Title Page
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Customer
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Date works were Conducted on
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Who prepared this report
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Location
Job description
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Work title
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Type of work
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Who requested the works
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Time and date of when these works were requested
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Emergency stop buttons
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Action required
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Hoist limits
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Action required
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Hoist brake
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Action required
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Load / chain condition
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Action required
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Load anchor point
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Action required
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Anti-collision system
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Action required
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Bottom block assembly
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Action required
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Shelves / sprockets
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Action required
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Hoist motor / gearbox
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Action required
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Shafts / coupling / bearings
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Action required
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Rope drum
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Action required
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Chain / rope guides
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Action required
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Hoist Electrical components and limits
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Action required
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Hoist Lubricant and grease points
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Action required
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Wheels
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Action required
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Pinions and wheel racks
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Action required
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Shafts / couplings / bearings
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Action required
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Cross travel motor / gearboxes
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Action required
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Long travel wheels
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Action required
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Pinions and wheel racks
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undefined
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Shaft / couplings / bearings
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Action required
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Motor / gearbo
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Action required
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Brakes
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Action required
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Electrical / limits
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Action required
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Lubrication / grease points
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Action required
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Electrical panels
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Action required
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Cables / festoon
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Action required
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Collector / bussbar
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Action required
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Pendant / remote contols
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Action required
Tasks and attendees
- Task
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Detailed report
Inspection details
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Safety critical
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Additional engineers on site
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Name or engineers
- Daniel Vern
- Kyle longden
- Declan mcmanus
- Other
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Name of others in attendance
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Any recommendations
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Detailed description of work recommendation
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Is the job / area left a safe condition
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What measures have been put in place to protect others from the unsafe job / area / equipment
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Sketch
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Photo
Signatures
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Lead engineer attending
- Paul Plasted
- Lee Fletcher
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Engineers Signature
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Engineer’s signature
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Customer signature
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Customer notes
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Engineer’s notes
