GA2 - Millfield View - TC1 Accessories

GA2 Form

Report of Weekly Examination of Lifting accessories (used by TC1) (GA2-MVG-001-EQ-TC)
Name of contractor or owner for whom the weekly examination was made:*
Address where weekly examination was made:*
Description of Equipment

General Lifting Appliances and Accessories
- Crane Chains - CL795U
- 4 LEG Chains - 6M LONG 10MM G80 CHAIN C/W S/C &
  S/L HOOKS
- Generator Lifting Point PWE0048546
- Block Grab 551400622
- 3T 3M Sling 230501282, 230501283
- 3T 6M Slings 230804278, 230804374
- Chain Slings (Lifting Brothers) MT2728
- Peri Clamp SR0030
- Peri Clamp SC1108
- 10M 10T Sling JL1311114/008
- 4 Leg 10mm 6M Chains LTC280
Checks/Inspections
Wire rope and/or chain system*

In good order at the time of the inspectionDefective / BrokenN/A
Structure (Any damage, bents, cracks)*

In good order at the time of the inspectionDefective / BrokenN/A
Hooks & other load lifting attachments*

In good order at the time of the inspectionDefective / BrokenN/A
Locking Clamp working correctly for the peri clamps ?*

In good order at the time of the inspectionDefective / BrokenN/A
Concrete skip discharge valve and spring reactor working correctly ?*

In good order at the time of the inspectionDefective / BrokenN/A
Additional Checks
How is the weather condition ?*

Sunny/cloudy (with no or low wind speed)RainyHigh winds - No lifts should be carried out
Was a pre-use visual check carried out on the lifting equipment before use ?*

YESNON/A
Clash zone & radio check*

YESNON/A
Do you have a whistle to use as acoustic signal to inform others of the flying load ?*

YESNON/A
Will you use taglines to help manipulate the load ?*

YESNON/A
Do you agree not to lift any load you do not know the SWL for or any load you are not sure of ?*

YESNON/A
Do you agree not to lift pallet trucks by handle ?*

YESNON/A
Do you agree not to carry out cradle lifts with chains linked together ?*

YESNON/A
Do you agree that you will stop any lift / not proceed with any lift that is unsafe? Ask a supervisor/meager on the SWL or what lifting equipment to be used if you are unsure (Check the lift plan and schedule of common lifts}*

YESNON/A
Please detail below any defect you identified or additional comment
Sign-off
Inspector Name*

First NameLast Name
Signature - I herby declare that all the information above is true

Clear
Date*

DayMonthYear
Date
Should be Empty:

GA2 Form

Description of Equipment

Checks/Inspections

Additional Checks

Sign-off