4.0 25QS226 Enclosure 2.2.3.pdf
PDF 117 KB Posted
- Attached to
- BRAND NAME HYSTER FORKLIFT INSPECTIONS
- Solicitation number
- N0040625QS226
About this file
This document is an MHE (Material Handling Equipment) Safety Certification Form from the Naval Sea Systems Command (NAVSEA), document number SW023-AH-WHM-010. The form provides a comprehensive inspection checklist for various types of material handling equipment, including forklifts, powered pallet trucks, and straddle carriers. The form requires detailed safety inspections across multiple categories such as markings, fuel systems, neutral start switches, warning devices, spark emissions, static discharge, brakes, and weight/load testing.
The certification form is designed for a thorough 18-month safety evaluation, with inspectors required to mark each section as "ACCEPT", "REJECT", or "N/A" for each specified test procedure. The form includes sections for testing specific components like carriage reach, drive control, king pins, and lift eyes, with separate procedures for different types of material handling equipment. At the bottom of the form, there are signature lines for the mechanic/maintenance provider and a certifying official, along with a space to record the certification expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| AMENDMENT 003.pdf | ||
| AMENDMENT 002.pdf | ||
| Contractor Questions and Answers.xlsx | XLSX spreadsheet | |
| AMENDMENT 001.pdf | ||
| STATEMENT OF WORK UPDATED.pdf | ||
| 4.0 25QS226 SOL.pdf | ||
| 4.0 25QS226 Enclosure 2.2.2.pdf | ||
| 4.0 25QS226 Enclosure 2.2.1.pdf |
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Text version
FIGURE 6-1. MHE Safety Certification Form, Enclosure 2.2.3
NAVSEA SW023-AH-WHM-010 EIGHT REVISIONS
USN/MSC REGISTRATION
NO.
MHE CLASS/LIFT
CODE/TYPE
SWL HOUR READER METER DATE
TEST PARAGRAP
H PROCEDURE RESULTS
MARKINGS 6-6.1 VISUAL INSPECTION:
ACCEPT REJECT
FUEL SYSTEM 6-6.2 LEAK INSPECTION:
ACCEPT REJECT N/A
NEUTRAL START SWITCH
(Fueled MHE)
6-6.3 OPERATIONAL INSPECTION:
ACCEPT REJECT N/A
WARNING DEVICES
(Powered MHE)
6-6.4 OPERATIONAL INSPECTION:
ACCEPT REJECT N/A
SPARK EMISSION
(Powered MHE)
6-6.5 VISUAL INSPECTION:
ACCEPT REJECT N/A
STATIC DISCHARGE
(Electric and HS/Ordnance Pallet Truck)
6-6.6 CONDUCTOR TYPE:
TIRES STRAP
S N/A
RESISTANCE READING
(OHMS):
LEFT RIGHT N/A
CARRIAGE REACH &
ROLLER
(Reach and Tier)
6-6.7 OPERATIONAL INSPECTION:
ACCEPT REJECT N/A
DRIVE CONTROL
(Powered Pallet Trucks)
6-6.8 OPERATIONAL INSPECTION:
ACCEPT REJECT N/A
BRAKE
(Except Straddle Carriers and Manual Pallet Trucks)
6-6.9.1 TRAVEL DISTANCE (TABLE 6-
2):
FEET
PEDAL FEEL:
6-6.9.2 PARKING BRAKE:
6-6.9.3 SAFETY
BRAKING/DISCONNECT
SYSTEM:
ACCEPT REJECT N/A
BRAKE
(Straddle Carrier)
6-6.10 OPERATIONAL INSPECTION:
ACCEPT REJECT N/A
OPERATIONAL WEIGHT
TEST
(Forklift Trucks)
6-6.11 100% RATED LOAD
HELD FOR 2 MINUTES: ACCEPT REJECT N/A
OPERATIONAL WEIGHT
TEST
(Powered Pallet Trucks)
6-6.12 100% RATED LOAD
HELD FOR 2 MINUTES: ACCEPT REJECT N/A
KING PIN
(Straddle Carrier)
6-6.13 VISUAL INSPECTION:
FIGURE 6-1. MHE Safety Certification Form, Enclosure 2.2.3
LIFTING WEIGHT TEST
(Straddle Carrier)
6-6.14 100% RATED LOAD:
ACCEPT REJECT N/A
OVERLOAD WEIGHT TEST
(Except Pallet Trucks and Straddle Carriers)
6-5.3 AFTER
REPAIRS/MODIFICATIONS
AFFECTING LOAD-BEARING
COMPONENTS
YES NO N/A
6-7 100% LOAD
HELD FOR 2 MINUTES:
ACCEPT REJECT N/A
150% LOAD
HELD FOR 2 MINUTES:
ACCEPT REJECT N/A
LIFT EYES
(Except Straddle Carriers)
6-5.4 AFTER
REPAIR/REPLACEMENT
YES NO N/A
6-8 150% WEIGHT OF MHE
HELD FOR 2 MINUTES:
ACCEPT REJECT N/A
THIS IS TO CERTIFY THAT THE ABOVE MHE WAS INSPECTED AND TESTED IN ACCORDANCE WITH NAVSEA SW023-AH-WHM-010.
MECHANIC/MAINTENANCE PROVIDER:
PRINT FULL NAME SIGNATURE DATE
CERTIFIED BY:
PRINT FULL NAME SIGNATURE DATE
THIS 18 MONTH CERTIFICATION EXPIRES
ON:
MONTH/YEAR
File details come from the government source that posted it. Updated .