Title Page
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JOB NO:
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INSPECTION DATE:
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CLIENT / CONTROLLER:
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ADDRESS:
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CONTACT PERSON:
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PHONE:
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EMAIL:
GANTRY CRANE INSPECTION REPORT
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TYPE / DESCRIPTION:
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OFFICIAL NO:
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CLIENT ID:
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MANUFACTURER:
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SWL INDICATOR TYPE:
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VEHICLE TYPE/REG NO:
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BOOM CONFIG:
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RATING SHEET:
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CAPACITY:
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HOIST ROPE DIA:
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HOOKS SWL:
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LOCATION:
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HAZARD ASSESSMENT COMPLETED:
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1. SWL & ID No. Visible
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2. Records
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3. Access
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OPERATIONAL:
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4. Long Travel (Brakes, crabbing)
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5. Cross Travel (Brakes, crabbing)
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6. Hoist & Lower (Brakes)
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7. Limit Switches
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7.1 Long Travel
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7.2 Cross Travel
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7.3 Upper Limit
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7.4 Other Limits
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8. Electrical Isolation & Signage
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9. Emergency Stop (Pendant/Cab)
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CONDITION:
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10. Pendant
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11. Hook / Block / Safety Latch
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12. Sheaves
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13. Ropes & Terminations
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14. Trolley
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14.1. Gears
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14.2 Bolting
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14.3 Hoist Unit
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14.4 Wheels & Bearings
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15. Beam & End Carriages
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15.1 Rails
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15.2 Bolting
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15.3 Wheels & Bearings
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15.4 Motors / gearboxes
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16. Support Structure / Earths
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17. Signage Live Wires/Conductors
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18. Other
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This item has been inspected in accordance with the relevant codes and standards and is being / not being recommended for certification.
CRANE CERTIFICATE OF INSPECTION
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JOB NO.:
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CLIENT / CONTROLLER:
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ADDRESS:
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EXPIRY DATE:
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TYPE / DESCRIPTION:
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OFFICIAL NO.:
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CLIENT ID:
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MANUFACTURER:
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LOCATION:
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VEHICLE TYPE/REG NO.:
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CAPACITY:
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INSPECTION DATE:
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CONTACT PERSON:
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On Inspection, the equipment was found in a safe condition, and is likely to remain safe for the period of which the Certificate is issued, if operated and maintained properly by the controller.
(This certificate may be cancelled or suspended at any time in accordance with the PECPR Regulations) The controller must ensure that the certificate and any supporting documents in related to the equipment are to be available at the workplace for staff to access and examine. -
Equipment Inspector:
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Reviewed By (Authorized Signatory):
