Title Page

  • CONDUCTED ON

  • EQUIPMENT #

VISUAL CHECKS

  • Structural (Crane, Jib & Rails)

  • Bumper, Stops & Sweeps

  • Control Cabinets & Electronics

  • Guards & Covers

  • Conductors & Power Supplies

  • Disconnects Labeled & Accessible

  • Pendant Markings & Safety Card

OPERATING MECHANISMS

  • Chain

  • Upper/Lower Hooks & Latches

  • Wheels-Trolley

  • Wheels-Bridge

FUNCTIONAL TESTS

  • Emergency Stops

  • Pendant

  • Correct Direction

  • Brake Operation

  • Test Run

GENERAL COMMENTS

  • Comment 1:

  • Comment 2:

  • Comment 3:

SIGNATURE

  • Inspector Name & Sign-Off

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