9

8
7
6
5
4
3
2
1

14
13
12
11
10
Date

     
     
     
     
     
     
     
     
     
     
     
     
     
     

DCN0980
Inspector’s Initials

     
     
     
     
     
     
     
     
     
     
     
     
     
     
Load Rating Present?

Equipment Type:      

(3” overhead, 2” lateral) Clearance from obstruction?

Guards securely fastened?

condition? Brakes operational and in good

condition and operational? Pendant/ Remote control in good

Control box labeled?

moisture? Free from dirt, grime, grease, oil,

condition? All electrical parts/ wires in good

No exposed live parts?

CNSE Confidential When Completed

Ropes (wire, fiber and synthetic) and

Printed copies are considered uncontrolled. Verify revision prior to use.

or chains in good condition
(no twists, tears, excessive wear,

Serial #:      

CNSE Inventory #:     

All power plants (motors, engines)
operational and in good condition?

deformed or corroded parts? No damaged, worn, cracked,

Crane, Hoist and Lift Inspection Checklist

No loose, bolts, rivets or parts?

Clips/hooks/snaps not damaged?

     
     
     
     
     
     
     
     
     
     
     
     
     
     
Form Number/Rev #
EHS-00067-F1 R2

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