South Commuter Railway Project

(SCRP) CP S-04,05,06

LIFTING GEARS INSPECTION CHECKLIST – LEVER BLOCK LB-23-

EIC No.
☐ PRE-INSPECTION EQUIPMENT NO. MAKE / MODEL / YEAR MANUFACTURED
☐ DAILY DATE
☐ MONTHLY SITE ASSIGNED

☐ QUARTERLY

1 6

2 7
11
33 83

4 9

5 10

PERIODIC DAILY
NO. PART ITEM
M T W T F S S
TOP HOOK IS FREE FROM DEFECTS, E.G.,
1 BENT, TWISTED, INCREASE THROATH OPENING, WEAR, CRACKS,
NICKS, GOUGE, MISSING OR NON - FUNCTIONAL SAFETY LATCH?
HAND WHEEL AND BRAKE MECHANISM PARTS IS PHYSICALLY IN
2
GOOD CONDITION?
IDENTIFICATION OF COMFORMITY MARKING AND WORKLOAD
3
LIMIT (WLL) IDENTIFICATION?
4 HANDLE WITH NON - SLIP RUBBER IS IN GOOD CONDITION?
CHAINS ARE FREE FROM DEFECTS, E.G.,
BENT, CORROSION, FISSURE, INCIPIENT CRACKS, GOUGE,
5
GROOVING, NICKS, TWISTED LINKS, STRETCHED, WEAR, WELDING
SPATTER?
6 STEEL FORMED CASE IS IN GOOD CONDITION?
7 DUAL RACHET PAWLS IS IN GOOD CONDITION AND FUNCTIONAL?
8 CHAIN GUIDE/LOAD SHEAVE IS PROPERLY IN PLACE?
LOAD HOOK IS FREE FROM DEFECTS, E.G.,
9 BENT, TWISTED, INCREASE THROATH OPENING, WEAR, CRACKS,
NICKS, GOUGE, MISSING OR NON - FUNCTIONAL SAFETY LATCH?
10 CHAIN STOPPER IS IN PLACE AND IN GOOD CONDITION?
HAVE MANUFACTURER’S OR THIRD - PARTY CERTIFICATION AND
11
CLEAR TAG RELEVANT TO COLOR CODE?
12 RESTRICTED MOVEMENT OF THE CHAIN LINKS?

INSPECTOR’S INITIALS

INSPECTOR’S COMMENT INSPECTED BY: CONSTRUCTION TEAM MEMBER NOTED BY:

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

DATE DATE DATE

(Keep the copy of Daily Pre-Start Equipment Checklist on Site for the Job Duration. Submit a copy to the Project HSE Department, if requested/required)
Note: Mark boxes with √ Acceptable; X Unacceptable; ∆ Needs further check; or NA Not applicable.

SCRP-HDJV-S04-ZWD-SE-HS-000033_Lever Block Checklist.docx0