Title Page
Equipment Details
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Plant Owner
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Make / Model
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Unit Number
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Serial Number
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Date of Manufacture
Installation Details
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Principal Contractor
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Project Details
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Equipment Details
Post Installation / Climb Check
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Cruciform/Hold Down Bolts installed in accordance with site specific engineering documents
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Tower connection pins/bolts installed in accordance with manufacturer's specifications
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Towers/Columns erected in accordance with manufacturer's specifications and project specific engineered drawings
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Placing Boom installed/pinned/tensioned in accordance with manufacturer's specifications and project specific engineered drawings
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Propping installed as per engineering drawings
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Floor Frames, chocking wedges and bearing pins installed in accordance with manufacturer's specifications and project specific engineered drawings
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Ladders Installed/Re-Installed and secured
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Check all retaining devices are secure
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Power lead able to reach when the boom is jumped and secured from crush zones
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Electrical lead is inspected and in date - tagged by a competent person
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All pipeline connected and R pinned
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Function testing of the Placing Boom checked for correct operation by MCP authorised personnel
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All personnel advised the jump or install has been completed
Additional Pipeline
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Any additional pipeline installed during climb?
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Pipe 1 - Enter description, pipe ID tag and measurement
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Pipe 2 - Enter description, pipe ID tag and measurement
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Pipe 3 - Enter description, pipe ID tag and measurement
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Pipe 4 - Enter description, pipe ID tag and measurement
All checks and hold points have been completed. By signing this document, I confirm that the placing boom and associated equipment has been installed in accordance with the manufacturer's specifications and as per the project specific engineering documents. The placing boom installation has been inspected and tested for functionality.
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Comments
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Inspection Completed by (name):
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Signature:
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Date: