Title Page
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Crane Manufacturer (e.g., Broderson)
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Crane Model (e.g. IC200)
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Equipment ID (e.g., 15 Ton Telescoping Boom Crane)
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Location of Equipment
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Date of Inspection
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Prepared by
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Mileage/Hours
Placards & Charts
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Warning placards are in place and legible.
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Why is this not applicable?
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Equipment manual is present and in legible condition.
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Why is this not applicable?
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Load chart is visible to the operator and in legible condition.
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Why is this not applicable?
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Hand signal charts are visible to workers and in legible condition.
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Why is this not applicable?
Controls & Indicators
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Fuel gauge
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Why is this not applicable?
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Engine oil gauge
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Why is this not applicable?
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Load moment indicator functional
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Why is this not applicable?
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Drum rotation indicator functional
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Why is this not applicable?
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Boom length indicator functional
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Why is this not applicable?
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Boom angle indicator functional
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Why is this not applicable?
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Main hoist control functioning as expected
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Why is this not applicable?
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Auxiliary hoist control functioning as expected
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Why is this not applicable?
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Drive controls functioning as expected
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Why is this not applicable?
Air, Fluids, & Systems
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Engine coolant level
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Why is this not applicable?
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Engine oil level
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Why is this not applicable?
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Battery water level
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Why is this not applicable?
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Gas or fuel level
- Pass
- Fail
- N/A
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Why is this not applicable?
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Hydraulic system (hoses, fittings, cylinders) are free of leaks, cracking, or severe corrosion.
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Why is this not applicable?
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Pneumatic system is free of audible leaks.
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Why is this not applicable?
Safety Items
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Fire Extinguisher is present, charged and inspection tag is present.
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Why is this not applicable?
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Horn functioning
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Why is this not applicable?
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Tire condition and pressure
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Why is this not applicable?
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Guards are in place and in good working order.
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Why is this not applicable?
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Outrigger floats are secured with pad pin and in good condition
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Why is this not applicable?
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Handrails are present and in good condition.
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Why is this not applicable?
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Cab glass is in good condition, free of cracks
- Pass
- Fail
- N/A
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Why is this not applicable?
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Swing brake is free of damage and working as expected.
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Why is this not applicable?
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Anti-two block in place and working as expected.
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Why is this not applicable?
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Counterweight is appropriate and secure.
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Why is this not applicable?
Structural & Operation
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Cab is in good working condition.
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Why is this not applicable?
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Telescoping boom is not damaged.
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Why is this not applicable?
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Boom cylinders and pivots are in good condition.
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Why is this not applicable?
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Boom wear pads and stops are in good condition.
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Why is this not applicable?
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Wire rope is free of dirt, debris, and is in good condition with no visible frays.
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Why is this not applicable?
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Reeving appears correct.
- Pass
- Fail
- N/A
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Why is this not applicable?
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Wedge sockets, wire rope clips, and other components are free of cracks, distortion, or damage.
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Why is this not applicable?
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Block is free of damage.
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Why is this not applicable?
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Ball and hook move freely as expected.
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Why is this not applicable?
Comments & Closure
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Comments:
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Signature of Person Inspecting
