EMS

• Prepared by

• Location:
  Address

• Customer:

• Make:

• Serial No:

• Fleet No:

• Hour Reading:

• Job Number :

• Year/Date of Manufacture

  Date

• Photograph unit to record defects, leaks, cracks and damage

  Media

• Carry out full function test and test safety's

  Pass

  Fail

  N/A

• Conduct pressure and speed tests

  Yes

  No

  N/A

• Conduct slew bearing test

  Pass

  Fail

  N/A

• Conduct cylinder load test as per enclosed form, inspect hydraulic cylinders for leaking

  Yes

  No

  N/A

• Remove platform, jib and basket support and inspect for damage

  Yes

  No

  N/A

• Remove telescopic boom and telescopic cylinder

  Yes

  No

  N/A

• Inspect hydraulic pipes, hoses and fittings

  Yes

  No

  N/A

• Inspect hydraulic manifold, fix leaks as required

  Yes

  No

  N/A

• Contact manufacturer to check for safety upgrades or retro fits

• Check wiring, electrical connectors and switching for damage

  Yes

  No

  N/A

• Check condition of hydraulic fluid

  Yes

  No

  N/A

• Inspect winch rope, harness points and emergency decent ropes

  Yes

  No

  N/A

• Repair problems identified, after approval from customer

  Yes

  No

  N/A

• Reassemble boom components, re-shim as necessary

  Yes

  No

  N/A

• Replace all slew ring bolts, and torque to correct value

  Yes

  No

  N/A

• Check all nuts and bolts for tightness

  Yes

  No

  N/A

• Record speeds and pressures

• Conduct final load test

  Pass

  Fail

  N/A

• Conduct Annual Service, replace hydraulic filters and oils

  Yes

  No

  N/A

• Attach Ten Year Plate and fill in log book details

  Yes

  No

  N/A

• Obtain an in-house independent inspection of the unit, to identify any problems possibly missed

  Yes

  No

  N/A

General operating instructions

• Ensure correct information for the unit available

  Yes

  No

  N/A

• Emergency operating instructions

  Yes

  No

  N/A

• Emergency retrieval system operates correctly

  Yes

  No

  N/A

• Auxiliary lower, and manual lower system operational

  Yes

  No

  N/A

• Safety interlocks such as tilt sensor, cage weighing and axle extension sensors

  Yes

  No

  N/A

• Stabilizer interlocks

  Yes

  No

  N/A

• Micro-switches and / or pressure transducers work and when unit raised stabilizer function is cut out

  Yes

  No

  N/A

• Boom interlocks ( micro and/or proximity switching )

  Yes

  No

  N/A

• Cut out works, both operational and safety back up for boom envelope systems, and drive cut outs

  Yes

  No

  N/A

• Motion interlocks

  Yes

  No

  N/A

• Micro-switches both operational and safety, ie deck extend and height cut outs if fitted

  Yes

  No

  N/A

• Hazard warning fitted as applicable

  Yes

  No

  N/A

• Strobe lights

  Yes

  No

  N/A

Indicators / Alarms

• Level indicators alarms function correctly

  Yes

  No

  N/A

• Tilt and Leg Light systems alarm

  Yes

  No

  N/A

• Load indicators / limiters function correctly (if fitted)

  Yes

  No

  N/A

• Basket load limiting correct

  Yes

  No

  N/A

• Hour meter operational

  Yes

  No

  N/A

• Motion alarms

  Yes

  No

  N/A

• Audible and correct, down and drive alarms

  Yes

  No

  N/A

• Chain break, axle retracted, outside of envelope alarms

  Yes

  No

  N/A

Controls

• Lower controls return to off and correctly labeled

  Yes

  No

  N/A

• Lower controls operate correctly, and instructions legible

  Yes

  No

  N/A

• Lower controls isolate upper controls

  Yes

  No

  N/A

• Base control overrides platform controls

  Yes

  No

  N/A

• Upper controls return to off and correctly labeled

  Yes

  No

  N/A

• Stabilizer controls (if fitted) operate correctly

  Yes

  No

  N/A

• Emergency controls operate correctly

  Yes

  No

  N/A

• Emergency stop/dead-man functions correctly

  Yes

  No

  N/A

• Other controls fitted operate correctly

  Yes

  No

  N/A

Function Speeds

• Functions operate correctly

  Yes

  No

  N/A

• Speeds set to specification

  Yes

  Adjusted to spec

• Platform leveling system operates correctly

  Yes

  No

  N/A

Hydraulics

• All hydraulic hoses in serviceable condition and routed correctly

  Yes

  No

  N/A

• All leaks to be repaired, unserviceable hoses to be replaced

  Pass

  Replaced

  Fail

• System relief valves set to specification (Record on Functional Testing Sheet)

• Load holding valves operate correctly

  Yes

  No

  N/A

• Conduct load test on all counterbalance valves

  Pass

  Fail

  N/A

• Accumulators inspected in accordance with AS/NZS 3788

  Compliant

  Replaced

  Non-Compliant

  N/A

• Hydraulic cylinders in serviceable condition

  Pass

  Repaired

  Failed

  N/A

• No leakage internal or external—failed cylinders to be repaired

  Yes

  No

  N/A

• Check Hydraulic Manifolds for Leaks

  Pass

  Repaired

  Failed

  N/A

Electrics

• Electrical looms adequately installed and protected

  Yes

  No

  N/A

• Spiral wrap and guards in place

  Yes

  No

  N/A

• Electrical switches secured and operational

  Yes

  No

  N/A

• Top and bottom boxes, key switches and toggle’s and buttons

  Yes

  No

  N/A

• Work lights function correctly (if fitted)

  Yes

  No

  N/A

• Driving lights

  Yes

  No

  N/A

• Rotating beacons operate correctly (if fitted)

  Yes

  No

  N/A

• Strobes or other warning lights

  Yes

  No

  N/A

Mechanical Condition

• Chains/wire ropes adequate condition and tensioned

  Yes

  No

  N/A

• Sprockets/sheaves guarded as necessary

  Yes

  No

  N/A

• Check condition of pulleys and guards for wire rope applications

  Yes

  No

  N/A

• Braking systems operational and hold load

  Yes

  No

  N/A

• Must hold EWP on max rated slope with SWL in basket

  Yes

  No

  N/A

• Pivot points adequately lubricated, secured and no excessive clearance

  Yes

  No

  N/A

• Retaining mechanisms in place for pins, bearings not worn

  Yes

  No

  N/A

• Slew bearing condition within tolerance, bolts replaced

  Yes

  No

  N/A

• Slew drive condition satisfactory

  Yes

  No

  N/A

• Check for correct meshing adjust as necessary Slew brake operational

  Yes

  No

  N/A

• Slew lock fitted and operational

  Yes

  No

  N/A

• Counterweights secured, bolts checked

  Yes

  No

  N/A

• Guarding adequate, no exposed rotating items

  Yes

  No

  N/A

• Wear pads within tolerance

  Yes

  No

  N/A

• Test as per manufacturers guidelines

  Yes

  No

  N/A

Structural

• Structurally free from deformation

  Yes

  No

  N/A

• Bent booms or scissor arms to be replaced

  Yes

  No

  N/A

• Critical areas free of cracks

  Yes

  No

  N/A

• Crack testing to be done on all load bearing points

  Yes

  No

  N/A

• Record any problems

  Yes

  No

  N/A

• Add photo of certificate

  Media

• Corrosion absent and surface condition protected

  Yes

  No

  N/A

• All structural areas free from rust

  Yes

  No

  N/A

• Platform condition and guardrails adequate

  Yes

  No

  N/A

• Guardrails secure, and free from cracks

  Yes

  No

  N/A

• Platform gates self closing and latching

  Yes

  No

  N/A

• Platform floor condition adequate

  Yes

  No

  N/A

• Travel rests satisfactory (boom type)

  Yes

  No

  N/A

• Boom rest present and boom hold down adequate

  Yes

  No

  N/A

• Personnel access adequate and slip resistant

  Yes

  No

  N/A

Tests

• Function test

  Yes

  No

  N/A

• Load test

  Yes

  No

  N/A

• SWL test in all positions

  Yes

  No

  N/A

• Brake test

  Yes

  No

  N/A

• Hold on the rated slope, with SWL in basket

  Yes

  No

  N/A

Additional Requirements for Insulated MEWPs

• Insulation marking fitted

  Yes

  No

  N/A

• LV cover insulation fitted and in proper condition

  Yes

  No

  N/A

• Boom insulator surfaces in good condition

  Yes

  No

  N/A

• Fiberglass boom condition in good order

  Yes

  No

  N/A

• Basket leveling rod’s condition

  Yes

  No

  N/A

• Vehicle access adequate

  Yes

  No

  N/A

• Basket emergency egress facility available and operational (eg basket tilt or escape hatch)

  Yes

  No

  N/A

• Earthing system installed

  Yes

  No

  N/A

• Electrical insulation acceptance test

  Yes

  No

  N/A

• Hydraulic creep test

  Yes

  No

  N/A

• Stability test

  Yes

  No

  N/A

• Additional Requirements for Borer’s

  Yes

  No

  N/A

• Hydraulic hose reels to be in good condition, no leaks

  Yes

  No

  N/A

• Inspect pole grips jaws, gears and rack, replace as necessary

  Yes

  No

  N/A

• Winch gearbox to be in good condition, repair as necessary

  Yes

  No

  N/A

• Functional Testing - Truck Mount EWP

  Yes

  No

  N/A

• SWL

• Main Function Relief Pressure

• Primary (Top) Boom Up Time

• Primary (Top) Boom Down Time

• Primary (Top) Boom Extend Time

• Primary (Top) Boom Retract Time

• Secondary (lower) Boom Up Time

• Secondary (lower) Boom Down Time

• Jib Boom Up Time

• Jib Boom Down Time

• Turntable Rotate 360Deg Time

• Turntable Bearing Wear as per Test Procedure UP DOWN

• Turntable Bearing Wear as per Test Procedure SIDEWAYS

Platform Rotate

• 180 Deg Time

• Basket or cage weighing

  Yes

  No

  N/A

Boom Safety Envelope, operational

• alerts for just outside of envelope

  Pass

  Fail

  N/A

• If fitted an alarm or light to indicate operator is close to max SWL in Basket

  Pass

  Fail

  N/A

• Top Boom Raise

  Pass

  Fail

  N/A

• Top Boom Lower

  Pass

  Fail

  N/A

• Secondary Boom Raise

  Pass

  Fail

  N/A

• Secondary Boon Lower

  Pass

  Fail

  N/A

• Top Boom Extend

  Pass

  Fail

  N/A

• Jib Boom Raise

  Pass

  Fail

  N/A

• Jib Boom Lower

  Pass

  Fail

  N/A

Sign/Date

• Date

  Date

• Attach Ten Year Plate and fill in log book details

  Yes

  No

  N/A

• Date

  Date

• Date Next Major Inspection Due

  Date

• Photograph Unit

  Media

• Name and Signature

  Sign