LEEA Report of Thorough Examination
LEEA Report of Thorough Examination
LEEA Report of Thorough Examination
1a2
Description and identification of the equipment: Safe Working Date of Date of last
Load(s): manufacture if thorough
known: examination:
In accordance with an
If the answer to the above question is YES NO YES NO
examination scheme?
YES has the equipment been installed
After the occurrence of
correctly? YES NO
exceptional circumstances?
Identification of any part found to have a defect which is or could become a danger to persons and a description of the defect:
(If none state NONE)
Is the above an existing or imminent danger to persons *Note-This is a reportable defect YES NO
Is the above a defect which is not yet but could become a danger to persons:
YES by:
(If YES state the date by when)
Particulars of any repair, renewal or alteration required to remedy the defect identified above:
Particulars of any tests carried out as part of the examination: (If none state NONE)
Signature:
Name and address of employer of persons making and authenticating this report: