Tower crane Physical Inspection & Load Testing

Date :
Name of the company /Occupier

Address of the site

TOWER CRANE location

Sr.no Particulars Remarks

1 Make of the tower crane
2 Model of the tower crane
3 Sr. no of tower crane
4 Manufacturing date of Tower crane
5 Type of tower crane INTERNAL EXTERNAL
6 Check Foundation satisfactory not satisfactory
7 Jib/ Boom length
8 Hoist wire rope Diameter
9 Condition of Hoist wire rope satisfactory not satisfactory
10 Trolley wire rope Diameter
11 Condition of trolley wire rope satisfactory not satisfactory
12 Max. load lifting capacity
13 Min. load lifting capacity
14 Height of tower crane (HUH)
15 Check Hook block & pulley satisfactory not satisfactory
16 Check safety latch of hook satisfactory not satisfactory
17 A Check over load limit switch load over load
B
C
18 Check moment limit switch load over load
A Max. load
B Min. load
18 Check hoist limit switch- up satisfactory not satisfactory
19 Check hoist limit switch- down satisfactory not satisfactory
20 Check Hoist motor Brake with load satisfactory not satisfactory
21 Check Trolley limit switch- in satisfactory not satisfactory
22 Check Trolley limit switch- out satisfactory not satisfactory
23 Check Trolley motor Brake with load satisfactory not satisfactory
24 Check slewing limit switch- clockwise satisfactory not satisfactory
25 Check slewing limit switch-anti clockwise satisfactory not satisfactory
26 Check Slewing motor Brake with load satisfactory not satisfactory
Note-As per your request we issue form no-11.
Operation, Maintenance & safety of above said equipments in occupier/customers scope

________________________ ______________________ ______________________

Inspected by witness by Client Signature
 Tower crane Physical Inspection & Load Testing
Date :
Name of the company
Address of the site
TOWER CRANE location
Sr.no Particulars Remarks

27 Check trolley Roller satisfactory not satisfactory

28 Check verticality of Tower Crane satisfactory not satisfactory
29 Check Condition of Electrical cable satisfactory not satisfactory
30 Check Condition of Electrical panel satisfactory not satisfactory
31 working of joystick function/ working satisfactory not satisfactory
32 Check for Electrical earthing satisfactory not satisfactory
33 Check Anemometer provided not provided
33a working of anemometer satisfactory not satisfactory
34 Check aviation light provided not provided
34a working of aviation light satisfactory not satisfactory
35 other parts satisfactory not satisfactory
36 any repair, renewals& alterations yes no
37 any defects yes no
38 tie/anchorage satisfactory not satisfactory
A 1 st anchorage in mtr
B 2nd anchorage in mtr
C 3rd anchorage in mtr
D 4th anchorage in mtr
E free standing height above last anchorage
39 Any other check if any yes no
40 Last date of testing
41 Name of person who conducted last test
Sr.no Remarks

Note-As per your request we issue form no-11.

Operation, Maintenance & safety of above said equipments in occupier/customers scope

________________________ ______________________ ______________________

Inspected by witness by Client Signature