| Division | Great Lakes |
|---|---|
| Location | Waukesha - Machinery |
| Area | test |
| Inspector's Initials | AW |
| Safety Latch Condition (deformation, cracks, & wear) | OK |
| Broken Wires/Cuts | OK |
| Defects/Wear Stress | OK |
| Load Rating Marked | OK |
| Defects, Cracks, Welds | OK |
| Emergency Disconnect | OK |
| Identification Labels | OK |
| General Condition | OK |
| Limit Switches | OK |
| Comments | Test |
| Brake | OK |
| Bridge & Trolley Mechanism | OK |
| All Pass or Fail | Pass |
| Hoist Mechanism | OK |
| Entry Notes |
