Title Page
-
Edwards, Inc. Crane Number
-
Conducted on
-
Prepared by
-
Location
General Details
-
Crane Type
-
Edwards, Inc. Crane Number
-
Edwards, Inc. Crane Hours
-
Crane Capacity
-
Crane Serial Number
-
Model Number
-
Photo of vehicle for verification
Historical Data
-
Monthly Inspection Records
-
Load Test Reports
-
Maintenance Records
-
Repair & Modification Records
-
Other
General
-
Sheet Metal
-
Guards & Covers
-
External Lights
-
Housekeeping
-
Safety Labels & Warning Decals
-
Hand Signal Chart (Outside)
-
Paint Condition & Corrosion Controls
-
Other
Carrier Power Plant (Lower)
-
Performance
-
Exhaust System, Guards, & Insulators
-
Belts & Hoses
-
Guards, Cover, Rotating, & Reciprocating Parts
-
Other
Carrier
-
Transmission
-
Drive Line
-
Tires & Wheels
-
Tire Air Pressure
-
Main Frame Members
-
Hydraulic Hoses, Tubing, & Fittings
-
Hydraulic Fluid Levels
-
Anti-Skid Surfaces
-
Axle Lockout
-
Back Up Alarm
-
Other
Outriggers
-
Boxes
-
Beams
-
Cylinders
-
Floats, Pads, & Keeper Pins
-
Hydraulic Hoses, Tubes, & Fittings
-
Holding Valve
-
Position Locks
-
Warning Lights
-
Other
Operator's Cab & Station
-
Grab Rails, Steps, & Platform
-
Anti-Skid Surface
-
Cab Glass
-
Windshield
-
Windshield Wipers
-
Door Restraint
-
Fire Extinguisher
-
Mirrors
-
Seat Restraints
-
Seat Belt
-
Operator's Manual
-
Electrocution Warning Decal (Inside)
-
Hand Signal Chart
-
Parking Brake
-
Swing Brake
-
Positive Swing Brake
-
Controls-Forces & Movements
-
Accelerator & Throttle Controls
-
Air Pressure
-
Hydraulic Leaks
-
Horn & Warning Devices
-
Other
Load Chart
-
Attached & Secured
-
Per Configuration
-
Durable
-
Legible
-
Visible From Operators's Station
-
Crane Specific
-
Other
Safety Devices & Operational Aids
-
Boom Angle Indicator
-
Boom Length Indicator
-
Main Drum Rotation Indicator
-
Auxiliary Drum Rotation Indicator
-
Load Movement Indicator
-
Load Weight Indicator
-
Radius Indicator
-
Crane Level Indicator
-
Anti-Two Block Indicator
-
Two Block Warning & Damage Device
-
Other
Power Plant Upper
-
Performance
-
Exhaust System, Guards, & Insulators
-
Belts & Hoses
-
Guards, Covers, Rotating, & Reciprocating Parts
-
Other
Rotating Upper Structure
-
Turntable
-
Electrical Collector Ring
-
Counterweight Frame
-
Hydraulic Pump(s)
-
Hydraulic Hoses, Tubes, & Fittings
-
Hydraulic Pressure
-
Electrical Wiring
-
Main Hoist-Motor, Valves, & Lines
-
Main Hoist-Spooling on the Drum
-
Main Hoist- Minimum (2) Rope Wraps
-
Auxiliary Hoist- Motor , Valves, & Lines
-
Auxiliary Hoist- Spooling on the Drum
-
Auxiliary Hoist- Minimum (2) Rope Wraps
-
Counterweight & Mounting
-
Swing Gear Box
-
Electrocution Warning Decal (Outside)
-
Counterweight Warning Sign
-
Other
Main Boom
-
Lift Cylinder(s)
-
Telescoping Cylinder(s)
-
Hydraulic Hoses, Tubing, & Fittings
-
Holding Devices
-
Boom Section Alignment
-
Wear Pads
-
Equal Extension
-
Sheaves
-
Hoist Line Dead End
-
Wire Rope Retainer
-
Boom Hinge Pin
-
Boom Head Section
-
Auxiliary Boom Head
-
Structure
-
Other
Manual Section
-
Alignment
-
Locking Device
-
Structure
-
Other
Jib
-
Positive Stops
-
Sheave(s)
-
Wire Rope Retainer(s)
-
Structure
-
Other
Wire Rope-Main Hoist
-
Wire Rope Type
-
Wire Rope Size
-
Wire Rope Damage
-
Wire Rope Current Diameter Measurement
-
Wire Rope Broken Wires
-
Wire Rope Lubrication
-
Wire Rope End Connections
-
Wire Rope Condition
-
Wire Rope Linear Measurement
Wire Rope-Auxiliary Hoist
-
Wire Rope Type
-
Wire Rope Size
-
Wire Rope Damage
-
Wire Rope Current Diameter Measurement
-
Wire Rope Broken Wires
-
Wire Rope Lubrication
-
Wire Rope End Connections
-
Wire Rope Condition
-
Wire Rope Linear Measurement
Main Load Block & Hook
-
Manufacturer
-
Rated Capacity
-
Block Weight
Main Load Block & Hook -Additional Items
-
Capacity Marking
-
Weight Marking
-
Sheaves
-
Safety Latches
-
Zero Degree Hook Twist
-
5% Hook Throat Opening
-
10% Hook Wear (saddle)
-
Swivel
-
Bearing
-
Wedge Socket & End Fitting
-
Reeving
-
Other
Overhaul Ball & Hook
-
Manufacturer
-
Rated Capacity
-
Block Weight
Overhaul Ball & Hook -Additional Items
-
Capacity Marking
-
Weight Marking
-
Safety Latches
-
Zero Degree Hook Twist
-
5% Hook Throat Opening
-
10% Hook Wear (saddle)
-
Swivel
-
Bearing
-
Wedge Socket & End Fitting
-
Other
No Load Operational Test
-
Caution: Operation of cranes by Inspectors shall be limited to those crane functions necessary to accomplish the inspection. Inspectors must have met all operator qualification requirements as outlined in ANSI/ASME B30.5.i.e. passed physical and written examinations.
-
No Load Operation Test
Load Operational Test
-
Caution: Operation of cranes by Inspectors shall be limited to those crane functions necessary to accomplish the inspection. Inspectors must have met all operator qualification requirements as outlined in ANSI/ASME B30.5.i.e. passed physical and written examinations.
-
Hoisting From
-
Boom Extended & Jib Length
-
Load Radius
-
Boom Angle
-
Parts of Line
-
Rated Capacity
-
Test Weight
-
Percentage of Rated Capacity
Audit Conclusion
-
Summary of Deficiencies
-
Did the vehicle pass the inspection overall?
-
Audit Completed
-
Name of Auditor
-
Add location
