Certificate of Inspection
Single Arm Davit
Service
annual
5 yearly
Name of Vessel:
IMO Number:
Owner/Manager:
Flag:
Classification Society:
Type of Vessel:
Place of Service:
Date of Service:
Next Service:
Type of Davit
Location of Davit
Portside
Starboard
Serial number PS
Serial number STB
Date of manufacture
Name of manufacturer
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Gravity Type Davit General
Rows
good
part exchange
repair
n/a
Operating Instructions
Davit Structure
Welding Seams
Sheaves
Pivot Points
Davit Locking
Floating Blocks
Suspension Chains
Handrails
Boarding Platform
Hanging-Off Pendants
Lashings
Turnbuckles
Remote Wire for Brake Release
Davit Wires
Davit Wire Connections
Davit Foundation before testing
Davit Foundation after testing
Operational test at max.speed and abrupt stop
Operational test at max.speed and abrupt stop 10% overload (5y)
Corrosion, misalignments, deformation, excessive free-play
Davit Wires Certificates
Grease Nipples
Greasing
Winch and Electric System
Rows
good
part exchange
repair
n/a
Limit Switches
Remote Control Winch
Overall Condition of Winch
Davit Wire Drum
Foundation Bolts
Shaft of Winch
Gearbox
Gearbox Oil Level
Sight Glasses
Brake Lever
Safety Pin Brake Lever
Brake Housing
Centrifugal Brake
Stop Brake
Dynamic Winch Brake Test
Winch foundation before testing
Winch foundation after testing
Davit wire
Davit wire certificate available on board and valid
Free Wheel
Electric Motor
Wiring
Control Box
Hoisting speed (High speed / Low speed)
Notes
5 yearly overload test has been performed with a weight of
This equipment has been inspected and is fit for operation as of today
Classification attended
Yes
No
Woell Marine Stamp & Signature
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Cusomer Name
First Name
Last Name
Customer E-Mail
example@example.com
Technician Name
First Name
Last Name
Technician Email
example@example.com
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