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See text for DAILY & WEEKLY REQUIREMENTS.
SIGNED & DATED REPORT REQUIRED – OSHA.
INSPECTION INTERVAL.
X MAGNETIC PARTICLE OR EQUIVALENT EXAMINATION REQUIRED.
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 _____________________ SEMI-ANNUAL o
INSPECTED BY: ________________ DATE _____________
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Recom- CONDITION
COMPONENT, UNIT OR PART mended (Check column best indicating condition when CORRECTIVE ACTION
and location Inspection part or unit is inspected. Use note column to NOTES
Interval the right if condition is not listed below.)
COMPONENT,
UNIT OR
PA R T
(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.)
Typical Inspection Schedule and Maintenance Report form.
User must adjust inspection interval and components to suit his individual conditions and usage. 12375B
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
HOIST LOCATION
TROLLEYRUNWAYS
RESISTORS
MISC.
DATE
Motor
Motor Brake
Mechanical Load Brake
Overload Clutch
Couplings
Gears, Shafts & Bearings
Upper Block
Lower Block
Hook & Throat Opening X Record Hook Throat Opening
Hoist Rope
Rope Drum
Guards
Limit Switch
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 Lub.
Grounding Faults
CONTROL
STATION OR
PUSH BUTTON