CRANE / LIFTING EQUIPMENT SERVICE REPORT

CUSTOMER DETAILS

CUSTOMER

Date

ADDRESS

ORDER NO

CONTACT

TEL NO:

Description of Lifting Machinery

Machinery:

SERIAL NO:

WLL:

Hoist/Fittings Brand:

Plant:

LOCATION:

HOIST/FITTINGS SN

Crane Span & HOL

Length:

EQUIPMENT CONDITION

Main Girder / BridgeGOODFAIRBADN/A

Main Girder / Bridge Remarks

Girger/Bridge End StoppersGOODFAIRBADN/A

Girger/Bridge End Stoppers Remarks

Wheels/End CarriagesGOODFAIRBADN/A

Wheels/End Carriages Remarks

Long Travel Structure/Runway BeamsGOODFAIRBADN/A

Long Travel Structure/Runway Beams Remarks

Long Travel RailsGOODFAIRBADN/A

Long Travel Rails Remarks

Long Travel BuffersGOODFAIRBADN/A

Long Travel Buffers Remarks

Support Column -Footing/Mounting/BracingGOODFAIRBADN/A

Support Column -Footing/Mounting/Bracing Remarks

Support Column Fittings – Bolts/Nuts/WeldsGOODFAIRBADN/A

Support Column Fittings – Bolts/Nuts/Welds Remarks

Cross Travel RailsGOODFAIRBADN/A

Cross Travel Rails Remarks

Cross Travel Crab/Trolley WheelsGOODFAIRBADN/A

Cross Travel Crab/Trolley Wheels Remarks

Cross Travel Crab/Trolley End StoppersGOODFAIRBADN/A

Cross Travel Crab/Trolley End Stoppers Remarks

Safe AccessGOODFAIRBADN/A

Safe Access Remarks

PlatformGOODFAIRBADN/A

Platform Remarks

General ConditionGOODFAIRBADN/A

General Condition Remarks

Hoist ConditionGOODFAIRBADN/A

Hoist Condition Remarks

Main Hook Condition (note Dimensions)GOODFAIRBADN/A

Main Hook Condition (note Dimensions) Remarks

Main Hook Assy MarkingsGOODFAIRBADN/A

Main Hook Assy Markings Remarks

Main hook safety latchGOODFAIRBADN/A

Main hook safety latch Remarks

Main Hook SheaveGOODFAIRBADN/A

Main Hook Sheave Remarks

Compensation sheaveGOODFAIRBADN/A

Compensation sheave Remarks

Rope / Chain Condition (note Diameter & falls)GOODFAIRBADN/A

Rope / Chain Condition (note Diameter & falls) Remarks

Dead End/WedgeGOODFAIRBADN/A

Dead End/Wedge Remarks

ClampsGOODFAIRBADN/A

Clamps Remarks

Hoist ConditionGOODFAIRBADN/A

Hoist Condition Remarks

Hook Condition (note Dimensions)GOODFAIRBADN/A

Hook Condition (note Dimensions) Remarks

Hook Assy MarkingsGOODFAIRBADN/A

Hook Assy Markings Remarks

Hook safety latchGOODFAIRBADN/A

Hook safety latch Remarks

Hook SheaveGOODFAIRBADN/A

Hook Sheave Remarks

Compensation SheaveGOODFAIRBADN/A

Compensation Sheave Remarks

Rope / Chain Condition (note Diameter & falls)GOODFAIRBADN/A

Rope / Chain Condition (note Diameter & falls) Remarks

Dead End/WedgeGOODFAIRBADN/A

Dead End/Wedge Remarks

ClampsGOODFAIRBADN/A

Clamps Remarks

IsolatorGOODFAIRBADN/A

Isolator Remarks

Panel Fixation / Door/sGOODFAIRBADN/A

Panel Fixation / Door/s Remarks

Wiring (Cables, Glands, Fixations)GOODFAIRBADN/A

Wiring (Cables, Glands, Fixations) Remarks

ContactorsGOODFAIRBADN/A

Contactors Remarks

Transformer (control Voltage)GOODFAIRBADN/A

Transformer (control Voltage) Remarks

Phase relay ProtectionGOODFAIRBADN/A

Phase relay Protection Remarks

VSD & ResistorsGOODFAIRBADN/A

VSD & Resistors Remarks

Long Travel Power Supply/FestoonGOODFAIRBADN/A

Long Travel Power Supply/Festoon Remarks

Cross Travel Power Supply/FestoonGOODFAIRBADN/A

Cross Travel Power Supply/Festoon Remarks

Pendant CableGOODFAIRBADN/A

Pendant Cable Remarks

Pendant E-Stop ButtonGOODFAIRBADN/A

Pendant E-Stop Button Remarks

Pendant Direction ButtonsGOODFAIRBADN/A

Pendant Direction Buttons Remarks

Pendant FestoonGOODFAIRBADN/A

Pendant Festoon Remarks

Remote Control (Receiver & Transmitter)GOODFAIRBADN/A

Remote Control (Receiver & Transmitter) Remarks

SirenGOODFAIRBADN/A

Siren Remarks

Warning/Signal LightsGOODFAIRBADN/A

Warning/Signal Lights Remarks

Rotary Hoist LimitsGOODFAIRBADN/A

Rotary Hoist Limits Remarks

Longs Travel LimitsGOODFAIRBADN/A

Longs Travel Limits Remarks

Cross Travel LimitsGOODFAIRBADN/A

Cross Travel Limits Remarks

Overload Limit(5000kg +Legally Required)GOODFAIRBADN/A

Overload Limit(5000kg +Legally Required) Remarks

Upper Hoist LimitGOODFAIRBADN/A

Upper Hoist Limit Remarks

Lower Hoist LimitGOODFAIRBADN/A

Lower Hoist Limit Remarks

Anti-side lift limitsGOODFAIRBADN/A

Anti-side lift limits Remarks

Hoist Drum/ Chain Bag conditionGOODFAIRBADN/A

Hoist Drum/ Chain Bag condition Remarks

Hoist BearingsGOODFAIRBADN/A

Hoist Bearings Remarks

Hoist GearboxGOODFAIRBADN/A

Hoist Gearbox Remarks

Hoist Gear Box TrainGOODFAIRBADN/A

Hoist Gear Box Train Remarks

Hoist MotorGOODFAIRBADN/A

Hoist Motor Remarks

Hoist BrakeGOODFAIRBADN/A

Hoist Brake Remarks

Cross Travel MotorGOODFAIRBADN/A

Cross Travel Motor Remarks

Cross Travel BrakesGOODFAIRBADN/A

Cross Travel Brakes Remarks

Cross Travel GearBoxGOODFAIRBADN/A

Cross Travel GearBox Remarks

Cross Travel DrivesGOODFAIRBADN/A

Cross Travel Drives Remarks

Cross Travel Gear TrimGOODFAIRBADN/A

Cross Travel Gear Trim Remarks

Long Travel MotorsGOODFAIRBADN/A

Long Travel Motors Remarks

Long travel BrakesGOODFAIRBADN/A

Long Travel GearBox Remarks

Long Travel GearBoxGOODFAIRBADN/A

Long Travel GearBox Remarks

Long Travel VSD & ResistorsGOODFAIRBADN/A

Long Travel VSD & Resistors Remarks

Long Travel Gear TrimGOODFAIRBADN/A

Long Travel Gear Trim Remarks

NOTES

RESULTS

ResultsSafe for UseNot safe for Use

INSPECTOR NAME & SURNAME

POSITION/ TITLE;

CERTIFIED BY

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CUSTOMER REPRESENTATIVE:

CUSTOMER REPRESENTATIVE

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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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This Is To Certify That The Below Mentioned
Lifting tackle has been Examined/Inspected And/Or Tested Accordance With SANS 509:2007 And Meets Safety Standards In Accordance With The OHS Act And The MHS Act.