Title Page
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Type of Inspection
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Work Order Number
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Machine Unit Number
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Conducted on
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Prepared by
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Location
Engine Compartment
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All fluid levels OK
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All engine belts OK
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Radiator clean
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Note any fluid leaks
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Next Service Due
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Any other issues found
Chassis
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All headlights/work lights working properly
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All clearance lights & flashers working properly
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Tail, brake and back up lights working properly
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Back up alarm working properly
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All wipers and washers working properly
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All tires in good shape and inflated properly
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Steps and grab rails in straight and in good condition
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Storage compartments clean
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Is crane clean
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Hydraulic Level full- Note gallons to fill
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Photos of crane
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Any other issues found
Cab
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Hour meter reading
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Fuel tank full- Note gallons to fill
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DEF tank full- Note gallons to fill
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Daily inspection book present
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All keys present for machine including tool box
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Cab, roof and body free of damage
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Fire extinguisher present and current
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First aid kit included and complete
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Operators manual present and complete
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Load charts present and legible
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Annual inspection current and date of last
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Heater & A/C operating properly
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Wipers operating properly
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Washer fluid level full- Note amount to fill
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Any other issues found
Boom
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Headache ball & latch present
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Picture of headache ball tag & hook
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Load block & hook latch present
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Picture of load block tag and hook
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Boom head & aux sheaves in good working order and free of damage
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Pictures of boom head and aux sheaves
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Cable retainer pins and safety pins included and free of damage
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Jib included and free of defects
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Pictures of jib
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Boom lubricated and free of damage
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Pictures of Boom
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Boom wear pads, mounting bolts and shims in place and free of damage
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No hydraulic leaks present from telescoping cylinder or boom cylinder
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Any other issues found
Controls
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All controls operating properly
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Outriggers function properly and free of damage
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Anti-two block working properly
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LMI system operating properly
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Wind meter operating properly
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Bubble level adjusted properly and free of damage
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Pictures of inside of cab
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Any other issues found
Load lines
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Main cable free of damage
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Pictures of main cable
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Aux cable free of damage
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Pictures of aux cable
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Cables lubricated properly
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Aux and main cables are the proper length
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Load line attachments free of defects or damage (becket, clamp pins, safety pins, tail loops, etc..)
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Any other issues found
Signature
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