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I/We declare that the above safety assessments were conducted prior to the commencement of these works:
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A Inspected - No Action required, B Adjustments/Repairs Made, C Additional Repairs Required, D Urgent Repairs Required, E WARNING - DO NOT USE!, NA Not Applicable, I Image below
A Inspected - No Action required, B Adjustments/Repairs Made, C Additional Repairs Required, D Urgent Repairs Required, E WARNING - DO NOT USE!, NA Not Applicable, I Image below
Hoist A B C D E NA Comment I
50. General Condition
51. Hook and Safety Catch
52. Sheaves and Pins
53. Guards
54. Rope or Chain Condition Rope in good condition
55. Rope - Chain Guides
56. Rope Drum
57. Lubrication
58. Gearbox and Oil
59. Motor and Brake
60. Dead End and Anchor Point
61. Chain Bucket
62. Shafts and Couplings
63. Working Limits
64. Upper Final Limit
65. Load Limiter
Trolley / Crab A B C D E NA Comment I
66. General Condition
67. Service Isolator and Signs
68. Wheels and Bearings CT wheel flanges extremely worn- recommend immediate replacement. Previously quoted. 6
69. Ring Gears and Pinions
70. Anti-Derailment / Anti-Capsize
71. Lubrication
72. Gearbox and Oil Minor oil leak from south east CT gearbox- still serviceable
73. Motor and Brake
74. Shafts
75. Transmission Couplings and Keys
76. Limits
77. Buffers
Long Travel A B C D E NA Comment I
78. General Condition
79. Service Isolator and Signs
80. Wheels and Bearings
81. Rings Gears and Pinions
82. Anti-Derailment / Anti-Capsize
83. Lubrication
84. Gearbox and Oil
85. Motor and Brake
86. Line Shaft and Bearings
87. Anti-Collision / Limits
88. Torque Arm Attachments
89. Storm Anchors
Functional Test A B C D E NA Comment I
90. Raise and Lower
91. Long Travel LT brakes squealing
92. Cross Travel
Comments
LSR/Hour Meter Reading: SAFE- 798 Also performed during this service (tick): Earth Continuity Check Load Test
Certificate of Test I hereby certify that any electrical installation work listed above has been tested in accordance with the prescribed procedures and that such work
complies with the requirements of Section 227 (3) Electrical Safety Regulation 2013. | Electrical Contractors License Number. 65624
The equipment has been function tested and at the time of service is in operational condition: Yes Job Complete: Yes Repairs Quote Required: No
Notes: 1. This report is made following visual inspection only of the equipment in accordance with AS2550.3-2002
2. No responsibility will be taken for unseen internal condition of components
3. Resultant repair work will only be conducted following authorization from the equipment owner
4. This docket should be kept as a record of inspection as required by government legislation
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On completion a copy of this report will be emailed to shayne@haynesgroup.com.au Additional Email Address: