4 sections, 15 items
1Identification and examination status
- Yes / no
Equipment reference and location confirmed *
- Pass / fail
Safe working load (SWL) marked and legible *
- Pass / fail
Report of thorough examination in date *
Six months for accessories and equipment lifting people, twelve months otherwise, or as the examination scheme sets.
- Date
Date of the last thorough examination
2Condition
- Pass / fail
Hooks: no deformation, cracks, wear or opening of the throat; safety catch works *
- Pass / fail
Chains, wire ropes and slings: no stretched links, broken wires, cuts, kinks, corrosion or burns *
- Pass / fail
Shackles, eyebolts and fittings: correct pins, no distortion
- Pass / fail
Structure and anchor points sound, no cracks or loose fixings *
3Function and safety devices
- Pass / fail
Brakes hold the load with no drift *
- Pass / fail
Limit switches and overload protection operate
- Pass / fail
Controls labelled and return to neutral; emergency stop works *
- Yes / no
Area clear, ground or floor suitable, lift planned *
4Sign-off
- Text
Defects found (equipment taken out of use if any critical item failed)
- Photo
Photo of any defect
- Signature
Operator signature *
* Required