Hayes Modular Group Inc.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Crane Data

• Make

• Model

• Serial No.

• Tonage

• Are the following documents in the cab of the crane

  Yes

  No

  N/A

• Operating Manual from the Manufacture for the specific crane being inspected

• Any operator aids for which the crane is equipped.
  

• The Load rating chart for the Crane being inspected

• The Crane Make and Model, serial number, and year of manufacture

• Load ratings for all crane operating configurations; including optional equipment

• Recommended Reeving for hoist lines

• Operating limits for Wind and Cold conditions

Certifications

• Crane log book that shows operating hours, inspections, tests, maintenance and repairs

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A