Information

Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Extra Personal

Audit

  • Crane identification number

  • Time on site

  • Job number

  • Hour meter reading

  • Visitor pass number

  • Any other comments

  • Any delays in access to the site

  • Start of delay period

  • Pic of the delay reason

  • End of delay period

JSA

Job Safety Assessment JSA

  • Work permit number

  • Working at heights

  • Working at heights permit number

  • Control to be used

  • Harness to be worn when required?

  • Working near live power

  • Controls to be used for live power concern

  • Traffic and staff in area?

  • Controls to be used for traffic and staff

  • Any other comments

Near side Hoist

NEAR SIDE HOIST

  • Wire Rope condition

  • Wire Rope Drum and guide condition

  • Hook and safety catch

  • Wire Rope Anchor

  • Motors

  • Air gap

  • Limit switches

  • Limit Switch Adjustment

  • Couplings

  • Transmission free from noise and vibration

  • Gear box free from Oil leaks

  • Pic of Oil Leak. Near side Hoist.

  • Mountings

  • Overall Visual Condition. 10=Good.1=Bad

Off side Hoist

OFF SIDE HOIST

  • Wire Rope condition

  • Wire Rope Drum and guide condition

  • Hook and safety catch

  • Wire Rope Anchor

  • Motors

  • Air gap

  • Limit switches

  • Limit Switch Adjustment

  • Couplings

  • Transmission free from noise and vibration

  • Gear box free from Oil leaks

  • Pic of Oil Leak. Off Side Hoist.

  • Mountings

  • Overall Visual Condition. 10=Good.1=Bad

Near side hoist drives

NEAR SIDE DRIVES, CROSS TRAVEL

  • Cross travel wheels

  • Overall Wear condition.10=good.1=bad

  • Transmission free from noises and vibrations

  • Wear condition. 10= good.1= bad

  • Couplings

  • Gears and keyways

  • Motors

  • Air gap

  • Gear box free from Oil leaks

  • Pic of Oil Leak. Near Side Hoist travel.

  • Mountings

  • Buffers

  • Limit switches and control sensors

Off side hoist drives

OFF SIDE DRIVE,. CROSS TRAVEL

  • Cross travel wheels

  • Overall Wear condition. 10=good.1=bad

  • Transmission are free from noises and vibrations

  • Gear box free from Oil leaks

  • Pic of Oil Leak. Off Side Hoist travel.

  • Wear condition. 10=good.1=bad

  • Couplings

  • Gears and keyways

  • Motors

  • Air gap

  • Mountings

  • Buffers

  • Limit switches and control sensors

Long Travel Drives

LONG TRAVEL DRIVES

  • Long travel wheels

  • Near side drive wheel

  • Air gap near side drive motor

  • Near side lay wheel

  • Far side drive wheel

  • Air gap, far side drive motor

  • Far side lay wheel

  • Overall Wear condition. 10=good.1=bad

  • Transmissions are free from noises and vibrations

  • Couplings

  • Gears and keyways

  • All Gear boxes are free from Oil leaks

  • Pic of the Oil Leak.

  • Mountings

  • Buffers

  • Limit switches and control sensors

Electrical

ELECTRICAL

  • Collectors

  • Collector shoe condition. 10=good.1=bad

  • Busbar

  • Busbar signage

  • Contactors

  • Control box

  • Cables and catenary

  • Pendant / radio TX

  • Panel box condition

  • Isolators

  • Tow arm and trolleys

General items

GENERAL ITEMS

  • General Signage

  • Busbar signage

  • Compass signage

  • Isolator signage

  • Crow's nest / service access

  • Access ladder condition

  • Any comments

  • Inspection technician to sign. All work has been done to comply with the relevant Australian Standards.

  • Next routine inspection and service due.

  • Time off site

  • Customer to sign

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.