Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Personal

  • Crane identification number

  • MRC Maximum Rated Capacity WLL Working Load Limit

  • Time on site

  • Visitor pass number

  • Job number

  • Hour meter reading

  • Date of Manufacture

  • Photo of the hoist

  • Any other comments

  • Any delays in the access to the site

JOB SAFETY ANALYSIS ( JSA )

  • Work permit number

  • Work to be done at heights

  • Working at heights permit number

  • Controls to be used for working at heights

  • Harness to be worn when required

  • Working near live power

  • Controls to be used for work on or near live power

  • Traffic and / or staff in area ?

  • Controls to be used for staff and or machinery movements.

  • Any other comments

HOIST

  • Wire Rope condition

  • Wire Rope Guide condition

  • Wire Rope Guide condition

  • wire rope drum is free from any backlash play.

  • Hook and safety catch

  • Wire Rope Anchor

  • Sheave radius and condition

  • Working height limit switches

  • Working height limit switch Adjustment

  • Hoist motors

  • Air gap

  • Couplings

  • Transmission is free from noise and vibration

  • Gear box is free from Oil leaks

  • Mountings

  • Overall visual condition10=Good.1=Bad

CROSS TRAVEL

  • Cross travel wheels

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

  • Cross travel guide rollers

  • Transmission is free from noises and vibrations

  • Overall Wear condition. 10=good.1=bad

  • Couplings

  • Gears and keyways

  • Cross travel Motors

  • Air gaps

  • Gear box is free from Oil leaks

  • Mountings

  • Cross travel buffers

  • Cross travel Limit switches and control sensors

LONG TRAVEL DRIVES

  • Long travel wheels

  • Overall Wear condition.10=good.1=bad

  • Transmission is free from noises and vibrations

  • Wear condition. 10=good.1=bad

  • Couplings

  • Gears and keyways

  • Motors

  • Air gap

  • All gear boxes free of Oil leaks

  • Mountings

  • Long travel buffers

  • Limit switches and control sensors

ELECTRICAL

  • Collectors

  • Collector shoe condition.10=good.1=bad

  • Busbar

  • Busbar signage

  • Control box condition

  • Control box

  • Contactors and control electrics

  • Cables and catenary

  • Pendant / radio TX

  • Isolators

  • Isolator signage

  • Tow arm and trolleys

GENERAL ITEMS

  • Signage general

  • Compass signage

  • Crane free from deformations and damage.

  • Crows nest / service access

  • Access ladder condition

  • Any comments

  • Any sketch that may help.

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

  • Time off site

  • Next routine inspection and service due

  • Customer to sign

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