CURCLEBY HERRIDGE

LOLER Thorough Examination

Report No. ______________
Date of examination ______________

Equipment & duty holder

Duty holder / company name

Site / location of equipment

Equipment description

Serial / identification no.

Safe working load (SWL)

Date of manufacture

Examination details

Type of examination (installation / 6-monthly / 12-monthly / written scheme)

Is this the first examination after installation?

Was the equipment examined under a written scheme?

Date of last examination

Examination findings

No.	Item / part examined	Condition / observation	Defect? (Y/N)

Defects & actions

Defect identified	Is it a danger to persons?	Remedial action & timescale

Conclusion

Is the equipment safe to operate?

Date by which next examination is due

Competent person name

Qualification / employer

Competent person signature

Date

Free template provided by Curcle by Herridge field service software. This is a general-purpose aid only and is not a substitute for a statutory report of thorough examination. Examinations under the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER) must be carried out by a competent person and recorded as required by the Regulations. Verify all content meets current requirements before use.