Inspection Date:
Components:
Inspection:
Tripod
Check all structural parts for damage: dents, cracked welds bend or crushed tubes. Minor
cosmetic damage will not affect the structural integrity of the hoist, but any seriously damaged
parts MUST BE repaired or replaced before using the hoist.
Inspect the entire unit for corrosion.
Check all hardware ( pins, tri-screws, adjuster screws, nuts, bolts, pulleys, rollers and winch
brackets) for damaged threads, bend, damaged or missing fasteners, loose fasteners. Check
all pulleys and rollers for chips, grooves and excessive wear. Ensure that all pulleys and rollers
turn freely.
Labels
Verify that all labels are securely attached and are legible (see 'Labels').
PFAS and Other
Additional Personal Fall Arrest System (PFAS) equipment (harness, SRL, etc) that are used with
the Anchorage System should be installed and inspected per the manufacturer instructions.
Equipment
Serial Number(s):
Model Number:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
1 Competent Person:
One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.
Table 2 – Inspection and Maintenance Log
Inspected By:
(See Section 1 for Inspection Frequency)
User
Date Purchased:
Date of First Use:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Competent
Person
1