MONORAIL BEAM INSPECTION

CUSTOMER DETAILS

CUSTOMER

Date

ADDRESS

ORDER NO

CONTACT

TEL NO:

DESCRIPTION OF LIFTING MACHINERY

Unit:

SERIAL NO:

WLL:

HOIST/FITTINGS BRAND

PLANT

LOCATION:

HOIST/FITTINGS SN

CRANE SPAN

LENGTH/SIZE/REACH

SERVICE REQUIREDINSPECTIONEXAMINATIONLOAD TEST

TYPE OF TEST

H.O.L

LAST INSPECTION *

NEXT INSPECTION *

EQUIPMENT CONDITION

SERIAL NO/ ID MARKINGSGOODFAIRBAD

Remarks

WORKING LOAD LIMIT RATEDGOODFAIRBAD

Remarks

BEAM MOUNTINGGOODFAIRBAD

Remarks

STRUCTURAL FOOTING/SGOODFAIRBAD

Remarks

END STOPPER/SGOODFAIRBAD

Remarks

CONDITION OF STRUCTUREGOODFAIRBAD

Remarks

CONDITION OF BEAMGOODFAIRBAD

Remarks

LIFTING DEVICE/EQUIPMENT FITTEDGOODFAIRBAD

Remarks

FESTOON SYSTEMGOODFAIRBAD

Remarks

NOTES

NOTES:

INSPECTION/ TEST RESULTS

Visual InspectionYESNO

RESULTS (Pass or Fail)PASSFAIL

TEST (for Test Certificate)YESNO

SERVICE RENDEREDINSPECTIONTEST

SIGN AND SUBMIT

INSPECTOR NAME & SURNAME

WORK TITLE

Signature

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CUSTOMER REPRESENTATIVE:

Signature

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Consent

THE CUSTOMER ACKNOLEDGES THAT DEFECTIVE EQUIPMENT WILL NOT BE USED UNTIL REPAIRS ARE DONE AND THE UNIT IS INSPECTED AND/OR TESTED

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I Hereby Certify That The Abovementioned Equipment Has Been Inspected In Accordance With The Applicable Standards And Is Safe For Use.