HOIST INSPECTION FORM
Inspector Name
*
Inspection Date
*
/
Month
/
Day
Year
Date
Project Name
*
Project Number
*
INSPECTION CHECKLIST
Frequency
*
Please Select
Daily
Weekly
Monthly
Please check each
item and provide comments where necessary.
1. Chains
No signs for excessive, stretch, wear, corrosion or cracks.
Comments
2. Chain Reeving
No twists, bends or kinks.
Comments
3. Connections
Connections are secured.
Comments
4. Bolts and Clips
Bolts and clips are secured.
Comments
5. Bracing
Bracing is intact and not bent.
Comments
6. Hooks & Shackles
Shackles are secured and have no cracks, bends or signs of excessive wear.
Comments
7. Trolly Brake Lining
Brake lining does not show excessive wear.
Comments
8. Power Source
Power source is inspected, and hoist is functioning correctly.
Comments
9. Oil Level
Oil level is sufficient.
Comments
10. Deck Condition
Deck is in good condition (no cracks, damage, etc.).
Comments
11. Ceiling (Plaster) Condition
No cracks or damage to the ceilings (plaster).
Comments
12. Scales Availability
Scales are on hand and functional.
Comments
Additional Notes
Inspector's Signature
*
Date
*
/
Month
/
Day
Year
Date
Submit
Should be Empty: