INSPECTION REPORT
Ingersoll Rand Quantum Electric Chain Hoist
QCH Series
Model Number:
Date:
Serial Number:
Inspected by:
Reason for Inspection: (Check Applicable Box)
1. Scheduled Periodic Inspection ( ___ Quarterly ___ Semiannually ___ Yearly)
Operating Environment:
Normal ___ Heavy ___ Severe ___
2. Discrepancy(s) noted during Frequent Inspection
3. Discrepancy(s) noted during maintenance
4. Other: ___________________________
Refer to the Product Information and Parts Information Manual and “INSPECTION” section for the 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
Fasteners
Gears
Shafts
Bearings
---
Load Bearing Wheel
Hook Block/Double-Reeved Pocket
Wheel
Chain Guides
Springs
---
Covers, Housings
Hooks
---
Top
Actual Hook Throat Width: ________ inches / ________ mm
(Refer to Table 2 ‘Load Chain’ on page 3 for minimum/maximum acceptable widths.)
Hook Twist
---
(maximum 10%)
Hook Crack Test Method Used: Dye Penetrant ________ Magnetic Particle ________ Other: ________
Bottom
Actual Hook Throat Width: ________ inches / ________ mm
(Refer to Table 2 ‘Load Chain’ on page 3 for minimum/maximum acceptable widths.)
Hook Twist
---
(maximum 10%)
Hook Crack Test Method Used: Dye Penetrant ________ Magnetic Particle ________ Other: ________
Hook Latch
---
Brake (100% Load Test)
---
Brake (Visual Inspection)
Tail Pin (End Anchor)
Load Chain:
---
Working length(s) maximum wear: ________ inches / ________ mm
(Refer to Table 2 ‘Load Chain’ on page 3.)
Supporting Structure
Labels and Tags
---
Other Components (List in NOTES
section)
Testing:
Pass
Fail
NOTES
Operational (No Load)
Operational (100% Load)
Operational (Maximum Test Load*)
* Maximum test load should never exceed 125% of rated capacity.
This form may be photocopied and used as an inspection record.
4
Form 16586737 Edition 4
Содержание QCH100
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