Information

  • Inspected by

  • Inspected on

  • Location
  • Conducted on

1. Equipment info

  • Fleet number:

  • Serial number :

  • Type :

  • Brand :

  • Engine hours lower structure

  • mileage lower structure

  • Engine hours upper structure

  • Rigged ?

  • Configuration :

General

Pictures crane

  • Add picture from front, right, rear and left side

Documents

  • Schematics available?

  • Available languages

  • Specify language or what is available/missing when others is selected

  • Instruction manuals available?

  • Available languages

  • Specify language or what is available/missing when others is selected

  • Loadcharts available?

  • Available languages

  • Specify language or what is available/missing when others is selected

  • Any remarks on documents/manuals?

  • Remarks on documents:

  • add picture(s) if useful

Globetracking system

  • Installed?

  • Functional?

  • Specify problem

  • Add media

  • Any remarks on Globe tracking system?

  • Remarks on documents:

  • add picture(s) if useful

Lower structure

  • Type of carrier ?

Central section

  • Any structural damage, missing items on central section?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • check hydraulic and electric connections

    rotary.JPG
  • Any leakages, damages, remarks on rotary feed through?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Outriggers installed and functional?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • no label
  • Centralized greasing system installed and functional?

  • Specify location, describe problem and possible causes

  • add picture(s)

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any other remarks on central section ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Supports

  • Any leakages on supports, quick couplings,... ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any structural damage, missing items on supports ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Pressure sensors on outriggers installed ?

  • Functional ?

  • Specify location, describe problem and possible causes

  • add picture(s)

  • Any remarks on supports ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

General

  • Any remarks on walkways, access ladders, lower structure ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Any remarks on painting, labelling and branding from lower structure ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Central section

  • Any structural damage, missing items on central section?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Centralized greasing system installed and functional?

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any leakages, damages, remarks on rotary feed through?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • check hydraulic and electric connections

    no label
  • Outriggers installed and functional?

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Track adjustment (width) installed and functional?

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on central section ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Left crawler

  • running hours if applicable

  • Centralized greasing system installed and functional?

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • no label
  • add number of installed gear drives on left crawler

  • Remark
  • oil level ok?

  • Specify amount of added oil, location, possible cause/remedy, add pictures

  • Any remarks on hydraulics, electrics from drive gear??

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any structural damage, missing items on left crawler frame?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on crawler pads, crawler tension, sprocket wheels, guide rollers?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Right crawler

  • running hours if applicable

  • Centralized greasing system installed and functional?

  • Any leakages, missing items, remarks ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any structural damage, missing items on right crawler frame?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • add number of installed gear drives on right crawler

  • Remark
  • oil level ok?

  • Specify amount of added oil, location, possible cause/remedy, add pictures

  • Any remarks on hydraulics, electrics from drive gear??

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on crawler pads, crawler tension, sprocket wheels, guide rollers?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

General

  • Any remarks on painting, labelling and branding from lower structure?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on walkways, access ladders, lower structure ?

  • Add remarks separately

  • Axles
  • Description:

  • add picture(s) to clarify

  • no label
  • Truck-mounted or crane-chassis

  • Enter brand and type from Truck please, f.ex. Volvo FMX 500

Axles and steering system

  • Uneven wear on tyres ?

  • Check possible causes like bended or worn out axle guiding or steering rods, add pictures

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Excessive play on steering system ?

  • Check and describe (possible) cause of the excessive play, add pictures to locate and identify

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Tyre size :

  • How Many axles?

  • Axles
  • tire.JPG

Tyre wear

  • Add picture from tyre side view + tyre groove right side

  • Add picture from tyre side view + tyre groove left side

Oil leakages

  • Oil leakages steering cylinders

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Oil leakages others

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Excessive play on drive shafts ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Is this axle driven?

Oil levels

  • Oil level final drive right

  • Enter details, amount of oil added, ...

  • Oil level final drive left

  • Enter details, amount of oil added, ...

  • Oil level central drive <br>

  • Enter details, amount of oil added, ...

  • Oil leakages suspension cylinders

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Spare tyre available?

  • Picture tyre side view + tyre groove spare tire

  • Any remarks on axles?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Drive train

Engine

  • engine.jpg
  • Insert picture from identification plate from engine

  • Oil level ok ?

  • Enter details, amount of oil added, ...

  • Oil sample taken ?

  • Scan barcode

  • Coolant level and value ok ?

  • Enter details, amount of cooling fluid added, measured antifreeze value...

  • (pre)fuel filters ok ?

  • Enter details, location, ...

  • Add media

  • Air filters ok ?

  • Enter details, location, ...

  • Add media

  • Belt(s) ok ?

  • Enter details from belt(s)

  • Add media

  • Any leakages on engine ? water, oil, air, exhaust, ... ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on engine, wiring, control unit, ....?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Gear box

  • gearbox.jpg
  • Insert picture from identification plate from gearbox

  • Oil level ok ?

  • Enter details, amount of oil added, ...

  • Oil leakages gear box ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Hydraulic pumps for upper structure installed?

  • Any leakages on hydraulic system?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Oil sample taken ?

  • Enter referentie sample or scan barcode via button right lower corner

  • Any remarks on gearbox, wiring, control unit, ....?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Distributor gear

  • distributor gear.JPG
  • Distributor gear installed ?

  • Oil level ok ?

  • Enter details, amount of oil added, ...

  • Oil leakages distributor gear ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on distrutor gear ?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Rotary feed through

  • Rotary feed through installed ?

  • Oil leakages rotary feed through?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on rotary feed through?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Outriggers

  • Function test working from each possible location (left, right, upper cabin, BTT,...)?

  • Add remarks separately

  • Axles
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • Oil leakages on outriggers horizontal ( sliding beam) and vertical ( support cylinder) ?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • Damaged and/or missing support plates, pins ?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • Any remarks on outriggers?

  • Add each remark separately

  • Axles
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Lower cabin

  • Lower cabin available ?

  • Any windows damaged or missing ?

  • Add damages/remarks separately

  • Remark
  • Enter details, location, ..

  • add picture(s) to clarify

Functional test

  • wipers, front window cleaning system ; function and condition ok?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • head lights, turning lights, ... ; function and condition ok?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • how many beacon lights available/installed?

  • Beacon lights ; function and condition ok?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • axle suspension, suspension locking system ; function ok

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • Rear (Active) steering ; function ok

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • Travel gears, off road gear functional ?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • axle differentials; function longitudinal differential(s), transversal differentials, .... functional and ok?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • Engine brake, retarder brake functional ?

  • Add remarks separately

  • Remark
  • Enter details, causes, remedy, ..

  • add picture(s) to clarify

  • any remarks on cabin ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

General

  • Any remarks on painting, labelling and branding lower structure ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Any remarks on walkways, access ladders, lower structure ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • central greasing system installed?

  • functional ?

  • Specify problem, cause, remedy, ...

  • Add media

  • Oil level hydraulic system ok ?

  • Enter details, amount of oil added, ...

  • Batteries ok ?

  • Specify problem, causes, remedy, ... :

  • Any other remarks on lower structure ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Upper structure

Slewing gear

  • add number of slewing gears

  • Slewing gear
  • take picture to identify slewing gear (required if more than 1 slewing gear installed)

  • Is there excessive play between slewing gear and slewing ring?

  • Specify measurements, check if toothed gear is worn out and/or if slewing gear can be adjusted, add pictures below

  • Add media

  • any leakages on slewing gear/motor, ...?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Is the oil level from slewing gear ok ?

  • Specify added amount, remarks

Slewing ring

  • Quick connection slewing ring type?

  • any remarks on quick connection?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Is the slewing ring internally and externally well greased ?

  • Specify and add pictures below

  • Add media

  • Is there visible axial play on slewing bearing?

  • Specify measurements on 90° intervals with boom upright and down

  • Add media

Drive train

  • Engine(s) in upper structure?

  • Add number of engines installed in upper structure

  • Engine

Engine

  • Insert picture from identification plate from engine

  • Oil level ok ?

  • Enter details, amount of oil added, ...

  • Oil sample taken ?

  • Scan barcode

  • Coolant level and value ok ?

  • Enter details, amount of cooling fluid added, measured antifreeze value...

  • (pre)fuel filters ok ?

  • Enter details, location, ...

  • Add media

  • Air filters ok ?

  • Enter details, location, ...

  • Add media

  • Belt(s) ok ?

  • Enter details from belt(s)

  • Add media

  • Any leakages on engine ? water, oil, air, exhaust, ... ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on engine, wiring, control unit, ....?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Pump gear

  • oil level pump gear ok?

  • Specify added amount, remarks, ...

  • any leakages on pump gear, ...?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on pump gear, ....?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Hydraulics

  • oil level hydraulic system ok?

  • Specify added amount, remarks, ...

  • any leakages on hydraulic system, pumps,, ...?

  • Specify location,comment, add pictures below

  • Add media

  • Any remarks on hydraulics, ....?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Upper cabin

  • Any windows damaged or missing ?

  • Enter details, location, ...

  • Add pictures

Functional test

  • wipers, window cleaning system ; function and condition ok?

  • Enter details, causes, remedy, ..

  • Add media

  • working lights, ... ; function and condition ok?

  • Enter details, causes, remedy, ..

  • Add media

  • Possibility to drive from upper cabin?

  • Travel gears functional from upper cabin?

  • Enter details, causes, remedy, ..

  • Add media

  • Steering functional from upper cabin ?

  • Enter details, causes, remedy, ..

  • Add media

  • axle differentials; function longitudinal differential(s), transversal differentials, .... functional and ok?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Separate heater (Webasto, Eberspaecher, ..) installed ?

  • additional heating system functional and ok?

  • Enter details, causes, remedy, ..

  • Add media

  • Airco installed ?

  • Airco installation functional and ok?

  • Enter details, causes, remedy, ..

  • Add media

  • any remarks on cabin ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Safety Load Indicator (SLI)

  • Add brand and type from SLI

  • Add picture from installed SLI

  • SLI ; function and condition ok?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • any remarks on SLI?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Electrical switch cabinet

  • any remarks on electric installation, fuses, visible bridges in electrical circuits, ...?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Main boom

  • What type of main boom is used ?

  • How many boom sections, base boom section not included ?

Base section

  • Any damages on electric Components like cable roller, wiring, ...from base boom section

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any structural damages on base boom section ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any hydraulic leakages on telescope cylinder(s)?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any hydraulic leakages on luffing cylinder(s)?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Superlift installation mounted ?

  • functional and without damage ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Superlift preparation installed ?

  • describe location, add pictures below

  • Add media

  • Swing away jib installed ?

  • supports for swing away jib installed?

  • Specify different components (cylinders, remote control,...), add pictures below ...

  • Add media

  • Any structural damages on swing away jib ?

  • Add each remark separately

  • Remark
  • Specify location, kind of damage, depth, add pictures below ...

  • add picture(s)

  • Any damages on electric Components like cable roller, wiring, ... from folding jib?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Head section

  • Any structural damages on boom ?

  • Add each remark separately

  • Remark
  • Specify location, kind of damage, depth, add pictures below ...

  • add picture(s)

  • Any damages on electric Components like cable roller, wiring, ...

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Add each remark separately

  • Remark
  • Specify measurements, describe location, ...

  • add picture(s)

  • anemometer mounted/available ?

  • functional, no damages ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • available ?

  • describe location, add pictures below

  • Add media

  • aircraft warning light mounted/available ?

  • functional, no damages ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • available ?

  • describe location, add pictures below

  • Add media

A frame

  • Any structural damages on A-frame ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like wiring, camera's ...?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Self erecting cylinder mounted/available ?

  • functional, no damages ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on back fall cylinders A-frame ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

  • Any remarks on walkways, access ladders, ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Lifeline fall protection mounted ?

  • any remarks on lifeline protection?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Main boom Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any remarks on back fall cylinders Main boom (electric, hydraulic)?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • Any remarks on walkways, access ladders, ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Lifeline fall protection mounted ?

  • any remarks on lifeline protection?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • anemometer mounted/available ?

  • functional, no damages ?

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

  • available ?

  • describe location, add pictures below

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

  • Any remarks on walkways, access ladders, ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Lifeline fall protection mounted ?

  • any remarks on lifeline protection?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any remarks on walkways, access ladders, ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Lifeline fall protection mounted ?

  • any remarks on lifeline protection?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Winch

  • Add number of installed/available winches

  • Winch
  • Note winch reference (H1,W2,Winde 6,...)

  • Add picture to specify location of winch on the crane

  • running hours if applicable

  • oil level winch gear ok?

  • Specify added amount, remarks, ...

  • any leakages on slewing gear/motor, ...?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • any remarks on electrical system from this winch ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Is the rope well greased, in good condition ?

  • Specify problem, comment, add pictures below

  • Add media

  • is the original hoist end rope connection still mounted?

  • Specify remaining/cutted length, ...

  • Add media

  • Any remarks on this winch

  • Add each remark separately

  • Remark
  • Specify location, describe remark and possible causes/remedy

  • add picture(s)

Hook block

  • Add number of available hookblocks

  • Hookblocks
  • Number of sheaves:

  • Reference :

  • take pictures from id-plate, serial number, hook overview

  • Damaged or worn sheaves, bearings, rope retainer, ... ?

  • Specify damages, missing items, remarks, ....

  • add picture(s) if useful:

  • no label
  • Any remarks on this hookblock?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Counterweights

  • total weight of available/installed counterweight

  • amount of counterweight blocks

  • Any damages and/or remarks on one of the counterweight blocks?

  • Add remarks separately for each counterweight block

  • Counterweight
  • Reference cw-block:

  • take pictures from id-plate, sticker, overview, damage,

  • Description:

General

  • Any remarks on painting, labelling and branding upper structure ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Any remarks on walkways, access ladders, ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • Lifeline fall protection mounted ?

  • any remarks on lifeline protection?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

  • central greasing system installed?

  • functional ?

  • Specify problem, cause, remedy, ...

  • Add media

  • Oil level hydraulic system ok ?

  • Enter details, amount of oil added, ...

  • Batteries ok ?

  • Specify problem, causes, remedy, ... :

  • Any other remarks on upper structure ?

  • Add remarks separately

  • Remark
  • Description:

  • add picture(s) to clarify

Additional Equipment

  • Which additional equipment is currently mounted ?

Boom nose

  • Identify boom nose by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Fixed Jib

  • boom type (f.ex SLF, LF2, ...)

Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Luffing Jib

Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Superlift / Derrick

Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Counterweight Tray

  • Any structural damages on Counterweight Tray?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, switches ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Counterweight Carrier

  • Any structural damages on Counterweight Carrier?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, switches ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any leakages on hydraulic components like stabilizers, pinning cylinders...

  • Specify location, kind of damage, add pictures below ...

  • Add media

  • Which additional equipment is available ?

Boom nose

  • Identify boom nose by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Fixed Jib

  • boom type (f.ex SLF, LF2, ...)

Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Luffing Jib

Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • aircraft warning light mounted ?

  • functional, no damages ?

  • describe problem, add pictures below

  • Add media

  • available ?

  • describe location, add pictures below

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Superlift / Derrick

Foot section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Head section

  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages /wear on sheaves, missing/damaged rope retainers?

  • Specify measurements, describe location, ...

  • add pictures from sheaves/damages, ...

Intermediate sections

  • add number of intermediate sections

  • Intermediate section
  • Identify section by writing down info or picture from plate, ...

  • Add media

  • Any structural damages on boom section ?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Counterweight Tray

  • Any structural damages on Counterweight Tray?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, switches ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

Counterweight Carrier

  • Any structural damages on Counterweight Carrier?

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any damages on electric Components like cable roller, wiring, switches ...

  • Specify location, kind of damage, depth, add pictures below ...

  • Add media

  • Any leakages on hydraulic components like stabilizers, pinning cylinders...

  • Specify location, kind of damage, add pictures below ...

  • Add media

Finalization

Remarks

  • Any remarks ?

  • add remarks separately

  • Remark
  • Describe remark, add picture(s) if useful

  • Add media

Spare parts

  • Any spare parts required ?

  • add order line

  • Spare parts
  • Enter required quantity

  • Enter reference

  • Enter description

  • add pictures (from part/catalogue, ...) to clarify if required

Approval

  • Signature Conductor

  • Signature Client

Container

  • Is there Container present?

  • Picture's from four sides

  • Any comments

Please specify

  • Specify each

  • Add media

Power Pack

  • Power Pack present

  • Any Comments

  • Please specify
  • undefined

  • Add media

Approval

  • Sarens

  • Client

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.