Certificate of Inspection
Lifting Appliances
Annual
5 Yearly(with load test)
Name of Vessel:
IMO Number:
Owner/Manager:
Flag:
Classification Society:
Type of Vessel:
Place of Service:
Date of Service:
Next Service:
Thorough examination of the equipment was carried out by qualified personnel in accordance with IMO Resolution SOLAS regulation II-1/3-13 and MSC.1/Circ.1663.
SWL (Safe Working Load)
Outreach
Manufacturer
Crane type
Model
Serial number
Location on board
Year of manufacture
Inspector
Back
Next
Save
Visual inspection (Structure & Mechanical)
Rows
Compliant
Exchange required
Repair required
n/a
Condition of pedestal and welded connections
Boom structure for cracks, deformation or corrosion
Bolts, pins, locking devices secure and intact
Slewing bearing and pivot points checked for play and lubrication
Hook block, safety latch and shackles in good condition
Wire ropes checked for kinks, broken strands, corrosion, diameter loss
Drum, rope spooling and clamps properly arranged
Lifting gear, chains and slings free of visible damage
Hydraulic System
Rows
Compliant
Exchange required
Repair required
n/a
Oil level ad condition checked
Hoses and fittings free of leakage and damage
Cylinders inspected for corrosion and seal condition
Filters, valves and pump operational and clean
System pressure within manufacturers specification
Back
Next
Save
Thorough examination of the equipment was carried out by competent personnel in accordance with SOLAS Regulation II-1/3-13.
Hydraulic System
Rows
Compliant
Exchange required
Repair required
n/a
Oil level ad condition checked
Hoses and fittings free of leakage and damage
Cylinders inspected for corrosion and seal condition
Filters, valves and pump operational and clean
System pressure within manufacturers specification
Electrical / Control System
Rows
Compliant
Exchange required
Repair required
n/a
Control panel and operating devices clean, dry and clearly marked
Limit switches (hoisting,luffing, slwing, overload) tested
Emergency stop switch functional
Indicators (load, hours, alarms) operational
Cables, plugs and sockets without damage
Remote control condition
Remote control function
Operator Station & Safety Devices
Rows
Compliant
Exchange required
Repair required
n/a
Load charts and warning signs legible and in place
Operating manual available and accessible
Guard rails, non-slip surfaces and lighting in place
Communication system (e.g. signal horn) working
Hoisting and slewing brakes functional
Back
Next
Save
Functional Test (no load)
Rows
Compliant
Exchange required
Repair required
n/a
All movements (hoist, lower, slew, luff, extend, retract) tested
No abnormal noise or jerking motion
Brakes hold the load when stationary
Slewing brake and emergency stop verified
Load test (5-yearly)
Rows
Compliant
Exchange required
Repair required
n/a
Test load apllied: 1.1 x SWL (or as per manufacturers instruction)
Full operational test with test load performed
Structural and mechanical components rechecked after test
Load test certificate issued (calibrated instruments used)
Crane stability and limit switches confirmed operational
Documentation & Certificates
Rows
Compliant
Exchange required
Repair required
n/a
Previous load test certificate available on board
Wire rope certificates valid and up to date
Lubrication and maintenance records updated
Inspection report and recommendations recorded
Next inspection due date noted
Back
Next
Save
Notes/remarks
Overall condition:
Compliant
Requires attention
Unsafe
Woell Marine Stamp & Signature
Back
Next
Save
Cusomer Name
First Name
Last Name
Customer E-Mail
example@example.com
Technician Name
First Name
Last Name
Technician Email
example@example.com
Save
Continue
Continue
Back
Next
Save
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
File Description
Save
Submit
Submit
Should be Empty: