LOLER Report of Thorough Examination

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1 · Employer and Site Details (Schedule 1: a, b)

Name of Employer (owner / duty holder of the lifting equipment)

Employer Address

Address of Premises where Examination was Carried Out

Postcode

2 · Equipment Identification (Schedule 1: c, e)

Type / Description of Equipment

Manufacturer

Model

Serial Number / Unique Identifier

Date of Manufacture (if known)

Safe Working Load (SWL / WLL)

SWL in Other Configurations

Your Asset / Location Reference

Date of Previous Thorough Examination (Schedule 1: d)

3 · Examination Findings

Components Examined — list all safety-critical parts inspected

Condition and Observations — record findings against each component

Tests Carried Out

Test Load Applied (if applicable)

Test Result

Pass Fail N/A

4 · Defects Found (Schedule 1: i, j) — tick one

Category A Immediate Danger Equipment MUST be withdrawn from service immediately. Copy of this report must reach the enforcing authority within 28 days (LOLER Reg. 10).

Describe defect, its location, and reason for immediate withdrawal

Category B Not Immediately Dangerous Equipment may remain in service but defect must be rectified by the date specified below.

Describe defect and its location

Defect must be rectified by

No Defect No defects found. Equipment is safe to continue in service.

5 · Conclusion (Schedule 1: f, g, h)

Equipment safe to continue in use?

Yes No

Date of Next Thorough Examination (Schedule 1: h)

If not safe to continue — action required

6 · Competent Person Declaration (Schedule 1: k, l)

Full Name of Competent Person

Address of Competent Person

LEEA Membership No. (if applicable)

Signature of Competent Person

Date Signed

Company Stamp (optional)