McKissick Block Inpection Report - Form #4
MCKISSICK BLOCK
INSPECTION REPORT

BY:

DATE:

SITE:
BLOCK
DESCRIPTION:

BLOCK SERIAL
NUMBER:

MODEL NUMBER:
CAPACITY:

NUMBER OF
SHEAVES:

SHEAVE DIAMETER:

WIRE ROPE
DIAMETER:

ADDITIONAL
INFORMATION:
ITEM: ACCEPT REJECT COMMENTS
WEAR OF PINS      
SIDE PLATES      
SHEAVE ALIGNMENT      
FASTENERS TIGHT      
RUN CLEARANCE      
SWIVEL CLEARANCE      
SHEAVE CONDITION     SEE SHEAVE REPORT
HOOK CONDITION     SEE SHEAVE REPORT

(Sample Inspection Form #4)  The user must edit as needed.