Ref.
UKAY 06/10-001
MCWP THOROUGH/FREQUENT EXAMINATION
DATE: .......... / .......... / ..........
DATE OF THE PREVIOUS THOROUGH/FREQUENT EXAMINATION/INSPECTION: .......... / .......... / ..........
COMPANY IN CHARGE OF THE
THOROUGH EXAMINATION (Frequent Inspection)_______________________________________________
RESPONSIBLE________________________________Signature______________________________________
Single Mast
Manuf:
Serial No..:
Twin Mast
Model:
Serial No. :
Site
(Name and Address):_____________________________________________________________
USER COMPANY:________________________________________________________________
User designated person
in charge of the MCWP (Name)_____________________________________________________
MCWP CONFIGURATION
RIGHT
WING
RIGHT
DRIVE
UNIT
LEFT
WING
LEFT
DRIVE
UNIT
CENTRAL
SPAN
TOTAL
Signature_______________________________________________________________________
LENGHT(m/ft)
HEIGHT (m/ft)
MAST
RIGHT
LEFT
RIGHT WING
CENTRAL SPAN
LEFT WING
TOTAL
RIGHT.
1 - TYPE/ HEIGHT
BASE MAST
SECTION
SAFE WORKING LOAD (Kg/lbs) (EVENLY DISTRIBUTED)
MAST TIE
2 - TYPE/ HEIGHT
NUMBER OF MAST
SECTIONS
3 - TYPE/ HEIGHT
TOP MAST
4 - TYPE/ HEIGHT
MAST GUARD
More ties in Remarks
CHECK LIST
MAST BOLT CONNECTIONS SECURED
UPPER LIMIT SWITCH/RAMP STRIKER
MAST SECTION CONDITION
LOWER LIMIT SWITCH/RAMPSTRIKER
MAST TIE CONNECTIONS SECURED
ULTIMATE LIMIT SWITCH/RAMP (TOP AND BOTTOM)
PLATFORM SECTION CONNECTIONS SECURED
GATE LIMIT SWITCH
PLATFORM SECTION CONDITION
PROXIMITY SWITCH
FRONT EDGE EXTENSION SECURED
LEVELLING LIMIT SWITCH
FRONTEDGE EXTENSION PLANKING SECURED
LEVELLING EMERGENCY LIMIT SWITCH
HAND RAILS SECURED
MOTOR BRAKES
ADDITIONAL POSTS AND HAND RAILS SECURED
EMERGENCY LOWERING SYSTEM (AND OVERSPEED DEVICE)
FRONT HANDRAILS/TOEBOARDS
LOAD DIAGRAM AND OPERATING INSTRUCTIONS
BASE FRAME JACKS
EMERGENCY BUTTON
BASE FRAME OUTRIGGERS
MAIN DISCONNECT (if electric)
MAST LEVEL
ULTIMATE BY-PASS DEVICE
LUBRICATION OF THE RACK/MECHANISM
LOAD TEST (110% OF THE SWL) - if required
PLACARD, WARINING, CONTROL MARKING
CONTROLS CHECK
REMARKS:
INSTALLER
SITE MANAGER
Name:
Surname:
Id.:
Name:
Surname:
Id.:
Signature
..
Signature
..
Date of the next examination:
/./.
NB: While every care has been taken in the preparation of this document neither IPAF, nor its individual members, can
accept any liability in respect of the information supplied always refer to the manufacturers instruction manual.
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