TEST CERTIFICATE
DAVIT SYSTEM
Site : Location:
Project: Area Served:
Description :
Equipment Tag No.:
Project No.: System ID.:
VISUAL INSPECTION CHECKLIST
DESCRIPTIONS REQUIREMENTS YES NO REMARKS / COMMENTS
1. Model :
2. Hoist Type :
3. Hoist Capacity :
4. Safe Working Load :
5. Lifting Height :
6. Cradle Weight :
7. Lifting Speed :
8. Power Rating :
9. Motor Size/Rating :
10. Cradle Material :
11. Stirrup :
12. Wall Rollers :
13. Caster Wheels :
14. Wire Rope :
15. Power Descent :
FUNCTIONS
16. Rope Safety Factor :
17. Power Supply Cable :
LENGTH
18. Control Panel :
19. Control Buttons :
20. Davit Pedestal :
21. Davit Arm :
LEGEND : P- Yes / No N/A - Not Applicable
Test Carried - Out By :
VONOTEC T&C Representative Signature Date
Test Witnessed By :
Gencon T&C Representative Signature Date
Test Witnessed
and Accepted By : Client T&C Representative Signature Date
REMARKS :