INSPECTION of CHAIN Attachment: 1

Identification Location: MB Rig-

Vehicle Plate No: Driver’s name:

S/U. No: Hook type: Hook size (in) Chain size(in) SWL (lbs) Length (mm)

Deficiencies (see the back side for further details)

Deformation: Cracks: Welds: Wear or Corrosion:
Bent Yes / No Cracks Yes / No Defective Yes / No Diameter defect Yes / No

Twisted Yes / No Cuts Yes / No Inefficient Yes / No Exceed 5%

Locked Yes / No Gouges Yes / No Home made modification or repairs: Yes / No

Elongated Yes / No Notches Yes / No Notes:

Stretch: Initial inspection: 1st inspection 2nd inspection
Measure length of
20 links (mm):
Stretch (%): --- % %
Proof load: lbs -----------N/A----------- lbs

Certification
Result of Insp.: Pass / Reject Pass / Reject Pass / Reject
Colour Code:
Date of Insp./Disp.:
Inspected by:
Signature:

Proposal to fix deficiencies:

Proposed by: Date:

/conversion/tmp/scratch/410255800.doc 25.Feb.2019