Title Page
-
Conducted on
-
Inspector
OSHA-REQUIRED ANNUAL CHAIN SLING CERTIFICATION
-
Each chain sling requires a separate inspection form
-
Provide notes for any "Fail" or "At Risk" answer. Also provide notes for any item which should be monitored.
CHAIN SLING REFERENCE INFO
-
Identification Number (i.e. serial, part, etc.)
-
Load Rating
-
Size and Grade
-
Factory Original Length
CHAIN (See 1)
-
Inner Link Wear
-
Bent / Stretched Links
-
Excessive Pitting / Corrosion
-
Gouges / Nicks Cuts
TAG (See 2)
-
Legible
-
Includes Proper Configurations
-
Permanently Affixed
END FITTINGS (See 3)
-
Modifications not Present
-
Wear of Fittings Less than 10%
-
Change in Shape / Throat Opening
-
Keeper (If Applicable)
-
Associated Hardware
OVERALL LENGTH
-
Measured Length
-
Within Allowable 5% Stretch
WIRE ROPE SLING
-
Each sling requires a separate inspection form
-
Provide notes for any "Fail" or "At Risk" answer. Also provide notes for any item which should be monitored.
WIRE ROPE SLING REFERENCE INFO
-
Identification Number (i.e. serial, part, etc.)
-
Size
MATERIAL (WIRE ROPE)
-
Broken or Damaged Wires (<10 per rope lay; <5 per strand)
-
Severe Localized Abrasion or Scraping
-
Kinking / Crushing / Bird Caging
-
Heat Damage / Welds / Corrosion
TAG (See 2)
-
Legible
-
Includes Proper Configurations
-
Permanently Affixed
END FITTINGS
-
Modifications not Present
-
Wear of Fittings Less than 10%
-
Change in Shape / Throat Opening
-
Keeper (If Applicable)
-
Associated Hardware
SYNTHETIC WEB SLING
-
Each sling requires a separate inspection form
-
Provide notes for any "Fail" or "At Risk" answer. Also provide notes for any item which should be monitored.
SYNTHETIC ROPE SLING REFERENCE INFO
-
Identification Number (i.e. serial, part, etc.)
MATERIAL (WEBBING)
-
Excessive / Abrasive Wear
-
Tears / Cuts / Punctures
-
Snags / Abrasions
-
Burns / Charring / Melting
-
Broken / Worn Stitches
-
No Knots Present
TAG (See 2)
-
Legible
-
Includes Proper Configurations
-
Permanently Affixed
END FITTINGS
-
Modifications not Present
-
Wear of Fittings Less than 10%
-
Change in Shape / Throat Opening
-
Keeper (If Applicable)
-
Associated Hardware
FIBER ROPE SLING
-
Each sling requires a separate inspection form
-
Provide notes for any "Fail" or "At Risk" answer. Also provide notes for any item which should be monitored.
SYNTHETIC ROPE SLING REFERENCE INFO
-
Identification Number (i.e. serial, part, etc.)
MATERIAL (WEBBING)
-
Abrasion Falls within Guidelines
-
Fiber Strands Cuts Falls within Guidelines
-
Snags
-
Burns / Charring / Melting
TAG (See 2)
-
Legible
-
Includes Proper Configurations
-
Permanently Affixed
END FITTINGS
-
Modifications not Present
-
Wear of Fittings Less than 10%
-
Change in Shape / Throat Opening
-
Keeper (If Applicable)
-
Associated Hardware
COMPLETION
INSPECTOR NAME AND SIGNATURE
-
Add signature