Metal Lift Plug

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Unit information

• Mfg. Date

• Last Recertification Date

• Part Number

• Serial Number

• What type of material is the Plug made of?

  Machined

  Cast Aluminum

Inspection items

• Is the Shackle in acceptable condition?

  Ok

  Not Acceptable

• What is wrong with the Shackle?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add photo if Possible

  Media

• Is the Bull/Pear Ring in acceptable condition?

  Ok

  Not Acceptable

• What is wrong with the Bull/Pear Ring?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add photo if Possible

  Media

• Are the External Threads Acceptable?

  Ok

  Not Acceptable

• What is wrong with the External Threads?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add Photo if Possible

  Media

• Are the Internal Threads Acceptable?

  Ok

  Not Acceptable

• What is wrong with the Threads?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add Photo if Possible

  Media

• Is the Stem/Stem Threads Acceptable?

  Ok

  Not Acceptable

• What is wrong with the Stem/Stem Threads ?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add Photo if Possible

  Media

• Are the Ears Acceptable?

  Ok

  Not Acceptable

• What is wrong with the Ears?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add Photo if Possible

  Media

• Are the Tags Acceptable?

  Ok

  Not Acceptable

• What is wrong with the Tags?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add Photo if Possible

  Media

• Are the Bellows Acceptable?

  Ok

  Not Acceptable

• What is wrong with the Bellows?

  Select Bent Gaulded/Arc Burns Gouged Stretched Missing Worn Other

  • Bent
  • Gaulded/Arc Burns
  • Gouged
  • Stretched
  • Missing
  • Worn
  • Other

• Explain Other response and what is the recommendations?

• Add Photo if Possible

  Media

Additional information

• Notes and Recomendations

• Add any Photos that would help explain issues

  Media