Information

  • Site conducted

  • Document No.

  • Client / Site

  • Turbine Number

  • Date Of Inspection

  • Location
  • Lead Inspector

  • Deputy Inspector

6 Monthly

  • Next Inspection date

Service Platform

    Service Platform
  • Service Platform Serial Number

  • Ainscough Number

  • Manufacturer

  • Model

  • Run Hours

  • Safe working load SWL KG

  • Max number of persons

  • Load Test Passed

  • Inspection Passed

  • Notes

  • Other Information

Lift Suspension Beam

    Lift Suspension Beam
  • Lift Suspension Beam Serial Number

  • Ainscough Number

  • Manufacturer

  • Safe Working Load SWL

  • Inspection Passed

  • Notes

  • Other Information

Work Positioning Anchor Points

    Work Positioning Anchor Points
  • Anchor Point Serial Number

  • Ainscough Number

  • Safe Working Load SWL

  • Inspection Passed

  • Notes

  • Other Information

Other 6 Monthly

    Other
  • Type/ Description

  • Serial Number

  • Ainscough Number

  • Manufacturer

  • Safe Working Load SWL/ Max Persons

  • Inspection Passed

  • Notes

  • Other Information

12 Monthly

  • Next Inspection Due

Ladders

    Ladder
  • Ladder Serial Number

  • Ainscough Number

  • Manufacturer

  • Max SWL

  • Inspection Passed

  • Notes

  • Other Information

Fall Arrest System

    Fall Arrest system
  • Fall arrest System Serial Number

  • Ainscough Number

  • Manufacturer

  • Safe Working Load SWL

  • Inspection Passed

  • Notes

  • Other Information

Fall Arrest Anchor Points

    Fall Arrest Anchor Points
  • Anchor Point Serial Number

  • Ainscough Number

  • Safe Working Load SWL

  • Inspection Passed

  • Additional info

  • Notes

  • Other Information

Emergency Evacuation Beam

    Emergency Evacuation Beam
  • Emergency evacuation Beam Serial Number

  • Ainscough Number

  • Manufacturer

  • Safe Working Load SWL

  • Inspection Passed

  • Notes

  • Other Information

Hoist Beam

    Hoist Beam
  • Hoist Beam Serial Number

  • Ainscough Number

  • Manufacturer

  • Safe Working Load SWL (Kg)

  • Inspection Passed

  • Notes

  • Other Information

Hoist

    Hoist
  • Hoist Serial Number

  • Ainscough Number

  • Manufacturer

  • Model

  • Load Test Passed

  • Inspection Passed

  • Safe Working Load SWL (Kg)

  • Notes

  • Other Information

Fire Extinguishers

    Fire Extinguishers
  • Extinguisher Number

  • Extinguisher Location

  • Ainscough number

  • Extinguisher Type

  • Extinguisher Size

  • Weight (Kg)

  • Pressure Gauge within Green and free movement of needle?

  • Are all instructions still legible and in English?

  • Has the Horn washer been replaced?

  • Is the horn free from obstruction, cracks and UV degradation?

  • Inspection Passed

  • Cause of failure

  • Date Of Next Pressure Test/Disposal

Pressure Vessels

    Pressure Vessels
  • Pressure Vessels Serial Number

  • Ainscough Number

  • Manufacturer

  • Inspection Passed

  • Date of manufacture

  • Date Of Next Pressure Test/Disposal

  • Notes

  • Other Information

Rescue Kits

    Rescue Kits
  • Rescue Kit Serial Number

  • Ainscough Number

  • Manufacturer

  • Model

  • Max Persons

  • Inspection Passed

  • Notes

  • Other Information

Emergency Eye Wash

    Emergency Eye Wash
  • Serial number

  • Ainscough Number

  • Location

  • Manufacturer

  • Size

  • Expiry Date

  • Are all items accounted for?

  • Inspection Passed

  • Notes

  • Other Information

First Aid Kit

    First Aid Kit
  • Serial number

  • Ainscough Number

  • Location

  • Manufacturer

  • Size

  • Expiry Date

  • Are all items accounted for?

  • Inspection Passed

  • Notes

  • Other Information

Other 12 Monthly

    Other
  • Type/ Description

  • Serial Number

  • Ainscough Number

  • Manufacturer

  • Safe Working Load SWL/ Max Persons

  • Inspection Passed

  • Notes

  • Other Information

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.