Rev 3.1
25 | P a g e
4.10
Visual Inspection Checklist Form
Frog XT4 Visual Inspection 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)
The wire rope lifting assembly (including attachments) must be visually inspected by a
Competent Person.
Note: High visibility cover must be completely removed to allow inspection of steel wire
rope components. It should be replaced 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)
Visually inspect the 4 x M16 load plate safety bolts, nuts, split pins and tamper proof
seals that connect the Load Plate to the central columns for wear or damage.
3.
Load Plate
(Critical Part)
Visually inspect in situ for any signs of wear, cracks, deformation or other damage.
4.
Node Plate Safety Bolts
(Critical Part) (Consumable)
Visually inspect the 4 x M12 node plate safety bolts, nuts, split pins and tamper proof
seals that connect the node plates to the central columns for wear or damage.
5.
Node Plate
(Critical Part)
Visually inspect in situ for any signs of wear, cracks, deformation or other damage.
6.
Seat Base Assembly and the Recoil Dampers
Visually inspect for any wear or damage and ensure that all bolts, clevis’ and other
fasteners are fully secure. Ensure that clevis pin threads are not visible on damper rods.
Check to ensure that there is no sign of any fluid leaking onto the damper rods.