Inspection / Survey Check Sheet & Register ForLifting EquipmentPlease Support, If you Like the content, please consider

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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
LM01 INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC)
LM02 INSPECTION CHECK LIST FOR MOBILE CRANE (PRE ENTRY & PERIODIC)
LM03 INSPECTION CHECK LIST FOR GANTRY CRANE
LM04 INSPECTION CHECK LIST FOR ELECTRICALLY OPERATED HOIST
LM05 INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK
LM06 INSPECTION CHECK LIST FOR PULL LIFT
LM07 INSPECTION CHECK LIST FOR WINCH MACHINE
LM08 INSPECTION CHECK LIST FOR LIFTING TACKLE - HOOK
 LM09 INSPECTION CHECK LIST FOR LIFTING TACKLE - SHACKLE
LM10 INSPECTION CHECK LIST FOR LIFTING TACKLE - WIRE ROPE SLING
LM11 INSPECTION CHECK LIST FOR LIFTING TACKLE - CHAIN SLING
LM12 INSPECTION CHECK LIST FOR LIFTING TACKLE - WEB SLING
LM13 INSPECTION CHECK LIST FOR LIFTING TACKLE - ATTACHMENT
LM14 INSPECTION CHECK LIST FOR LIFTING TACKLE - SHEAVE PULLEY

SURVEY CHECK SHEET – LIFTING EQUIPMENT

SN Title Pa
LS01 SURVEY CHECK SHEET FOR HYDRA 1-
LS02 SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC) 1-
LS03 SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER) 1-
LS04 SURVEY CHECK SHEET FOR GANTRY CRANE 1-
LS05 SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST 1-
LS06 SURVEY CHECK SHEET FOR CHAIN PULLEY BLOCK 1-
LS07 SURVEY CHECK SHEET FOR PULL LIFT 1-
LS08 SURVEY CHECK SHEET FOR WINCH MACHINE 1-
LS09 SURVEY CHECK SHEET FOR LIFTING TACKLE - HOOK 1-
LS10 SURVEY CHECK SHEET FOR LIFTING TACKLE - SHACKLE 1-
LS11 SURVEY CHECK SHEET FOR LIFTING TACKLE - WIRE ROPE SLING 1-
LS12 SURVEY CHECK SHEET FOR LIFTING TACKLE - CHAIN SLING 1-
LS13 SURVEY CHECK SHEET FOR LIFTING TACKLE - WEB SLING 1-
LS14 SURVEY CHECK SHEET FOR LIFTING TACKLE - ATTACHMENT 1-
LS15 SURVEY CHECK SHEET FOR LIFTING TACKLE - SHEAVE PULLEY 1-

REGISTER – LIST OF LIFTING EQUIPMENT

SN Title
LR01 REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (GFR - Form No -10)
LR02 REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09)

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
Sr. DESCRIPTION Dates of Inspection
No

1 Is SWL Marked on Hydra & Anchoring Hooks on boom?

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

3 Is Hoist limit switch and Plate provided?

4 Is Wire rope free from tolerable Damage? (Kinked, Wear, Broken

wire more than 10% etc.)
5 Is Load - Wire rope & other parts are well Lubricated?

6 Any Oil Leakage from Hydraulic parts (Piston drums)?

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

8 Are Head Lights & Rear Lights in good condition?

9 Is Front Horn in working Condition?

10 Is Reverse Horn provided and in working condition?

INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC)

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

CHECK ITEMS
S Dates of Inspection
DESCRIPTION

11 Is Boom structure in good condition while full

expansion? (Free from Damage, Crack or Jam).
12 Are Brakes in good condition?

13 Are Travelling, Steering, Braking, Motions (in both

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

17 Is Operator having Valid Driving License? (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

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)

Plant / Agency Equipment Number

Department - Section Identification Marking

H D (Name) T.P. Certificate No

Location of Inspection Date of .P. Inspection

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

CHECK ITEMS
Sr. DESCRIPTION Dates of Inspection
N
o

1 Is SWL arked on Cr ne & Anchoring Hooks o boom?

2 Is Safety Latch in Ho k is provide and Hook is without damage?

3 Is Hoist limit switch and Plate provided?

4 Is Wire r pe free fro tolerable D mage? (Kinked, Wear, Broke

wire more than 10% etc.)
5 Is Load - Wire ro e & other parts are well Lubricated?

6 Any Oil Leakage from Hydraulic p rts (Piston drums)?

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

8 Are Hea Lights & Rear Lights in good condition?

 9 Is Front Horn in working Conditio ?

10 Is Reverse Horn provided and in wo king condition?

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
N DESCRIPTION
o
11 Is Boom structure in good condition while full
expansion? (Free from Damage, Crack or Jam).
12 Are Brakes in good condition?

13 Are Travelling, Steering, Braking, Motions (in both

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

16 Is Fire Extinguisher provided in Operator Cabin?

17 Is Operator having Valid Driving License? (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

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
N DESCRIPTION
o
1 Is SWL marked on Gantry Crane?
Is SWL painted at the load anchoring Hook?

2 Is Safety Latch in Hook provided?

3 Is Limit switches provided for Hoisting? If so, is it working?

4 Are Proper Hoisting and Lowering movement of the Hook?

(Test shall be carried out at Max)

5 Is Proper Long travel & Cross travel Movements? (to be

checked)

6 Are all Breaks in Operating Condition and working properly?

7 Are Electrical Power Supply cables laid over head along

tracks?

Wire rope conditions Checked?

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

10 Are all rotating parts like gears etc. guarded effectively?

11 Are all gearboxes beings lubricated properly?

12 Are Gantry Crane Brakes in good condition?

 INSPECTION CHECK LIST FOR GANTRY CRANE
Issue No.: 01 Rev. No: 00 Date: Form No – LM03
CHECK ITEMS
Sr. Dates of Inspection
N DESCRIPTION
o
Is Gantry Crane having Valid Third Party fitness? Over load
13 test was done?
(1.25 times the working load at the appropriate)
14 Is Proper General cleanliness conditions at workplace?

15 Is Stability of Gantry Crane satisfied? (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

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
N DESCRIPTION
o
1 Is HOIST Identified & Numbered?

2 Is SWL Marked on Hoist & Hooks?

3 Is Safety Latch in Hook provided / Hook Damaged?

4 Is Wire rope free from tolerable Damage? (Kinked, Wear,

Broken wire more than 10% etc.).

5 Are Load - Wire rope & other parts well Lubricated?

6 Are Hoist limit switch and Plate provided?

7 Is Long travel & Cross travel proper?

8 Are Rail Poles / Wheels Damaged? – Crack etc. (If provided)

9 Are End Stoppers provided/ damaged?

10 Is Electrical ON / OFF Isolation panel proper?

11 Is Emergency STOP Push Button functioning?

12 Are Defaced (Operation) Making on control panel?

 INSPECTION CHECK LIST FOR GANTRY CRANE
Issue No.: 01 Rev. No: 00 Date: Form No – LM04
CHECK ITEMS
Sr. Dates of Inspection
N DESCRIPTION
o
13 Are Control functions functioning?

14 Is Hoist Operation with Unusual Noise & Jerky Motion?

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

16 Are Operating Instruction and Warning Signs Displayed?

17 Is Fire Extinguisher provided in Operator Cabin?

18 Is Load lifting work place free from 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
 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)

v

CHECK ITEMS

Sr. DESCRIPTION Dates of Inspection

N
o
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?

6 Is CPB operated freely and chain should not come out of

pulleys?
7 Is Chain Pulley Block anchored properly?
 8 Is Condition of Hand Wheel Chain & Load Chain
proper? (Any Knot, Physical Damage – Worn, Crack, Stretch,
corroded, Twisted, bent etc.)
9 Is there any abnormal sound while lifting the load?

10 Is there any slippage of load while CPB is being loaded or

unloaded?

INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK

Issue No.: 01 Rev. No: 00 Date: Form No – LM05
CHECK ITEMS
Sr. Dates of Inspection
N DESCRIPTION
o
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

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
No DESCRIPTION

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?

6 Is it operated freely and chain should not come out of pulleys?

7 Is Pull Lift anchored properly?

8 Is Condition of Hand Wheel Chain & Load Chain

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

INSPECTION CHECK LIST FOR PULL LIFT

Issue No.: 01 Rev. No: 00 Date: Form No – LM06
CHECK ITEMS
Sr. Dates of Inspection
N DESCRIPTION
o
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

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
No DESCRIPTION

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?

4 Is a warning displayed to check fail safe brake application

before using?

5 Have All the Brakes been serviced in last 3 months?

6 Power cable used is of correct type and size for Winch?

7 Power cable is properly terminated and Winch is effectively

earthed?

8 Is ELCB provided for Emergency trip?

9 Are Limit Switch protections provided for Over travel etc. trip?

10 Wire rope / slings etc. used are in good condition, tagged,

& certified?

11 Wire rope used in Winch is properly Lubricated?

12 Do 5 turns of Wire rope remain on drum when Hook is in

contact with the ground?
 INSPECTION CHECK LIST FOR WINCH MACHINE
Issue No.: 01 Rev. No: 00 Date: Form No – LM07

CHECK ITEMS
Sr. Dates of Inspection
N DESCRIPTION
o
13 Is the Hook in good condition (Including Swivel, safety latch)?

14 Is the Hook rating adequate for SWL?

15 Are Sheaves Pulleys in good condition?

16 Is all the safety guards installed properly on rotating parts

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

22 Is effective communication system established?

23 Is Canopy provided for weather protection for Winch

Operations?
24 Is operator qualified & have knowledgeable on Winch
Operations?
25 Others (If any)

Remarks:
SN Observations

Name

Checked by
Signature
 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
N DESCRIPTION
o
1 Is SWL marked?
2 Is there any Physical Damage in Hook?
(Wear / Crack / Corrosion Reduction more than 10%)
3 Is there any Physical Deformation in Hook?
(Elongation / Spread / Twist more than 10 degree)
4 Is Hook safety latch with the spring provided / properly
positioned?
5 Is Throat Opening not more than 15% or 1/5th
of the original dimension of the Hook?
6 Is there any Jam in Hook movement? –
(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

Checked by
Signature

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
manufacturer

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

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

Cracks Any visible crack (in case of any doubt replace it or check with DP test / NDT test)
 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
No DESCRIPTION

1 Is SWL marked?
2 Is there any Physical Damage in Shackle?
(Wear / Crack / Corrosion Reduction more than 10%)
3 Is there any Physical Deformation of Shackle? (Elongation /
Spread / Twist)
4 Is Safety Screw Lock pin straight?
(Wear more than 10 %.)
5 Is Safety Screw Lock pin seated properly in 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

Checked by
Signature

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

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

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

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

Cracks Any visible crack (in case of any doubt replace or check with DP test / NDT test)
 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
N DESCRIPTION
o
1 Is SWL marked on Wire rope Sling?
2 Is Physical Damage - Broken wires in Wire rope?
3 Is Physical Damage - Crack / Worn / Corrosion in Wire rope?
(Reduction more than 10%)
4 Is Physical Deformation in Wire rope Sling?
(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

Checked by
Signature

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 un- laying, bulges in the rope, core pr
damage, damaged or inadequate splices etc. Permanent damage and deterioration such as kinked, crushed, flattened or distorted strands and unbalanced w
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.

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.
 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. DESCRIPTION Dates of Inspection
N
o
1 Is SWL marked on Chain Sling?
2 Is any Physical Damage – Extremely Worn at Chain link
bearing surface? (more than 10%)
3 Is any Physical Damage - Crack in Chain Link?
4 Is any Physical Damage Corrosion in Chain
Link? (Reduction more than 10%)
5 Is any Physical Damage Stretch / Elongation in Chain Link?

6 Is any Physical Damage Twist / Bent in Chain 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

Checked by
Signature

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
N DESCRIPTION
o
1 Is SWL marked on Strap / Web Sling?

2 Is any Physical Damage – Extremely Worn Strap

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

4 Is any Physical Damage Stretch in Strap / Web 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

Checked by
Signature

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
N DESCRIPTION
o
1 Is SWL marked on Attachment?
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
2 Is any Physical Damage – Extremely Worn at bearing
surface? (more than 10%)
3 Is any Physical Damage - Crack in Attachment?
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
4 Is any Physical Damage Corrosion in Attachment?
Reduction more than 10%
5 Is any Physical Damage Stretch / Elongation in Attachment?

Is any Physical Damage Twist/Bent in Attachment?

6 (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

Checked by Name

Signature

INSPECTION CHECK LIST FOR SHEAVE PULLEY

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

INSPECTION CHECK LIST FOR SHEAVE PULLEY

Check Sheave groove for
Check Bearing for Lubrication and rotation
Check Flange
Check groove for wear

for correct size

Plant / Agency Equipment Number

Department - Section Identificat on Marking

H D (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
N DESCRIPTION
o
1 Is SWL marked on Sheave Pulley?
2 Is any Physical Damage in Wear in Sheave
Pulley Groove?
3 Is any Physical Damage - Crack in Sheave Pulley flange /
Rim?
 4 Is any Physical Damage in Sheave Pulley Bearing?

5 Is Physical Damage Twist / Bent i nSheave

Pulley?
6 Is Pulley used for correct size of ire rope?
7 Is Sheave Pulley Lubricated Properly?
8 Are all the Pulley rotates freely?
9 Is Colour coding for the current y ar painted?
1 Is Third arty (TP) Test certificate available?
1 Any Oth r
Remarks:
SN Observations
1
2
3
4
5

C ecked by Name

Signature

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
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 necess
o Anti-twister should be used to prevent rubbing of ropes against, one another.
o Anchorage of pulley should be strong and firm.

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
4 Wire rope is NOT free from tolerable Damage (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
11 Boom structure NOT in good condition while full expansion
(Damage, Crack or Jam while extending).
12 Brakes are NOT in good condition?
13 Travelling, Steering, Braking motions (in both directions) are NOT
satisfactory
14 Load Chart NOT Displayed in Operator Cabin Load at the appropriat
radius.(Max & Min radii)
15 Operating Instruction and Warning Signs NOT Displayed
16 Fire Extinguisher is NOT provided in Operator Cabin
17 Operator is NOT having Valid Driving License (Heavy duty)
 18 Hydra is NOT having Valid RTO Fitness / Third Party 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

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

SURVEY CHECK SHEET FOR HYDRA

Issue No.: 01 Rev. No: 00 Date: Form No – LS01
Details of HYDRA with Deficiency

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

10

11

12

13

14

15

Remarks:
SN Observations

3
 4

10

Check By Review By

Signature

Name

Designation

Date

Note: One copy of Form No. 09 for annual examination / testing to be kept with concerned Department.

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

MOBILE CRANE (TELESCOPIC)

SN eficiency ist

1 SWL NOT Ma ked on Crane & Anchoring Hooks

2 Safety Latch in Hook is N T provided / Hook Damaged
3 oist limit switch and Plate NOT provi ed
4 ire rope is OT free fro tolerable Damage (Kinked, Wear, Broken wi
more than 10% etc.)
5 Load - Wire rope & other parts are NOT well Lubricated
6 il Leakage from Hydraulic parts (Piston drums).
7 amaged Tires (Crack, Cut, air pressur etc.)
8 ead Lights Rear Lights are NOT in good condition
9 Front Horn is NOT workin
10 everse Horn NOT provided / NOT in good condition
11 oom structure NOT in good condition while full expansion (D
mage, Crack or Jam while extending).
12 rakes are N T in good c ndition?
13 Travelling, Steering, Braking mo ions (in both directions)
are NOT satisf ctory
14 Load Chart NOT Displayed in Operator Cabin Load at the appropriat
radius.(Max & Min radii)
 15 perating Instruction and Warning Signs NOT Displayed
16 Fire Extinguisher is NOT provided in O erator Cabi
17 perator is NOT having Valid Driving License (Heavy duty)

18 rane is NO having Valid RTO Fitness / Third Party fitness

19 utriggers / Stability of Crane is NOT satisfied

20 rane is NOT SUITABLE for Use at site
21 ny Other

Details of CRANE with Deficiency

Sr. CRA E Type / Location T.P. Examin tion Deficiency No. Corrective Action Taken
No. No. Capacity
ast ate Due ate

1 D D

SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC)

Issue No.: 01 Rev. No: 00 Date: Form No – LS02
Details of CRANE with Deficiency

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

10

11

12

13

14

15

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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)

SN Deficiency List

1 S L NOT Marked on Crane & Anchoring Hooks

2 Safety Latch in Hook is NO provided / ook Damag d
3 H ist limit switch and Plate NOT provid d
4 Wire rope is N T free from tolerable Damage (Kinked, Wear, Broken
wire more than 1 % etc.)
5 Load - Wire rope & other parts are NOT well Lubricated
6 Oil Leakage from Hydraulic parts (Piston drums).
7 D maged Tires (Crack, Cut, air pressure etc.)
8 H ad Lights & Rear Lights are NOT in good condition
9 Front Horn is OT working
10 R verse Horn OT provided / NOT in good condition
 11 B om structure NOT in good con ition while full expansion
(Damage, Crack or Jam while extending).
12 Brakes are NO in good co dition?
13 Travelling, Steering, Braking motions (i both directions) are NOT
satisf ctory
14 Load Chart NOT Displayed in Operator Cabin Load at the appropriat
radius.(Max & in radii)
15 O erating Instruction and arning Signs NOT Displayed
16 Fi e Extinguisher is NOT pr vided in Op rator Cabin
17 O erator is NOT having Valid Driving License (Heavy duty)

18 Crane is NOT having Valid RTO Fitn ss / Third Party fitness

19 Stability of Crane is NOT satisfied

20 Crane is NOT SUITABLE for Use at site
21 A y Other

Details of CRANE with Deficiency

Sr. CRA E Type / Location T.P. Examin tion Deficiency No. Corrective Action Taken
No. No. Capacity
ast ate Due ate

1 D D

SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Issue No.: 01 Rev. No: 00 Date: Form No – LS03
Details of HYDRA with Deficiency

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

10

11

12

13

14
 15

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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

4 Wire rope is NOT free from tolerable Damage (Kinked, Wear, Broken
wire more than 10% etc.)
5 Load - Wire rope & other parts are NOT well Lubricated

6 Hoisting and Lowering of the Hook? (Test shall be carried out at Max
 7 Long travel & Cross travel condition is to be checked?

8 Operation Conditions of all brakes are to be checked working

properly?
9 Whether Electrical Power Supply cables are laid over head along
track?
10 Any abnormal sound or vibration is found in running condition?

11 All rotating parts like gears etc. are guarded effectively?

12 Brakes are NOT in good condition?

13 Travelling, Braking motions (in both directions) are NOT

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

Sr. CRANE Type / T.P. Examination Deficiency No.

No. No. Capacity
Location Corrective Action Taken
Last Date Due Date

SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Issue No.: 01 Rev. No: 00 Date: Form No – LS04
Details of CRANE with Deficiency

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

10

11
 12

13

14

15

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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
4 Wire rope is NOT free from tolerable Damage (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

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

SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST

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

Details of HOIST, with Deficiency

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

10

11
 12

13

14

15

16

17

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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
6 5 turns of Wire rope NOT remain on drum when Hook is in contact
with the ground
7 Wire rope installed for winch is NOT on safe route and 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
13 Electrical Breaks are NOT adequately rated for SWL & Brakes auto
apply on loss of power NOT working
14 Power cable used is NOT of correct type & size for Winch
15 Power cable is NOT properly terminated and Winch is NOT effective
earthed?
16 Electrical Isolation panel is NOT proper / ELCB is NOT provided for
Emergency trip
17 Operating Instruction and Warning Signs NOT Displayed - 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

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

SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED (EOT, HOIST)

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

Details of WINCH with Deficiency

Sr. WINCH Type / Location Annual Examination Deficiency No. Corrective Action Taken
No. Sr. No. Capacity
Last Date Due
Date
6
 7

10

11

12

13

15

15

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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 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 Chain Pulley Block with Deficiency

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

10

11

12

13

14

15

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

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

17

18

19

20

21

22

23

24

25

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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
6 Pull Lift NOT operated freely & chain came out of pulley.

7 Pull Lift NOT anchored properly

8 Handle, Wheel, Chain all links are NOT in 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 PULL LIFT with Deficiency

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

10

11

12

13

14

15
 SURVEY CHECK SHEET FOR LIFTING TOOL - PULL LIFT
Issue No.: 01 Rev. No: 00 Date: Form No – LS08

Details of PULL LIFT with Deficiency

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

17

18

19

20

21

22

23

24

25

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 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

2 Physical Damage in Hook

(Wear / Crack / Corrosion Reduction more than 10%)
3 Physical Deformation in Hook
(Elongation / Spread / Twist more than 10 degree)
4 Hook safety latch with the spring NOT provided / properly positioned

5 Throat Opening more than 15% or 1/5th of the original 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

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

10

11

12

13
 14

15

SURVEY CHECK SHEET FOR LIFTING TACKLE – HOOK

Issue No.: 01 Rev. No: 00 Date: Form No – LS09
Details of Lifting Tackle - Hook with Deficiency

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

17

18

19

20

21

22

23

24

25

Remarks:
SN Observations

10

Check By Review By
 Signature

Name

Designation

Date

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

2 Physical Damage in Shackle

(Wear / Crack / Corrosion Reduction more than 10%)
3 Physical Deformation of Shackle (Elongation / Spread / Twist)

4 Safety Screw Lock pin is NOT straight or wear more than 10%.

5 Safety Screw Lock pin is NOT seated properly in 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

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

8
 9

10

11

12

13

14

15

SURVEY CHECK SHEET FOR LIFTING TACKLE – SHACKLE

Issue No.: 01 Rev. No: 00 Date: Form No – LS10
Details of Lifting Tackle - Shackle with Deficiency

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

17

18

19

20

21

22

23

24

25

Remarks:
SN Observations

8
 9

10

Check By Review By

Signature

Name

Designation

Date

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

2 Physical Damage - Broken wires in Wire rope

- more than 10%
3 Physical Damage - Crack / Worn / Corrosion in Wire rope
- Reduction more than 10%
4 Physical Deformation of Wire rope Sling (Stretch / Bird cage / Kink )

5 Colour coding for the current year not painted.

6 Third Party (TP) Test certificate not available

7 Any Other

8 Any Other

9 Any Other

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

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

4
 5

10

11

12

13

14

15

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

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

17

18

19

20

21

22

23

24

25

Remarks:
SN Observations

4
 5

10

Check By Review By

Signature

Name

Designation

Date

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

2 Physical Damage – Extremely Worn at Chain link bearing surface -

more than 10%
3 Physical Damage - Crack in Chain Link

4 Physical Damage Corrosion in Chain Link - Reduction 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

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

1
 2

10

11

12

13

14

15

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

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

17

18

19

20

21

22

23

24

25

Remarks:
SN Observations

1
 2

10

Check By Review By

Signature

Name

Designation

Date

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

Sr. Strap / Web Type / Location T.P. Examination Deficiency No. Corrective Action Taken
No. sling Capacity
Sr. No. Last Date Due Date

10

11

12

13

14

15

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

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

17

18

19

20

21

22

23

24
 25

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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

1 SWL NOT marked on Attachment

(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
2 Physical Damage – Extremely Worn at bearing surface –
(more than 10%)
3 Physical Damage - Crack in Attachment
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
4 Physical Damage Corrosion in Attachment.- (Reduction more than
10%)
5 Physical Damage Stretch / Elongation in Attachment
 6 Physical Damage Twist / Bent in Attachment (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

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

10

11

12

13

14

15

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

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

17

18

19
 20

21

22

23

24

25

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

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

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

10

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

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

12
 13

14

15

16

17

18

19

20

Remarks:
SN Observations

10

Check By Review By

Signature

Name

Designation

Date

REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (

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

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

Department - Section
Sr. Plant Location Type of Lifting Mfg. Name & Identification Date. of 1st
No. Machine Identification S.N. Use
Nos.

10

11

12

13

14

15

REGISTER – LIST OF LIFT & HOIST (GFR - Fo

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

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

Plant

Department - Section

Sr. Plant Location Type of Lifting Mfg. Name & Identification Date. of 1st
No. Machine Identification S.N. Use
Nos.

8
9

10

11

12

13

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15
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FOR LIFTING EQUIPMENT

Page No
ENTRY & PERIODIC) 1-2
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Page No
o -10) 1-1
1-1

PERIODIC)
Form No – LM01
n
 & PERIODIC)
Form No – LM01

ion

Y & PERIODIC)
 Form No – LM02

ODIC)

tion
& PERIODIC)
Form No – LM02

ion

RANE
 Form No – LM03

ection
RANE
Form No – LM03

ion

RATED HOIST
Form No – LM04
ection
RANE
Form No – LM04

ion
Y BLOCK
Form No – LM05

ection
Y BLOCK
Form No – LM05

ection

FT
Form No – LM06
ection
 Form No – LM06

ection

CHINE
Form No – LM07
ection
CHINE
Form No – LM07

ection
E – HOOK
Form No – LM08

ection
E – HOOK
Form No – LM08

unless otherwise directed by the hook

otherwise directed by the hook manufacturer

pin or as otherwise directed by the hook

- SHACKLE
Form No – LM09

DEE)
ection

- SHACKLE
Form No – LM09
rwise directed by the shackle manufacturer

g 15 % or as otherwise directed by the

ns must be used with all round pin shackles

ackles or as otherwise directed by the

OPE SLING
Form No – LM10

G
ection

Form No – LM10

n- laying, bulges in the rope, core protrusion, heat

istorted strands and unbalanced wear locations are
 number of visible broken wires
of a rope or
oken wires in one rope lay in

strand in one rope lay in running

ope lay in pendants or standing

an 6 % or, unless otherwise

s 1/3 of the original diameter of

ed by the manufacturer

the rope length should be

erwise directed by the

due to torsion unbalance.

age end of multi- fall crane

ease of tension end resultant

ed condition. These strands and
position

n unbalanced created by shock

m shock loading.
lting from shock loading.

ter jumping off a sheave.

often caused by after improper

en caused by mechanical
CHAIN SLING
Form No – LM11

ection
/ WEB SLING
Form No – LM12

NG

ection
ATTACHMENT
Form No – LM13

ection
LLEY
Form No – LM14

ection
LLEY
Form No – LM14
worn or damaged bearings.

ouching against the block or suspension

ricate all parts where necessary

Form No – LS01

Monthly

oring Hooks on boom

ed / Hook Damaged
vided
e Damage (Kinked, Wear, Broken

NOT well Lubricated

ston drums).
sure etc.)
in good condition

in good condition
ondition while full expansion
ding).

s (in both directions) are NOT

ator Cabin Load at the appropriate

Signs NOT Displayed

Operator Cabin
g License (Heavy duty)
 Fitness / Third Party fitness

site

Corrective Action Taken

Form No – LS01

rrective Action Taken

 iew By

LESCOPIC)
Form No – LS02

Monthly

oring Hooks
d / Hook Damaged
ovi ed
mage (Kinked, Wear, Broken wir

NOT well Lubricated

iston drums).
ssur etc.)
in good condition

in good condition
ndition while full expansion (D
g).

mo ions (in both directions)

ator Cabin Load at the appropriate

Signs NOT Displayed
O erator Cabi
License (Heavy duty)

ness / Third Party fitness

T satisfied
site

rrective Action Taken

LESCOPIC)
Form No – LS02

rrective Action Taken

 iew By

ROWLER)
Form No – LS03

Monthly

oring Hooks
d / ook Damag d
vid d
Damage (Kinked, Wear, Broken

NOT well Lubricated

ston drums).
sure etc.)
n good condition

n good condition
on ition while full expansion
ding).

s (i both directions) are NOT

ator Cabin Load at the appropriate

Signs NOT Displayed

Op rator Cabin
g License (Heavy duty)

Fitn ss / Third Party fitness

site

Corrective Action Taken

ROWLER)
Form No – LS03

rrective Action Taken

 iew By

ANE
Form No – LS04

Monthly

& Anchoring Hooks

ed / Hook Damaged

vided

e Damage (Kinked, Wear, Broken

NOT well Lubricated

(Test shall be carried out at Max)

 is to be checked?

re to be checked working

cables are laid over head along

is found in running condition?

guarded effectively?

th directions) are NOT

Signs NOT Displayed

hird Party fitness

isfied

Use at site

Corrective Action Taken

ROWLER)
Form No – LS04

rrective Action Taken

 iew By

RATED HOIST
Form No – LS05

Monthly

umbered
s
ed / Hook Damaged
e Damage (Kinked, Wear, Broken
NOT well Lubricated
vided / working
oper
ck, etc.(If provided)

s NOT proper.
OT functioning.
n control panel
ng.
erky Motion.
roper (If cabin)
Signs NOT Displayed
Operator Cabin
rom obstruction.

hird Party fitness

isfied
Use at site

rrective Action Taken

RATED HOIST
Form No – LS05

rrective Action Taken

iew By

ATED (WINCH)
Form No – LM06

Monthly
d
k
ch
Broken wire etc.
bricated
drum when Hook is in contact

on safe route and with

ndition
perly
utral when released
OT provided
ately rated for SWL
ly rated for SWL & Brakes auto

type & size for Winch

ated and Winch is NOT effectively

per / ELCB is NOT provided for

Signs NOT Displayed - to check

e
n control panel
erky Motion.

er (If cabin)
OT clearly labelled
NOT established

Corrective Action Taken

EOT, HOIST)
Form No – LS06

rrective Action Taken

iew By

LEY BLOCK
Form No – LS07

B)
Quarterly
Block (CPB)

ok
Hook

came out of pulley.

roperly
links are NOT in good condition
age –
sted, bent etc.
d.
loaded or unloaded
ot painted.
available

rrective Action Taken

LEY BLOCK
Form No – LS07
rrective Action Taken

iew By

ULL LIFT
Form No – LS08
 Quarterly

ull Lift
Lift
ok
Hook

n came out of pulley.

OT in good condition
age – Worn, Crack, Stretch,

d.
loaded or unloaded
ot painted.
available

rrective Action Taken

ULL LIFT
Form No – LS08

rrective Action Taken

iew By
E - HOOK
Form No – LS09

Quarterly

n more than 10%)

an 10 degree)
OT provided / properly positioned.

/5th of the original dimension of

ok not rotates freely.

ot painted.

available

rrective Action Taken

– HOOK
Form No – LS09

rrective Action Taken

iew By
 SHACKLE
Form No – LS10

Quarterly

n more than 10%)

ongation / Spread / Twist)

ht or wear more than 10%.

d properly in positioned.

ot painted.

available

rrective Action Taken

SHACKLE
Form No – LS10

rrective Action Taken

 iew By

WIRE ROPE SLING

Form No – LS11

E SLING
Quarterly

ng

Wire rope

orrosion in Wire rope

Sling (Stretch / Bird cage / Kink )

ot painted.

available

rrective Action Taken

IRE ROPE SLING
Form No – LS11

rrective Action Taken

iew By

HAIN SLING
Form No – LS12

Quarterly

at Chain link bearing surface -

ink

n Link - Reduction more than 10%

on in Chain Link

ain Link

ot painted.

available

rrective Action Taken

HAIN SLING
Form No – LS12

rrective Action Taken

iew By

WEB SLING
Form No – LS13

Quarterly

ling

Strap / Web Sling

rap / Web Sling

Web Sling

ot painted.

available
rrective Action Taken

WEB SLING
Form No – LS13

rrective Action Taken

 iew By

TACHMENTS)
Form No – LS14

Quarterly

Eye Bolt, etc.)

at bearing surface –

ment
Eye Bolt, etc.)
hment.- (Reduction more than

on in Attachment
achment (Wire Rope Clamp,

ot painted.
available

rrective Action Taken

TTACHMENT)
Form No – LS14

rrective Action Taken

iew By

EAVE PULLEY
Form No – LS15

Quarterly

ley
ave Pulley Groove

ve Pulley flange / Rim

ey Bearing

Sheave Pulley

not painted.

ot available

rrective Action Taken

EAVE PULLEY
Form No – LS15

rrective Action Taken

iew By

LES & LIFTING MACHINE (GFR - Form No -10)

Date: Form No - LR01

Frequency Ongoing
 Safe Third Party Test Remark
Working
Load Certificate Test Date Due Date
No

OF LIFT & HOIST (GFR - Form No -09)

Date: Form No - LR02

Frequency Ongoing

Safe Third Party Test Remark

Working
Load Certificate Test Date Due Date
No