Global EHS

Environment, Health, Fire And Safety

Doc Id : GlobalEHS/CHK/030 Rev:00

Chain Pulley Block Inspection Checklist

Company Name :
Date of Inspection :
Make :
Model :
Number :
Owned/Hired/Contractor :

SN Details Yes/No Comments

1 Chain Pulley Block should be physically in good condition and have valid
TPI.
2 Hook should be in good condition.
3 Safety latch should be in hook and in working condition.
4 Chain should be free from defects.
5 Safe working load should be clearly marked and visible.
6 Rotating parts should be covered.
7 Chain pulley block should be tested and inspected by competent person,
and have valid inspection certificate as per legal requirements.

Fit for use: Yes/No

Inspection Done By:

Name:
Department:
Designation:
Signature:
Date:

Reviewed By:
Name:
Department:
Designation:
Signature:
Date:

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