Title Page
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Hoist#
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Hoist Type
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Building#
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Custodian
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Location
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Conducted on
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1. Operators must perform this inspection (from floor level only) before
each shift, and submit the form to the equipment custodian.
2. Equipment found unsafe must be removed from service. Report any
deficiencies immediately to the custodian. -
Inspection sticker: check for current annual sticker and all other required<br>safety markings.
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Upper limit switch (if equipped): lower hook slightly, then raise hook<br>slowly into switch, to check operation.
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All operating mechanisms: check for proper operation of all functions,<br>hoist brake, bridge, trolley, pendant station (if equipped), hoist control<br>chain or lever.
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Hoist rope or load chain: lower hook to above floor level, check visually<br>for any broken wires, kinking, crushing, birdcaging, corrosion. Check load<br>chain for bent, or stretched, cracked, scored, or heat damaged links.
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Hook / hook block and supporting hook (if equipped): check for<br>excessive throat opening, bent/twisted elements, hook swivels freely,<br>safety latch operational, and rope sheaves or chain sprockets for signs of<br>wear or malfunction.
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Spooling: check spooling of wire rope onto all sheaves and drums. Check<br>load chain spooling onto sprockets and into chain bucket (if equipped).
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Electric, air, or hydraulic: check festoons, collectors, pendant controls,<br>lights, strain relief, wiring for exposed conductors, and for any leaky hoses,<br>tanks, or valves.
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Hoist support: fasteners, beams, trolley, gantry structure/wheels, and jib<br>structure, engine hoist components. <br><br>Hoists must be supported by an approved and engineered anchorage<br>(portable hoists) or beam/gantry equal to or more than hoist capacity.
Sign Off
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Inspector's name and signature