You are on page 1of 1

Recertification Form

for 14”, 17”, and 26” Rigging Sheaves


P.O. # Serial #

Customer Contact Sheave Size

Company Line Groove Size

Address Proof Test Load

City, State, Zip Date of Last Certification


Instructions from the Customer

Damages to Repair

Updates

!" AXLE SHAFT (26”) ! SEALED BEARINGS" ! BEARINGS (26”) ! BEARINGS (17”) ! COVER HOLES

!" CLEVIS PARTS ! CLEVIS - SJ ! GATE PIN !"STOP BAR ! TAGS

Proof Tested by Date

NDT Inspected by Date

Lot/Serial Numbers of Components Clevis Nut Clevis Stud

Frame Clevis Type Clevis Housing

Loading Gate Clevis Lot/Ser. # Hinge Pin

Gate Frame Clevis Shaft Axle Shaft

Recertification Completed By Date

Sheave Inspected By Date

Doc. # WTI-43 Rev. 1 (18-Jun-99) page 1 of 1

You might also like