Title Page

  • Crane Manufacturer (e.g., Broderson)

  • Crane Model (e.g. IC200)

  • Equipment ID (e.g., 15 Ton Telescoping Boom Crane)

  • Location of Equipment

  • Date of Inspection

  • Prepared by

  • Mileage/Hours

Placards & Charts

  • Warning placards are in place and legible.

  • Why is this not applicable?

  • Equipment manual is present and in legible condition.

  • Why is this not applicable?

  • Load chart is visible to the operator and in legible condition.

  • Why is this not applicable?

  • Hand signal charts are visible to workers and in legible condition.

  • Why is this not applicable?

Controls & Indicators

  • Fuel gauge

  • Why is this not applicable?

  • Engine oil gauge

  • Why is this not applicable?

  • Load moment indicator functional

  • Why is this not applicable?

  • Drum rotation indicator functional

  • Why is this not applicable?

  • Boom length indicator functional

  • Why is this not applicable?

  • Boom angle indicator functional

  • Why is this not applicable?

  • Main hoist control functioning as expected

  • Why is this not applicable?

  • Auxiliary hoist control functioning as expected

  • Why is this not applicable?

  • Drive controls functioning as expected

  • Why is this not applicable?

Air, Fluids, & Systems

  • Engine coolant level

  • Why is this not applicable?

  • Engine oil level

  • Why is this not applicable?

  • Battery water level

  • Why is this not applicable?

  • Gas or fuel level

  • Why is this not applicable?

  • Hydraulic system (hoses, fittings, cylinders) are free of leaks, cracking, or severe corrosion.

  • Why is this not applicable?

  • Pneumatic system is free of audible leaks.

  • Why is this not applicable?

Safety Items

  • Fire Extinguisher is present, charged and inspection tag is present.

  • Why is this not applicable?

  • Horn functioning

  • Why is this not applicable?

  • Tire condition and pressure

  • Why is this not applicable?

  • Guards are in place and in good working order.

  • Why is this not applicable?

  • Outrigger floats are secured with pad pin and in good condition

  • Why is this not applicable?

  • Handrails are present and in good condition.

  • Why is this not applicable?

  • Cab glass is in good condition, free of cracks

  • Why is this not applicable?

  • Swing brake is free of damage and working as expected.

  • Why is this not applicable?

  • Anti-two block in place and working as expected.

  • Why is this not applicable?

  • Counterweight is appropriate and secure.

  • Why is this not applicable?

Structural & Operation

  • Cab is in good working condition.

  • Why is this not applicable?

  • Telescoping boom is not damaged.

  • Why is this not applicable?

  • Boom cylinders and pivots are in good condition.

  • Why is this not applicable?

  • Boom wear pads and stops are in good condition.

  • Why is this not applicable?

  • Wire rope is free of dirt, debris, and is in good condition with no visible frays.

  • Why is this not applicable?

  • Reeving appears correct.

  • Why is this not applicable?

  • Wedge sockets, wire rope clips, and other components are free of cracks, distortion, or damage.

  • Why is this not applicable?

  • Block is free of damage.

  • Why is this not applicable?

  • Ball and hook move freely as expected.

  • Why is this not applicable?

Comments & Closure

  • Comments:

  • Signature of Person Inspecting

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