LIFITING MACHINERY & EQUIPMENT

OHS-PR-02-19-F10 CHAIN BLOCK INSPECTION

DEPARTMENT:
DATE:
AREA:

Notes: Do not “tick”. Write Ok or use the code of the specific deviation in the legend. If the Equipment is defective it must be tagged “Defective”
and must be reported to the person responsible for the repair of the equipment. If the equipment is beyond repair it must be destroyed and
discarded. New equipment to replace the discarded equipment must be obtained to discourage the use of make shift equipment.
LEGEND: OK – ALL IN GOOD CONDITION, ELM– EQUIPMENT LOST OF MISSING, REP – EQIPMENT BEING REPAIRED, C – COMMENTS
Chain – Inspect every link Barrel
A1 Twisted, stretched, bent E1 Bearing Safe
A2 Nicked, gouged, cracked E2 Clevis in safe condition
Side Barrel E3 Saddle in safe condition
B1 Free from distortation/damage E4 Load pin in good condition
B3 Side covers safe Load Test
B4 Hand chain in safe condition F1 Load test done (enter results)
Chain Guide / Stripper Gears
C1 Friction disc in safe condition G1 Lubrication sufficient
Hooks and Safety Latches G2 Guide rollers in safe condition
D1 Spread in throat opening G3 Max. mass load (SWL) displayed
D2 Cracked, nicke, shafted

ID NO DEPARTMENT LOCATION 1st QUARTER 2nd QUARTER 3rd QUARTER 4th QUARTER

Date of Inspection:

Name of Inspector:

Page 1 of 2 Rev. 0 [May-2020] OHSMS Approved Document

 F10 CHAIN BLOCK INSPECTION

COMMENTS:

ID NO COMMENTS LOG

Page 2 of 2 Rev. 0 [May-2020] OHSMS Approved Document