INSPECTION CHECKLIST FOR BUILDER HOIST (UG-10) FACTORIES ACT 1948 U/S 28, 29
Customer Name Site Address:
Date of Inspection:
Call Reference No: Certificate Date:
Start Time /
/20
/
/20
End Time
Certificate Number.
Invoice Number.
(A ) Identification/ Description 1.1 Name of Manufacturer
1.8 Travel Speed(m/min)
1.2 Serial Number.
1.9 Maximum Load Capacity
1.3 Hoist type(Electrical/Mechanical)
1.10 Present Working Height
1.4 Hoist Motor/Engine Sr. No.
1.11 Installed at:
1.5 Engine/Motor Capacity
1.12 Location :
1.6 Bucket/Platform Size: 1.7 Rope Dia
1.13 Tested Load
(B) Manufacturing Details 2.1 Manufacturing Date/ Date of First Use at site: 2.2 Manufacturer’s Certificate no. if available 2.3 Any Certification marking by CE/ISI etc. (D) Inspection Checkpoints
( C ) Last inspection Details 3.1 Date of last Inspection/Certification:
1.14 SWL/WLL Approved:
3.2 Inspection By: 3.3 Certificate no.
4.1 Foundation (Enclosure)
Observations □Ok □Not Ok
4.2 Earthing
□Ok □Not Ok
4.3 Barricade Of Machine 4.4 Wall Ties 4.5 Primary Gear 4.6 Secondary Gear 4.7 Intermediate Gear 4.8 Shaft
□Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok
4.9 Interlocks of Bucket 4.10 Bucket and Platform Fitting 4.11 Studs & Nuts 4.12 Platform Buffers
Ground/ Podium
□Ok □Not Ok □Ok □Not Ok □Ok □Not Ok
(D) Inspection Checkpoints
4.13 Wire Rope drum 4.14 Overrunning Devices (Limit Switches) 4.15 Wire Rope Condition 4.16 Pulley Condition 4.17 Brake Liner Condition 4.18 Roller Condition 4.19 Coupling Fasteners 4.20 Any Oil Leakage 4.21 Motor/Engine Gear box function 4.22 Sheaves 4.23 Guards and covers on rotating parts 4.24 Main switch
Observations □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok □Ok □Not Ok
Office: G-103, Bhakti Park, Phase 2, Anand Nagar, Bhakti park Ghodbunder Road Thane 4006 Mumbai, Email:
[email protected] , Mobile: 09321905149/08767062862 Check list Sr. No. – UG.10 (06/2017)
INSPECTION CHECKLIST FOR BUILDER HOIST (UG-10) FACTORIES ACT 1948 U/S 28, 29
4.25 V-belt/Chain Drive 4.26 Motor Mounting & Drive Fittings 4.27 Mechanical Locking for OverRunning 4.28 Emergency switch Functioning (E) O&M and Safety 5.1 Check list Availability 5.1.1 Daily 5.1.2 Weekly
□Ok □Not Ok □Ok □Not Ok
4.29 Cable connection 4.30 End Plates
□Ok □Not Ok □Ok □Not Ok
□Ok □Not Ok
4.31 Mast/Rail
□Ok □Not Ok
□Ok □Not Ok □Yes □No □Yes □No □Yes □No
□Ok □Not Ok 5.1.3 Monthly 5.2 Safety Stickers are Fixed 5.3 Operator Trained & Certified
□Yes □No □Yes □No □Yes □No
Any Other Important information not covered in check list:
Result: □ Fit For Use.
□ Needs Repairs. (F) Name of 1 □ Site In charge (P&M) /2 □ Safety officer
□ Unfit For Use.
1. Name________________________________ Mob: ______________________________ Email Id: _______________________________Sign:______________________________ 2. Name________________________________ Mob: ______________________________ Email Id: _______________________________Sign:______________________________ (G) Operator Name___________________ Mob: ______________ Sign: _________________________ (H) Certificate to be sent to 1. Name: ________________________ Email: __________________________________
Office: G-103, Bhakti Park, Phase 2, Anand Nagar, Bhakti park Ghodbunder Road Thane 4006 Mumbai, Email:
[email protected] , Mobile: 09321905149/08767062862 Check list Sr. No. – UG.10 (06/2017)