## CONTINOUS CHAIN &

## LEVER HOIST

## INSPECTION

| Jobsite: |  |  |  | Project Number: |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Competent Person: |  |  |  | Description of equipment: |  |  |  |  |
| Pre-shift inspections shall be made by a competent person BEFORE each shift. |  |  |  |  |  |  |  |  |
|  | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Date: |  |  |  |  |  |  |  |  |
| Time: |  |  |  |  |  |  |  |  |
| Inspector Initials: |  |  |  |  |  |  |  |  |

**For each “Inspection Item,” indicate one of the following: P=Pass F=Fail or N/A=Not Applicable**

| INSPECTION ITEM | M | T | W | Th | F | S | Su |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Dry run test(does equipment appear to operate smoothly as intended free from any form of malfunction visually and or in the feel of operational movement) without and with load |  |  |  |  |  |  |  |
| Hoist braking system check(does the load drift downwards while suspended; friction plate) |  |  |  |  |  |  |  |
| Hooks(deformation,wear and corrosion,nicks and gouges,latches are present and function,bolts nuts pins hardware is in good condition |  |  |  |  |  |  |  |
| Markings(manufacturers name,labels,and stamps legible) |  |  |  |  |  |  |  |
| Field modifications(welding or grinding present on hooks)are unacceptable and shall require oem parts replacement) |  |  |  |  |  |  |  |
| No excessive wear visible on the hook shank |  |  |  |  |  |  |  |
| Is the unit clean and free from debris and maintained with light oiling stowed in a clean dry location |  |  |  |  |  |  |  |
| Do the chain links have nicks or gouges twists or bends;if so remove from service and replace with oem chain |  |  |  |  |  |  |  |

Rev Date: 1/17/2018