Title Page

  • Annual Crane Inspection Report

  • Customer

  • Inspection No.

  • Conducted on

  • Location
  • Serial No.

  • Unit No.

  • Inspected by

Crane Information

  • User

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  • Make

  • Model

  • Boom type

  • Boom length

  • Jib type

  • Jib length

  • Engine make & model

  • Hours

  • Owner

Historical data

  • Monthly inspection reports

  • Maintenance records

  • Repair/modification records

General

  • Sheet metal

  • Guards/covers

  • Safety/warning decals, labels

  • External lights

  • Housekeeping

  • Hand signal chart (outside)

  • Paint condition/corrosion

  • Other

Powerplant

  • Turbocharger

  • Oil pressure

  • Blow by

  • Starting ability

  • Exhaust system/guards/insulation

  • Oil leaks

  • Air cleaner

  • Engine mounting hardware

  • Operational condition

  • Hoses/belts

  • Block heater

  • Other

Electrical

  • Batteries

  • Wiring

  • Lights

  • Alternator

  • Starting system

  • Instrumentation

  • Switches

  • Backup/travel/swing alarm

  • Other

Cooling System

  • Radiator

  • Leaks

  • Fan/belt/guards

  • Fan type

  • Water temperature

  • Other

Fuel System

  • Operation

  • Lines & Pump

  • Tank

  • Leaks

  • Other

Transmission

  • Crane drive type

  • Operation

  • Clutch slippage

  • Oil cooler

  • Leaks

  • 2-4 wheel shifter

  • Other

Torque Converter

  • Charge pressure

  • Temperature

  • Filter

  • Other

Differential

  • Crane drive type

  • Operation

  • Drive line

  • Axles

  • Planetaries

  • Differential lock

  • Other

Hydraulic System

  • Pumps

  • Valves

  • Reservoir

  • Hoses & pipes

  • Oil level

  • Control valves

  • Leaks

  • Cylinder condition

  • Swivels

  • Solenoid valves

  • Operational

  • Swing box

  • Other

Steering

  • Crane drive type

  • Front steer

  • Rear steer

  • Cylinder condition

  • Steer valve

  • Connections

  • Steer knuckles

  • Other

Oscillation Lockout

  • Crane drive type

  • Valve condition

  • Cylinder condition

  • Fifth wheel

  • Leaks

  • Other

Tires & Wheels

  • Crane drive type

  • Cuts/wear

  • Lugs & nuts

  • Rims

  • Size (manufacturers spec)

  • Ply (manufacturers spec)

  • Other

Brakes (travel)

  • Drums & Linings

  • Roto chambers

  • Service and park brake operation

  • Hoses & lines

  • Other

Car Body & Crawler Assembly

  • Crane drive type

  • Car body

  • Travel locks

  • Steering clutches/dogs

  • Chains & sprockets

  • Track pads/pins

  • Idlers/inter. Rollers/tumblers

  • Side frames

  • Other

Carrier Frame

  • Weld or metal cracks

  • Distortion

  • Bolts

  • Modification

  • Other

Outriggers/Assembly Jacks

  • Boxes

  • Beams and arms

  • Cylinders, leaks

  • Solenoid valves

  • Pins & connections

  • Floats & keepers

  • Holding valves

  • Hoses & pipes

  • Cracks & breaks

  • Other

Counterweight

  • Modifications

  • Mounting & warning decals

  • Other

Cab

  • General condition of cab

  • Glass

  • Seat & seatbelt

  • Seat & armrest switches

  • Capacity chart & operators manual

  • Windshield wiper

  • Heater

  • Horn

  • Air conditioner

  • Control levers

  • Instrument panel

  • Steering wheel

  • Pedals

  • Door & latches

  • Other

Load Indicator & Anti Two Block

  • Type

  • Condition

  • Operational condition

  • Accuracy

  • Operator's manual

  • Other

Main Load Block & Hook

  • Manufacturer

  • Capacity markings

  • Weight markings

  • Sheaves

  • Safety latch

  • Hook

  • Bearing

  • Swivel

  • Reeving

  • NDT results

  • Other

Headache Ball & Hook

  • Manufacturer

  • Capacity markings

  • Weight markings

  • Sheaves

  • Safety latch

  • Hook

  • Swivel

  • Bearing

  • Reeving

  • NDT results

  • Other

Boom (Hydraulic)

  • Boom type

  • Alignment

  • Wear pads

  • Bends or twist

  • Abuses

  • Stress marks

  • Cracks

  • Lubrication

  • Point sheaves

  • Guides & guards

  • Telescope cylinders

  • Boom hinge pin

  • Boom lift cylinders

  • Cylinder pins

  • Hoses & reels

  • Length

  • Other

Boom (Lattice)

  • Boom type

  • Boom section identification

  • Boom sequence/rigging

  • Spreader bars

  • Sheaves

  • Hoist line dead end

  • Wire rope retainers

  • Boom foot pins/keepers

  • Boom head section

  • Chord and lacing members

  • Connecting pins/bolts

  • Other

Jib/Strut

  • Jib/strut present

  • Strut

  • Sheaves

  • Wire rope retainers

  • Chord & lacing members

  • Connecting bolts/pins

  • Other

Attachments (Boom Extensions, Aux. Boom Nose)

  • Modifications

  • Attaching points

  • Alignment

  • Damages

  • Sheaves condition

  • Lattice & chords

  • Pendant lines

  • Turn buckles & pins

  • Stow brackets

  • Auxiliary boom nose

  • Other

Boom Support System

  • Boom type

  • Gantry/mast

  • Boom stops

  • Inner bail

  • Outer bail/equalizer

  • Sheaves

  • Boom hoist reeving (manufacturer specs)

  • Other

Shipper (Structure)

  • Alignment

  • Weld or metal cracks

  • Other

Turntable Bearing

  • Bearing deflection

  • Bolts

  • Teeth pattern

  • Other

  • Pinion gear/ring gear (wear)

  • Lubrication

  • Freeness of swing

  • Swing brake & house locks

  • Swing box noise

  • Other

Rotating Upper Structure

  • Crane type

  • Turntable-roller/roller path

  • Main hoist clutch/brake

  • Main hoist wrapping on drum (minimum 2 wraps)

  • Auxiliary hoist wrapping on drum (minimum 2 wraps)

  • Auxiliary hoist clutch/brake

  • Boom hoist clutch/brake

  • Boom hoist gears/shaft/etc.

  • Drums/flanges

  • Clutch/brake protection

  • Torque converter

  • Access to cab & roof

  • Air system- compressor/lines

  • Other

Hoist

  • Condition of drums

  • Hoist brakes

  • Leaks

  • Cable followers & spooling

  • Lube inside drum

  • Alignment

  • Mounting

  • Operational

  • Cable condition

  • Rotation indicator

  • Other

Wire Rope

  • Main hoist wire rope (damage, broken wires, lube, ends)

  • Size/type/construction/grade

  • Measured wear

  • Auxiliary hoist wire rope (damage, broken wires, lube, ends)

  • Size/type/construction/grade

  • Measured wear

  • Boom hoist wire rope (damage, broken wires, lube, ends)

  • Size/type/construction/grade

  • Measured wear

  • Pendants wire rope (damage, broken wires, lube, ends)

  • Size/type/construction/grade

  • Measured wear

  • Other

  • Size/type/construction/grade

  • Measured wear

Miscellaneous

  • Anti-skid material

  • Metal condition

  • Fenders

  • Loose & broken bolts

  • Rust areas

  • Angle indicator

  • Tow winch

  • Fire extinguisher

  • Other

No Load Operational Test

  • No load operational test

Load Test

  • Load test performed

  • Main hoist load tested

Main hoist

  • Hoisting from

  • Main boom length

  • Main boom angle

  • Parts of line

  • Rated capacity

  • Test weight

  • Percent of capacity

  • Load test results

  • Auxiliary/jib hoist load tested

Auxiliary/jib hoist

  • Hoisting from

  • Main boom/jib length

  • Main boom/jib angle

  • Parts of line

  • Rated capacity

  • Test weight

  • Percent of capacity

  • Load test results

Conclusion

  • MGX Equipment services LLC. Shall perform its services of visually inspecting the subject crane with care, skill, and diligence, in accordance with the applicable professional standards recognized in the profession; however, MGx has not made and does not make any guarantees or warranties of any kind with the respect to the condition of the subject crane or its fitness, suitability, or acceptability for any particular use or purpose, and MGX shall not be liable for any latent or material defects therein.

  • Sticker issued

  • Owner or reps. Signature

  • Inspectors signature

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