17
INSPECTION AND MAINTENANCE REPORT
Ingersoll-Rand FA2A-GMR Series Air Winch
Model Number:
Date:
Serial Number:
Inspected by:
Reason for Inspection: (Check Applicable Box)
1. Scheduled Periodic Inspection:
____ Quarterly ____ Semiannually ____ Yearly
Operating Environment:
2. Discrepancy(s) noted during Frequent Inspection
Normal: ____ Heavy: ____ Severe: ____
3. Discrepancy(s) noted during maintenance
4. Other: ____________________________
Refer to the Parts, Operation and Maintenance Manual “INSPECTION” section for general inspection criteria. Also, refer to appropriate
National Standards and codes of practice. If in doubt about an existing condition contact the nearest Ingersoll-Rand distributor or the
factory for technical assistance.
COMPONENT
CONDITION
CORRECTIVE
ACTION
NOTES
Pass
Fail
Repair
Replace
Uprights and
Sideframes
Disc Brake
(125% Load Test)
Disc Brake
(Visual Inspection)
Drum Band Brake
(125% Load Test)
Drum Band Brake
(Visual Inspection)
Motor
Controls
Air System
Fasteners
Reduction Gears
Labels and Tags
- - -
Shafts
Drum Guard
Wire Rope Wedge
- - -
Wire Rope
- - -
Other Components
(list in NOTES section)
TESTING
Pass
Fail
NOTES
Operational (No Load)
Operational (10% Load)
Operational (Maximum Test Load *)
*
Maximum test load is 125% of rated line pull.
This form may be copied and used as an inspection/maintenance record.
