Check keeper pin Serial #: Make: Equip.#: Model: Inspection Date: Serial #: Insp. Comp.: Re 5 OK N/A Equip.#: pair Insp.#: Insert size: Inspection Date: Tonnage: Check springs Insp. Comp.: Check rod release springs 139.7 – Check elevator bail Insp.#: Re 3 OK N/A pair 5, Tonnage: Insert size: Snap rings in place Check springs Insert condition Check rod release springs All screws in insert Check elevator bail Check elevator body Snap rings in place Re Check safety latch 1 OK N/A pair Insert condition Are latch inserts worn Insert size: All screws in insert Check springs Make: Check elevator body Check rod release springs Model: Check safety latch Check elevator bail Serial #: Are latch inserts worn Snap rings in place Equip.#: Make: Insert condition Inspection Date: Model: All screws in insert Insp. Comp.: Serial #: Check elevator body Insp.#: Equip.#: Check safety latch Tonnage: Inspection Date: Are latch inserts worn Insp. Comp.: Make: Insp.#: Model: Tonnage: Serial #: Re 6 OK N/A pair Equip.#: Insert size: Inspection Date: Check springs Insp. Comp.: Check rod release springs Insp.#: Re 4 OK N/A pair Check elevator bail Tonnage: Insert size: Snap rings in place Check springs Insert condition Check rod release springs All screws in insert Check elevator bail Check elevator body Snap rings in place Re Check safety latch 2 OK N/A pair Insert condition Are latch inserts worn Insert size: All screws in insert Check springs Make: Check elevator body Check rod release springs Model: Check safety latch Check elevator bail Serial #: Are latch inserts worn Snap rings in place Equip.#: Make: Insert condition Inspection Date: Model: All screws in insert Insp. Comp.: Serial #: Check elevator body Insp.#: Equip.#: Check safety latch Tonnage: Inspection Date: Are latch inserts worn Insp. Comp.: Make: Insp.#: Model: Tonnage:
Check keeper pin Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: – 139.7 Insp.#: Tonnage: 1 OK Re pair N/A Insert size: Check springs Check rod release springs Check elevator bail Snap rings in place Insert condition All screws in insert Check elevator body Check safety latch Are latch inserts worn Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: 2 OK Re pair N/A Insert size: Check springs Check rod release springs Check elevator bail Snap rings in place Insert condition All screws in insert Check elevator body Check safety latch Are latch inserts worn Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: 3 OK Re pair N/A Insert size: Check springs Check rod release springs Check elevator bail Snap rings in place Insert condition All screws in insert Check elevator body Check safety latch Are latch inserts worn Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: 4 OK Re pair N/A Insert size: Check springs Check rod release springs Check elevator bail Snap rings in place Insert condition All screws in insert Check elevator body Check safety latch Are latch inserts worn Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: 5 OK Re pair N/A Insert size: Check springs Check rod release springs Check elevator bail 5, Snap rings in place Insert condition All screws in insert Check elevator body Check safety latch Are latch inserts worn Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: 6 OK Re pair N/A Insert size: Check springs Check rod release springs Check elevator bail Snap rings in place Insert condition All screws in insert Check elevator body Check safety latch Are latch inserts worn Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: