ENCLOSURE 2.2.3.pdf

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MHE INSPECTION AND CERTIFICATION SERVICES
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N0040626QS120
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This document is the NAVSUP Publication 538, Figure 6-1 MHE Safety Certification Form, a standardized inspection and testing template used by the U.S. Navy to certify the safety and operational readiness of Material Handling Equipment (MHE). The form is completed by mechanics or maintenance providers and certified by authorized personnel, with a certification validity period of 18 months.

The form documents comprehensive safety inspections and operational tests across multiple MHE categories, including forklifts, pallet trucks, reach trucks, aerial work platforms, and straddle carriers. Key inspection areas include markings verification, fuel system leak inspection, neutral start switches, warning devices, spark emission, static discharge with resistance readings, carriage and roller operations, drive controls, and brake functionality with specific travel distance requirements. Load-bearing tests are required for most equipment types, ranging from 100% to 150% of rated capacity held for two-minute intervals. Specialized tests include king pin visual inspection for straddle carriers, lift eye certification after repairs, and overload weight tests for non-pallet truck equipment. All tests reference specific paragraphs within standard NAVSEA SW023-AH-WHM-010, with each test item marked as Accept, Reject, or Not Applicable. The certification requires completion of mechanic/maintenance provider information and authorized certifier signature, with an expiration date based on the 18-month validity period from certification date.

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ENCLOSURE 2.2.2.pdf PDF
N0040626QS120.pdf PDF
ENCLOSURE 2.2.1.pdf PDF
1.3 SOW.pdf PDF

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Text version

ENCLOSURE 2.2.3 - NAVSUP Publication 538, Fig. 6-1, MHE Safety Certification Form

USN/MSC

REGISTRATION NO.

MHE CLASS/LIFT

CODE/TYPE

SWL HOUR READER

METER

DATE

TEST PARAGRAPH PROCEDURE RESULTS

MARKINGS 6-6.1 VISUAL

INSPECTION:

ACCEPT

REJECT

FUEL SYSTEM 6-6.2 LEAK INSPECTION:

N/A

NEUTRAL START

SWITCH

(Fueled MHE)

6-6.3 OPERATIONAL

WARNING DEVICES

(Powered MHE)

6-6.4 OPERATIONAL

INSPECTION: ACCEPT

SPARK EMISSION

(Powered MHE)

6-6.5 VISUAL

INSPECTION: ACCEPT

STATIC DISCHARGE

(Electric and HS/Ordnance Pallet Truck)

6-6.6 CONDUCTOR TYPE:

TIRES

STRAPS

RESISTANCE

READING (OHMS):

LEFT RIGHT N/A

ACCEPT REJECT N/A

CARRIAGE REACH &

ROLLER

(Reach and Tier)

6-6.7 OPERATIONAL

DRIVE CONTROL

(Powered Pallet Trucks)

6-6.8 OPERATIONAL

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/DISCONNE

CT SYSTEM:

BRAKE

(Straddle Carrier)

6-6.10 OPERATIONAL

OPERATIONAL

WEIGHT TEST

(Forklift Trucks)

6-6.11 100% RATED LOAD

HELD FOR 2

MINUTES:

ENCLOSURE 2.2.3 - NAVSUP Publication 538, Fig. 6-1, MHE Safety Certification Form

LOAD TEST

(Aerial Work Platform)

8-7.6 150% RATED LOAD

KING PIN

(Straddle Carrier)

6-6.13 VISUAL INSPECTION:

LIFTING WEIGHT

TEST

(Straddle Carrier)

6-6.14 100% RATED LOAD:

OVERLOAD WEIGHT

TEST

(Except Pallet Trucks and Straddle Carriers)

6-5.3 AFTER

REPAIRS/MODIFICATI

ONS AFFECTING

LOAD-BEARING

COMPONENTS

YES

NO

6-7 100% LOAD

150% LOAD

LIFT EYES

(Except Straddle Carriers)

6-5.4 AFTER

REPAIR/REPLACEMENT

YES

NO

6-8 150% WEIGHT OF MHE

THIS IS TO CERTIFY THAT THE ABOVE MHE WAS INSPECTED AND TESTED IN ACCORDANCE WITH

NAVSEA SW023-AH-WHM-010.

MECHANIC/MAINTENANCE PROVIDER:

SIGNATURE

PRINT FULL NAME DATE

CERTIFIED BY:

SIGNATURE

PRINT FULL NAME DATE

THIS 18 MONTH CERTIFICATION

EXPIRES ON:

MONTH/YEAR

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