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HSE CHECKLIST WITH
PICTURES

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INSPECTION / SURVEY CHECK SHEET & REGISTER FOR LIFTING EQUIPMENT

Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECKLIST – LIFTING EQUIPMENT

SN Title Page No
LM01 INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC) 1-2
LM02 INSPECTION CHECK LIST FOR MOBILE CRANE (PRE ENTRY & PERIODIC) 1-2
LM03 INSPECTION CHECK LIST FOR GANTRY CRANE 1-2
LM04 INSPECTION CHECK LIST FOR ELECTRICALLY OPERATED HOIST 1-2
LM05 INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK 1-2
LM06 INSPECTION CHECK LIST FOR PULL LIFT 1-2
LM07 INSPECTION CHECK LIST FOR WINCH MACHINE 1-2
LM08 INSPECTION CHECK LIST FOR LIFTING TACKLE - HOOK 1-2
LM09 INSPECTION CHECK LIST FOR LIFTING TACKLE - SHACKLE 1-2
LM10 INSPECTION CHECK LIST FOR LIFTING TACKLE - WIRE ROPE SLING 1-2
LM11 INSPECTION CHECK LIST FOR LIFTING TACKLE - CHAIN SLING 1-2
LM12 INSPECTION CHECK LIST FOR LIFTING TACKLE - WEB SLING 1-1
LM13 INSPECTION CHECK LIST FOR LIFTING TACKLE - ATTACHMENT 1-1
LM14 INSPECTION CHECK LIST FOR LIFTING TACKLE - SHEAVE PULLEY 1-2

SURVEY CHECK SHEET – LIFTING EQUIPMENT

SN Title Page No
LS01 SURVEY CHECK SHEET FOR HYDRA 1-2
LS02 SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC) 1-2
LS03 SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER) 1-2
LS04 SURVEY CHECK SHEET FOR GANTRY CRANE 1-2
LS05 SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST 1-2
LS06 SURVEY CHECK SHEET FOR CHAIN PULLEY BLOCK 1-2
LS07 SURVEY CHECK SHEET FOR PULL LIFT 1-2
LS08 SURVEY CHECK SHEET FOR WINCH MACHINE 1-2
LS09 SURVEY CHECK SHEET FOR LIFTING TACKLE - HOOK 1-2
LS10 SURVEY CHECK SHEET FOR LIFTING TACKLE - SHACKLE 1-2
LS11 SURVEY CHECK SHEET FOR LIFTING TACKLE - WIRE ROPE SLING 1-2
LS12 SURVEY CHECK SHEET FOR LIFTING TACKLE - CHAIN SLING 1-2
LS13 SURVEY CHECK SHEET FOR LIFTING TACKLE - WEB SLING 1-1
LS14 SURVEY CHECK SHEET FOR LIFTING TACKLE - ATTACHMENT 1-1
LS15 SURVEY CHECK SHEET FOR LIFTING TACKLE - SHEAVE PULLEY 1-2

REGISTER – LIST OF LIFTING EQUIPMENT

SN Title Page No
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LR01 REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (GFR - Form No -10) 1-1
LR02 REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09) 1-1
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INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC)

Issue No.: 01 Rev. No: 00 Date: Form No – LM01

INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC)

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Dates of Inspection
Sr.
DESCRIPTION
No

Is SWL Marked on Hydra & Anchoring Hooks on

1
boom?
Is Safety Latch in Hook is provided and Hook is
2
without damage?

3 Is Hoist limit switch and Plate provided?

Is Wire rope free from tolerable Damage?
4
(Kinked, Wear, Broken wire more than 10% etc.)
Is Load - Wire rope & other parts are well
5
Lubricated?
Any Oil Leakage from Hydraulic parts (Piston
6
drums)?

7 Is any Damage in Tires (Crack, Cut, air pressure etc.)

8 Are Head Lights & Rear Lights in good condition?

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9 Is Front Horn in working Condition?

Is Reverse Horn provided and in working

10
condition?
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INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC)

Issue No.: 01 Rev. No: 00 Date: Form No – LM01

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No
Is Boom structure in good condition while full
11
expansion? (Free from Damage, Crack or Jam).

12 Are Brakes in good condition?

Are Travelling, Steering, Braking, Motions (in

13
both directions) satisfactory?
Is Load Chart Displayed in Operator Cabin?
14
Load at the appropriate radius.(Max & Min radii)
Are Operating Instruction and Warning Signs
15
Displayed?

16 Is Fire Extinguisher provided in Operator Cabin?

Is Operator having Valid Driving License?

17
(Heavy duty)

18 Is Hydra having Valid RTO Fitness?

19 Is Stability of Hydra satisfied?

20 Is Hydra SUITABLE for Use at site? (Fitness)

21 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR MOBILE CRANE (PRE ENTRY & PERIODIC)
Issue No.: 01 Rev. No: 00 Date: Form No – LM02

INSPECTION CHECK LIST FOR MOBILE CRANE (PRE ENTRY & PERIODIC)

O
Plant / Agency Equipment Number

Department - Section T
Identification Marking

H sD (Name) M
T.P. Certificate No

Location of Inspection Date of .P. Inspection

In pection Frequency S.W.L. ( arked)

CHECK ITEMS
M a n
Dates of Inspection
Sr.
DESCRIPTION
No o d

Is SWL arked on Cr ne & Anchoring Hooks o

1
boom?
Is SafetyoLatch in Homk is provide and
a Hook is
2
without damage? n
p
3 Is Hoist limit switch and Plate provided?

a
Is Wire r pe free fro tolerable D mage?
4
(Kinked, Wear, Broke wire more than 10% etc.)
Is Load - Wire ro e & other parts are well
5
Lubricated?
Any Oil Leakage from Hydraulic p rts (Piston
6 d
drums)?

7 Is any Damage in Tires (Crack, Cut,

n air pressure etc.)

r
8 Are Hea Lights & Rear Lights in good condition?

9 Is Front Horn in working Conditio ?

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Is Reverse Horn provided and in wo king
10
condition?
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INSPECTION CHECK LIST FOR MOBILE CRANE (PRE ENTRY & PERIODIC)
Issue No.: 01 Rev. No: 00 Date: Form No – LM02

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No
Is Boom structure in good condition while full
11
expansion? (Free from Damage, Crack or Jam).

12 Are Brakes in good condition?

Are Travelling, Steering, Braking, Motions (in

13
both directions) satisfactory?
Is Load Chart Displayed in Operator Cabin?
14
Load at the appropriate radius.(Max & Min radii)
Are Operating Instruction and Warning Signs
15
Displayed?

16 Is Fire Extinguisher provided in Operator Cabin?

Is Operator having Valid Driving License?

17
(Heavy duty)

18 Is Crane having Valid RTO Fitness?

19 Is Stability of Crane satisfied?

20 Is Crane SUITABLE for Use at site? (Fitness)

21 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR GANTRY CRANE

Issue No.: 01 Rev. No: 00 Date: Form No – LM03

INSPECTION CHECK LIST FOR GANTRY CRANE

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

Is SWL marked on Gantry Crane?

1
Is SWL painted at the load anchoring Hook?

2 Is Safety Latch in Hook provided?

Is Limit switches provided for Hoisting?

3
If so, is it working?

Are Proper Hoisting and Lowering movement of

4
the Hook? (Test shall be carried out at Max)

Is Proper Long travel & Cross travel Movements?

5
(to be checked)

Are all Breaks in Operating Condition and

6
working properly?

Are Electrical Power Supply cables laid over

7
head along tracks?
Wire rope conditions Checked?
8 (Free from tolerable damage - No kinks, broken
wires more than 10% is N.G).
Is any abnormal sound or vibration in running
9
condition?

Are all rotating parts like gears etc. guarded

10
effectively?

11 Are all gearboxes beings lubricated properly?

12 Are Gantry Crane Brakes in good condition?

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INSPECTION CHECK LIST FOR GANTRY CRANE

Issue No.: 01 Rev. No: 00 Date: Form No – LM03
CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No
Is Gantry Crane having Valid Third Party fitness?
13 Over load test was done?
(1.25 times the working load at the appropriate)
Is Proper General cleanliness conditions at
14
workplace?

Is Stability of Gantry Crane satisfied?

15
(Margin of stability)

16 Is Gantry Crane suitable for use at site? (Fitness)

17 Others (If any)

18 Others (If any)

19 Others (If any)

20 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR ELECTRICALLY OPERATED HOIST

Issue No.: 01 Rev. No: 00 Date: Form No – LM04

INSPECTION CHECK LIST FOR ELECTRICALLY OPERATED HOIST

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

1 Is HOIST Identified & Numbered?

2 Is SWL Marked on Hoist & Hooks?

Is Safety Latch in Hook provided / Hook

3
Damaged?

Is Wire rope free from tolerable Damage?

4
(Kinked, Wear, Broken wire more than 10% etc.).

Are Load - Wire rope & other parts well

5
Lubricated?

6 Are Hoist limit switch and Plate provided?

7 Is Long travel & Cross travel proper?

Are Rail Poles / Wheels Damaged? – Crack etc.

8
(If provided)

9 Are End Stoppers provided/ damaged?

10 Is Electrical ON / OFF Isolation panel proper?

11 Is Emergency STOP Push Button functioning?

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Are Defaced (Operation) Making on control
12
panel?
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INSPECTION CHECK LIST FOR GANTRY CRANE

Issue No.: 01 Rev. No: 00 Date: Form No – LM04
CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

13 Are Control functions functioning?

Is Hoist Operation with Unusual Noise & Jerky

14
Motion?

15 Is Approach to Operator Cabin proper? (If cabin)

Are Operating Instruction and Warning Signs

16
Displayed?

17 Is Fire Extinguisher provided in Operator Cabin?

Is Load lifting work place free from

18
obstruction?

19 Is Load and Hook left suspended?

20 Is HOIST having Valid Third Party fitness?

21 Is Stability of Gantry Crane satisfied?

22 Is HOIST SUITABLE for Use at site?

23 Others (If any)

24 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK
Issue No.: 01 Rev. No: 00 Date: Form No – LM05

INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
v
No

1 Is SWL marked on the Chain Pulley Block?

2 Is Hook available in good condition?

3 Is Hook with Safety Latch provided?

4 Is SWL marked on the anchoring Hook?

5 Is CPB properly lubricated?

Is CPB operated freely and chain should not

6
come out of pulleys?

7 Is Chain Pulley Block anchored properly?

Is Condition of Hand Wheel Chain & Load Chain

8 proper? (Any Knot, Physical Damage – Worn,
Crack, Stretch, corroded, Twisted, bent etc.)
Is there any abnormal sound while lifting the
9
load?
Is there any slippage of load while CPB is being
10
loaded or unloaded?
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INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK

Issue No.: 01 Rev. No: 00 Date: Form No – LM05

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

11 Is Colour coding for the current year painted?

12 Is Third Party (TP) Test certificate available?

13 Others (If any)

14 Others (If any)

15 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR PULL LIFT

Issue No.: 01 Rev. No: 00 Date: Form No – LM06

INSPECTION CHECK LIST FOR PULL LIFT

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

1 Is SWL (Pull – Lift) marked on the Pull Lift?

2 Whether Hook is available in good condition?

3 Is Hook Safety Latch provided?

4 Is SWL marked on the anchoring Hook?

5 Is it properly lubricated?

Is it operated freely and chain should not come

6
out of pulleys?

7 Is Pull Lift anchored properly?

Is Condition of Hand Wheel Chain & Load Chain

8 proper? (Any Knot, Physical Damage – Worn,
Crack, Stretch, corroded, Twisted, bent etc.)
Is there any abnormal sound while lifting the
9
load?
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Is there any slippage of load while CPB is being
10
loaded or unloaded?
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INSPECTION CHECK LIST FOR PULL LIFT

Issue No.: 01 Rev. No: 00 Date: Form No – LM06

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

11 Is Colour coding for the current year painted?

12 Is Third Party (TP) Test certificate available?

13 Others (If any)

14 Others (If any)

15 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR WINCH MACHINE

Issue No.: 01 Rev. No: 00 Date: Form No – LM07

INSPECTION CHECK LIST FOR WINCH MACHINE

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

1 Has Winch been certified in last 12 months?

2 Are Brakes are adequately rated for SWL?

3 Do Brakes auto apply on loss of power?

Is a warning displayed to check fail safe brake

4
application before using?

Have All the Brakes been serviced in last 3

5
months?

Power cable used is of correct type and size for

6
Winch?

Power cable is properly terminated and Winch is

7
effectively earthed?

8 Is ELCB provided for Emergency trip?

Are Limit Switch protections provided for Over

9
travel etc. trip?

Wire rope / slings etc. used are in good

10
condition, tagged, & certified?

11 Wire rope used in Winch is properly Lubricated?

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Do 5 turns of Wire rope remain on drum when
12
Hook is in contact with the ground?
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INSPECTION CHECK LIST FOR WINCH MACHINE

Issue No.: 01 Rev. No: 00 Date: Form No – LM07

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No
Is the Hook in good condition
13
(Including Swivel, safety latch)?

14 Is the Hook rating adequate for SWL?

15 Are Sheaves Pulleys in good condition?

Is all the safety guards installed properly on

16
rotating parts of Winch?
Are Other parts of Winch (Gear Box, Bearing)
17 Checked properly and Preventive Maintenance
record maintained?
Is Winch Mounted with adequate strength to
18
sustain SWL of winch?
Is Wire rope installed for winch is on safe route
19
and without any obstruction or rubbing?
Do operating levers return to neutral position
20
when released?

21 Are operating levers clearly labelled?

Is effective communication system

22
established?
Is Canopy provided for weather protection for
23
Winch Operations?
Is operator qualified & have knowledgeable on
24
Winch Operations?

25 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
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INSPECTION CHECK LIST FOR LIFTING TACKLE – HOOK

Issue No.: 01 Rev. No: 00 Date: Form No – LM08

INSPECTION CHECK LIST FOR LIFTING TACKLE - HOOK

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
1 Is SWL marked?
Is there any Physical Damage in Hook?
2 (Wear / Crack / Corrosion Reduction more than 10%)
Is there any Physical Deformation in Hook?
3 (Elongation / Spread / Twist more than 10 degree)
Is Hook safety latch with the spring provided /
4
properly positioned?
Is Throat Opening not more than 15% or 1/5th
5
of the original dimension of the Hook?
Is there any Jam in Hook movement? –
6
(Swivel Hook rotates freely).
7 Is Colour coding for the current year painted?
8 Is Third Party (TP) Test certificate available?
9 Any Other
Remarks:
SN Observations
1
2
3
4
5

Name
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Checked by
Signature
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INSPECTION CHECK LIST FOR LIFTING TACKLE – HOOK

Issue No.: 01 Rev. No: 00 Date: Form No – LM08

HOOK INSPECTION GUIDELINE

Deformation Any bending or twisting exceeding 10 degrees from the plane of the unbent hook, unless
otherwise directed by the hook manufacturer

Throat Opening Any distortion causing an increase in throat opening exceeding 15 % or as otherwise
directed by the hook manufacturer

Wear Any wear exceeding 10 % of the original section dimension of the hook or its load pin or
as otherwise directed by the hook manufacturer

Cracks Any visible crack (in case of any doubt replace it or check with DP test / NDT test)
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INSPECTION CHECK LIST FOR LIFTING TACKLE - SHACKLE

Issue No.: 01 Rev. No: 00 Date Form No – LM09

INSPECTION CHECK LIST FOR LIFTING TACKLE – SHACKL (BOW & DEE)

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
1 Is SWL marked?
Is there any Physical Damage in Shackle?
2 (Wear / Crack / Corrosion Reduction more than 10%)
Is there any Physical Deformation of Shackle?
3
(Elongation / Spread / Twist)
Is Safety Screw Lock pin straight?
4
(Wear more than 10 %.)
Is Safety Screw Lock pin seated properly in
5
positioned?
6 Is Shackle Throat not Opening up?
7 Is Colour coding for the current year painted?
8 Is Third Party (TP) Test certificate available?
9 Any Other
Remarks:
SN Observations
1
2
3
4
5

Name
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Checked by
Signature
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INSPECTION CHECK LIST FOR LIFTING TACKLE - SHACKLE

Issue No.: 01 Rev. No: 00 Date: Form No – LM09

DEE OR BOW– SHACKLE INSPECTION GUIDELINE

Deformation Any bending or twisting from the plane of the unbent shackle, unless otherwise
directed by the shackle manufacturer

Throat Opening Any distortion causing an increase in (pin throat width) opening exceeding 15 % or as
otherwise directed by the shackle manufacturer

Pin Sealing All pins must be straight and all screw pins must be completely seated. Cotter pins must
be used with all round pin shackles

Wear Any wear exceeding 10 % of the original dimension of crown or the pin of the shackles
or as otherwise directed by the shackle manufacturer

Cracks Any visible crack (in case of any doubt replace or check with DP test / NDT test)
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INSPECTION CHECK LIST FOR LIFTING TACKLE - WIRE ROPE SLING

Issue No.: 01 Rev. No: 00 Date: Form No – LM10

INSPECTION CHECK LIST FOR LIFTING TACKLE - WIRE ROPE SLING

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
1 Is SWL marked on Wire rope Sling?
2 Is Physical Damage - Broken wires in Wire rope?
Is Physical Damage - Crack / Worn / Corrosion in
3
Wire rope? (Reduction more than 10%)
Is Physical Deformation in Wire rope Sling?
4
(Stretch / Bird cage / Kink )
5 Is Colour coding for the current year painted?
6 Is Third Party (TP) Test certificate available?
7 Any Other
Remarks:
SN Observations
1
2
3
4
5

Name
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Checked by
Signature
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INSPECTION CHECK LIST FOR WIRE ROPE

Issue No.: 01 Rev. No: 00 Date: Form No – LM10

WIRE ROPE INSPECTION (COMMON DEFECTS OF WIRE ROPES)

The defects to be looked during inspections are crushed flattened or jammed strands, bird caging, kinks, high stranding and u n-
laying, bulges in the rope, core protrusion, heat damage, damaged or inadequate splices etc. Permanent damage and deterioration
such as kinked, crushed, flattened or distorted strands and unbalanced wear locations are the conditions, which make a rope
susceptible to failure.

Broken Wires of Wire rope The rope must be replaced if -

In any length of 8 diameters, the number of visible
broken wires exceeding 10 % of the construction of a
rope or
Six or more randomly distributed broken wires in one
rope lay in running ropes, or
Three or more broken wires in one strand in one rope
lay in running ropes.
Three or more broken wires in one rope lay in pendants
or standing ropes.
Reduction in Diameter of Wire rope The rope must be replaced if -
Reduction of diameter is more than 6 % or, unless
otherwise directed by the manufacturer

Worn Wire rope The rope must be replaced if -

Wear on the outer wires exceeds 1/3 of the original
diameter of the wire, or, unless otherwise directed by
the manufacturer
Stretch Wire rope The rope must be replaced if -
An elongation more than 5 % of the rope length
should be cause for replacement or unless otherwise
directed by the manufacturer

Damage Wire rope – Multi strand Bird Cage The rope must be replaced if -
Multi-strand rope “Bird cages” due to torsion
unbalance. Typical odd build-up seen at anchorage
end of multi- fall crane application
A “Bird cage” caused by sudden release of tension
end resultant rebound of rope from overloaded
condition. These strands and wires will not return to
their original position
Damage Wire rope due to shock loading The rope must be replaced if -
Core protrusion as a result of torsion unbalanced
created by shock loading.

Protrusion of Wire rope resulting from shock loading.

High Stranding of Wire rope resulting from shock

loading.
Damage Wire rope due to Jumping The rope must be replaced if -

A rope that has been jammed after jumping off a

sheave.

Damage Wire rope due to Improper Handling The rope must be replaced if -

An open kinking in wire rope, this is often caused by

after improper handling and uncoiling.
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Damage Wire rope due to Mechanical obstruction The rope must be replaced if -

Crushing of wire rope, this is often caused by

mechanical obstruction in path.
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INSPECTION CHECK LIST FOR LIFTING TACKLE - CHAIN SLING

Issue No.: 01 Rev. No: 00 Date: Form No – LM11

INSPECTION CHECK LIST FOR LIFTING TACKLE - CHAIN SLING

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
1 Is SWL marked on Chain Sling?
Is any Physical Damage – Extremely Worn at
2
Chain link bearing surface? (more than 10%)
3 Is any Physical Damage - Crack in Chain Link?
Is any Physical Damage Corrosion in Chain
4
Link? (Reduction more than 10%)
Is any Physical Damage Stretch / Elongation in
5
Chain Link?
Is any Physical Damage Twist / Bent in Chain
6
Link?
7 Is Colour coding for the current year painted?
8 Is Third Party (TP) Test certificate available?
9 Any Other
Remarks:
SN Observations
1
2
3
4
5

Name
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Checked by
Signature
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INSPECTION CHECK LIST FOR LIFTING TACKLE - STRAP / WEB SLING

Issue No.: 01 Rev. No: 00 Date: Form No – LM12

INSPECTION CHECK LIST FOR LIFTING TACKLE - STRAP / WEB SLING

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

1 Is SWL marked on Strap / Web Sling?

Is any Physical Damage – Extremely Worn Strap

2
/ Web Sling?
Is any Physical Damage – Crack, Cut in Strap /
3
Web Sling?
Is any Physical Damage Stretch in Strap / Web
4
Sling?

5 Is Colour coding for the current year painted?

6 Is Third Party (TP) Test certificate available?

7 Any Other

Remarks:
SN Observations
1
2
3
4
5

Name
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Checked by
Signature
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INSPECTION CHECK LIST FOR LIFTING TACKLE – ATTACHMENT

Issue No.: 01 Rev. No: 00 Date: Form No – LM13

INSPECTION CHECK LIST FOR LIFTING TACKLE - ATTACHMENT

Plant / Agency Equipment Number

Department - Section Identification Marking

HOD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

Inspection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
Is SWL marked on Attachment?
1
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
Is any Physical Damage – Extremely Worn at
2
bearing surface? (more than 10%)
Is any Physical Damage - Crack in Attachment?
3
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
Is any Physical Damage Corrosion in
4
Attachment? Reduction more than 10%
Is any Physical Damage Stretch / Elongation in
5
Attachment?
Is any Physical Damage Twist/Bent in
6 Attachment?
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
7 Is Colour coding for the current year painted?

8 Is Third Party (TP) Test certificate available?

9 Any Other

Remarks:
SN Observations
1
2
3
4
5

Name
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Checked by Signature
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INSPECTION CHECK LIST FOR SHEAVE PULLEY

Issue No.: 01 Rev. No: 00 Date: Form No – LM14

INSPECTION CHECK LIST FOR SHEAVE PULLEY

Check Sheave C
groove for
r

heck Bearing for

Lubrication and
otation

Check Flange
Check groove for wear
for correct size i

O
Plant / Agency Equipment Number

Department - Section Identificat on Marking

H sD (Name) T.P. Certificate No

Location of Inspection Date of T.P. Inspection

In pection Frequency S.W.L. (Marked)

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
1 Is SWL marked on Sheave Pulley?
Is any Physical Damage in Wear in Sheave
2
Pulley Groove?
Is any Physical Damage - Crack in Sheave Pulley
3
flange / Rim?
Is any Physical Damage in Sheave Pulley
4
Bearing?
Is Physical Damage Twist / Bent i nSheave
5
Pulley?
6 Is Pulley used for correct size of W ire rope?
7 Is Sheave Pulley Lubricated Properly?
8 Are all the Pulley rotates freely?
9 Is Colour coding for the current year painted?
10 Is Third Party (TP) Test certificate available?
11 Any Othe r
Remarks:
SN Observations
1
2
3
4
h
5

Name
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INSPECTION CHECK LIST FOR SHEAVE PULLEY

Issue No.: 01 Rev. No: 00 Form No – LM14

SHEAVE PULLEY INSPECTION

Check Sheave
groove for wear

Check bearing for

Lubrication and rotation

Check Flange
for wear

Check groove for

correct size

o Replace Pulley block if sheave having deeply worn or scored groove, a cracked or broken rim and worn or
damaged bearings.
o Proper pulley should be used according to the requirement of work.
o In no case pulley meant for Fibre rope should be used with steel wire rope
o Grooves of the sheaves should be uniform and smooth. The rope should run free without touching
against the block or suspension parts
o Sheaves of pulley should rotate freely on the shaft.
o The shaft should be free from crack and should not be worn out.
o Rope pulley Sheaves, shaft, hook, hook pin, locking of pins should be checked. Before use and lubricate
all parts where necessary
o Anti-twister should be used to prevent rubbing of ropes against, one another.
o Anchorage of pulley should be strong and firm.
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SURVEY CHECK SHEET FOR HYDRA

Issue No.: 01 Rev. No: 00 Date: Form No – LS01

SURVEY CHECK SHEET FOR HYDRA

Plant Inspection Frequency Monthly

Area / Department Date

HYDRA

SN Deficiency List

1 SWL NOT Marked on Hydra & Anchoring Hooks on boom

2 Safety Latch in Hook is NOT provided / Hook Damaged
3 Hoist limit switch and Plate NOT provided
Wire rope is NOT free from tolerable Damage
4 (Kinked, Wear, Broken wire more than 10% etc.)
5 Load - Wire rope & other parts are NOT well Lubricated
6 Oil Leakage from Hydraulic parts (Piston drums).
7 Damaged Tires (Crack, Cut, air pressure etc.)
8 Head Lights & Rear Lights are NOT in good condition
9 Front Horn is NOT working
10 Reverse Horn NOT provided / NOT in good condition
Boom structure NOT in good condition while full
11
expansion (Damage, Crack or Jam while extending).
12 Brakes are NOT in good condition?
Travelling, Steering, Braking motions (in both directions)
13
are NOT satisfactory
Load Chart NOT Displayed in Operator Cabin
14 Load at the appropriate radius.(Max & Min radii)
15 Operating Instruction and Warning Signs NOT Displayed
16 Fire Extinguisher is NOT provided in Operator Cabin
Operator is NOT having Valid Driving License
17
(Heavy duty)
Hydra is NOT having Valid RTO Fitness / Third Party
18 fitness
19 Stability of Hydra is NOT satisfied
20 Hydra is NOT SUITABLE for Use at site
21 Any Other

Details of HYDRA with Deficiency

Annual Examination
Sr. HYDRA Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due No.
Date Date
1

5
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SURVEY CHECK SHEET FOR HYDRA

Issue No.: 01 Rev. No: 00 Date: Form No – LS01

Details of HYDRA with Deficiency

Annual Examination
Sr. HYDRA Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due No.
Date Date
6

10

11

12

13

14

15

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date

Note: One copy of Form No. 09 for annual examination / testing to be kept with concerned Department.
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SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC)

Issue No.: 01 Rev. No: 00 Date: Form No – LS02

SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC)

Plant Inspection Frequency Monthly

Area / Department Date

D L

MOBILE CRANE (TELESCOPIC) r

O
SN eficiency ist
H d
1 SWL NOT Ma
W N ked on Crane
m & Anchoring Hooks
2 Safety Latch in Hook is N eT provided / Hook Damaged
3 oist limit switch and Plate NOT provi ed
O ire rope is OT free fro tolerable Damage
4
(Kinked, Wear, Broken wir more than 10% etc.)
D e
5 Load - Wire rope & other parts are NOT well Lubricated
H &
6 il Leakage from Hydraulic parts (Piston drums).
g
7 amaged Tires (Crack, Cut, air pressur etc.)
R
8 ead Lights Rear Lights are NOT in good condition
B
9 Front Horn is NOT workin
10 B everse HornO NOT provided
o / NOT in good condition
t
oom structure NOT in good condition while full
11
expansion (D mage, Crack
a or Jam while extending).
12 rakes are N T in good c ndition?
Travelling, Steering, Braking mo ions (in both
13 O
directions) are NOT satisf ctory
Load Chart NOT Displayed in OperatorpCabin n
14
Load at the appropriate radius.(Max & Min radii)
O
15 perating Instruction and Warning Signs NOT Displayed
16 C T
Fire Extinguisher is NOT provided in O erator Cabi
perator is NOT having Valid Driving License
17
(Heavy duty)
O
rane is NO having Valid RTO Fitness / Third Party
18 C
fitness
19 A utriggers / Stability of Crane is NOT satisfied
20 rane is NOT SUITABLE for Use at site
21 ny Other
a
N Details of CRANE with Deficiency
L
T.P. ExaminDtion
D
Sr. CRA E Type / Deficiency
Location Corrective Action Taken
No. No. Capacity ast Due No.
ate ate
1

5
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SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC)

Issue No.: 01 Rev. No: 00 Date: Form No – LS02

Details of CRANE with Deficiency

T.P. Examination
Sr. CRANE Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due No.
Date Date
6

10

11

12

13

14

15

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date
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SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Issue No.: 01 Rev. No: 00 Date: Form No – LS03

SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Plant Inspection Frequency Monthly

Area / Department Date

MOBILE CRANE(CROWLER) W
T H e
SN Deficiency List
o e
1 S L NOT Marked
O on Crane & Anchoring Hooks
2 Safety Latch in Hook is NO provided / 0ook Damag d
3 H ist limit switch and Plate NOT provid d
Wire rope is N T free from tolerable Damage
4
(Kinked, Wear, Broken wire more than 1 % etc.)
a
5 Load - Wire rope & other parts are NOT well Lubricated
e
6 Oil Leakage from Hydraulic parts (Piston drums).
N
7 D maged Tires (Crack, Cut, air pressure etc.)
e N
8 H ad Lights & Rear Lights are NOT in good condition
o d
9 Front Horn is OT working
10 R verse Horn TOT provided
n / NOT in good condition
B om structure NOT in good conn ition while full
11
expansion (Damage,
a Crack or Jam while extending).
12 Brakes are NO in good co dition?
M
Travelling, Steering, Braking motions (i both directions)
13 p NOT satisf ctory
are W
Load
r Chart NOT Displayed oin Operator Cabin
e
14
Load at the appropriate radius.(Max & in radii)
p
15 O erating Instruction and arning Signs NOT Displayed
16 Fi e Extinguisher is NOT pr vided in Op erator Cabin
O erator is NOT having Valid Driving License
17
(Heavy duty)
Crane is NOT having Valid RTO Fitn ss / Third Party
18 fitness
19 n
Stability of Crane is NOT satisfied
20 Crane is NOT SUITABLE for Use at site
21 A y Other
a
N Details of CRANE with Deficiency
L
T.P. ExaminDtion
D
Sr. CRA E Type / Deficiency
Location Corrective Action Taken
No. No. Capacity ast Due No.
ate ate
1

5
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SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Issue No.: 01 Rev. No: 00 Date: Form No – LS03

Details of HYDRA with Deficiency

T.P. Examination
Sr. CRANE Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due No.
Date Date
6

10

11

12

13

14

15

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date
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SURVEY CHECK SHEET FOR GANTRY CRANE

Issue No.: 01 Rev. No: 00 Date: Form No – LS04

SURVEY CHECK SHEET FOR GANTRY CRANE

Plant Inspection Frequency Monthly

Area / Department Date

GANTRY CRANE

SN Deficiency List

1 SWL NOT Marked on Gantry Crane & Anchoring Hooks

2 Safety Latch in Hook is NOT provided / Hook Damaged

3 Hoist limit switch and Plate NOT provided

Wire rope is NOT free from tolerable Damage
4 (Kinked, Wear, Broken wire more than 10% etc.)
5 Load - Wire rope & other parts are NOT well Lubricated
Hoisting and Lowering of the Hook?
6 (Test shall be carried out at Max)
7 Long travel & Cross travel condition is to be checked?
Operation Conditions of all brakes are to be checked
8 working properly?
Whether Electrical Power Supply cables are laid over
9 head along track?
Any abnormal sound or vibration is found in running
10 condition?
11 All rotating parts like gears etc. are guarded effectively?

12 Brakes are NOT in good condition?

Travelling, Braking motions (in both directions) are NOT
13
satisfactory
14 Operating Instruction and Warning Signs NOT Displayed

15 Gantry Crane is NOT having Valid Third Party fitness

16 Stability of Gantry Crane is NOT satisfied

17 Gantry Crane is NOT SUITABLE for Use at site

18 Any Other

Details of CRANE with Deficiency

T.P. Examination
Sr. CRANE Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due No.
Date Date
1

4
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5
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SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Issue No.: 01 Rev. No: 00 Date: Form No – LS04

Details of CRANE with Deficiency

T.P. Examination
Sr. CRANE Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due No.
Date Date
6

10

11

12

13

14

15

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST

Issue No.: 01 Rev. No: 00 Date: Form No – LS05

SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST

Plant Inspection Frequency Monthly

Area / Department Date

ELECTRICALLY OPERATED HOIST

SN Deficiency List
1 EOT / HOIST is NOT Identified & Numbered
2 SWL NOT Marked on Hoist & Hooks
3 Safety Latch in Hook is NOT provided / Hook Damaged
Wire rope is NOT free from tolerable Damage
4
(Kinked, Wear, Broken wire more than 10% etc.).
5 Load - Wire rope & other parts are NOT well Lubricated
6 Hoist limit switch and Plate NOT provided / working
7 Long travel & Cross travel is NOT proper
8 Damaged Rail Poles / Wheels - Crack, etc.(If provided)
9 No / Damaged End Stoppers.
10 Electrical ON / OFF Isolation panel is NOT proper.
11 Emergency STOP Push Button is NOT functioning.
12 Defaced (Operation) Making NOT on control panel
13 Control functions are NOT functioning.
14 Hoist Operation - Unusual Noise & Jerky Motion.
15 Approach to Operator Cabin is not proper (If cabin)
16 Operating Instruction and Warning Signs NOT Displayed
17 Fire Extinguisher is NOT provided in Operator Cabin
18 Load lifting work place is NOT free from obstruction.
19 Load and Hook is left suspended.
20 EOT / HOIST is NOT having Valid Third Party fitness
21 Stability of Gantry Crane is NOT satisfied
22 EOT / HOIST is NOT SUITABLE for Use at site
23 Any Other

Details of HOIST with Deficiency

Annual Examination
Sr. HOIST Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
1

6
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7
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SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST

Issue No.: 01 Rev. No: 00 Date: Form No – LS05

Details of HOIST, with Deficiency

Annual Examination
Sr. HOIST, Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
8

10

11

12

13

14

15

16

17

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date
.
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SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED (WINCH)

Issue No.: 01 Rev. No: 00 Date: Form No – LM06

SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED (WINCH)

Plant Inspection Frequency Monthly

Area / Department Date

ELECTRICALLY OPERATED (WINCH)

SN Deficiency List
1 Winch is NOT Identified & Numbered
2 SWL NOT Marked on Winch & Hook
3 Hook Damaged / without Safety Latch
4 Damaged Wire rope -Kinked, Wear, Broken wire etc.
5 Wire rope & other parts are NOT Lubricated
5 turns of Wire rope NOT remain on drum when Hook is
6 in contact with the ground
Wire rope installed for winch is NOT on safe route and
7
with obstruction or rubbing
8 Sheaves Pulleys is NOT in good condition
9 Safety guards are NOT installed properly
10 Operating lever is NOT return to Neutral when released
11 Hoist limit switch (Over travel trip) NOT provided
12 Mechanical Breaks are NOT adequately rated for SWL
Electrical Breaks are NOT adequately rated for SWL &
13 Brakes auto apply on loss of power NOT working
14 Power cable used is NOT of correct type & size for Winch
Power cable is NOT properly terminated and Winch is
15 NOT effectively earthed?
Electrical Isolation panel is NOT proper / ELCB is NOT
16 provided for Emergency trip
Operating Instruction and Warning Signs NOT Displayed -
17 to check fail safe brake application before use
18 Defaced (Operation) Making NOT on control panel
19 Hoist Operation - Unusual Noise & Jerky Motion.
20 Winch operator is NOT qualified
21 Operator setting / Cabin is not proper (If cabin)
21 SIGNALLING - Operating levers NOT clearly labelled
22 Effective communication system is NOT established
23 Any Other

Details of WINCH with Deficiency

Annual Examination
Sr. WINCH Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
1

4
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5
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SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED (EOT, HOIST)

Issue No.: 01 Rev. No: 00 Date: Form No – LS06

Details of WINCH with Deficiency

Annual Examination
Sr. WINCH Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
6

10

11

12

13

15

15

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date
.
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SURVEY CHECK SHEET FOR LIFTING TOOL CHAIN PULLEY BLOCK

Issue No.: 01 Rev. No: 00 Date: Form No – LS07

SURVEY CHECK SHEET FOR LIFTING TOOL - CHAIN PULLEY BLOCK (CPB)
Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TOOL - CHAIN PULLEY BLOCK

SN Deficiency List

1 SWL NOT marked on Chain Pulley Block (CPB)

2 Load Hook is NOT available in CPB
3 Safety Latch is NOT provided in Hook
4 SWL NOT marked on the anchoring Hook
5 CPB is NOT properly lubricated
6 CPB NOT operated freely and chain came out of pulley.
7 Chain Pulley Block NOT anchored properly
Hand Wheel Chain & Load Chain all links are NOT in
8 good condition and having any knot, Physical Damage –
Worn, Crack, Stretch, corroded, Twisted, bent etc.
9 Any abnormal sound while lifting load.
10 Any slippage of load while it is being loaded or unloaded
11 Colour coding for the current year not painted.
12 Third Party (TP) Test certificate not available
13 Any Other

Details of Chain Pulley Block with Deficiency

T.P. Examination
Sr. CPB Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
1

10

11

12

13

14

15
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SURVEY CHECK SHEET FOR LIFTING TOOL - CHAIN PULLEY BLOCK

Issue No.: 01 Rev. No: 00 Date: Form No – LS07

Details of Chain Pulley Block with Deficiency

T.P. Examination
Sr. CPB Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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SURVEY CHECK SHEET FOR LIFTING TOOL - PULL LIFT

Issue No.: 01 Rev. No: 00 Date Form No – LS08

SURVEY CHECK SHEET FOR LIFTING TOOL - PULL LIFT

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TOOL - PULL LIFT

SN Deficiency List

1 SWL (Pull – Lift) NOT marked on Pull Lift

2 Load Hook is NOT available in Pull Lift
3 Safety Latch is NOT provided in Hook
4 SWL NOT marked on the anchoring Hook
5 Pull Lift is NOT properly lubricated
Pull Lift NOT operated freely & chain came out of
6 pulley.
7 Pull Lift NOT anchored properly
Handle, Wheel, Chain all links are NOT in good condition
8 and having any knot, Physical Damage – Worn, Crack,
Stretch, corroded, Twisted, bent etc.
9 Any abnormal sound while lifting load.
10 Any slippage of load while it is being loaded or unloaded
11 Colour coding for the current year not painted.
12 Third Party (TP) Test certificate not available
13 Any Other

Details of PULL LIFT with Deficiency

T.P. Examination
Sr. PULL LIFT Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
1

10

11

12

13

14
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15
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SURVEY CHECK SHEET FOR LIFTING TOOL - PULL LIFT

Issue No.: 01 Rev. No: 00 Date: Form No – LS08

Details of PULL LIFT with Deficiency

T.P. Examination
Sr. PULL LIFT Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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SURVEY CHECK SHEET FOR LIFTING TACKLE - HOOK

Issue No.: 01 Rev. No: 00 Date: Form No – LS09

SURVEY CHECK SHEET FOR LIFTING TACKLE - HOOK

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLE - HOOK

SN Deficiency List

1 SWL NOT marked

Physical Damage in Hook
2
(Wear / Crack / Corrosion Reduction more than 10%)
Physical Deformation in Hook
3 (Elongation / Spread / Twist more than 10 degree)
Hook safety latch with the spring NOT provided /
4 properly positioned.
Throat Opening more than 15% or 1/5th of the original
5
dimension of the Hook.
6 Jam in Hook movement - Swivel Hook not rotates freely.

7 Colour coding for the current year not painted.

8 Third Party (TP) Test certificate not available

9 Any Other

Details of Lifting Tackle - Hook with Deficiency

T.P. Examination
Sr. Hook Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
1

10

11

12

13

14
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15
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SURVEY CHECK SHEET FOR LIFTING TACKLE – HOOK

Issue No.: 01 Rev. No: 00 Date: Form No – LS09

Details of Lifting Tackle - Hook with Deficiency

T.P. Examination
Sr. Hook Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date

.
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SURVEY CHECK SHEET FOR LIFTING TACKLE - SHACKLE

Issue No.: 01 Rev. No: 00 Date: Form No – LS10

SURVEY CHECK SHEET FOR LIFTING TACKLE - SHACKLE

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLE - SHACKLE

SN Deficiency List

1 SWL NOT marked

Physical Damage in Shackle
2
(Wear / Crack / Corrosion Reduction more than 10%)
Physical Deformation of Shackle
3
(Elongation / Spread / Twist)
Safety Screw Lock pin is NOT straight or wear more
4
than 10%.
Safety Screw Lock pin is NOT seated properly in
5 positioned.
6 Shackle Throat Opening up.

7 Colour coding for the current year not painted.

8 Third Party (TP) Test certificate not available

9 Any Other

Details of Lifting Tackle - Shackle with Deficiency

T.P. Examination
Sr. Shackle Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
1

10

11

12

13

14
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15
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SURVEY CHECK SHEET FOR LIFTING TACKLE – SHACKLE

Issue No.: 01 Rev. No: 00 Date: Form No – LS10

Details of Lifting Tackle - Shackle with Deficiency

T.P. Examination
Sr. Shackle Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date
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SURVEY CHECK SHEET FOR LIFTING TACKLE – WIRE ROPE / WIRE ROPE SLING
Issue No.: 01 Rev. No: 00 Date: Form No – LS11

SURVEY CHECK SHEET FOR LIFTING TACKLE – WIRE ROPE / WIRE ROPE SLING
Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLE – WIRE ROPE / WIRE ROPE SLING

SN Deficiency List

1 SWL NOT marked on Wire rope Sling

Physical Damage - Broken wires in Wire rope
2
- more than 10%
Physical Damage - Crack / Worn / Corrosion in Wire rope
3
- Reduction more than 10%
Physical Deformation of Wire rope Sling
4
(Stretch / Bird cage / Kink )
5 Colour coding for the current year not painted.

6 Third Party (TP) Test certificate not available

Any Other
7
Any Other
8

9 Any Other

Details of Lifting Tackle - Wire rope/ Wire rope sling with Deficiency

Wire rope T.P. Examination

Sr. Type / Deficiency
Sling Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
1

10

11

12

13

14
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SURVEY CHECK SHEET FOR LIFTING TACKLE – WIRE ROPE / WIRE ROPE SLING
Issue No.: 01 Rev. No: 00 Date: Form No – LS11

Details of Lifting Tackle – Wire rope / Wire rope sling with Deficiency

Wire rope T.P. Examination

Sr. Type / Deficiency
Sling Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
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Date
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SURVEY CHECK SHEET FOR LIFTING TACKLE – CHAIN SLING

Issue No.: 01 Rev. No: 00 Date Form No – LS12

SURVEY CHECK SHEET FOR LIFTING TACKLE – CHAIN SLING

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLE – CHAIN SLING

SN Deficiency List

1 SWL NOT marked on Chain Sling

Physical Damage – Extremely Worn at Chain link
2
bearing surface - more than 10%
3 Physical Damage - Crack in Chain Link
Physical Damage Corrosion in Chain Link - Reduction
4
more than 10%
5 Physical Damage Stretch / Elongation in Chain Link

6 Physical Damage Twist / Bent in Chain Link

7 Colour coding for the current year not painted.

8 Third Party (TP) Test certificate not available

9 Any Other

Details of Lifting Tackle - Chain sling with Deficiency

Chain T.P. Examination

Sr. Type / Deficiency
Sling Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
1

10

11

12

13

14
 Download HSE Docs from hseprof.com
15
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SURVEY CHECK SHEET FOR LIFTING TACKLE – CHAIN SLING

Issue No.: 01 Rev. No: 00 Date: Form No – LS12

Details of Lifting Tackle – Chain sling with Deficiency

T.P. Examination
Sr. Chain Sling Type / Deficiency
Location Corrective Action Taken
No. Sr. No. Capacity Last Due No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
 Download HSE Docs from hseprof.com
Date
 Download HSE Docs from hseprof.com

SURVEY CHECK SHEET FOR LIFTING TACKLE – STRAP / WEB SLING

Issue No.: 01 Rev. No: 00 Date: Form No – LS13

SURVEY CHECK SHEET FOR LIFTING TACKLE – STRAP / WEB SLING

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLE – STRAP / WEB SLING

SN Deficiency List

1 SWL NOT marked on Strap / Web Sling

2 Physical Damage – Extremely Worn Strap / Web Sling

3 Physical Damage – Crack, Cut in Strap / Web Sling

4 Physical Damage Stretch in Strap / Web Sling

5 Colour coding for the current year not painted.

6 Third Party (TP) Test certificate not available

7 Any Other

Details of Lifting Tackle - Strap / Web sling with Deficiency

Strap / Web T.P. Examination

Sr. Type / Deficiency
sling Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
1

10

11

12

13

14
 Download HSE Docs from hseprof.com
15
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SURVEY CHECK SHEET FOR LIFTING TACKLE – STRAP / WEB SLING

Issue No.: 01 Rev. No: 00 Date: Form No – LS13

Details of Lifting Tackle – Strap / Web sling with Deficiency

Strap / Web T.P. Examination

Sr. Type / Deficiency
sling Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
 Download HSE Docs from hseprof.com
Date
 Download HSE Docs from hseprof.com

SURVEY CHECK SHEET FOR LIFTING TACKLES (ATTACHMENTS)

Issue No.: 01 Rev. No: 00 Date: Form No – LS14

SURVEY CHECK SHEET FOR LIFTING TACKLES (ATTACHMENTS)

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLES (Attachment - Wire Rope Clamp, Wedge socket, Eye Bolts, etc.)

SN Deficiency List
SWL NOT marked on Attachment
1
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
Physical Damage – Extremely Worn at bearing surface –
2
(more than 10%)
Physical Damage - Crack in Attachment
3 (Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
Physical Damage Corrosion in Attachment.-
4 (Reduction more than 10%)
5 Physical Damage Stretch / Elongation in Attachment
Physical Damage Twist / Bent in Attachment
6 (Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
7 Colour coding for the current year not painted.
8 Third Party (TP) Test certificate not available
9 Any Other

Details of Lifting Tools Tackles (Attachment) with Deficiency

Lifting Annual Examination
Sr. Tackles Type / Deficiency
Location Corrective Action Taken
No. Attachment Capacity Last Due No.
Sr. No. Date Date
1

10

11

12

13

14
 Download HSE Docs from hseprof.com
15
 Download HSE Docs from hseprof.com

SURVEY CHECK SHEET FOR LIFTING TACKLES (ATTACHMENT)

Issue No.: 01 Rev. No: 00 Date: Form No – LS14

Details of Lifting Tools Tackles (Attachment) with Deficiency

Lifting Annual Examination
Sr. Tackles Type / Deficiency
Location Corrective Action Taken
No. Attachment Capacity Last Due No.
Sr. No. Date Date
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
 Download HSE Docs from hseprof.com
Date
 Download HSE Docs from hseprof.com

SURVEY CHECK SHEET FOR LIFTING TACKLE- SHEAVE PULLEY

Issue No.: 01 Rev. No: 00 Date: Form No – LS15

SURVEY CHECK SHEET FOR LIFTING TACKLE- SHEAVE PULLEY

Plant Inspection Frequency Quarterly

Area / Department Date

LIFTING TACKLE - SHEAVE PULLEY

SN Deficiency List

1 SWL NOT marked on Sheave Pulley

2 Physical Damage in Wear in Sheave Pulley Groove

3 Physical Damage - Crack in Sheave Pulley flange / Rim

4 Physical Damage in Sheave Pulley Bearing

5 Physical Damage Twist / Bent in Sheave Pulley

6 Use for correct size of Wire rope

7 Sheave Pulley Lubricated Properly

8 All the Pulley rotates freely

9 Colour coding for the current year not painted.

10 Third Party (TP) Test certificate not available

11 Any Other

Details of Lifting Tools Tackle Sheave Pulley with Deficiency

Lifting Tackle Annual Examination

Sr. Type / Deficiency
Sheave Pulley Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date

10
 Download HSE Docs from hseprof.com

SURVEY CHECK SHEET FOR LIFTING TACKLE – SHEAVE PULLEY

Issue No.: 01 Rev. No: 00 Date Form No – LS15

Details of Lifting Tools Tackle – Sheave Pulley with Deficiency

Lifting Tackle Annual Examination

Sr. Type / Deficiency
Sheave Pulley Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation
 Download HSE Docs from hseprof.com
Date
 Download HSE Docs from hseprof.com

REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (GFR - Form No -10)
Issue No.: 01 Rev. No: 00 Date: Form No - LR01

REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (GFR - Form No -10)
Plant

Department - Section Frequency Ongoing

Mfg. Name & Safe Third Party Test

Sr. Type of Identification Date. of
Plant Location Identification Working Certificate Remark
No. Lifting Machine S.N. 1st Use Test Date Due Date
Nos. Load No
1

10

11

12

13

14

15
 Download HSE Docs from hseprof.com

REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09)

Issue No.: 01 Rev. No: 00 Date: Form No - LR02

REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09)

Plant

Department - Section Frequency Ongoing

Mfg. Name & Safe Third Party Test

Sr. Type of Identification Date. of
Plant Location Identification Working Certificate Remark
No. Lifting Machine S.N. 1st Use Test Date Due Date
Nos. Load No
1

10

11

12

13

14

15
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