Inspection Date:
Components:
Inspection:
Confined Space
Inspect the Confined Space HC Davit Assembly for cracks, dents, or deformities.
Davit Assembly
(Figures 1 and 2)
Inspect the entire unit for corrosion.
Inspect all fasteners to ensure they are tight. Tighten if necessary.
Inspect to ensure that all pins are fully inserted and hitch pins are securely
attached with lynch pins.
Labels (Figure 11)
Verify that all labels are securely attached and are legible (see 'Labels')
PFAS and Other
Additional Personal Fall Arrest System (PFAS) equipment items (harness, SRL,
Equipment
etc.) that are used with the Davit should be installed and inspected per the
manufacturer's instructions.
Serial Number(s):
Model Number:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Table 2 – Inspection and Maintenance Log
Inspected By:
(See Section 5 for Inspection Frequency)
User
Date Purchased:
Date of First Use:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Competent
Person