CRANES / DERRICKS CONDITION - MONTHLY REPORT

M/V:

DATE:

1. CRANES

	HOIST	TOPPING
Limit Switches Condition:
Last Check:

1.3. Clinometer Condition: GOOD --> [Author:b] FAILURE

1.4.1.Brake Condition :			CRANE NO 1
	THICKNESS TOPPING :		_ _ _ _ _ _ _ _ _ _ mm
	THICKNESS HOISTING:		_ _ _ _ _ _ _ _ _ _ mm
1.5.1. Wires Condition:	TOPPING:	GOOD FAILURE
	HOIST:	GOOD FAILURE

1.4.2.Brake Condition :			CRANE NO 2
	THICKNESS TOPPING :		_ _ _ _ _ _ _ _ _ _ mm
	THICKNESS HOISTING:		_ _ _ _ _ _ _ _ _ _ mm
1.5.2. Wires Condition:	TOPPING:	GOOD FAILURE
	HOIST:	GOOD FAILURE

1.4.3.Brake Condition :			CRANE NO 3
	THICKNESS TOPPING :		_ _ _ _ _ _ _ _ _ _ mm
	THICKNESS HOISTING:		_ _ _ _ _ _ _ _ _ _ mm
1.5.3. Wires Condition:	TOPPING:	GOOD FAILURE
	HOIST:	GOOD FAILURE

1.4.4.Brake Condition :			CRANE NO 4
	THICKNESS TOPPING :		_ _ _ _ _ _ _ _ _ _ mm
	THICKNESS HOISTING:		_ _ _ _ _ _ _ _ _ _ mm
1.5.4. Wires Condition:	TOPPING:	GOOD FAILURE
	HOIST:	GOOD FAILURE

1.4.5.Brake Condition :			CRANE NO 5
	THICKNESS TOPPING :		_ _ _ _ _ _ _ _ _ _ mm
	THICKNESS HOISTING:		_ _ _ _ _ _ _ _ _ _ mm
1.5.5. Wires Condition:	TOPPING:	GOOD FAILURE
	HOIST:	GOOD FAILURE

1.4.6.Brake Condition :			CRANE NO 6
	THICKNESS TOPPING :		_ _ _ _ _ _ _ _ _ _ mm
	THICKNESS HOISTING:		_ _ _ _ _ _ _ _ _ _ mm
1.5.6. Wires Condition:	TOPPING:	GOOD FAILURE
	HOIST:	GOOD FAILURE

1.6. Water Tightness Condition: GOOD FAILURE

1.7. Oil Condition :	LEVEL:
	LEAKAGES:

1.8. Cargo Hooks / Blocks Condition: GOOD FAILURE

1.8.1.Marking available: YES NO

1.9. Lights Condition (Projectors e.t.c.): GOOD FAILURE

1.10 Horn Condition: GOOD FAILURE ( If Required )

2. DERRICKS

	GOOD	FAILURE
2.1 Cargo Blocks Condition:
2.2 Cargo Seaves Condition:
2.3 Marking Condition:
2.4 Wires Condition:
2.5 Cargo Winches / Brakes Condition For Each One:

Officer In Charge:	Date:
For office use only DATE:	Checked by:

ATLANTIC UNITED MARINE INC.

Form / 4709

Safety Management System Manual - IMO Res. A.741 (18)
Developed by	: SMS Designated Person	Authorised by	: Managing Director
Date of Initial Issue	: 1998	Revision No / Effective Date	: 4 / 07-1999
Chapter	: 10	Page	: 1

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