crane worksheet

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KIAS SAFETY CONSULTANCY لامة س ل ا رات ا س ستس لا ا ي قWORKSHEET OF CRANE ل م ع ة ورق- عة ص راف ح فJOB NO. REPORT NO. Client Name Address Tel. & Fax Representative Name Location of Inspection EQUIPMENT DETAILS: NAME Manuf. Name & Type Description Height under Hook Year of Build / Country Serial No. Distinguishing Mark Make & Type of Automatic Safe Load Indicator Make & Type Of Derricking Interlock Date Of Previous Report Seen TEST DONE (i) Length of jib (m) (ii) Radius (m) (iii) Proof Load (Tonnes) (iV) Safe working Load (Tonnes) TEST METHOD NAME: K/F 12-01 Rev 1 Page 1 of 3 Revision Date: 30/06/2012

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Crane Worksheet

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Page 1: Crane Worksheet

KIAS SAFETY CONSULTANCY قياسالستشارات السالمة

WORKSHEET OF CRANE - عمل ورقة رافعة فحص

JOB NO. REPORT NO.Client Name

Address

Tel. & Fax

Representative Name

Location of Inspection

EQUIPMENT DETAILS: NAME

Manuf. Name & Type

Description

Height under Hook

Year of Build / Country

Serial No.

Distinguishing Mark

Make & Type of Automatic Safe Load Indicator

Make & Type Of Derricking Interlock

Date Of Previous Report Seen

TEST DONE

(i)Length of

jib (m)

(ii)Radius

(m)

(iii)Proof Load

(Tonnes)

(iV)Safe working

Load(Tonnes)

TEST METHOD NAME:KSC/01/TM

& BS 7121:2003

Wire Rope Diameter & No. OF Falls

Travel Length / Rail & Span(For EOT Cranes)

The Maximum Working Radius

K/F 12-01 Rev 1 Page 1 of 3 Revision Date: 30/06/2012

Page 2: Crane Worksheet

KIAS SAFETY CONSULTANCY قياسالستشارات السالمة

WORKSHEET OF CRANE - عمل ورقة رافعة فحص

Equipment Used For Test

CHECKSMain Hook Block

Auxiliary Hook Block

Wire Rope(s) And Drum(s)

Hydraulic System (if equipped)

Warning / Alarms

Signal lights

Level Indicators

Boom Angle Indicator

Top Light Indicators

CONTROL MECHANICAL ELECTRICAL

Hoist up/down limits

Trolley Traverse limits

Travel Front /Rear Limits

Slewing Right/Front Limit switchesMin. Jib overload Cut off SwitchesMax. Jib Overload Cut Off SwitchesMoment Overload Cut Off Switches

CONCLUSION

IS THE CRANE SAFE FOR USE?TEST CONSULTANTNAMEK/F 12-01 Rev 1 Page 2 of 3 Revision Date: 30/06/2012

Page 3: Crane Worksheet

KIAS SAFETY CONSULTANCY قياسالستشارات السالمة

WORKSHEET OF CRANE - عمل ورقة رافعة فحصDATE SIGNATURE

K/F 12-01 Rev 1 Page 3 of 3 Revision Date: 30/06/2012