ATTACHMENT-02_DA-FORM_7484_R.PDF

Department of the Army Form PDF 84 KB Posted

Attached to
Inspection, Testing, and Maintenance of Overhead Lifting Devices USAG Yongsan
Solicitation number
W91QVN17T0069
Issued by

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Attachment 02 - DA FORM 7484R

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Who attaches DA Form 7484

Agency Files
Department of the Army Materiel Command Expeditionary Contracting Command Regional Contracting Office Yongsan 411th CSB 1

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Solicitation_No.W91QVN-17-T-0069.pdf PDF
ATTACHMENT-05-EXHIBIT_1,__Exhibit_Line_Item_Price_List_for_Repair_Task_of_Overhead_Cranes_AREA_II.xlsx XLSX spreadsheet
ATTACHMENT-03_DA-FORM_2404.pdf PDF

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LIMIT SWITCHES

LOAD TEST

TEST ALL BRAKES

SAFETIES TEST

ALARMS

CABLE/HOOK INSPECTION

OPERATIONAL TEST

EXTERIOR OF EQUIPMENT

COMPLETENESS OF ASSEMBLY

CONTROL SYSTEM DISPLAY

SAFETY INTERLOCKS

ELECTRICAL/MECHANICAL INTERLOCKS

INSTRUMENTS AND ALARMS

PROPER GROUNDING

PROPER INSULATION

CABLE CHAIN CONDITION

EQUIPMENT IDENTIFICATION

EQUIPMENT CONDITION

CAPACITY IDENTIFICATION

LABELING AND TAGGING

END AND/OR SWING STOPS IN PLACE

ACCESS

ANCHORAGE

COMPARISON TO DRAWINGS

ALIGNMENT

1. PLANT 2. LOCATION 3. JOB NUMBER

4. EQUIPMENT 5. SYSTEM DESIGNATION 6. DATE (YYYYMMDD)

7. TEST EQUIPMENT 8. TESTED BY

9. CRANE MANUFACTURER 10. MODEL NO 11. SERIAL NO 13. CAPACITY

14. HOIST MANUFACTURER 16. SERIAL NO

22. NOTES

15. MODEL NO 18. CAPACITY

12. LOCATION

17. LOCATION

LIFTING AND MOVING DEVICES INSPECTION CHECKLIST

For use of this form, see TM 5-697; the proponent agency is COE.

SECTION A - CUSTOMER DATA

DA FORM 7484-R, DEC 2002 APD LC v1.00

SECTION B - EQUIPMENT DATA

SECTION C - VISUAL AND MECHANICAL INSPECTION

COND* NOTESCHECK POINT COND* NOTESCHECK POINT

SECTION D - CALIBRATION AND SET POINT

*CONDITION: A=ACCEPTABLE; R=NEEDS REPAIR, REPLACEMENT OR ADJUSTMENT; C=CORRECTED; NA=NOT APPLICABLE

19.

SECTION E - LIFTING AND MOVING DEVICES EQUIPMENT TESTS

20.

DESCRIPTION NOTES

21. NOTESPASS FAIL COMMENTS

LIMIT SWITCHES

LOAD TEST

TEST ALL BRAKES

SAFETIES TEST

ALARMS

CABLE/HOOK INSPECTION

OPERATIONAL TEST

EXTERIOR OF EQUIPMENT

COMPLETENESS OF ASSEMBLY

CONTROL SYSTEM DISPLAY

SAFETY INTERLOCKS

ELECTRICAL/MECHANICAL INTERLOCKS

INSTRUMENTS AND ALARMS

PROPER GROUNDING

PROPER INSULATION

CABLE CHAIN CONDITION

EQUIPMENT IDENTIFICATION

EQUIPMENT CONDITION

CAPACITY IDENTIFICATION

LABELING AND TAGGING

END AND/OR SWING STOPS IN PLACE

ACCESS

ANCHORAGE

COMPARISON TO DRAWINGS

ALIGNMENT

1. PLANT

2. LOCATION

3. JOB NUMBER

4. EQUIPMENT

5. SYSTEM DESIGNATION

6. DATE (YYYYMMDD)

7. TEST EQUIPMENT

8. TESTED BY

9. CRANE MANUFACTURER

10. MODEL NO

11. SERIAL NO

13. CAPACITY

14. HOIST MANUFACTURER

16. SERIAL NO

22. NOTES

15. MODEL NO

18. CAPACITY

12. LOCATION

17. LOCATION

LIFTING AND MOVING DEVICES INSPECTION CHECKLIST

For use of this form, see TM 5-697; the proponent agency is COE.

SECTION A - CUSTOMER DATA

DA FORM 7484-R, DEC 2002

APD LC v1.00

SECTION B - EQUIPMENT DATA

SECTION C - VISUAL AND MECHANICAL INSPECTION

COND*

NOTES

CHECK POINT

COND*

NOTES

CHECK POINT

SECTION D - CALIBRATION AND SET POINT

*CONDITION: A=ACCEPTABLE; R=NEEDS REPAIR, REPLACEMENT OR ADJUSTMENT; C=CORRECTED; NA=NOT APPLICABLE 19.

SECTION E - LIFTING AND MOVING DEVICES EQUIPMENT TESTS

20.

DESCRIPTION

NOTES

21.

NOTES

PASS

FAIL

COMMENTS

1.00

DA FORM 7484-R, DEC 2002

LIFTING AND MOVING DEVICES INSPECTION CHECKLIST

APD

Plant:
Location:
JobNumber:
Equipment:
SysDesign:
Date:
TestEquip:
TestedBy:
CraneManuf:
ModelNoA:
SerialNoA:
LocationA:
CapacityA:
HoistManuf:
ModelNoB:
SerialNoB:
LocationB:
CapacityB:
CondA:
NotesA:
CondA_1:
NotesA_1:
CondA_2:
NotesA_2:
CondA_3:
NotesA_3:
CondA_4:
NotesA_4:
CondA_5:
NotesA_5:
CondA_6:
NotesA_6:
CondA_7:
NotesA_7:
CondA_8:
NotesA_8:
CondB:
NotesB:
CondB_1:
NotesB_1:
CondB_2:
NotesB_2:
CondB_3:
NotesB_3:
CondB_4:
NotesB_4:
CondB_5:
NotesB_5:
CondB_6:
NotesB_6:
CondB_7:
NotesB_7:
CondB_8:
NotesB_8:
Descrip:
NotesC:
PassA:
FailA:
CommentsA:
NotesE:
PassB:
FailB:
CommentsB:
NotesF:
PassC:
FailC:
CommentsC:
NotesG:
PassD:
FailD:
CommentsD:
NotesH:
PassE:
FailE:
CommentsE:
NotesI:
PassF:
FailF:
CommentsF:
NotesJ:
Notes:

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