Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Time on site
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Job number
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Hour meter reading
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Visitor pass number
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Any other commits
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Any delays in access to the site
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Time off site
JOB SAFETY ANALYSIS ( JSA )
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Work permit number
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Working at heights
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Working at heights permit number
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Control to be used
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Harness to be worn when required?
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Working near live power
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Controls to be used
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Traffic and staff in area ?
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Controls to be used
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Any other commits
NEAR SIDE HOIST
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Wire Rope condition
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Wire Rope Drum and guide condition
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Hook and safety catch
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Wire Rope Anchor
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Motors
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Air gap
- No adjustment required
- Adjustment made
- adjustment required
- repair required
- repair made
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Limit switches
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Limit Switch Adjustment
- Checked all motions, all OK
- adjustment made
- adjustment required
- repairs made
- repairs required
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Couplings
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Transmission noise and vibration
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Gear box free from Oil leaks
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Mountings
OFF SIDE HOIST
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Wire Rope condition
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Wire Rope Drum and guide condition
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Hook and safety catch
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Wire Rope Anchor
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Motors
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Air gap
- No adjustment required
- Adjustment made
- adjustment required
- repair required
- repair made
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Limit switches
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Limit Switch Adjustment
- Checked all motions, all OK
- adjustment made
- adjustment required
- repairs made
- repairs required
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Couplings
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Transmission noise and vibration
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Gear box free from Oil leaks
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Mountings
NEAR SIDE DRIVES, CROSS TRAVEL
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Cross travel wheels
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Transmission noises and vibrations
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Couplings
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Gears and keyways
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Motors
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Air gap
- No adjustment required
- Adjustment made
- adjustment required
- repair required
- repair made
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Gear box free from Oil leaks
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Mountings
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Buffers
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Limit switches and control sensors
FAR SIDE DRIVES. CROSS TRAVEL
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Cross travel wheels
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Transmission noises and vibrations
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Couplings
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Gears and keyways
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Motors
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Air gap
- No adjustment required
- Adjustment made
- adjustment required
- repairs made
- repair required
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All gear boxes free of Oil leaks
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Mountings
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Buffers
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Limit switches and control sensors
LONG TRAVEL DRIVES
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Long travel wheels
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Transmission noises and vibrations
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Couplings
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Gears and keyways
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Motors
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Air gap
- No adjustment required
- Adjustment made
- adjustment required
- repairs made
- repair required
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All gear boxes free of Oil leaks
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Mountings
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Buffers
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Limit switches and control sensors
ELECTRICAL
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Collectors
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Busbar
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Busbar signage
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Contactors
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Control box
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Cables and catenary
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Pendant / radio TX
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Panel box condition
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Isolators
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Isolator signage
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Tow arm and trolleys
GENERAL ITEMS
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Signage
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Compass signage
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Crows nest / service access
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Access ladder condition
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Any comments
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Inspection technician to sign. All work has been done to comply with the relevant Australian Standards.
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Customer to sign