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 Single Arm Davit
Location of Single Arm Davit
Portside
Starboard
Serial number
Date of manufacture
Name of manufacturer
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Single Arm Davit General
Rows
good
part exchange
repair
n/a
Operating Instructions
Davit Structure
Welding Seams
Foundation Bolts
Sheaves
Pivot Points
Remote Control Wire Lowering
Remote Control Wire Swinging
Davit Wire
Davit Wire Connections
Davit Wire Certificate available on board and valid
Grease Nipples
Greasing
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
Winch and Electric System
Rows
good
part exchange
repair
n/a
Limit Switches
Remote Control
Overall Condition of Winch
Davit Wire Drum
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
Electric Motor
Wiring
Control Box
Power and Indication Lights
Hydraulic System
Rows
good
part exchange
repair
n/a
Oil Tank
Oil Level
Hydraulic Pipes
Hydraulic Hoses
Hydraulic Pump
Control Valves
Function Test of Hydraulic System
System Pressure
Accumulator Overall Condition
Accumulator Pressure
Stored Power Function Test
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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