Equip.#: Model: Inspection Date: Serial #: Insp. Comp.: Equip.#: (if applicable) Insp.#: Inspection Date: (if applicable) DRAWWORKS BRAKE PATH COMPONENTS Tonnage: Insp. Comp.: (if applicable) Re OK N/A Insp.#: pair Brake bands Tonnage: Brake handle Brake handle locking mechanism Re OK N/A pair Brake linkage components: Check for cracks Welded external lugs Re OK N/A Check for scarring pair Linkage arm Check ears for gouging Bail Drawworks input lug Pins on bail Make: Bearing blocks Gooseneck Washers/cotter pins or pin connections Model: Upper kelly cock Inspection Date: Re Thread condition on kelly OK N/A Serial #: pair – cock Pins Equip.#: Make: Pinholes in lugs Inspection Date: Model: Threaded connections Insp. Comp.: (if applicable) Serial #: Auxiliary brake or Insp.#: Equip.#: equivalent Any other load bearing Tonnage: Inspection Date: mechanical brake Insp. Comp.: (if applicable) Insp.#: Tonnage: Re LOAD OK N/A Re pair OK N/A pair Check for wear Brake bands Check pins & bolts for wear Brake links - welded Re Safety/cotter pins in place OK N/A pair Brake links solid – Make: Track condition Brake turnbuckles Model: Pins for track Brake equalizer Safety connections inside Serial #: Threaded connections track Equip.#: Crown hanger Pins Inspection Date: Links on top drive Pinholes in lugs Insp. Comp.: (if applicable) Pins for balls Brake block wear Insp.#: Upper kelly cock Flange condition Tonnage: Thread condition on kelly Threaded connections cock Safety chains for hoses Gooseneck Make: Re Model: OK N/A Re pair OK N/A pair Rotate hook to check Serial #: swivel Brake bands Equip.#: Rod hook safety latch Welded external lugs Inspection Date: Hook wear Linkage arm Insp. Comp.: (if applicable) Safety guard over latch Drawworks input lug release Insp.#: Bearing blocks Bail wear Tonnage: Washers/cotter pins or Make: pin connections
Equip.#: Inspection Date: Insp. Comp.: (if applicable) Insp.#: (if applicable) Tonnage: OK Re pair N/A Check for cracks Check for scarring Check ears for gouging Make: Model: Inspection Date: Serial #: Equip.#: Inspection Date: Insp. Comp.: (if applicable) Insp.#: Tonnage: OK Re pair N/A Check for wear Check pins & bolts for wear Safety/cotter pins in place Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: (if applicable) Insp.#: Tonnage: OK Re pair N/A Rotate hook to check swivel Rod hook safety latch Hook wear Safety guard over latch release Bail wear Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: (if applicable) Insp.#: Tonnage: OK Re pair N/A Bail Pins on bail Gooseneck Upper kelly cock Thread condition on kelly cock Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: (if applicable) Insp.#: Tonnage: OK Re pair N/A Track condition Pins for track Safety connections inside track Crown hanger Links on top drive Pins for balls Upper kelly cock Thread condition on kelly cock Safety chains for hoses Gooseneck Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: (if applicable) Insp.#: Tonnage: DRAWWORKS BRAKE LOAD PATH COMPONENTS OK Re pair N/A Brake bands Brake handle Brake handle locking mechanism Brake linkage components: Welded external lugs Linkage arm Drawworks input lug Bearing blocks Washers/cotter pins or pin connections – OK Re pair N/A Pins Pinholes in lugs Threaded connections Auxiliary brake or equivalent Any other load bearing mechanical brake OK Re pair N/A Brake bands Brake links - welded Brake links – solid Brake turnbuckles Brake equalizer Threaded connections Pins Pinholes in lugs Brake block wear Flange condition Threaded connections OK Re pair N/A Brake bands Welded external lugs Linkage arm Drawworks input lug Bearing blocks Washers/cotter pins or pin connections