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FM-DT-59 Man Basket Checklist

This inspection certificate summarizes the inspection of a lifting appliance or man basket. It provides details of the owner, manufacturer, test engineer, inspection standards, test methods and equipment used. The inspection found the man basket to be in satisfactory condition with no defects noted. The inspection included examining documentation, mechanical structure, accessories and load testing the man basket.

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Akhil
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622 views2 pages

FM-DT-59 Man Basket Checklist

This inspection certificate summarizes the inspection of a lifting appliance or man basket. It provides details of the owner, manufacturer, test engineer, inspection standards, test methods and equipment used. The inspection found the man basket to be in satisfactory condition with no defects noted. The inspection included examining documentation, mechanical structure, accessories and load testing the man basket.

Uploaded by

Akhil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INSPECTION CERTIFICATE OF LIFTING APPLIANCE

This report complies with the requirements of the BS standards

Test Engineer report:


Work No: DT-D-21- Certificate No:
Details of Owner of the Lifting appliance / Customer Details:
Details of the Manufacturer/Supplier of the Lifting appliance:

Site Location:

Inspection Requested by:


Nature & Type of Inspection:
Initial /Periodic / Major
Details of Previous Inspection and Test:
Reference Standards: BS EN 14502-1:2010
Test Method Used: DT-IP-13
Dubai Local Regulation # 2/2010
Local Regulations:
Dubai Municipality (EIAC-RQ-IB-001) -(EIAC-RQ-IB-002)
Test Equipment Details:
Defects noted and alterations or repairs required before is put
into service (If none enter “NONE”)
Date of Test and Examination: Date Due and Validity:
Distinguishing Safe working Proof load if
Number or Description of item load, SWL applied Remarks
serial Mark (ton) (ton)
MAN BASKET

Make :
Model :
Overall Dimensions :
No. of persons:
No of lifting points (pad eyes):
Pad eye hole diameter & thickness:
Unladen weight :

Equipment Status:

Satisfactory
Not Satisfactory

Name and Position of person who carried out


The inspection and test:

---------------------------------------------------------
=

Signature of Inspection Engineer:

Page 1 of 2
Doc. No: FM-DT-59 REV 03 Dated 02-07-2020
Test Engineer report:
Work No: DT-D-21P- Certificate No:
EXAMINATION & TEST REPORT OF LIFTING APPLIANCE

CHECKLIST FOR MAN BASKET


ITEM DESCRIPTION
OK FD CFD NA
DOCUMENTS VERIFICATION:
1 Declaration of conformity (or) Previous inspection certificate
2 Mill certificate of steel (or) SWL design calculation available
3 Maintenance log sheet
4 Mfg. Manual & technical instruction
5 NDT inspection report if required
6 PPE (Inspector / Operator)
7 Personal Certification Operator
MECHANICAL STRUCTURE:
8 Marking / hard stamping of SWL and MGW
9 Minimum standing height of 2 m
10 Pad eye assembly
11 Welding condition
12 Bolts, hinges, rubber sealing are secured
13 Pad eye hole (smooth & efficient, no wear, undue elongation or physical damage)
14 General structure (Condition for deformation, Distortion, cracks or damage)
15 Pitting or general corrosion underneath
16 Supporting members
17 Floor condition
18 General paint status
19 Hand rail
20 Door installation & lock
OTHER ACCESSORIES
21 Check associated sling assembly if any
23 Load lifting attachments
24 Torque verification for all bolts
25 Warning sign
26 Safety instruction
LOAD TEST:
27 Load test (as per the manufacture/ LOLER)
28 Evidence files (photos, manufacture details, etc.) shall be attached with checklist
OK- SATISFACTORY FD- FINDING CFD- CRITICAL FINDING NA- NOT APPLICABLE
General Notes/Remarks/Recommendations (If any)
Any reservations or restrictions on the use of Maximum Capacity of the Equipment:
Note: Please rectify the remarks / recommendations given in the above column.

Page 2 of 2
Doc. No: FM-DT-59 REV 03 Dated 02-07-2020

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