Tripod Inspection Checklist

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SJB FACILITIES MANAGEMENT

TRIPOD INSPECTION FORM

Shapoorji Pallonji Date:


Company Name:
YY/MM/DD
Project: SJB FM Address:

Contact person: Cell #:

Make: Model:
Serial/Lot Tag
number: number/color:
Inspection Criteria
Labels present ☐ Yes ☐ No
Labels legible ☐ Yes ☐ No
All bolts and nuts securely attached ☐ Yes ☐ No
Missing bolts/nuts/pins or other parts ☐ Yes ☐ No

Altered bolts/nuts/pins or other parts ☐ Yes ☐ No

Substituted bolts/nuts/pins or other parts ☐ Yes ☐ No

Corrosion on body ☐ Yes ☐ No

Corrosion on nuts/bolts ☐ Yes ☐ No

Legs telescope in and out freely ☐ Yes ☐ No

Legs straight with no signs of deformation or distortion ☐ Yes ☐ No

Legs lock into place when erect ☐ Yes ☐ No

Feet pivot smoothly ☐ Yes ☐ No

Feet rubber pads in place ☐ Yes ☐ No

Leg chain undamaged ☐ Yes ☐ No

Eye-bolt anchorage in place ☐ Yes ☐ No

Eye-bolt anchorage dree from damage ☐ Yes ☐ No

Cable pulleys clean ☐ Yes ☐ No

Cable pulleys rotate freely ☐ Yes ☐ No

Comments: Please include details on findings above when applicable

Inspection outcome ☐FIT ☐UNFIT

Inspected by: Signature:

Approved By: Signature:

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