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Report Of Through Examination

This form may be used to record the thorough examination and testing of Lifting Equipment, as set out in the Safety, Health and Welfare at Work(General Application) Regulations, 2007. This form must be completed by a competent person.
Surrey Excavations
05/14/2024

Report Of Through Examination

This form may be used to record the thorough examination and testing of Lifting Equipment, as set out in the Safety, Health and Welfare at Work(General Application) Regulations, 2007. This form must be completed by a competent person.

    This form may be used to record the thorough examination and testing of Lifting Equipment, as set out in the Safety, Health and Welfare at Work(General Application) Regulations, 2007. This form must be completed by a competent person.

    Report type

    Name and Address of Employer for Whom the thorough Examination was made

    Address of the premises at which the thorough examination was made.

    Particulars Sufficient to Identify the Equipment

    Machine Make and Model.

    Serial Number

    Machine Hours

    Meter name
    Unit

    Date of Manufacture

    In relation to every thorough Examination of lifting equipment

    Identification of any part found to have a defect which is or could become a danger to a person and description of defect.

    • Pass
    • Flag
    • Fail

    Particulars of any repair, renewal or alteration required to remedy a defect found to be a danger to persons.

    In the case of a defect not yet but could become a danger to persons

    The date it could become a danger.

    Particulars of any repair, renewal or alteration required to remedy it.

    The latest date by which the next thorough examination must be carried out

    Date of Next Thorough examination.

    In relation to testing particulars carried out

    Thorough Examination tests preformed.

    In relation to Thorough examination of equipment

    Next Thorough examination

    Report completion

    Name and address of the person making this report, that he is self employed or employed. If employed the name and address of their employer.

    Name and address of person authenticating the report on behalf of its author.

    Signature

    Click here to sign

    Name

    Date of report

Source: Surrey Excavations (Community Member)

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