Lifting Beam inspection form

่ ลูกค ้า
Customer ชือ Manufacturer ผู ้ผลิต
Address ทีอ
่ ยู่ Drawing No. แบบเลขที่

Date วันที่ Serial No. หมายเลข

Capacity ขนาด

Lubricate

Replace

Unsafe
Comments

Adjust

Clean
N/A
No.

OK
Structure
1 Column mounting bolts โบลท์ยด
ึ ฐาน
2 ่ มทีเ่ สา
Column welder แนวเชือ
3 Shaft couplings/bearings ข ้อต่อเพลา ลูกปื น
4 ่ ม
Beam welder แนวเชือ
5 Beam mounting bolts and nut
6 Bumpers ยางกันกระแทก
Shackle
7 Missing or illegible manufacturer’s name or trade
mark and/or rated load identification
8 Indications of heat damage, including weld spatter
or arc strikes
9 Excessive pitting or corrosion
10 Bent, twisted, distorted, stretched, elongated,
cracked, or broken load-bearing components
11 Excessive nicks or gouges
12 A 10% reduction of the original or catalog dimension
at any point around the body or pin engagement
13 Incomplete pin engagement
14 Excessive thread damage
15 Evidence of unauthorized welding
16 Other conditions, including visible damage, that
doubt as to the continued use of shackle
Wire Rope
17 Six randomly distributed broken wires in one rope
lay or three broken wires in one stand in one rope
lay.
18 Wear or scraping of 1/3 the original diameter of the
outside individual wire.
19 Kinking, crushing bird caging, or any other damage
resulting in distortion of the wire rope structure
20 Heat damage
21 Cracked, deformed , or worn, or improperly applied
end attachments
22 Corrosion of the rope or end connection
23 Rope reduction from nominal diameter greater than
5%
30 End Attachments Fitting Condition

REMARKS…………………………………………………………………………………………..……………………..

QUALIFIED INSPECTOR VERIFY………………………………………………………………

Date of Issue …………………………….…… Valid Until….……………………………………