‬

‭Monthly Lifting Gears - Appliance Checklist‬

‭Contractor:‬ ‭Month and Year:‬

‭No.1‬ ‭Description of LG / LA / LP‬ ‭LG / LA / LP No.‬ ‭Inspected‬ ‭Expiry On‬ ‭Condition‬ ‭Remarks‬
‭On‬ ‭Code‬‭(See Below)‬

‭Indicate Condition Code‬ ‭A - Acceptable‬ ‭AM – Present (To Be Monitored)‬ ‭AX – Excessive (To Be Discarded)‬

‭ hecked and Submitted by:‬

C ‭ cknowledge by:‬
A
‭(Appointed Lifting Supervisor)‬ ‭(LA Safety Dept.)‬