INSPECTION SCHEDULE AND MAINTENANCE REPORT
HOIST SERIAL NO. (MFGRS) _______________________ | CUSTOMER CRANE IDENTITY NO. _______________________ | |
RATED LOAD _________________ | LOCATION IN PLANT __________________________________ | |
TYPE ________________________ | THIS INSPECTION IS MONTHLY o | ANNUAL o |
VOLTAGE _____________________ |
| |
| INSPECTED BY: ________________ | DATE _____________ |
COMPONENT, UNIT OR PART
and location
LOCATION | COMPONENT, |
| |
| UNIT OR |
| PART |
| Motor | |
| Motor Brake | |
| Mechanical Load Brake | |
| Overload Clutch | |
| Couplings | |
HOIST | Gears, Shafts & Bearings | |
Upper Block | ||
| ||
| Lower Block | |
| Hook & Throat Opening | |
| Hoist Rope | |
| Rope Drum | |
| Guards | |
CONTROL ORSTATION BUTTONPUSH | Limit Switch | |
Pushbutton | ||
| ||
| Wiring | |
| Motor | |
| Brake (when so equipped) | |
| Couplings | |
TROLLEY | Gears, Shafts & Bearings | |
Frame | ||
| ||
| Wheels | |
| Bumpers | |
| Guards | |
| Conductors | |
| Collectors | |
RESISTORS | Hoist | |
Trolley | ||
| ||
RUNWAYS | Monorail Joints | |
Monorail | ||
| ||
| Main Conductors | |
| Main Collectors | |
| General Condition | |
MISC. | Load Attachment Chains | |
Rope Slings & Connections | ||
| ||
| Change Gearcase Lub. | |
| Grounding Faults |
| * |
|
|
| CONDITION |
|
| |
Recom- |
|
|
|
| ||||
mended | (Check column best indicating condition when | |||||||
Inspection | part or unit is inspected. Use note column to | |||||||
Interval |
| the right if condition is not listed below.) |
| |||||
MONTHLY |
| ANNUAL | GOOD | ADJUSTMENT REQUIRED | REPAIR REQUIRED (Loose Parts or Wires) | REPLACEMENT REQUIRED (Worn or Damaged) | LUBRICATION REQUIRED (Low Oil or Grease, Rust or Corrosion) | CLEANING OR PAINTING REQUIRED |
X
CORRECTIVE ACTION
NOTES
(Indicate corrective action taken during inspection and note date. For corrective action to be done after inspection, a designated person must determine that the existing deficiency does not constitute a safety hazard before allowing unit to operate. When corrective action is completed, describe and note date in this column.)
DATE
Record Hook Throat Opening
* See text for DAILY & WEEKLY REQUIREMENTS. | SIGNED & DATED REPORT REQUIRED – OSHA. |
|
INSPECTION INTERVAL. | X MAGNETIC PARTICLE OR EQUIVALENT EXAMINATION REQUIRED. |
|
Typical Inspection Schedule and Maintenance Report form. |
|
|
User must adjust inspection interval and components to suit his individual conditions and usage. | 12375B | |
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