COMMISSIONING REPORT
Vehicle hoist or any part of the load is positioned no less than 600mm away from any
fixed structure
Provisions have been made for effective clearances above the vehicle when the hoist is
in its fully raised position.
Make & Model Number
Serial number
Rated Capacity
Reference to maintenance
Operation instructions
Screw and Nut Gaps
Hoist compliance plate showing design registration
Vehicle hoist has been tested and all safety devices, limit switches and control function
interlocks have been tested for correct operation.
The installer has demonstrated the operation of the vehicle hoist to the owner or
operator
Lock off isolating switch installed
Emergency stop button installed
3. Details of Electrical Contractor
Trading Name:
Address:
4. Signature
I, being the person responsible for completing the commissioning report have exercised
reasonable skill and competency when completing the report and herby certify that the vehicle
hoist has been commissioned fit for use as per the Australian / New Zealand Standard 1418.9:1996
Vehicle Hoists.
Name:
Date:
___________________________________________________________
Location of Vehicle Hoist & Vehicle Clearances
Markings
‐
Hoist Checked for Relevant Marking Including:
Functional Test
Demonstration
Electrical Equipment and Controls
EC Licence Number:
Telephone Number:
2
