Reflex Marine FROG-XT4 - 4.11 Examination Checklist Form; Critical Component Examination

Rev 3.1 28 | P a g e
4.11 Examination Checklist Form
Frog XT4 Examination Checklist
Unit Serial Number
This Inspection Date
Inspected by
Usage Category
Last Visual Inspection
Position/ Company
Installation / Vessel
Last Examination
Signature
Avg. No of Transfers /
Year
Last Load Test
Original Inspection record
filed in
Item No
Description
Comment / Serial Number/
Colour Code
Pass /
Fail
Verified
By
1.
Wire Rope Lifting Assembly (Critical Part) (Consumable)
Replace the wire rope lifting assembly according to the usage of the FROG. This may be as
frequently as every 3 months. Irrespective of apparent condition the lifting assembly should
be replaced at least every 12 months.
2.
Load Plate Safety Bolts (Critical Part) (Consumable)
Remove and visually inspect the 4 safety bolts for any signs of damage or strain. Visually
inspect the 4 holes in the 2 central columns for signs of damage or strain. Replace
appropriate parts according to the usage of the FROG XT or on the recommendation of a
Competent Person / Inspector.
3.
Load Plate (Critical Part)
Remove and visually inspect the main Load plate for any signs of damage or strain. Replace
on the recommendation of a Competent Person / Inspector.
4.
Node Plate Safety Bolts (Critical Part) (Consumable)
Remove and visually inspect the 4 safety bolts for any signs of damage or strain. Visually
inspect the 4 holes in the 2 central columns for signs of damage or strain. Replace
appropriate parts according to the usage of the FROG XT or on the recommendation of a
Competent Person / Inspector.