Recertification Form
for 14”, 17”, and 26” Rigging Sheaves
P.O. # Serial #
Customer Contact Sheave Size
Company Line Groove Size
Address Proof Test Load
City, State, Zip Date of Last Certification
Instructions from the Customer
Damages to Repair
Updates
!" AXLE SHAFT (26”) ! SEALED BEARINGS" ! BEARINGS (26”) ! BEARINGS (17”) ! COVER HOLES
!" CLEVIS PARTS ! CLEVIS - SJ ! GATE PIN !"STOP BAR ! TAGS
Proof Tested by Date
NDT Inspected by Date
Lot/Serial Numbers of Components Clevis Nut Clevis Stud
Frame Clevis Type Clevis Housing
Loading Gate Clevis Lot/Ser. # Hinge Pin
Gate Frame Clevis Shaft Axle Shaft
Recertification Completed By Date
Sheave Inspected By Date
Doc. # WTI-43 Rev. 1 (18-Jun-99) page 1 of 1