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INSPECTION SCHEDULE AND MAINTENANCE REPORT
HOIST SERIAL NO. (Manufacturer's) ___________________
_
CUSTOMER CRANE IDENTITY NO. __________________________
RATED LOAD ____________________ LOCATION IN PLANT
TYPE ___________________________ THIS INSPECTION IS: MONTHLY
ANNUAL
VOLTAGE _______________________ SEMI-ANNUAL
INSPECTED BY:_____________________________
_
DATE:_________
_
Motor
Motor Brake
Couplings
Gears, Shafts, & Bearings
Upper Block
Lower Block
Hook & Throat Opening
X
Hoist Rope
Rope Drum
Rope Guide
Guards
Limit Switches
Pushbutton
Wiring
Motor
Brake (when so equipped)
Couplings
Gears, Shafts, & Bearings
Frame
Wheels
Bumpers
Guards
Conductors
Collectors
Hoist
Trolley
Monorail Joints
Monorail
Main Conductors
Main Collectors
General Condition
Load Attachment Chains
Rope Slings & Connections
Change Gearcase Lubricant
Grounding Faults
* See text for DAILY & WEEKLY REQUIREMENTS.
SIGNED & DATED REPORT - OSHA.
X MAGNETIC PARTICLE OR EQUIVALENT EXAMINATION REQUIRED.
Typical Inspection Schedule and Maintenance Report form. 12375gwr
User must adjust Inspection Interval and components to suit his individual conditions and usage.
COMPONENT, UNIT OR PART
and location
CONDITION
(Check column best indicating condition when part or
unit is inspected. Use note column to the right if
condition is not listed below.)
*Recom-
mended
Inspection
Interval
INSPECTION INTERVAL.
TROLLEY
RESISTORS
RUNWAYSMISC. LOCATION
COMPONENT,
UNIT OR PART
HOIST
CONTROL
STATION OR
PUSHBUTTON
MONTHLY
SEMI-ANNUAL
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
CORRECTIVE ACTION NOTES
Record Hook Throat Opening:
DATE
(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.)