SCANCLIMBER SC4000 - Daily Inspection Form

SC4000 SC4000
V VISUAL INSPECTION V+C VISUAL INSPECTION T TEST
No CHECK POINT
REMARKS
MON TUE WED THU FRI SAT SUN
WEEK
10.2.1294(E2)
NOTE:
- FILL UP AND SIGN THIS FORM BEFORE YOU START WORKING WITH THE UNIT
- MARK WITH CROSS THE CHECKINGS CARRIED OUT
- POSSIBLE REMARKS IN THE LAST COLUMN
1. BASEMENT GROUND V
2. TURNING, EXTENSION, SUPPORT AND V
LOCKING OF OUTRIGGERS
3. HORIZONTAL / VERTICAL POSITION OF PLATFORM V
4. FUNCTION OF THE REMOTE CONTROL T
5. FUNCTION OF THE EMERGENCY STOP T
6. FUNCTION THE EMERGENCY LOWERING T
7. RACK AND PINION CONTACT AND CONDITION V
8. CONDITION AND FREE HANGING OF V
THE ELECTRIC CABLES
9. FIXING AND RAILINGS OF PLATFORM SECTIONS V+C
10. MAST SECTIONS AND FIXING SCREWS V
11. FUNCTION OF THE LIMIT SWITCHES + COUNTER P T
12. GUIDING ROLLERS V
13. SAFETY BRAKE V
14. WALL ANCHORING WITH CONNECTIONS V
15. CONNECTION OF MAST GUARDS V
16. LOOSE OR MISSING PARTS V
17. WORKSITE SAFETY FENCED V
18. WARNING / INSTRUCTION PLATES POSITIONED V
AND READABLE
19. WORKING AREA V
20.
21.
WORKSITE:_______________________________________________________________________________
TYPE OF MACHINE:____________________________________________ SERIAL NO:________________
PLATFORM LENGTH:____________________MAX. LIFTING CAPACITY:_________ HEIGHT:__________
ERECTION COMPANY:____________________________________________________________________
PERSON IN CHARGE:___________________________________ __________ TEL.:____________________
ORDER COMPANY:______________________________________________________________________
PERSON IN CHARGE:_____________________________________________ TEL.:____________________
SIGNATURES /DAY:________________ MONTH:____________ YEAR:_____________
_____________________________ ________________________________
PERSON IN CHARGE PERSON IN CHARGE
(ERECTOR) (ORDERER)
DAILY INSPECTION FORM