Title Page

  • Conducted on

  • Prepared by

  • Division

  • Crane Number

  • Do all functional mechanisms work properly, and show no signs of maladjustment or misalignment?

  • Are hydraulic lines and associated equipment free of evidence of leaks or deterioration?

  • Is the hoist hook free of evidence of cracks, deformation or other visual signs of wear or damage?

  • Serial Number of hook inspected

  • Are hoist chains, including end connectors, free of excessive wear, twists, distorted links that interfere with proper function, or signs of excessive stretching?

  • Are all functional operating mechanisms and their components free of excessive wear?

  • Is the rope reeving in good condition, and compliant with all manufacturer’s recommendations?

  • Comments

  • Pictures

  • Date and time

  • Signature

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