Support Structure Inspection
What type of support structure does this equipment have?
Select
Bridge
JIB
Gantry
Monorail
Stationary hook point
N/A
Bridge JIB Gantry Monorail Stationary hook point N/A
Type of bridge
Manufacturer
Date of Manufacturing
Model
Serial number
Capacity
Voltage/Phase
Height
Picture of name plate
Media
1.01 Capacity label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.02 Directional Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.03 Girder
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.04 Beam Buckling/Deflection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.05 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.06 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.07 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.08 Endtrucks
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.09 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.10 Drive Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.11 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.12 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.13 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.14 Motors
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.15 Brakes Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.16 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.17 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.18 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.19 Control Panels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.20 Electrical Disconnects
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.21 Power Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.22 Control Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.23 Festoon System
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.24 Power Collector Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.25 Main Contactor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.26 LS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.27 HS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.28 Transformer
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.29 VFD
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.30 Over Current Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.31 Travel Limits
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.32 Electrical Connections
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.33 Ground Connection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.34 Pendant Station
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.35 Remote Control
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.36 Lights
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.37 Horn
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.38 Anti Collision System
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.39 Overload Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.40 Paint / Protective Coat
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of JIB
Manufacturer
Date of Manufacturing
Date
Model
Serial Number
Capacity
Voltage/Phase
Height
Picture of name plate
Media
1.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.02 Directional Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.03 Girder
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.04 Beam Buckling / Deflection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.05 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.06 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.07 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.08 Endtrucks
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.09 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.10 Drive Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.11 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.12 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.13 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.14 Motors
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.15 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Gantry
Manufacurer
Date of Manufacturing
Date
Model
Serial Number
Capacity
Voltage/Phase
Height
Picture of name plate
Media
1.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.02 Directional Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.03 Girder
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.04 Beam Buckling / Deflection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.05 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.06 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.07 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.08 Endtrucks
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.09 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.10 Drive Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.11 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.12 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.13 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.14 Motors
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.15 Brakes Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.16 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.17 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.18 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.19 Control Panels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.20 Electrical Disconnects
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.21 Power Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.22 Control Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.23 Festoon System
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.24 Power Collector Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.25 Main Contactor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.26 LS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.27 HS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.28 Transformer
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.29 VFD
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.30 Over Current Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.31 Travel Limits
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.32 Electrical Connections
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.33 Ground Connection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.34 Pendant Station
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.35 Remote Control
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.36 Lights
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.37 Horn
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.38 Anti Collision System
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.39 Overload Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.40 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Monorail
Manufacturer
Date of Manufacturing
Model
Serial Number
Capacity
Voltage / Phase
Height
Picture of name plate
Media
1.01 Capacity Level
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.02 Girder
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.03 Beam Buckling / Deflection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.04 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.05 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.06 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Stationary Hook Point
Manufacturer
Date of Manufacturer
Model
Serial Number
Capacity
Voltage / Phase
Height
Picture of name plate
Media
1.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.02 Directional Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.03 Girder
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.04 Beam Buckling / Deflection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.05 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
1.06 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
What type of Trolley does this equipment have?
Type of trolley
Equipment / Certag No
Manufacturer
Date of Manufacturing
Model
Serial No
Capacity
Voltage / Phase
Speed (FPM)
Picture of name plate
Media
2.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.02 Directional Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.03 Drop Stops
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.04 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.05 Trolley Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.06 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.07 Drive Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.08 Motor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.09 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.10 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.11 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.12 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.13 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.14 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.15 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.16 Brake Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.17 Control Panel
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.18 Main Contactor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.19 LS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.20 HS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.21 Transformer
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.22 VFD
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.23 Over Current Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.24 Electrical Disconnects
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.25 Power Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.26 Control Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.27 Festoon System
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.28 Electrical Connections
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.29 Ground Connection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.30 Pendant Station
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.31 Travel Limits (Side to side)
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.32 Overload Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.33 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Manual Trolley
Manufacturer
Date of Manufacturing
Date
Model
Serial Number
Capacity
Voltage / Phase
Picture of name plate
Media
2.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.02 Drop Stops
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.03 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.04 Trolley Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.05 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.06 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.07 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.08 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.09 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.10 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
What type of Hoist does this equipment have?
Type of Hoist
Equipment / Certag No
Manufacturer
Date of Manufacturing
Model
Serial Number
Capacity
Picture of Hoist and name plate
Media
Voltage / Phase
Speed (FPM)
Hoist Lift (FT)
Hoist Lift Counter
FEM Classification
3.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.02 Top Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.03 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.04 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.05 Upper Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.06 Lower Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.07 Load Chain / Wire Rope
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.08 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.09 Lower Block Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.10 Load Wheel / Drum
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.11 Chain / Rope Guide
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.12 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.13 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.14 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.15 Motor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.16 Main Contactor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.17 LS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.18 HS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.19 Travel Limits (Up and Down)
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.20 Pendant Station
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.21 Pendant Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.22 Control Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.23 Power Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.24 Brake Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.25 Transformer
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.26 Pulleys / Sprockets
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.27 Over Current Protect
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.28 Electrical Disconnects
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.29 VFD
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.30 Electrical Connections
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.31 Overload Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.32 Chain Container Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.33 Ground Connection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.34 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.35 Load Test
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Hoist
Equipment / Certag No
Manufacturer
Date of Manufacturing
Model
Serial Number
Capacity
Picture of Hoist and name plate
Media
Hoist Lift (FT)
FEM Classification
3.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.02 Top Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.03 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.04 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.05 Upper Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.06 Lower Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.07 Load Chain / Wire Rope
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.08 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.09 Lower Block Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.10 Load Wheel / Drum
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.11 Chain / Rope Guide
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.12 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.13 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.14 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.24 Brake Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.26 Pulleys / Sprockets
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.32 Chain Container Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.34 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.35 Load Test
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Second Trolley inspection ( If applicable )
What type of Trolley does this equipment have?
Type of trolley
Equipment / Certag No
Manufacturer
Date of Manufacturing
Model
Serial No
Capacity
Voltage / Phase
Speed (FPM)
Picture of name plate
Media
2.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.02 Directional Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.03 Drop Stops
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.04 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.05 Trolley Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.06 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.07 Drive Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.08 Motor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.09 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.10 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.11 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.12 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.13 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.14 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.15 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.16 Brake Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.17 Control Panel
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.18 Main Contactor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.19 LS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.20 HS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.21 Transformer
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.22 VFD
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.23 Over Current Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.24 Electrical Disconnects
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.25 Power Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.26 Control Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.27 Festoon System
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.28 Electrical Connections
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.29 Ground Connection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.30 Pendant Station
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.31 Travel Limits (Side to side)
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.32 Overload Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.33 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Manual Trolley
Manufacturer
Date of Manufacturing
Date
Model
Serial Number
Capacity
Voltage / Phase
Picture of name plate
Media
2.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.02 Drop Stops
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.03 Rail Sweeps
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.04 Trolley Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.05 Idler Wheels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.06 Bumper
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.07 Stoppers
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.08 Side Rolls
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.09 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
2.10 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Second Hoist inspection ( If applicable )
What type of Hoist does this equipment have?
Type of Hoist
Equipment / Certag No
Manufacturer
Date of Manufacturing
Model
Serial Number
Capacity
Picture of Hoist and name plate
Media
Voltage / Phase
Speed (FPM)
Hoist Lift (FT)
Hoist Lift Counter
FEM Classification
3.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.02 Top Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.03 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.04 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.05 Upper Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.06 Lower Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.07 Load Chain / Wire Rope
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.08 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.09 Lower Block Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.10 Load Wheel / Drum
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.11 Chain / Rope Guide
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.12 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.13 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.14 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.15 Motor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.16 Main Contactor
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.17 LS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.18 HS Contactor / Relay
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.19 Travel Limits (Up and Down)
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.20 Pendant Station
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.21 Pendant Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.22 Control Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.23 Power Cable
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.24 Brake Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.25 Transformer
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.26 Pulleys / Sprockets
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.27 Over Current Protect
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.28 Electrical Disconnects
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.29 VFD
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.30 Electrical Connections
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.31 Overload Protection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.32 Chain Container Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.33 Ground Connection
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.34 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.35 Load Test
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
Type of Hoist
Equipment / Certag No
Manufacturer
Date of Manufacturing
Model
Serial Number
Capacity
Picture of Hoist and name plate
Media
Hoist Lift (FT)
FEM Classification
3.01 Capacity Label
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.02 Top Suspension
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.03 Bolts
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.04 Welds
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.05 Upper Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.06 Lower Safety Latch
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.07 Load Chain / Wire Rope
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.08 Outer Housing
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.09 Lower Block Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.10 Load Wheel / Drum
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.11 Chain / Rope Guide
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.12 Gearbox
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.13 Gaskets / Seals
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.14 Oil Levels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.24 Brake Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.26 Pulleys / Sprockets
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.32 Chain Container Assembly
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.34 Paint / Protective Coating
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
3.35 Load Test
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
4.01 Operational Warning Labels
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
4.02 CSA Certified
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
4.03 Check for Loose Debris
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
4.04 Inspection Decal
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
4.05 Engineering Documentation Available
1 - Immediate equipment lockout / tagout required - Repairs required prior to removal of locks/tags and issuance of certification
2 - Repairs required prior to certification - Equipment to be used at the discretion of the equipment owner
3 - Recommendation for improvement, repairs not required for certification
4 - Acceptable at time of inspection
5 - N/A
4.06 Logbook Entry Completed
Acceptable at time of inspection
Deficient at time of inspection
N/A
Is there a piece of equipment that could not be accessed, at point of inspection? (If yes, please add notes and explain)
Equipment required to perform inspection
Inspector(s)
Select
Erik Karlsen
Francis Boulanger
Justin Hansen
Gaetan Bergeron
Miguel Santoyo
Daniel Seguin
Erik Karlsen Francis Boulanger Justin Hansen Gaetan Bergeron Miguel Santoyo Daniel Seguin
Inspector's Signature
Sign
End Time
Date
link copied
CBI SHOP
Crane & Hoist Periodic Visual Inspection
Revised: 01/04/2019 - 4:30pm
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