Doc ID: PDG-IND-OHSMSM-2107F-

PRINCETON DIGITAL
C1
GROUP
Rev 00: 10.09.2022
Chain Pulley Block
Inspection

Name of the project: Date:

Contractor Name: Area Line Manager Name: HOD Name:

Area/Location: Inspected by:

Chain pulley block Id No: Capacity:

S. No Parameter Condition Remarks

01 Nyloc Nut

02 Check Washer

03 Hand Chain Wheel

04 Hand Chain

05 Ratchet Wheel

06 Bearing ring

07 Ratchet pawl

08 Pawl Stud/Pin

09 Load Chain wheel

10 Load chain condition

11 Gear Cover

12 Gear

13 Top hook assembly

14 Bottom hook assembly

15 Others: Third party certificate

Issued by
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 Doc ID: PDG-IND-OHSMSM-2107F-
PRINCETON DIGITAL
C1
GROUP
Rev 00: 10.09.2022
Chain Pulley Block
Inspection

Note: Periodic review of chain pulley block preferably at least once in a month by project safety department
along with respective department persons.

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