GA2 - Weekly Inspection
NOTE: This form is used to record the weekly examination of Lifting Equipment used on construction sites, as set out in the Safety, Health and Welfare at Work (General Application) Regulations, 2007.
Name of Person Completing the inspection
*
First Name
Last Name
Date
*
-
Day
-
Month
Year
Date
Name and address of contractor or owner for whom the weekly examination was made:
*
Site Name & Address where weekly examination was made:
*
Description of lifting appliance and means of identification
*
Ex. MEWP #1234567
By selecting YES below, I confirm that I have inspected the GA1 Certificate relating to the equipment noted above and that it is in date. NOTE: If the GA1 Certificate is not present or is out of date, the equipment is automatically deemed to be defective. You must contact the equipment supplier to secure a copy of the GA1 Certificate BEFORE Proceeding.
*
YES
Component
Inspected
N/A [Not Inspected]
In Good Working Order [PASS]
Defective [FAIL]
Action Required
Rated capacity indicator / limiter
Wire rope and chain systems
Limit switches (e.g. hoist, derrick limit)
Ropes positioned on their sheaves
Structure (major damage)
Hooks & other load lifting attachments
Hydraulic systems
Electrical systems
Fuel lines
Brakes and clutches
Operator's cab
Operator's controls
Anemometer, where provided
Other matters (manufacturer / user)
Result of inspection (state whether in good order, see note below)
*
Note: Result of inspection should state if all working gear and anchoring or fixing plant or gear is in good working order. Including, where required the automatic safe load indicator and the derricking interlock.
Please enter action taken if relevant
To be filled in if action required only
Inspection Completed by [Sign]:
Submit
Should be Empty: