Rope Test Inspection Form

ROPE REMOVED FROM SERVICE
Please mail to the appropriate Inspector of Mines, Mechanical when rope is installed and taken off (for contact information, refer to the nearest Regional Office of the Ministry of Energy and Mines). Name of Company
Mine
Shaft or winze
Compartment
Rope Number
Mfr's Coil or Reel No.
Date taken off
Reason for taking rope off
(Signed)
ROPE RECORD
Name of Company
Shaft winze
Mine
Rope No.
Compartment
(Company's Identification No.)
Name of manufacturer
Address of manufacturer
Mfr's Coil or Reel No.
Date of manufacture
Diameter of rope (cm/in)
Circumference of rope (cm/in)
Weight per foot (kg/lb)
Class of core
Number of strands
Number of wires in strand
Diameter of wires (cm/in)
Breaking‐stress of steel of which wires are made (in tons per square inch)
Breaking‐load of rope (actual)
(or estimate)
Date of Purchase
Date put on
Length of rope
Weight of (cage, skip, counter‐weight, bucket , and cross‐head) (a)
Max weight of material carried (b)
Weight of max length of rope in service (c )
(If shaft is inclined, state max angle, and apply to determine total max load)
Total Maximum load (a+b+c)
Static factor of safety (breaking‐load/total maximum load)
SUMMARY OF TESTS
Test No.
Breaking‐load
General appearance of rope
Lubrication of core
Factor of safety
Test No.
Breaking‐load
General appearance of rope
Lubrication of core
Factor of safety
Test No.
Breaking‐load
General appearance of rope
Lubrication of core
Factor of safety
Date
Extension
Date
Extension
Date
Extension
Test No.
Breaking‐load
General appearance of rope
Lubrication of core
Factor of safety
Test No.
Breaking‐load
General appearance of rope
Lubrication of core
Factor of safety
Test No.
Breaking‐load
General appearance of rope
Lubrication of core
Factor of safety
Date
Extension
Date
Extension
Date
Extension
HISTORY OF ROPE
Examination of Attachments
On date put on
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
On date of shortening
Date taken off
Comments:
Date
Certified By
Remarks