Hoist Service & Maintenance Record v1

• Site conducted

  Select

• Client:

• Site:

• Hoist Number

• Serial Number:

• Manufacturer Name:

• Maximum Safe Working Load (Kg):

Items Inspected

• Manuals

  Ok

  Not Ok

  N/A

• Hoist Base in good condition

  Ok

  Not Ok

  N/A

• Lubrication (Check oils/grease)

  Ok

  Not Ok

  N/A

• Trailing Cable

  Ok

  Not Ok

  N/A

• Ramps & Latches

  Ok

  Not Ok

  N/A

• Indicator Lights

  Ok

  Not Ok

  N/A

• Limit Switches

  Ok

  Not Ok

  N/A

• Signage (present and legible)

  Ok

  Not Ok

  N/A

• Pendant Control (condition, operation, cable)

  Ok

  Not Ok

  N/A

• Connecting Bolts

  Ok

  Not Ok

  N/A

• Check rack and drive pinion for wear

  Ok

  Not Ok

  N/A

• Run & Test

  Ok

  Not Ok

  N/A

• Proximity Switch

  Ok

  Not Ok

  N/A

• Overspeed on Safety Brake

  Ok

  Not Ok

  N/A

• Electrical Tag in Date?

  Ok

  Not Ok

  N/A

REPAIRS

• Details of repairs or alterations carried out:

• OTHER COMMENTS:

VERIFICATION

• Signature:

  Sign