Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Details

  • Time on site

  • Make

  • Model

  • Description

  • Serial number

  • Date of Manufacture

  • Tag number

  • MRC signage clearly displayed

  • Next service due

Footings and structure

  • Foundations

  • Footings

  • Foundation bolts

  • Structure integrity

  • Machinery guarding

  • Vehicle support arms

  • Support arm non slip pads in safe condition

  • Support arm locks

  • Pit clear and clean

  • Dropper bar on in-ground hoists

Operation and controls

  • Operation instructions clearly displayed.

  • Operation manual readily available

  • Wire rope, screw nut or chain details displayed

  • All controls operate as designed i.e. Hold to operate.

  • Movement direction clearly displayed

  • All Safety devices operate as designed

  • Travel limits switch raise

  • Travel limit switch lower

  • Low roof limit switch

  • Lockable Isolator

  • Lockable Isolator signage

  • Warning sign "Riding on hoist prohibited" clearly displayed.

Hydraulics

  • Fluid type displayed

  • Fluid level

  • Air / Oil pressure vessels

  • free from any Oil leaks

  • Rams and pins

Chains and wire ropes

  • Chains and wire ropes

  • Chain and wire rope terminations

  • Sprocket and sheaves

  • Support wire ropes and chains

  • Guide Rollers / sliding pads

  • Slack rope / Chain limit

  • Safety Nuts

  • Safety nut wear limit

General items

  • Overall condition out of 10

  • Any comments

  • Any sketch that may help?

  • Service tech signiture

  • Time off site

  • Next routine inspection and service due.

  • 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.