INSPECTION SCHEDULE AND MAINTENANCE REPORT
HOIST SERIAL NO. (Manufacturer's) ____________________ | CUSTOMER CRANE IDENTITY NO. __________________________ | ||||||||||||||||
RATED LOAD ____________________ |
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TYPE ___________________________ |
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| THIS INSPECTION IS: | MONTHLY | ANNUAL |
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VOLTAGE _______________________ |
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| INSPECTED BY:______________________________ DATE:__________ | |||||
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| *Recom- |
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| CONDITION |
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COMPONENT, UNIT OR PART |
| mended | (Check column best indicating condition when part or | CORRECTIVE ACTION NOTES |
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| and location | Inspection | unit is inspected. Use note column to the right if |
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| Interval |
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| condition is not listed below.) |
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LOCATION |
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| MONTHLY |
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| ANNUAL | GOOD | ADJUSTMENT REQUIRED |
| REPAIRREQUIRED Parts(Looseor Wires) | REPLACEMENT REQUIRED or(WornDamaged) | LUBRICATION REQUIRED Oil(Lowor Grease, orRustCorrosion) | CLEANINGOR PAINTINGREQUIRED | (Indicate corrective action taken during inspection and | |||
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| DATE | ||||||||||
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| note date. For corrective action to be done after | ||
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| inspection, a designated person must determine that | ||
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| COMPONENT, |
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| the existing deficiency does not constitute a safety | ||
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| UNIT OR PART |
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| hazard before allowing unit to operate. When | ||
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| corrective action is completed, describe and note date | ||
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| in this column.) |
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| Motor |
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| Motor Brake |
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| Couplings |
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| Gears, Shafts, & Bearings |
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HOIST |
| Upper Block |
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| Lower Block |
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| Hook & Throat Opening |
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| X |
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| Record Hook Throat Opening: |
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| Hoist Rope |
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| Rope Drum |
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| Rope Guide |
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| Guards |
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| Limit Switches |
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CONTROL STATION OR | PUSHBUTTON | Pushbutton |
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Wiring |
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| Motor |
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| Brake (when so equipped) |
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| Couplings |
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TROLLEY |
| Gears, Shafts, & Bearings |
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| Frame |
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| Wheels |
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| Bumpers |
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| Guards |
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| Conductors |
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| Collectors |
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RESISTORS |
| Hoist |
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| Trolley |
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RUNWAYS |
| Monorail Joints |
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| Monorail |
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| Main Conductors |
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| Main Collectors |
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| General Condition |
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MISC. |
| Load Attachment Chains |
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| Rope Slings & Connections |
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| Change Gearcase Lubricant |
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| Grounding Faults |
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* See text for DAILY & WEEKLY REQUIREMENTS. |
| SIGNED & DATED REPORT - OSHA. |
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|
| INSPECTION INTERVAL. |
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| X MAGNETIC PARTICLE OR EQUIVALENT EXAMINATION REQUIRED. | |||||
Typical Inspection Schedule and Maintenance Report form. |
|
|
|
|
| 12375gwr | 13 | ||||||||||
User must adjust Inspection Interval and components to suit his individual conditions and usage. |
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