Hydrocrane 6/13

• Document No.

• Equipment # and Group Abbreviation

• Customer

  Select Chevron Aera

  • Chevron
  • Aera

• Location

  Select Kern River (CVX) Belridge (Aera) North Midway (Aera) South Midway (Aera) Cymric (CVX) Midway (CVX) Coalinga

  • Kern River (CVX)
  • Belridge (Aera)
  • North Midway (Aera)
  • South Midway (Aera)
  • Cymric (CVX)
  • Midway (CVX)
  • Coalinga

• Work Group

  Select New Construction Maintenance Lead Line F/I DTR Infrastructure Developement I and E Production

  • New Construction
  • Maintenance
  • Lead Line
  • F/I
  • DTR
  • Infrastructure
  • Developement
  • I and E
  • Production

• EMC/IRT

  Select Belridge Coalinga/Kettelman Cymric Kern River Midway Ventura

  • Belridge
  • Coalinga/Kettelman
  • Cymric
  • Kern River
  • Midway
  • Ventura

• Foreman and or Superintendent

• Conducted on

  Date

• Auditor

  Select Brent Walker Orrin Bowen Jim Jenson Jerry Fannon Bill Craddock

  • Brent Walker
  • Orrin Bowen
  • Jim Jenson
  • Jerry Fannon
  • Bill Craddock
• Location
  Address

• Appropriate Driver's License

  Yes

  No

• Medical Card w/ D.M.V Stamp

  Yes

  No

• Current Registration and Insurance Card

  Yes

  No

• All Inspections Current

  Yes

  No

• Complete Pretrip And Signed By Supervisor

  Yes

  No

• Proper Journey Management Plan

  Yes

  No

• Are All Boxes In Good Working Order

  Yes

  No

• Brakes Properly Adjusted

  Yes

  No

  N/A

• Spring or Steering Damage

  No

  Yes

• Frame or Boom Damage

  No

  Yes

• Clutch Working Properly Working

  Yes

  No

  N/A

• Tires, Wheels and Axle Hubs in Good Shape

  Yes

  No

• Outriggers Greased and in Good Working Order

  Yes

  No

• Has Line Been Inspected and Have enough Wraps

  Yes

  No

• Hook and Block in Good Shape

  Yes

  No

• Any Leaks ( Oil, Trans, Diff, Steering, Hydraulic)

  No

  Yes

• Have the Turret Bolts Been Checked

  Yes

  No

• Have the Boom and Sheave's been Greased

  Yes

  No

• All Controls Working Properly<br>

  Yes

  No

• Has the Bolster Been Inspected ( Proper T Bar)

  Yes

  No

  N/A

• Have The Slings Been Inspected (Sling Log?)

  Yes

  No

• Is This Equipment In Good Working Order

  Yes

  No

• Does The Equipment Look Clean and Cared For ?

  Yes

  No

• Have You Turned in a Repair Request

  Yes

  No

  N/A

• Photo of preshift if there are repairs or if not filled out correctly

  Media

Employee Information

• EE #

• Employee Name

  Sign