Title Page
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CLIENT NAME
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JOB NUMBER
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Conducted on
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VENUE
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Inspectors Name
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Inspectors Licence details
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Production Manager
- B Murphy
- D Segan
- R Good
- T Raquel
- Z Jones
- Not Listed
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Chain hoist
Hoist Test #
Chain Motor Details
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Enter hoist location (i.e. SR PA, FOH Truss etc, otherwise leave blank)
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Take a photo of the hoist
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Hoist Type
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Serial Number
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Take a photo of the Serial Number#
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Owners Designation
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Lifting Capacity
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Reported Faults
Equipment Check List
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CASE (Check for cracks or other mechanical damage)
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END COVERS (are secure and bolts are in good condition)
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CHAIN BAG ATTACHMENT (secure and not bent)
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DEAD END (attached to motor or device attached to back up limits)
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CHAIN WEAR (check for wear and stretch)
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CHAIN PORT (check for wear, deformity, and foreign matter)
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MOTOR HOOK (in good condition, secure and safety latch operational)
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CHAIN HOOK (in good condition, secure and safety latch operational)
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GEARBOX (grease level, wear)
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CONTACTOR (operation, contact condition)
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TRANSFORMER (operation, mounting)
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MOTOR WINDINGS (tested load side of contactor)
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CONNECTOR BLOCK (all terminals tight and seated)
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BRAKE ADJUSTMENT (0.5mm feeler)
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TOP LIMIT (mm of Chain)
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BOTTOM LIMIT (mm of Chain)
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ELECTRICAL INLETS (case and insert secure and in good condition)
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MEGAOHM TEST (each phase to earth)
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EARTH CONTINUITY (connector earth to 3 body points)
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RAINPROOF (gaffer tape joins, all holes sealed)
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PAINT (touch up paint & numbers)
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CHAIN LUBRICATION (good amount, clean)
Load Test
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LOAD TESTED TO:
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ENTER TEST LOAD
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LOAD TEST PASS/FAIL
Recommendations
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Write recommendations here
