Form Ga2 - Report Of Weekly Examination - Health And Safety Authority

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GA2

Report of Weekly Examination

NOTE:

This form may be used to record the weekly examination of Lifting Equipment used on construction sites, as set out in

the Safety, Health and Welfare at Work (General Application) Regulations, 2007. This form was produced by the HSA

to facilitate the recording of the weekly examination as per these regulations. This is not an approved or statutory

form. Reports of Weekly examination may be produced in other formats.

Name and address of contractor or owner for whom

the weekly examination was made:

Address where weekly examination was made:

Description of

lifting

Name of persons who

Date of

Result of inspection (state whether in good

appliance and

made the inspection

inspection

order, see note below)

means of

(use BLOCK CAPITALS)

identification

Note: Result of inspection should state if all working gear and anchoring or fixing plant or gear is in good working order. Including, where required the

automatic safe load indicator and the derricking interlock.

Component

Inspected

Good working order Action Required

Rated capacity indicator / limiter

Yes

Wire rope and chain systems

Yes

Limit switches (e.g. hoist, derrick limit)

Yes

Ropes positioned on their sheaves

Yes