Title Page

  • CLIENT NAME

  • JOB NUMBER

  • Conducted on

  • VENUE
  • Inspectors Name

  • Inspectors Licence details

  • Production Manager

  • Chain hoist

  • Hoist Test #

Chain Motor Details

  • Enter hoist location (i.e. SR PA, FOH Truss etc, otherwise leave blank)

  • Take a photo of the hoist

  • Hoist Type

  • Serial Number

  • Take a photo of the Serial Number#

  • Owners Designation

  • Lifting Capacity

  • Reported Faults

Equipment Check List

  • CASE (Check for cracks or other mechanical damage)

  • END COVERS (are secure and bolts are in good condition)

  • CHAIN BAG ATTACHMENT (secure and not bent)

  • DEAD END (attached to motor or device attached to back up limits)

  • CHAIN WEAR (check for wear and stretch)

  • CHAIN PORT (check for wear, deformity, and foreign matter)

  • MOTOR HOOK (in good condition, secure and safety latch operational)

  • CHAIN HOOK (in good condition, secure and safety latch operational)

  • GEARBOX (grease level, wear)

  • CONTACTOR (operation, contact condition)

  • TRANSFORMER (operation, mounting)

  • MOTOR WINDINGS (tested load side of contactor)

  • CONNECTOR BLOCK (all terminals tight and seated)

  • BRAKE ADJUSTMENT (0.5mm feeler)

  • TOP LIMIT (mm of Chain)

  • BOTTOM LIMIT (mm of Chain)

  • ELECTRICAL INLETS (case and insert secure and in good condition)

  • MEGAOHM TEST (each phase to earth)

  • EARTH CONTINUITY (connector earth to 3 body points)

  • RAINPROOF (gaffer tape joins, all holes sealed)

  • PAINT (touch up paint & numbers)

  • CHAIN LUBRICATION (good amount, clean)

Load Test

  • LOAD TESTED TO:

  • ENTER TEST LOAD

  • LOAD TEST PASS/FAIL

Recommendations

  • Write recommendations here

END OF TEST

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