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Culture Documents
Sign
PREPARED BY APPROVED BY
REV DATE DESCRIPTION
AGSB
MUHAMMAD MUHAMMAD
0.0 01-02-2023 Issued for review
FIRDAUS DALI FADHLI RAFIAI
Lifting Plan at Reference: PGB-LP-09
Ayer Putih City Gate Version: 0
Date: 1 Feb 2023
PGB- GTR NESTED UAS
Page: 2 of 16
Revision Summary
Table of Content
Definition 4
1.0 Objective 5
2.0 Scope 5
3.0 Responsibility 5
4.0 Lifting Condition 6
5.0 Lifting Plan Data 7
6.0 Site Condition 8
7.0 Nested UAS
Definition
1.0 Objective
This lifting plan explains the equipment and safety procedure of lifting the nested UAS from
ground level to rooftop level for PGB-GTR Nested UAS to ensure the safety of assets and
worker.
2.0 Scope
This lifting plan is to carry out the lifting operation of nested UAS in Ayer Putih City Gate.
3.0 Responsibility
3.1 Manager
1. Responsible for all team operations.
2. Ensure the safety, work process and project execution in order.
3.5 Worker
1. To help lifting supervisor during lifting operation.
2. To monitor and track blind spot areas during lifting operation.
3. To assist placement of nested UAS.
A) Description of
Nested UAS
Load
2) Load
B) Dimension
55” x 43” x 39” || 1.4m x 1.1m x 1.0m
(LxWXH)
A) Maker Kato
B) Model NK-550VR
3) Crane
C) Maximum
55 ton
Capacity (ton)
28m
Lifting Plan at Reference: PGB-LP-09
Ayer Putih City Gate Version: 0
Date: 1 Feb 2023
PGB- GTR NESTED UAS
Page: 10 of 16
Boom Radius
Fence = 28m
Nested
Location
Processing
Area
Instrument
Building
Mobile
Crane
2. Diagram
6.2 Below Nest Initial Location, Nest Final Location and Crane Lifting position.
Fence
Nested Final
Location
Nested Initial
Location
Processing
Area
Instrument
Building
Mobile
Crane
3. Diagram 6.3 shows the lifting height and approximation distance between
surroundings.
1. Overhead cables are located near to fencing. There is ample space for lifting operation
and should not be hazarded to lifting operation.
2. Overhead cables that crossing road are 30 meters apart. Should be enough for
mobilizing mobile crane and jib movement.
3. Area are industrial area, no public crowded. Lifting area are located outside the Ayer
Putih City Gate compound.
4. The entrance road is not the main road. No traffic observed, no need for traffic closure.
2. Figure 7.3 shows the location of the hoisting point on Nested UAS.
APPENDIX
CR C T
R
Parts of line 14 10 8 8 6 5 4 4
Critical boom
angle
33 40
Parts of line 8 8 8 6 5 4 4
Critical boom
35 48 58 64 68
angle
2
43 m Boom + 9.2 m Jib 43 m Boom + 15 m Jib
(Unit : Metric ton)
Outriggers fully extended with front jack - 360 full range
Outriggers fully extended without front jack - over side and over rear
43m Boom + 9.2m Jib 43m Boom + 15m Jib
Boom Offset 5 Offset 25 Offset 45 Boom Offset 5 Offset 25 Offset 45
angle Working Load Working Load Working Load angle Working Load Working Load Working Load
radius radius radius radius radius radius
( ) (m) (t) (m) (t) (m) (t) ( ) (m) (t) (m) (t) (m) (t)
81.0 10.00 3.50 12.75 2.30 14.60 1.25 81.0 11.75 2.50 16.20 1.20 19.40 0.70
80.0 11.05 3.50 13.70 2.30 15.45 1.25 80.0 12.95 2.50 17.20 1.20 20.35 0.69
79.0 12.05 3.48 14.65 2.30 16.30 1.24 79.0 14.10 2.49 18.15 1.19 21.25 0.69
78.0 13.00 3.40 15.60 2.25 17.20 1.23 78.0 15.10 2.45 19.10 1.17 22.15 0.68
77.0 13.90 3.23 16.50 2.19 18.05 1.21 77.0 16.20 2.30 20.10 1.15 23.05 0.67
76.0 14.85 3.04 17.40 2.12 18.90 1.19 76.0 17.25 2.17 21.10 1.12 24.00 0.67
75.0 15.75 2.90 18.25 2.06 19.75 1.17 75.0 18.25 2.06 22.15 1.10 24.85 0.65
74.0 16.70 2.75 19.15 1.99 20.55 1.16 74.0 19.20 1.95 23.15 1.07 25.70 0.64
72.0 18.50 2.49 20.90 1.85 22.25 1.12 72.0 21.10 1.76 25.05 1.02 27.45 0.62
70.0 20.15 2.28 22.60 1.73 23.90 1.09 70.0 23.00 1.59 26.80 0.97 29.10 0.61
68.0 21.85 2.09 24.20 1.62 25.40 1.06 68.0 24.90 1.47 28.60 0.93 30.65 0.59
66.0 23.55 1.91 25.80 1.53 26.85 1.04 66.0 26.75 1.35 30.30 0.90 32.25 0.58
64.0 25.05 1.68 27.40 1.43 28.35 1.02 64.0 28.60 1.24 32.00 0.87 33.80 0.57
62.0 26.55 1.41 28.85 1.24 29.85 1.00 62.0 30.40 1.10 33.70 0.84 35.30 0.56
60.0 28.00 1.13 30.20 1.00 31.15 0.85 60.0 32.00 0.87 35.25 0.72 36.75 0.55
59.0 28.75 1.00 30.85 0.89 31.80 0.77 59.0 32.80 0.76 36.00 0.66 37.45 0.55
58.0 29.45 0.86 31.50 0.77 32.45 0.69 58.0 33.60 0.64 36.60 0.58 38.20 0.54
57.0 30.20 0.73 32.20 0.66 33.05 0.61
56.0 30.85 0.63 32.85 0.56 33.70 0.53
Standard for 4 ton Standard for 4 ton
hook hook
Hook Hook
120 kg 120 kg
mass mass
Parts Parts
1 1
of line of line
Critical Critical
55 57
boom angle boom angle
60
35.0m Boom
40
50
27.0m Boom
40
30
23.0m Boom
19.0m Boom
15.0m Boom
20
Rooster sheave 30
11.0m Boom 20
(40t hook)
10
11.0m Boom
10
(55t hook)
0
10 20 30 40
8810
8420
R13
130
7650
7650
6430
6430
7 40
R1
R14
70
29
29
R1
70
R
11 7 50
7 50 11
R
R75 30
30 R75
90 R 10 71
R106 0
5370 5390
Overall view
2600 3030
470
270
2500
2800
4800
7000
R3
48
0
2900 2730
5630
1500
500
3780
2846
3019
16
11
2410 1450 3900 1350 2155
4445 6700 2225
13370
2282 350
2059
* KATO products and specifications are subject to improvements and changes without notice.
R R C
R T
( )
Perakuan Kelayakan
MESIN ANGKAT
(selain Mesin Angkat guna tangan)
Dengan ini diperakui bahawa Mesin Angkat tuan telah saya periksa pada 17/06/2022
dan saya puas hati yang ia boleh dijalankan pada beban yang tidak lebih 55000 kilogram
daripada
No Pendaftaran SL PMA 37702
* PERAKUAN INI adalah sah hingga tarikh di atas, melainkan jika telah digantung, dibatalkan atau dengan jalan lain ditamatkan
terlebih dahulu di bawah peruntukan-peruntukan Akta tersebut dan dengan syarat bahawa peruntuk-peruntukan Akta tersebut dan
Peraturan-peraturan berkenaan dengan mesin angkat di atas tidak dilanggar.
No Enjin : CA6DL2-35E352369240
No Chasis : LFNFXWPVOE3C00307
No Pendaftaran JPJ : -
Menurut Peraturan 26(1), Peraturan-peraturan (Pemberitahu, Perakuan Kelayakan dan Pemeriksaan) Kilang dan Jentera 1970,
setelah pemeriksaan dilakukan, adalah dikehendaki jentera ini dikendalikan oleh orang yang berkelayakan yang diiktiraf dan
berdaftar dengan Jabatan Keselamatan Dan Kesihatan Pekerjaan.
* Perakuan ini dikeluarkan kepada tuan dengan syarat bahawa petunjuk-petunjuk di dalam surat saya kepada tuan rujukan
bertarikh telah dijalankan sebagaimana yang dinyatakan di dalam jawapan tuan rujukan bertarikh .
Pada menjalankan kuasa yang diberikan oleh subseksyen 27(1) Akta Kilang dan Jentera 1967 [Akta 139], Ketua Pemeriksa Kilang
dan Jentera mengeluarkan perintah khas yang berikut:
1. Dalam Perintah ini, melainkan jika konteksnya menghendaki makna yang lain:
(a) Pengurus adalah orang yang diambil kerja dalam mana-mana perkhidmatan yang melibatkan pengurusan atau
pengendalian bagi, atau penjagaan ke atas, atau kedekatan kepada, mana-mana jentera atau proses yang
dijalankan dalam mana-mana tempat kerja;
(b) Operator kren adalah operator yang disahkan untuk mengendalikan kren yang memiliki sijil perakuan yang
dikeluarkan oleh Jabatan Keselamatan dan Kesihatan Pekerjaan di bawah subperaturan 26(1) Peraturan-Peraturan
(Pemberitahuan, Perakuan Kelayakan dan Pemeriksaan) Kilang dan Jentera 1970.
2. Pengurus hendaklah memastikan sebelum atau semasa pengoperasian, pengendalian dan penyelenggaraan kren bergerak:
(c) mempunyai penyelia mengangkat (lifting supervisor), juru isyarat (signalman) dan juru tali (slinger/rigger) yang
mempunyai pengetahuan, pengalaman dan kemahiran yang berkaitan;
(d) sistem permit menjalankan kerja (permit-to-work) dilaksanakan;
(f) segala kelengkapan peralatan mengangkat (lifting gear) diperiksa dan diselenggara secara berkala mengikut
spesifikasi pembuat dan amalan kejuruteraan yang baik;
(g) semua peranti keselamatan diselenggara supaya berfungsi dengan baik pada setiap masa dan tidak dikacau
ganggu;
(h) kerja-kerja memeriksa dan menyelenggara kren dijalankan mengikut spesifikasi pembuat serta amalan
kejuruteraan yang baik; dan
(i) rekod-rekod berkaitan penggunaan, pemeriksaan, penyelenggaraan, pelan mengangkat dan permit menjalankan
kerja disimpan dan diselenggara untuk tujuan pemeriksaan pada bila-bila masa.
3. Operator kren bergerak yang dilantik hendaklah semasa pengoperasian, pengendalian dan penyelenggaraan:
(d) menjalankan kerja-kerja memeriksa dan menguji peranti keselamatan pada kren.
(e) menjalankan pemeriksaan terhadap peralatan mengangkat (lifting gear) dan memastikan ia berada dalam keadaan
yang baik;
(f) merekodkan pemeriksaan rutin ke atas kren ke dalam satu buku daftar kren; dan
(g) memastikan kren bergerak diletakkan di atas tapak yang kukuh dan stabil.
Penalti
Mana-mana orang yang melanggar perintah khas ini adalah melakukan suatu kesalahan dan boleh didakwa di bawah seksyen 8(g)
Akta Kilang dan Jentera 1967 [Akta 139] dan jika disabitkan kesalahan boleh didenda tidak melebihi dua ratus ribu ringgit atau
dipenjarakan selama tempoh tidak melebihi lima tahun atau kedua-duanya.
T R R
C T
CR R T R
C T
Warganegara MALAYSIA
No. Pendaftaran : TG/13/OK/02/67 Ini adalah memperakui bahawa pemegang slip perakuan ini telah didaftarkan sebagai
Orang Yang Kompeten Operator Kren (Bergerak) dengan Jabatan ini dan layak untuk mengendalikan jentera jenis
tersebut.
TEMPOH SAH
Jenis Dari Hingga
Pendaftaran 10/10/2013 09/10/2015
Pembaharuan 23/05/2021 22/05/2023
Tarikh : 23/05/2021
JABATAN KESELAMATAN DAN KESIHATAN PEKERJAAN JABATAN KESELAMATAN DAN KESIHATAN PEKERJAAN
MALAYSIA MALAYSIA
SLIP PERAKUAN PENDAFTARAN SLIP PERAKUAN PENDAFTARAN
Pengarah Pengarah
Jabatan Keselamatan dan Kesihatan Pekerjaan Jabatan Keselamatan dan Kesihatan Pekerjaan
Terengganu Terengganu
JABATAN KESELAMATAN DAN KESIHATAN PEKERJAAN JABATAN KESELAMATAN DAN KESIHATAN PEKERJAAN
MALAYSIA MALAYSIA
SLIP PERAKUAN PENDAFTARAN SLIP PERAKUAN PENDAFTARAN
Pengarah Pengarah
Jabatan Keselamatan dan Kesihatan Pekerjaan Jabatan Keselamatan dan Kesihatan Pekerjaan
Terengganu Terengganu
JABATAN KESELAMATAN DAN KESIHATAN PEKERJAAN JABATAN KESELAMATAN DAN KESIHATAN PEKERJAAN
MALAYSIA MALAYSIA
SLIP PERAKUAN PENDAFTARAN SLIP PERAKUAN PENDAFTARAN
Pengarah Pengarah
Jabatan Keselamatan dan Kesihatan Pekerjaan Jabatan Keselamatan dan Kesihatan Pekerjaan
Terengganu Terengganu
PERINTAH KHAS KETUA PEMERIKSA
BILANGAN 2 TAHUN 2020
PENGURUSAN DAN PENGENDALIAN SELAMAT KREN BERGERAK
Pada menjalankan kuasa yang diberikan oleh subseksyen 27(1) Akta Kilang dan Jentera 1967 [Akta 139], Ketua Pemeriksa
Kilang dan Jentera mengeluarkan perintah khas yang berikut:
1. Dalam Perintah ini, melainkan jika konteksnya menghendaki makna yang lain:
(a) Pengurus adalah orang yang diambil kerja dalam mana-mana perkhidmatan yang melibatkan pengurusan dan
pengendalian bagi, atau penjagaan ke atas, atau kedekatan kepada, mana-mana jentera atau proses yang
dijalankan dalam mana-mana tempat kerja;
(b) Operator Kren adalah operator yang disahkan untuk mengendalikan kren dengan memiliki sijil perakuan yang
dikeluarkan oleh Jabatan Keselamatan dan Kesihatan Pekerjaan di bawah subperaturan 26(1) Peraturan-
Peraturan (Pemberitahuan, Perakuan Kelayakan dan Pemeriksaan) Kilang dan Jentera 1970.
2. Pengurus hendaklah memastikan sebelum atau semasa pengoperasian, pengendalian dan penyelenggaraan kren
bergerak:
(a) kren bergerak mempunyai sijil perakuan kelayakan yang sah;
(b) operator kren mempunyai sijil kelayakan yang sah;
(c) mempunyai penyelia mengangkat (lifting supervisor), juru isyarat (signalman) dan juru tali (slinger/rigger) yang
mempunyai pengetahuan, pengalaman dan kemahiran yang berkaitan;
(d) sistem permit menjalankan kerja (permit-to-work) dilaksanakan;
(e) pelan mengangkat (lifting plan) diadakan;
(f) segala kelengkapan peralatan mengangkat (lifting gear) diperiksa dan diselenggara secara berkala mengikut
spesifikasi pembuat dan amalan kejuruteraan yang baik;
(g) semua peranti keselamatan diselenggara supaya berfungsi dengan baik pada setiap masa dan tidak dikacau
ganggu;
(h) kerja-kerja memeriksa dan menyelenggara kren dijalankan mengikut spesifikasi pembuat serta amalan
kejuruteraan yang baik; dan
(i) rekod-rekod berkaitan penggunaan, pemeriksaan, penyelenggaraan, pelan mengangkat dan permit
menjalankan kerja disimpan dan diselenggara untuk tujuan pemeriksaan pada bila-bila masa.
3. Operator kren bergerak yang dilantik hendaklah semasa pengoperasian, pengendalian dan penyelenggaraan:
(a) mempunyai sijil kelayakan operator kren yang sah;
(b) kren bergerak mempunyai sijil perakuan kelayakan yang sah;
(c) memastikan tindakannya tidak membahayakan dirinya dan orang lain;
(d) menjalankan kerja-kerja memeriksa dan menguji peranti keselamatan pada kren;
(e) menjalankan pemeriksaan terhadap peralatan mengangkat (lifting gear) dan memastikan ia berada dalam
keadaan baik;
(f) merekodkan pemeriksaan rutin ke atas kren ke dalam satu buku daftar kren; dan
(g) memastikan kren bergerak diletakkan di atas tapak yang kukuh dan stabil.
Penalti
Mana-mana orang yang melanggar perintah khas ini adalah melakukan suatu kesalahan dan boleh didakwa di bawah
seksyen 8(g) Akta Kilang dan Jentera 1967 [Akta 139] dan jika disabitkan kesalahan boleh didenda tidak melebihi dua ratus
ribu ringgit atau dipenjarakan selama tempoh tidak melebihi lima tahun atau kedua-duanya.
R R C T
C T
W
C C RT C T
TT
C
( a e e Ta )
Webbing Sling
Equipment No: MST WB 5
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Webbing Sling
Equipment No: MST WB 6
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Webbing Sling
Equipment No: MST WB 7
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Webbing Sling
Equipment No: MST WB 8
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Page | 1
Equipment Blue Tagging (Webbing Sling - 2 Tonne 2 Meter)
Webbing Sling
Equipment No: MST WB 1
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Webbing Sling
Equipment No: MST WB 2
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Webbing Sling
Equipment No: MST WB 3
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Webbing Sling
Equipment No: MST WB 4
Safe Working Load: 2 Metric Tonne
Next Inspection Date: 26 Aug 2023
Page | 2
Equipment Blue Tagging (D Shackle – 4.75 Tonne)
D SHACKLE
Equipment No: MST 01
Safe Working Load: 4.75 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 02
Safe Working Load: 4.75 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 03
Safe Working Load: 4.75 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 04
Safe Working Load: 4.75 Tonne
Next Inspection Date: 25 Feb 2024
Page | 3
Equipment Blue Tagging (D Shackle – 2 Tonne)
D SHACKLE
Equipment No: MST 01
Safe Working Load: 2 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 02
Safe Working Load: 2 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 03
Safe Working Load: 2 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 04
Safe Working Load: 2 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 05
Safe Working Load: 2 Tonne
Next Inspection Date: 25 Feb 2024
Page | 4
Equipment Blue Tagging (D Shackle – 3.25 Tonne)
D SHACKLE
Equipment No: MST 01
Safe Working Load: 3.25 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 02
Safe Working Load: 3.25 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 03
Safe Working Load: 3.25 Tonne
Next Inspection Date: 25 Feb 2024
D SHACKLE
Equipment No: MST 04
Safe Working Load: 3.25 Tonne
Next Inspection Date: 25 Feb 2024
Page | 5
Lifting Plan at Reference: PGB-LP-09
Ayer Putih City Gate Version: 0
Date: 1 Feb 2023
PGB- GTR NESTED UAS
Page: 15 of 16
R CT
C C T
A. CRANE
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
Fluid System and Lubrication
1 Check the following levels fill up to the required level:
a) Lubricating Oil Level
b) Coolant Level
c) Fuel Level
d) Engine Oil Level
e) Transmission Gearbox Oil Level
f) Pump Drive Oil Level
g) Hoist and Boom Winch Oil Level
h) Torque Converter Level
i) Hydraulic Oil Level
j) Air Pressure
k) Others:
2 Ensure sufficient lubrication on all required components
3 Ensure the vent plug is free from clogging.
Safety Devices & Load Rating Chart
1 Check the following safety devices for its functionality:
a) Boom Hoist Limit
b) Anti-Two Block Devices
c) Warning Devices:
- Warning Light
- Warning Alarm
d) Locking Devices
- Hook Safety Latch
- Pin
e) Motion Limiting Devices
- Upper Limit Device
- Lower Limit Device
f) Load Moment Indicator
g) Operational Limit Switch
h) Safe Load Indicator
i) Wind Speed Indicator
j) Rotation indicator
Page 1 of 18
k) Boom angle indicator
l) Over speed shutdown
m) Spark arrestor
n) Others:
i) Wind Speed Indicator
2 Check the availability of fire-fighting equipment.
3 Verify correct load-rating chart.
Crane Structure Lifting Accessories Security
1 Visually inspect and check the following:
a) No sign of damage on crane boom, support structure
and crane components
b) Defects in each crane component
c) Crane structure free from loose materials
d) Conditions of ladders, steps, guard rails, hand holds and
walking platforms
e) Cab windows are clear, free of cracks and windscreen
wipers are in good condition.
f) Housekeeping of the crane
g) Security of lifting accessories e.g.: bolt, fastener, pin.
2 Check the boom and jib for:
a) Straightness
b) Physical damage e.g. cracking, bending, deformation,
bending
c) Corrosion
d) Cracking or flaking of paint
e) Bent lacing
f) Welding deformation
g) Fly jib security.
Control & Operating Mechanism
Control & Operating Mechanism
1 Test all the brake controls including clutch.
Test all the operating controls for smooth and regular with
2 no hesitations, vibration, binding, unusual noise, or other
irregularity.
Outrigger & Tires (Applicable for Mobile Crane only)
1 Check the outrigger beam and cylinder for:
a) Distortion
b) Welding crack
c) Functionality of extension & retraction
d) Security of floats / pad
2 Check the tires for:
a) Tears, cut, break
b) Proper inflation (air pressure)
Control & Operating Mechanism
c) Debris between twin wheels
d) Wheel stud conditions
Page 2 of 18
Hook Block
1 Visually inspect the hook for the following deficiencies:
a) Excessive pitting or corrosion
b) Distortions such as bending, or twisting
c) Throat wear, damage, corrosion or opening
d) Cracks, severe nicks, or gouges
e) Hook attachment and securing means.
f) Safety latch attachment
g) Deformation
h) Excessive heat exposure
i) Evidence of unauthorized alterations
Lifting Area
Crane Operator
Supervisor Owner
Signature:
Name:
Date/Time:
Page 3 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING APPLIANCES)
A. WINCH
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
Fluid System and Lubrication
1 Check the winch body / winch drum for:
a) Visible directional markings
b) Wear, distortion and cracks
c) Indication of loose, damaged, or missing structural
components including supports and anchorages
d) Deterioration
2 Ensure proper operation on:
a) Brake system
Check the brake band, springs, link arms, and pins when
applicable
b) Control mechanism
c) Limit devices
3 Ensure the wire rope / chain:
a) Fitted in the correct direction
b) not over wound on or off the drum
c) No any damage / distortion
4 Ensure sufficient lubrication.
Lifting Area
Lifting Appliance Operator
Supervisor Owner
Signature:
Name:
Date/Time:
Page 4 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTED APPLIANCES)
C. RUNWAY BEAM/ MONORAIL
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
Signature:
Name:
Date/Time:
Page 5 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTED APPLIANCES)
E. OVERHEAD HOIST
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
Page 6 of 18
b) Throat opening
c) Cracks, nicks, gouges
d) Loose hook attachment
4 Ensure sufficient lubrication
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 7 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING APPLIANCES)
F. PAD EYES & LIFTING POINTS
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
b) Distortion
c) Corrosion
d) Cracked weld
clutches
Lifting Area
Lifting Appliance Operator
Supervisor Owner
Signature:
Name:
Date/Time:
Page 8 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
A. SLING
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Crack, excessive wear, nicks or gouges
c) Weld splatter
d) Abrasion or scraping
j) Melting or charring
k) No weakening of material surface due to
chemical attack
l) No evidence of heat damage
a) Free articulation
Page 9 of 18
3 Check the sling fittings for:
a) Damage e.g. corrosion, crack, deform,
broken or worn
b) Proper engagement with lifting hook
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 10 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
B. SHACKLE
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Check the shackle for:
h) Unauthorized welding
Signature:
Name:
Date/Time:
Page 11 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
C. TURNBUCKLE
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Check turnbuckle condition for:
a) Indication of heat damage, weld spatter
b) Excessive pitting, corrosion
c) Bent, twisted, distorted, stretched, elongated,
crack load bearing component
d) Nicks or gouges
e) Reduction of original size
f) Unauthorized welding or modification
g) Other visible damage
Check all the turnbuckle components including
2
pins, bolts, nut or cotter pins.
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 12 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
D. EYE BOLT & EYE NUT
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Check turnbuckle condition for:
a) Indication of heat damage, weld spatter
b) Excessive pitting, corrosion
c) Bent, twisted, distorted, stretched, elongated,
crack load bearing component
d) Nicks or gouges
e) Reduction of original size
f) Unauthorized welding or modification
g) Other visible damage
2 Check that
a) Shank of the eyebolt shall not be undercut
b) Thread dimensions and type are the same
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 13 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
E. SWIVEL RING
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Check swivel ring condition for:
a) Indication of heat damage, weld spatter
b) Ability to 360 degree rotate or pivot
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 14 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
F. SNATCH BLOCK
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Check that moving parts operate freely.
2 Check for wear damage, distortion.
3 Confirm the structure is of adequate strength.
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 15 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
G. HOOK
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
Visually inspect the hook for the following
1
deficiencies
a) Excessive pitting or corrosion
b) Distortions such as bending, or twisting
c) Throat wear, damage, corrosion or opening
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 16 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
A. LOAD CARRIER
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 On the container structure:
a) inspect for corrosion, mechanical damage,
injurious deformation
b) Inspect all load bearings as well as determine
the access to load bearing part
c) Inspect the welding at primary structure for
visible defects
d) Ensure legible marking and plates
Lifting Appliance
Lifting Supervisor Area Owner
Operator
Signature:
Name:
Date/Time:
Page 17 of 18
PRE-USE INSPECTION CHECKLIST
(LIFTING ACCESSORIES)
B. PERSONNEL CARRIER
Facility:
Location:
Tag No:
SWL:
Condition
No Items Remark
(Fit/Unfit)
1 Check for damage, cracks and wears on:
Lifting
Lifting
Appliance Area Owner
Supervisor
Operator
Signature:
Name:
Date/Time:
Page 18 of 18