ICTSI Audit Template 3C

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ECPM 1 Hoist Drum Coupling Maintenance - Issue Status A

• Activate STS Drum Coupling Questionnaire.

• STS Drum Coupling Questionnaire.

• STS Drum Coupling Inspection & Maintenance Available Points (max 10)

• Select an asset file for inspection and check the following information has been recorded correctly

• Record the Work Order Numbers and Dates selected for Audit

Purchase Order

• Word Order Number

• Work Order Date

  Date

• WO

  Media

• The Asset Number and description of the equipment on which the Hoist Drum Coupling is installed.

  YES

  NO

• Record asset number and equipment type including Manufacturer

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Date of Inspection

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The mechanism on which the hoist drum coupling is installed, such as Boom Hoist or Main Hoist

  YES

  NO

• Record mechanism

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The identification reference for the Hoist Drum Coupling such Left Hand or Right Hand

  YES

  NO

• Record identification reference

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Manufacturer of the Hoist Drum Coupling

  YES

  NO

• Record coupling manufacturer

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The date of installation or entry into service of the Hoist Drum Coupling

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The allowable wear tolerance of the Hoist Drum Coupling

  YES

  NO

• Record allowable wear tolerance (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The actual measured wear of the Hoist Drum Coupling

  YES

  NO

• Record actual measured wear (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the inspector

  YES

  NO

• Record name of inspector

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the Workshop Supervisor or other competent person checking the inspection record and date of signature

  YES

  NO

• Record name of workshop supervisor or other competent person

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Auditor shall view the Hoist Drum Coupling on the lifting equipment to confirm the accuracy of the inspection record

• Confirm that the wear of the actual Hoist Drum Coupling is same as the inspection record

  YES

  NO

• Confirm wear by measurement and record.

• Coupling wear indicator

  Media

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Comment on Risk condition and explain as necessary

  SAFE

  AT RISK

• Risk condition comment.

• Drum Coupling Inspection & Maintenance Support Media

Support Media

• Support media

  Media

• Auditors Comments

Comment

• Comment

• Activate RTG Drum Coupling Questionnaire.

• RTG Drum Coupling Questionnaire.

• RTG Drum Coupling Inspection & Maintenance Available Points (max 10)

• Select an asset file for inspection and check the following information has been recorded correctly

• Record the Work Order Numbers and Dates selected for Audit

Purchase Order

• Word Order Number

• Work Order Date

  Date

• WO

  Media

• The Asset Number and description of the equipment on which the Hoist Drum Coupling is installed.

  YES

  NO

• Record asset number and equipment type

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Date of Inspection

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The mechanism on which the hoist drum coupling is installed, such as Boom Hoist or Main Hoist

  YES

  NO

• Record mechanism

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The identification reference for the Hoist Drum Coupling such Left Hand or Right Hand

  YES

  NO

• Record identification reference

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Manufacturer of the Hoist Drum Coupling

  YES

  NO

• Record coupling manufacturer

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The date of installation or entry into service of the Hoist Drum Coupling

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The allowable wear tolerance of the Hoist Drum Coupling

  YES

  NO

• Record allowable wear tolerance (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The actual measured wear of the Hoist Drum Coupling

  YES

  NO

• Record actual measured wear (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the inspector

  YES

  NO

• Record name of inspector

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the Workshop Supervisor or other competent person checking the inspection record and date of signature

  YES

  NO

• Record name of workshop supervisor or other competent person

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Auditor shall view the Hoist Drum Coupling on the lifting equipment to confirm the accuracy of the inspection record

• Confirm that the wear of the actual Hoist Drum Coupling is same as the inspection record

  YES

  NO

• Confirm wear by measurement and record.

• Coupling wear indicator

  Media

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Comment on Risk condition and explain as necessary

  SAFE

  AT RISK

• Risk condition comment.

• Drum Coupling Inspection & Maintenance Support Media

Support Media

• Support media

  Media

• Auditors Comments

Comment

• Comment

• Activate MHC Drum Coupling Questionnaire.

• MHC Drum Coupling Questionnaire.

• MHC Drum Coupling Maintenance & Inspection Available Points (max 10)

• Select an asset file for inspection and check the following information has been recorded correctly

• Record the Work Order Numbers and Dates selected for Audit

Purchase Order

• Word Order Number

• Work Order Date

  Date

• WO

  Media

• The Asset Number and description of the equipment on which the Hoist Drum Coupling is installed.

  YES

  NO

• Record asset number and equipment type

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Date of Inspection

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The mechanism on which the hoist drum coupling is installed, such as Boom Hoist or Main Hoist

  YES

  NO

• Record mechanism

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The identification reference for the Hoist Drum Coupling such Left Hand or Right Hand

  YES

  NO

• Record identification reference

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Manufacturer of the Hoist Drum Coupling

  YES

  NO

• Record coupling manufacturer

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The date of installation or entry into service of the Hoist Drum Coupling

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The allowable wear tolerance of the Hoist Drum Coupling

  YES

  NO

• Record allowable wear tolerance (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The actual measured wear of the Hoist Drum Coupling

  YES

  NO

• Record actual measured wear (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the inspector

  YES

  NO

• Record name of inspector

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the Workshop Supervisor or other competent person checking the inspection record and date of signature

  YES

  NO

• Record name of workshop supervisor or other competent person

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Auditor shall view the Hoist Drum Coupling on the lifting equipment to confirm the accuracy of the inspection record

• Confirm that the wear of the actual Hoist Drum Coupling is same as the inspection record

  YES

  NO

• Confirm wear by measurement and record.

• Coupling wear indicator

  Media

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Comment on Risk condition and explain as necessary

  SAFE

  AT RISK

• Risk condition comment.

• Drum Coupling Inspection & Maintenance Support Media

Support Media

• Support media

  Media

• Auditors Comments

Comment

• Comment

• Activate RMG Drum Coupling Questionnaire.

• RMG Drum Coupling Questionnaire.

• RMG Drum Coupling Maintenance & Inspection Available Points (max 10)

• Select an asset file for inspection and check the following information has been recorded correctly

• Record the Work Order Numbers and Dates selected for Audit

Purchase Order

• Word Order Number

• Work Order Date

  Date

• WO

  Media

• The Asset Number and description of the equipment on which the Hoist Drum Coupling is installed.

  YES

  NO

• Record asset number and equipment type

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Date of Inspection

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The mechanism on which the hoist drum coupling is installed, such as Boom Hoist or Main Hoist

  YES

  NO

• Record mechanism

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The identification reference for the Hoist Drum Coupling such Left Hand or Right Hand

  YES

  NO

• Record identification reference

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Manufacturer of the Hoist Drum Coupling

  YES

  NO

• Record coupling manufacturer

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The date of installation or entry into service of the Hoist Drum Coupling

  YES

  NO

• Record date

  Date

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The allowable wear tolerance of the Hoist Drum Coupling

  YES

  NO

• Record allowable wear tolerance (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The actual measured wear of the Hoist Drum Coupling

  YES

  NO

• Record actual wear tolerance (mm)

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the inspector

  YES

  NO

• Record name of inspector

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The printed name and signature of the Workshop Supervisor or other competent person checking the inspection record and date of signature

  YES

  NO

• Record name of workshop supervisor or other competent person

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• The Auditor shall view the Hoist Drum Coupling on the lifting equipment to confirm the accuracy of the inspection record

• Confirm that the wear of the actual Hoist Drum Coupling is same as the inspection record

  YES

  NO

• Confirm wear by measurement and record.

• Coupling wear indicator

  Media

• Corrective Action

Corrective Action

• Priority Level

  Select Priority One Priority Two Priority Three

  • Priority One
  • Priority Two
  • Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Comment on Risk condition and explain as necessary

  SAFE

  AT RISK

• Risk condition comment.

• Drum Coupling Inspection & Maintenance Support Media

Support Media

• Support media

  Media

• Auditors Comments

Comment

• Comment

• ECPM 1 Marking Summary:

• ECPM 1 Score

• Add EPCM 1 Score Summary Media?

• Score Summary

  Media

• Auditor Signature

  Sign

• Add Additional Auditor Signature

Additional Signatory

• Auditor/Authorising Manager Signature

  Sign