a good condition?

GENERAL ITEMS

  • Signage

  • Compass signage

  • Crow's nest / service access

  • Access ladder condition

  • Any comments

  • Any sketch that may help?

  • Inspection technician to sign. All work has been done to comply with the relevant Australian Standards.

  • Next routine inspection and service due.

  • Time off site

  • Pic of the Attendance / Service book.

  • Customer to sign

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.