The invention discloses a real-time online monitoring system for the health state of a fixed winch hoist. The real-time online monitoring system comprises a stress-strain monitoring system, a flow-induced vibration monitoring system, a starting and stopping force monitoring system, a signal transmission system, a signal acquisition system, a monitoring system, an early warning system, a data system, a PC system and a central control room. The system is accurate and reliable in monitoring data, can guarantee that the operation of the metal structure equipment of the fixed winch hoist is in real-time on-line visual observation and monitoring, enables related workers to master the health state of the equipment at any time, facilitates the long-term safe operation of the equipment, formulatescorrect corresponding detection and maintenance schemes, and save a lot of manpower, material resources and financial resources, and provides a basis for redesign, manufacturing, inspection, installation and the like of the equipment through real-time online health state monitoring data.