Title Page

  • Type of inspection

  • Work Order Number

  • Unit No.

  • Prepared by

  • Conducted on

  • Location

Crane Information

  • Work Order Number

  • Machine Unit Number

  • Time and Date

  • Location

Historical data

  • Annual Inspection Date

  • Picture of Annual Inspection Paper

  • Hours

  • Picture of Hour Meter

  • Last Serviced Hours

Cab

  • General condition of cab

  • Fuel Level - Note amount added

  • Picture of Fuel Gauge

  • Glass

  • Seat & seatbelt

  • Seat & armrest switches

  • Fire extinguisher

  • Fire Extinguisher

  • Operators Manual

  • Picture of Operators Manual

  • Capacity Chart

  • Picture of Capacity Chart

  • Windshield wiper

  • Heater

  • Horn

  • Air conditioner

  • Control levers

  • Instrument panel

  • Pedals

  • Door & latches

  • Pictures of inside of cab

  • Notes

General

  • Sheet metal

  • Guards/covers

  • Safety/warning decals, labels

  • External lights

  • Housekeeping

  • Hand signal chart (outside)

  • Paint condition/corrosion

  • Notes

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

  • Notes

Electrical

  • Batteries Dates

  • Wiring

  • Lights

  • Alternator

  • Starting system

  • Instrumentation

  • Switches

  • Backup/travel/swing alarm

  • Notes

Cooling System

  • Radiator

  • Leaks

  • Fan/belt/guards

  • Notes

Fuel System

  • Operation

  • Lines & Pump

  • Tank

  • Leaks

  • Notes

Hydraulic System

  • Pumps

  • Valves

  • Reservoir

  • Hoses & pipes

  • Oil level

  • Control valves

  • Leaks

  • Cylinder condition

  • Swivels

  • Solenoid valves

  • Operational

  • Swing box

  • Notes

Differential

  • Operation

  • Drive line

  • Planetaries

  • Notes

Brakes (travel)

  • Drums & Linings

  • Service and park brake operation

  • Hoses & lines

  • Notes

Car Body & Crawler Assembly

  • Car body

  • Travel locks

  • Steering clutches/dogs

  • Chains & sprockets

  • Track pads/pins

  • Idlers/inter. Rollers/tumblers

  • Side frames

  • Notes

Carrier Frame

  • Weld or metal cracks

  • Distortion

  • Bolts

  • Track Wedges

  • Notes

Outriggers/Assembly Jacks

  • Boxes

  • Beams and arms

  • Cylinders, leaks

  • Solenoid valves

  • Pins & connections

  • Floats & keepers

  • Holding valves

  • Hoses & pipes

  • Cracks & breaks

  • Notes

Counterweight

  • Pins & Keepers

  • Mounting & warning decals

  • Notes

Angle Indicator

  • Operational Condition

  • Serial Number

  • Accuracy

  • Picture of Angle Indicator

  • Notes

Load Indicator

  • Serial Number

  • Operational condition

  • Accuracy

  • Picture of Load Cell

  • Notes

Wind Speed Indicator

  • Wind Speed Indicator

  • Serial Number

  • Operational condition

  • Accuracy

  • Picture of Wind Speed Indicator

  • Notes

Anti-two Block

  • Serial Number

  • Operational Condition

  • Picture of all Anti-two Block Switches

  • Notes

Main Load Block & Hook

  • Load Block

  • Picture of Tag

  • Picture of Load Block

  • Sheaves

  • Safety latch

  • Hook

  • Bearing

  • Swivel

  • Reeving

  • Notes

Headache Ball & Hook

  • Headache Ball

  • Picture of Headache Ball

  • Picture of Tag

  • Sheaves

  • Safety latch

  • Hook

  • Swivel

  • Bearing

  • Reeving

  • Notes

Boom (Lattice)

  • Boom section identification

  • Spreader bars

  • Boom head section

  • Sheaves

  • Hoist line dead end

  • Wire rope retainers

  • Boom foot pins/keepers

  • Chord and lacing members

  • Connecting pins/bolts

  • Pictures of Each Boom Section

  • Notes

Jib/Strut

  • Jib/strut present

  • Strut

  • Sheaves

  • Wire rope retainers

  • Chord & lacing members

  • Connecting bolts/pins

  • Picture of ALL Jib Sections

  • Notes

Boom Support System

  • Gantry/mast

  • Boom stops

  • Inner bail

  • Outer bail/equalizer

  • Sheaves

  • Boom hoist reeving (manufacturer specs)

  • Notes

Turntable Bearing

  • Bolts

  • Teeth pattern

  • Lubrication

  • Freeness of swing

  • Swing brake & house locks

  • Swing box noise

  • Pictures of swing gears

  • Notes

Rotating Upper Structure

  • 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

  • Access to cab & roof

  • Air system- compressor/lines

  • Notes

Hoist

  • Condition of drums

  • Hoist brakes

  • Leaks

  • Cable followers & spooling

  • Lube inside drum

  • Alignment

  • Mounting

  • Operational

  • Rotation indicator

  • Notes

Wire Rope

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

  • Picture of Aux Wire Rope

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

  • Picture of Main Wire Rope

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

  • Picture of Boom Hoist Rope

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

  • Picture of Ends of Pendants

  • Notes

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

Pictures of Machine

  • 4 Pictures of all sides of machine

  • Signature

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