Mevbuilt Inc.

Block 1 Lot 9 Manchester Industrial Subdivision, Don Julio Gregorio Street, Sauyo Road
Novaliches, Quezon City

TOWER CRANE INSPECTION PERMIT

Project Name and Location: Date:

Location to be use/Activity to Perform:

Brand/Model Number: Serial Number: Capacity:

YES NO NA REMARKS
A.TOWER CRANE APPROVE TO USE
Tower Crane has a valid Third Party Inspection
Third party inspection certificate is displayed at cabin and crane
B.GENERAL REQUIREMENTS
Tower Crane is provided with markings of Safe Working Load
Safe access and egress are provided to the crane operator (ladder Cage)
Inspection of pin
Operator and rigger certificate is displayed at the cabin
C.WIRE ROPE/CHAIN/LIFTING BELT/HOOK/SHACKLE
Worn Links
Deform Links
Cracked Links
Broken Wire/worn wire
Thread Damage of belt
Stitches damage of belt
Abrasion of belt
Deformation of Hook
Crack on Hook
Visible bend on shackles
Any modification or parts missing on shackles
D.COMMUNICATION
Operator and rigger should have 2 way radio for communication
E.SAFETY REQUIREMENTS
Provide barricade within the load radius of the crane.
Rigger is visible within the load radius of the crane.
Maintenance report is attach with the permit
F. LIFTING DETAILS
Calculated weight of the load - within the SWL?
Is the drop off area clear & free from debris, materials or equipment
Is there adequate lighting for the lifting activity

The load will not be suspended or pass over a public area

Note: 1. Permit must be accomplished before operating
INSPECTED BY: NAME: SIGNATURE
MBI OPERATOR
MBI RIGGER
MBI SAFETY OFFICER