Hoist and Winch Inspection Certificate
No.HWC-2026-07-14-001
Hoist and Winch Inspection Certificate
1. General Information
Record the inspection date, equipment location, and inspector name.
| Inspection date | 7/14/2026 | Address | Deep Earth Mine, Main Shaft, Leadville, CO 80461 |
2. Object of Inspection
Identify the hoist or winch by ID, type, manufacturer, and operating hours.
| Object type | Hoist | Object name | HW-101 |
| Technical condition | not filled in | Operating Hours, hours | 5000 |
3. Inspection Details
Record inspection standard, overall results, and load test result.
| Inspection Standard | ASME B30.7 | Inspection Results | Pass |
| Load Test Result | Pass | Operating Hours | 5000 |
4. Inspection Conditions
Note environmental conditions such as temperature and humidity.
5. Defects Found
List any defects found, including location, description, and photos.
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
6. Additional Information
Provide a certification statement and any recommendations.
| Identification was carried out | Equipment ID: HW-101 |
| There are remarks | Static and dynamic brake tests passed. Emergency brake test passed. Wire rope shows minor wear but within limits. Certificate valid until October 14, 2026. |
7. Inspection Participants
List the inspector and mine manager involved.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Robert Blake | Certified Inspector | Lead inspector |
| 2 | Laura Chen | Maintenance Engineer | Mine manager representative |
Signatures
Capture signatures of the inspector and mine manager to certify the equipment.