Lifting Equipements Checklist-1

INSPECTION / SURVEY CHECK SHEET & REGISTER
FOR
LIFTING EQUIPMENT
ADANI POWER LIMITED

SAFETY AND FIRE DEPARTMENT
INSPECTION / SURVEY CHECK SHEET & REGISTER FOR LIFTING EQUIPMENT
Issue No.: 01 Rev. No: 00 Date: 01-01-2014
INSPECTION CHECKLIST – LIFTING EQUIPMENT

SN Title Page No
LM01 INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC) 1-2
LM02 INSPECTION CHECK LIST FOR MOBILE CRANE (PRE ENTRY & PERIODIC) 1-2
LM03 INSPECTION CHECK LIST FOR GANTRY CRANE 1-2
LM04 INSPECTION CHECK LIST FOR ELECTRICALLY OPERATED HOIST 1-2
LM05 INSPECTION CHECK LIST FOR CHAIN PULLEY BLOCK 1-2
LM06 INSPECTION CHECK LIST FOR PULL LIFT 1-2
LM07 INSPECTION CHECK LIST FOR WINCH MACHINE 1-2
LM08 INSPECTION CHECK LIST FOR LIFTING TACKLE - HOOK 1-2
LM09 INSPECTION CHECK LIST FOR LIFTING TACKLE - SHACKLE 1-2
LM10 INSPECTION CHECK LIST FOR LIFTING TACKLE - WIRE ROPE SLING 1-2
LM11 INSPECTION CHECK LIST FOR LIFTING TACKLE - CHAIN SLING 1-2
LM12 INSPECTION CHECK LIST FOR LIFTING TACKLE - WEB SLING 1-1
LM13 INSPECTION CHECK LIST FOR LIFTING TACKLE - ATTACHMENT 1-1
LM14 INSPECTION CHECK LIST FOR LIFTING TACKLE - SHEAVE PULLEY 1-2
SURVEY CHECK SHEET – LIFTING EQUIPMENT

SN Title Page No
LS01 SURVEY CHECK SHEET FOR HYDRA 1-2
LS02 SURVEY CHECK SHEET FOR MOBILE CRANE (TELESCOPIC) 1-2
LS03 SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER) 1-2
LS04 SURVEY CHECK SHEET FOR GANTRY CRANE 1-2
LS05 SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED HOIST 1-2
LS06 SURVEY CHECK SHEET FOR CHAIN PULLEY BLOCK 1-2
LS07 SURVEY CHECK SHEET FOR PULL LIFT 1-2
LS08 SURVEY CHECK SHEET FOR WINCH MACHINE 1-2
LS09 SURVEY CHECK SHEET FOR LIFTING TACKLE - HOOK 1-2
LS10 SURVEY CHECK SHEET FOR LIFTING TACKLE - SHACKLE 1-2
LS11 SURVEY CHECK SHEET FOR LIFTING TACKLE - WIRE ROPE SLING 1-2
LS12 SURVEY CHECK SHEET FOR LIFTING TACKLE - CHAIN SLING 1-2
LS13 SURVEY CHECK SHEET FOR LIFTING TACKLE - WEB SLING 1-1
LS14 SURVEY CHECK SHEET FOR LIFTING TACKLE - ATTACHMENT 1-1
LS15 SURVEY CHECK SHEET FOR LIFTING TACKLE - SHEAVE PULLEY 1-2
REGISTER – LIST OF LIFTING EQUIPMENT

SN Title Page No
LR01 REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (GFR - Form No -10) 1-1
LR02 REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09) 1-1
INSPECTION CHECK LIST FOR HYDRA (PRE ENTRY & PERIODIC)
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – LM01
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
Dates of Inspection
Sr.
DESCRIPTION
No
Is SWL Marked on Hydra & Anchoring Hooks on

1
boom?
Is Safety Latch in Hook is provided and Hook is
2
without damage?
3 Is Hoist limit switch and Plate provided?
Is Wire rope free from tolerable Damage?

4
(Kinked, Wear, Broken wire more than 10% etc.)
Is Load - Wire rope & other parts are well
5
Lubricated?
Any Oil Leakage from Hydraulic parts (Piston
6
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?
Is Reverse Horn provided and in working

10
condition?
CHECK ITEMS
Sr. Dates of Inspection

DESCRIPTION
No
Is Boom structure in good condition while full

11
expansion? (Free from Damage, Crack or Jam).
12 Are Brakes in good condition?
Are Travelling, Steering, Braking, Motions (in

13
both directions) satisfactory?
Is Load Chart Displayed in Operator Cabin?
14
Load at the appropriate radius.(Max & Min radii)
Are Operating Instruction and Warning Signs
15
Displayed?
16 Is Fire Extinguisher provided in Operator Cabin?
Is Operator having Valid Driving License?

17
(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)
Plant
a / Agency Equipment Number
n
Department - Section a
Identification Marking
n
Location of Inspection
s Date of T.P. Inspection
o

M
CHECK ITEMS
n
Dates of Inspection
Sr.
DESCRIPTION
P
o
No
1 Is SWL Marked on Cr ane & Anchoring Hooks on

boom?
Is Safety Latch in Ho ok is provide d and Hook is
2 without damage?
d
3 i
Is Hoist limit v
switch and Plate provided?
4 W
(Kinked, Wear, Broke n wire more than
h 10% etc.))
Is Load - Wire rope & other parts are well
5
Lubricated?
e
6 Any Oil Leakage from Hydraulic p arts (Piston
drums)?
7 Is any Damage in Tires (Crack, Cut, air pressure etc.)

8 Are Head Lights & Rear
a Lights in good condition?
9 H
Is Front Horn in working Conditio n?
10 Is Reverse Horn provided and in wo rking

n
condition?
CHECK ITEMS

DESCRIPTION
No
Is Boom structure in good condition while full

11
expansion? (Free from Damage, Crack or Jam).
12 Are Brakes in good condition?
Are Travelling, Steering, Braking, Motions (in

13
both directions) satisfactory?
Is Load Chart Displayed in Operator Cabin?
14
15
Displayed?
Is Operator having Valid Driving License?

17
(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
CHECK ITEMS

DESCRIPTION
No
Is SWL marked on Gantry Crane?

1
Is SWL painted at the load anchoring Hook?
2 Is Safety Latch in Hook provided?
Is Limit switches provided for Hoisting?

3
If so, is it working?
Are Proper Hoisting and Lowering movement of

4
the Hook? (Test shall be carried out at Max)
Is Proper Long travel & Cross travel Movements?

5
(to be checked)
Are all Breaks in Operating Condition and

6
working properly?
Are Electrical Power Supply cables laid over

7
head along tracks?
Wire rope conditions Checked?
8 (Free from tolerable damage - No kinks, broken
wires more than 10% is N.G).
Is any abnormal sound or vibration in running
9
condition?
Are all rotating parts like gears etc. guarded

10
effectively?
11 Are all gearboxes beings lubricated properly?
12 Are Gantry Crane Brakes in good condition?

CHECK ITEMS

DESCRIPTION
No
Is Gantry Crane having Valid Third Party fitness?
13 Over load test was done?
(1.25 times the working load at the appropriate)
Is Proper General cleanliness conditions at
14
workplace?
Is Stability of Gantry Crane satisfied?

15
(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
INSPECTION CHECK LIST FOR ELECTRICALLY OPERATED HOIST
CHECK ITEMS

DESCRIPTION
No
1 Is HOIST Identified & Numbered?
2 Is SWL Marked on Hoist & Hooks?
Is Safety Latch in Hook provided / Hook

3
Damaged?

4
(Kinked, Wear, Broken wire more than 10% etc.).
Are Load - Wire rope & other parts well

5
Lubricated?
6 Are Hoist limit switch and Plate provided?
7 Is Long travel & Cross travel proper?
Are Rail Poles / Wheels Damaged? – Crack etc.

8
(If provided)
9 Are End Stoppers provided/ damaged?
10 Is Electrical ON / OFF Isolation panel proper?
11 Is Emergency STOP Push Button functioning?
Are Defaced (Operation) Making on control

12
panel?
CHECK ITEMS

DESCRIPTION
No
13 Are Control functions functioning?
Is Hoist Operation with Unusual Noise & Jerky

14
Motion?
15 Is Approach to Operator Cabin proper? (If cabin)

16
Displayed?
Is Load lifting work place free from

18
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

v
CHECK ITEMS

DESCRIPTION
No
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?
Is CPB operated freely and chain should not

6
come out of pulleys?
7 Is Chain Pulley Block anchored properly?
Is Condition of Hand Wheel Chain & Load Chain

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

DESCRIPTION
No
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
CHECK ITEMS

DESCRIPTION
No
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?
Is it operated freely and chain should not

6
come out of pulleys?
7 Is Pull Lift anchored properly?
Is Condition of Hand Wheel Chain & Load Chain

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

10
loaded or unloaded?
CHECK ITEMS

DESCRIPTION
No
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
CHECK ITEMS
DESCRIPTION
No
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?
Is a warning displayed to check fail safe brake

4
application before using?
Have All the Brakes been serviced in last 3

5
months?
Power cable used is of correct type and size for

6
Winch?
Power cable is properly terminated and Winch is

7
effectively earthed?
8 Is ELCB provided for Emergency trip?
Are Limit Switch protections provided for Over

9
travel etc. trip?
Wire rope / slings etc. used are in good

10
condition, tagged, & certified?
11 Wire rope used in Winch is properly Lubricated?
Do 5 turns of Wire rope remain on drum when

12
Hook is in contact with the ground?
CHECK ITEMS

DESCRIPTION
No
Is the Hook in good condition

13
(Including Swivel, safety latch)?
14 Is the Hook rating adequate for SWL?
15 Are Sheaves Pulleys in good condition?
Is all the safety guards installed properly on

16
rotating parts of Winch?
Are Other parts of Winch (Gear Box, Bearing)
17 Checked properly and Preventive Maintenance
record maintained?
Is Winch Mounted with adequate strength to
18
sustain SWL of winch?
Is Wire rope installed for winch is on safe route
19
and without any obstruction or rubbing?
Do operating levers return to neutral position
20
when released?
21 Are operating levers clearly labelled?
Is effective communication system

22
established?
Is Canopy provided for weather protection for
23
Winch Operations?
Is operator qualified & have knowledgeable on
24
Winch Operations?
25 Others (If any)
Remarks:
SN Observations
Name
Checked by
Signature
INSPECTION CHECK LIST FOR LIFTING TACKLE – HOOK
INSPECTION CHECK LIST FOR LIFTING TACKLE - HOOK
CHECK ITEMS
DESCRIPTION
No
1 Is SWL marked?
Is there any Physical Damage in Hook?
2 (Wear / Crack / Corrosion Reduction more than 10%)
Is there any Physical Deformation in Hook?
3 (Elongation / Spread / Twist more than 10 degree)
Is Hook safety latch with the spring provided /
4
properly positioned?
Is Throat Opening not more than 15% or 1/5th
5
of the original dimension of the Hook?
Is there any Jam in Hook movement? –
6
(Swivel Hook rotates freely).
9 Any Other
Remarks:
SN Observations
1
2
3
4
5
Name
Checked by
Signature
INSPECTION CHECK LIST FOR LIFTING TACKLE – HOOK
HOOK INSPECTION GUIDELINE
Deformation Any bending or twisting exceeding 10 degrees from the plane of the unbent hook, unless
otherwise directed by the hook manufacturer
Throat Opening Any distortion causing an increase in throat opening exceeding 15 % or as otherwise
directed by the hook manufacturer
Wear Any wear exceeding 10 % of the original section dimension of the hook or its load pin or
as otherwise directed by the hook 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
INSPECTION CHECK LIST FOR LIFTING TACKLE – SHACKL (BOW & DEE)
CHECK ITEMS
DESCRIPTION
No
1 Is SWL marked?
Is there any Physical Damage in Shackle?
2 (Wear / Crack / Corrosion Reduction more than 10%)
Is there any Physical Deformation of Shackle?
3
(Elongation / Spread / Twist)
Is Safety Screw Lock pin straight?
4
(Wear more than 10 %.)
Is Safety Screw Lock pin seated properly in
5
positioned?
6 Is Shackle Throat not Opening up?
9 Any Other
Remarks:
SN Observations
1
2
3
4
5
Name
Checked by
Signature
INSPECTION CHECK LIST FOR LIFTING TACKLE - SHACKLE
DEE OR BOW– SHACKLE INSPECTION GUIDELINE
Deformation Any bending or twisting from the plane of the unbent shackle, unless otherwise
directed by the shackle manufacturer
Throat Opening Any distortion causing an increase in (pin throat width) opening exceeding 15 % or as
otherwise directed by the shackle manufacturer
Pin Sealing All pins must be straight and all screw pins must be completely seated. Cotter pins
must be used with all round pin shackles
Wear Any wear exceeding 10 % of the original dimension of crown or the pin of the
shackles or as otherwise directed by the 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
INSPECTION CHECK LIST FOR LIFTING TACKLE - WIRE ROPE SLING
CHECK ITEMS
DESCRIPTION
No
1 Is SWL marked on Wire rope Sling?
2 Is Physical Damage - Broken wires in Wire rope?
Is Physical Damage - Crack / Worn / Corrosion in
3
Wire rope? (Reduction more than 10%)
Is Physical Deformation in Wire rope Sling?
4
(Stretch / Bird cage / Kink )
7 Any Other
Remarks:
SN Observations
1
2
3
4
5
Name
Checked by
Signature
INSPECTION CHECK LIST FOR WIRE ROPE
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 protrusion, heat damage, damaged or inadequate splices etc. Permanent damage and deterioration
such as kinked, crushed, flattened or distorted strands and unbalanced wear locations are 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 -

1
Wear on the outer wires exceeds /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
INSPECTION CHECK LIST FOR LIFTING TACKLE - CHAIN SLING
CHECK ITEMS
DESCRIPTION
No
1 Is SWL marked on Chain Sling?
Is any Physical Damage – Extremely Worn at
2
Chain link bearing surface? (more than 10%)
3 Is any Physical Damage - Crack in Chain Link?
Is any Physical Damage Corrosion in Chain
4
Link? (Reduction more than 10%)
Is any Physical Damage Stretch / Elongation in
5
Chain Link?
Is any Physical Damage Twist / Bent in Chain
6
Link?
9 Any Other
Remarks:
SN Observations
1
2
3
4
5
Name
Checked by
Signature
INSPECTION CHECK LIST FOR LIFTING TACKLE - STRAP / WEB SLING
INSPECTION CHECK LIST FOR LIFTING TACKLE - STRAP / WEB SLING
CHECK ITEMS
DESCRIPTION
No
1 Is SWL marked on Strap / Web Sling?
Is any Physical Damage – Extremely Worn Strap

2
/ Web Sling?
Is any Physical Damage – Crack, Cut in Strap /
3
Web Sling?
Is any Physical Damage Stretch in Strap / Web
4
Sling?
7 Any Other
Remarks:
SN Observations
1
2
3
4
5
Name
Checked by
Signature
INSPECTION CHECK LIST FOR LIFTING TACKLE – ATTACHMENT
INSPECTION CHECK LIST FOR LIFTING TACKLE - ATTACHMENT
CHECK ITEMS
DESCRIPTION
No
Is SWL marked on Attachment?
1
(Wire Rope Clamp, Wedge socket, Eye Bolt, etc.)
Is any Physical Damage – Extremely Worn at
2
bearing surface? (more than 10%)
Is any Physical Damage - Crack in Attachment?
3
Is any Physical Damage Corrosion in
4
Attachment? Reduction more than 10%
Is any Physical Damage Stretch / Elongation in
5
Attachment?
Is any Physical Damage Twist/Bent in
6 Attachment?
9 Any Other
Remarks:
SN Observations
1
2
3
4
5
Name
Checked by
Signature
INSPECTION CHECK LIST FOR SHEAVE
PULLEY
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
a / Agency Equipment Number
Department - Section Identificat ion Marking
Location of Inspection
s Date of T. . Inspection
P
Inspection Frequency r
S.W.L. (Marked)
M
CHECK ITEMS
Sr. s
Dates of Inspection
P
DESCRIPTION
o
No
1 Is SWL marked on Sheave Pulley?
Is any Physical Damage g in Wear in Sheave
2 Pulley Groove?
Is any Physical Damage g - Crack in Sheave Pulley
3 flange / RRim?
Is any Physical Damage g in Sheave Pulley
4
Bearing?
Is Physical Damage Twist
w / Bent i n Sheave
5 Pulley?
6 Is Pulley used for cor rect size of Wire rope?
7 Is Sheavee Pulley Lubricated Properly?
8 Are all the Pulley rotates freely?
9 h current ye ar painted?
Is Colour coding for the
10 Is Third Party (TP) Test
s certificate available?
11 Any Oth er
Remarks:
SN Observations
1
2
3
4
5
Name
h
C ecked by
Signature
INSPECTION CHECK LIST FOR SHEAVE PULLEY
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 suspension 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 necessary
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: 01-01-2014 Form No – LS01

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
Wire rope is NOT free from tolerable Damage
4
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
Boom structure NOT in good condition while full
11
expansion (Damage, Crack or Jam while extending).
12 Brakes are NOT in good condition?
Travelling, Steering, Braking motions (in both directions)
13
are NOT satisfactory
Load Chart NOT Displayed in Operator Cabin
14
15 Operating Instruction and Warning Signs NOT Displayed
16 Fire Extinguisher is NOT provided in Operator Cabin
Operator is NOT having Valid Driving License
17
(Heavy duty)
Hydra is NOT having Valid RTO Fitness / Third Party
18
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
Annual Examination
Sr. HYDRA Type / Deficiency
Location Corrective Action Taken
No. No. Capacity Last Due
Date Date
1
5
Annual Examination
Sr. HYDRA Type / Deficiency
No. No. Capacity Location Last Due No. Corrective Action Taken
Date Date
6
10
11
12
13
14
15
Remarks:
SN Observations
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)

Plant
a Inspection Frequency Monthly
s e
Area / Department
m Date
a
MOBILE
O CRANE
N (TELESCOPIC)
SN Deficiency List
1 SWL NOT Mar ked on Crane & Anchoring Hooks

g
3 Hoist limit switch and Plate NOT provi d ed
4
K
(Kinked, Wear, Broken wir e more than 10% etc.)
6 Oil Leakage from Hydraulicc 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
o condition
n
Boom structure
u NOT in good condition
d while full
11
expansion (D amage, Crack or Jam while
e extending).
Travelling, S t
13 Steering, Braking mo ions (in both
e NOT satisfa ctory
directions) are
14 Load at the appropriate
p radius.(Max &M Min radii)
15 Operating Instruction and Warning Signs
n NOT Displayed
17 Operator is NOT having Valid Driving License

(Heavy
H duty)
Crane is NOT having Valid RTO Fitness / Third Party
18 fitness
i
19 Outriggers / Stability of Crane is NOT satisfied
a
20 Crane is NOT SUITABLE for Use at site
21 Any Other
Details of CRANE withh Deficiency

y
T.P. Examin tion
Sr. CRA E Type / f
Deficiency
a
Location Last Corrective Action Taken
N o. No. Capacity Due No.
Date Date
1
5
Details of CRANE with Deficiency
T.P. Examination
Sr. CRANE Type / Deficiency
Date Date
6
10
11
12
13
14
15
Remarks:
SN Observations
10
Check By Review By
Signature
Name
Designation
Date
Note: Copy of Third Part periodic examination / test under Factories Act (Form) to be kept with concerned Department.
SURVEY CHECK SHEET FOR MOBILE CRANE (CROWLER)

Plant
a Inspection Frequency Monthly
s e
Area / Department
m a
Date
O
MOBILE N E
CRANE(CROWLER)
SN e
Deficiency s
List
1 S WL NOT Marked on Crane & Anchoring Hooks

2 Safety Latch in Hook is NO T provided / Hook Damag ed
3 H oist limit switch and Plate NOT provided
Wire rope is N OT free from tolerable Damage
4 i
(Kinked, Wear, Broken wire mmore than 10 % etc.)
5 Load - Wire rope & other parts are NOT w e
well Lubricated
6 Oill Leakage from Hydraulic parts (Piston drums).
7 D amaged Tires (Crack, Cut, air pressure e
etc.)
8 H ead Lights & Rear Lights a re NOT in good condition
9 o Horn is NOT working
Front
10 R everse Horn NOT provided / NOT in good condition
Boom structure NOT in good con d oition while full
11
expansion (Damage,
m Crack o
or Jam while extending).
12 Brakes
a are NOT in good condition?
a
Travelling, e
Steering, g motions (in both directions)
Braking
13 e NOT satisfactory
are
14
Load at the appropriate
p radius.(Max Min radii)
&
s y
16 Fire Extinguisher is NOT pro vided in Ope rator Cabin

Operator is NOT having Valid Driving License
17
(Heavy duty)
a
Crane is NOT having Validd RTO Fitn ess / Third Party
18 fitness
19 Stability
a of Crane is NOT satisfied
20 a
Crane is NOT SUITABLE for Use at site
21 Any Other
Details of CRANE withh Deficiency

y
T.P. Examin ation
Sr. CRANE Type / f
Deficiency
a
Location Last Corrective Action Taken
N o. No. Capacity Due No.
Date Date
1
5
T.P. Examination
Date 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
SURVEY CHECK SHEET FOR GANTRY CRANE

GANTRY CRANE
SN Deficiency List
1 SWL NOT Marked on Gantry Crane & Anchoring Hooks
3 Hoist limit switch and Plate NOT provided

4
Hoisting and Lowering of the Hook?
6
(Test shall be carried out at Max)
7 Long travel & Cross travel condition is to be checked?
Operation Conditions of all brakes are to be checked
8
working properly?
Whether Electrical Power Supply cables are laid over
9
head along track?
Any abnormal sound or vibration is found in running
10
condition?
11 All rotating parts like gears etc. are guarded effectively?

Travelling, Braking motions (in both directions) are NOT
13
satisfactory
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
T.P. Examination
No. No. Capacity Last Due No.
Date Date
1
5
T.P. Examination
Date 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

ELECTRICALLY OPERATED HOIST
SN Deficiency List
1 EOT / HOIST is NOT Identified & Numbered
2 SWL NOT Marked on Hoist & Hooks
4
(Kinked, Wear, Broken wire more than 10% etc.).
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)
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
Annual Examination
Sr. HOIST Type / Deficiency
No. Sr. No. Capacity Last Due
Date Date
1
7
Details of HOIST, with Deficiency
Annual Examination
Sr. HOIST, Type / Deficiency
No. Sr. No. Capacity Location Last Due No. Corrective Action Taken
Date 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)
SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED (WINCH)

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
5 turns of Wire rope NOT remain on drum when Hook is
6
in contact with the ground
Wire rope installed for winch is NOT on safe route and
7
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
Electrical Breaks are NOT adequately rated for SWL &
13
Brakes auto apply on loss of power NOT working
14 Power cable used is NOT of correct type & size for Winch
Power cable is NOT properly terminated and Winch is
15
NOT effectively earthed?
Electrical Isolation panel is NOT proper / ELCB is NOT
16
provided for Emergency trip
Operating Instruction and Warning Signs NOT Displayed -
17
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
Annual Examination
Sr. WINCH Type / Deficiency
Date Date
1
5
SURVEY CHECK SHEET FOR ELECTRICALLY OPERATED (EOT, HOIST)
Details of WINCH with Deficiency
Annual Examination
Sr. WINCH Type / Deficiency
Date Date
6
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
SURVEY CHECK SHEET FOR LIFTING TOOL - CHAIN PULLEY BLOCK (CPB)
Plant Inspection Frequency Quarterly
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
8 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 Chain Pulley Block with Deficiency
T.P. Examination
Sr. CPB Type / Deficiency
No. Sr. No. Capacity Last Due No.
Date Date
1
10
11
12
13
14
15
SURVEY CHECK SHEET FOR LIFTING TOOL - CHAIN PULLEY BLOCK
Details of Chain Pulley Block with Deficiency
T.P. Examination
Sr. CPB Type / Deficiency
Date 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

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
Pull Lift NOT operated freely & chain came out of
6
pulley.
7 Pull Lift NOT anchored properly
Handle, Wheel, 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
13 Any Other
Details of PULL LIFT with Deficiency
T.P. Examination
Sr. PULL LIFT Type / Deficiency
Date Date
1
10
11
12
13
14
15
Details of PULL LIFT with Deficiency
T.P. Examination
Sr. PULL LIFT Type / Deficiency
Date 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
SURVEY CHECK SHEET FOR LIFTING TACKLE - HOOK
LIFTING TACKLE - HOOK
SN Deficiency List
1 SWL NOT marked

Physical Damage in Hook
2
(Wear / Crack / Corrosion Reduction more than 10%)
Physical Deformation in Hook
3
(Elongation / Spread / Twist more than 10 degree)
Hook safety latch with the spring NOT provided /
4
properly positioned.
Throat Opening more than 15% or 1/5th of the original
5
dimension of the Hook.
6 Jam in Hook movement - Swivel Hook not rotates freely.
9 Any Other
Details of Lifting Tackle - Hook with Deficiency
T.P. Examination
Sr. Hook Type / Deficiency
Date Date
1
10
11
12
13
14
15
SURVEY CHECK SHEET FOR LIFTING TACKLE – HOOK
Details of Lifting Tackle - Hook with Deficiency
T.P. Examination
Sr. Hook Type / Deficiency
Date 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
SURVEY CHECK SHEET FOR LIFTING TACKLE - SHACKLE
LIFTING TACKLE - SHACKLE
SN Deficiency List
1 SWL NOT marked

Physical Damage in Shackle
2
(Wear / Crack / Corrosion Reduction more than 10%)
Physical Deformation of Shackle
3
(Elongation / Spread / Twist)
Safety Screw Lock pin is NOT straight or wear more
4
than 10%.
Safety Screw Lock pin is NOT seated properly in
5
positioned.
6 Shackle Throat Opening up.
9 Any Other
Details of Lifting Tackle - Shackle with Deficiency
T.P. Examination
Sr. Shackle Type / Deficiency
Date Date
1
10
11
12
13
14
15
SURVEY CHECK SHEET FOR LIFTING TACKLE – SHACKLE
Details of Lifting Tackle - Shackle with Deficiency
T.P. Examination
Sr. Shackle Type / Deficiency
Date 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 – WIRE ROPE / WIRE ROPE SLING
LIFTING TACKLE – WIRE ROPE / WIRE ROPE SLING
SN Deficiency List
1 SWL NOT marked on Wire rope Sling

Physical Damage - Broken wires in Wire rope
2
- more than 10%
Physical Damage - Crack / Worn / Corrosion in Wire rope
3
- Reduction more than 10%
Physical Deformation of Wire rope Sling
4
(Stretch / Bird cage / Kink )

Any Other
7
Any Other
8
9 Any Other
Details of Lifting Tackle - Wire rope/ Wire rope sling with Deficiency
Wire rope T.P. Examination

Sr. Type / Deficiency
Sling Location Corrective Action Taken
No. Capacity Last Due No.
Sr. No.
Date Date
1
10
11
12
13
14
15
Details of Lifting Tackle – Wire rope / Wire rope sling with Deficiency
Wire rope T.P. Examination

Sr. No.
Date 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 – CHAIN SLING
LIFTING TACKLE – CHAIN SLING
SN Deficiency List
1 SWL NOT marked on Chain Sling

Physical Damage – Extremely Worn at Chain link
2
bearing surface - more than 10%
3 Physical Damage - Crack in Chain Link
Physical Damage Corrosion in Chain Link - Reduction
4
more than 10%
5 Physical Damage Stretch / Elongation in Chain Link
6 Physical Damage Twist / Bent in Chain Link
9 Any Other
Details of Lifting Tackle - Chain sling with Deficiency
Chain T.P. Examination

Sr. No.
Date Date
1
10
11
12
13
14
15
Details of Lifting Tackle – Chain sling with Deficiency
T.P. Examination
Sr. Chain Sling Type / Deficiency
Date 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 – STRAP / WEB SLING
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
7 Any Other
Details of Lifting Tackle - Strap / Web sling with Deficiency
Strap / Web T.P. Examination

sling Location Corrective Action Taken
Sr. No.
Date Date
1
10
11
12
13
14
15
Details of Lifting Tackle – Strap / Web sling with Deficiency
Strap / Web T.P. Examination

sling Location Corrective Action Taken
Sr. No.
Date 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)
SURVEY CHECK SHEET FOR LIFTING TACKLES (ATTACHMENTS)
LIFTING TACKLES (Attachment - Wire Rope Clamp, Wedge socket, Eye Bolts, etc.)
SN Deficiency List
SWL NOT marked on Attachment
1
Physical Damage – Extremely Worn at bearing surface –
2
(more than 10%)
Physical Damage - Crack in Attachment
3
Physical Damage Corrosion in Attachment.-
4
(Reduction more than 10%)
5 Physical Damage Stretch / Elongation in Attachment
Physical Damage Twist / Bent in Attachment
6
9 Any Other
Details of Lifting Tools Tackles (Attachment) with Deficiency

Lifting Annual Examination
Sr. Tackles Type / Deficiency
No. Attachment Capacity Last Due
Sr. No. Date Date
1
10
11
12
13
14
15
SURVEY CHECK SHEET FOR LIFTING TACKLES (ATTACHMENT)
Details of Lifting Tools Tackles (Attachment) with Deficiency
Lifting Annual Examination

Sr. Tackles Type / Deficiency
No. Attachment Capacity Location Last Due No. Corrective Action Taken
Sr. No. Date 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
SURVEY CHECK SHEET FOR LIFTING TACKLE- SHEAVE PULLEY
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
11 Any Other
Details of Lifting Tools Tackle Sheave Pulley with Deficiency
Lifting Tackle Annual Examination

Sheave Pulley Location Corrective Action Taken
Sr. No.
Date Date
1
10
SURVEY CHECK SHEET FOR LIFTING TACKLE – SHEAVE PULLEY
Details of Lifting Tools Tackle – Sheave Pulley with Deficiency
Lifting Tackle Annual Examination

Sheave Pulley Location Corrective Action Taken
Sr. No.
Date 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 (GFR - Form No -10)
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No - LR01
REGISTER – LIST OF LIFTING TACKLES & LIFTING MACHINE (GFR - Form No -10)
Plant
Department - Section Frequency Ongoing
Mfg. Name & Safe Third Party Test

Sr. Type of Identification Date. of
Plant Location Identification Working Certificate Remark
No. Lifting Machine S.N. 1 st Use
Nos. Load No Test Date Due Date
10
11
12
13
14
15
REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09)
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No - LR02
REGISTER – LIST OF LIFT & HOIST (GFR - Form No -09)

Plant
Department - Section Frequency Ongoing
Mfg. Name & Safe Third Party Test

Sr. Type of Identification Date. of
Plant Location Identification Working Certificate Remark
No. Lifting Machine S.N. 1 st Use
Nos. Load No Test Date Due Date
10
11
12
13
14
15

Lifting Equipements Checklist-1

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What equipment and lifting tackles are covered in the inspection and survey checklists?

What equipment and lifting tackles are covered in the inspection and survey checklists?

What information is included for each equipment/tackle in the inspection and survey checklists?

What information is included for each equipment/tackle in the inspection and survey checklists?

INSPECTION / SURVEY CHECK SHEET & REGISTER

ADANI POWER LIMITED

INSPECTION CHECKLIST – LIFTING EQUIPMENT

SURVEY CHECK SHEET – LIFTING EQUIPMENT

REGISTER – LIST OF LIFTING EQUIPMENT

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)

Is SWL Marked on Hydra & Anchoring Hooks on

Is Wire rope free from tolerable Damage?

8 Are Head Lights & Rear Lights in good condition?

9 Is Front Horn in working Condition?

Is Reverse Horn provided and in working

Sr. Dates of Inspection

Is Boom structure in good condition while full

Are Travelling, Steering, Braking, Motions (in

Is Operator having Valid Driving License?

19 Is Stability of Hydra satisfied?

20 Is Hydra SUITABLE for Use at site? (Fitness)

21 Others (If any)

Inspection Frequency S.W.L. (Marked)

1 Is SWL Marked on Cr ane & Anchoring Hooks on

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

10 Is Reverse Horn provided and in wo rking

Sr. Dates of Inspection

Is Boom structure in good condition while full

Are Travelling, Steering, Braking, Motions (in

Is Operator having Valid Driving License?

19 Is Stability of Crane satisfied?

20 Is Crane SUITABLE for Use at site? (Fitness)

21 Others (If any)

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)

Sr. Dates of Inspection

Is SWL marked on Gantry Crane?

2 Is Safety Latch in Hook provided?

Is Limit switches provided for Hoisting?

Are Proper Hoisting and Lowering movement of

Is Proper Long travel & Cross travel Movements?

Are all Breaks in Operating Condition and

Are Electrical Power Supply cables laid over

Are all rotating parts like gears etc. guarded

11 Are all gearboxes beings lubricated properly?

12 Are Gantry Crane Brakes in good condition?

Sr. Dates of Inspection

Is Stability of Gantry Crane satisfied?

16 Is Gantry Crane suitable for use at site? (Fitness)

17 Others (If any)