Truck Jib Inspection

• Audit Title

• Document Number

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

JOB SAFETY ANALYSIS

• Work permit number

• Working at heights

  YES

  NO

• Working at heights permit number

• Controls to be used

  Select Place bollards advise staff in local area work away form others remove items to the ground other

  • Place bollards
  • advise staff in local area
  • work away form others
  • remove items to the ground
  • other

• Harness to be worn when required?

  Yes

  No

  N/A

• Working near live power

  Yes

  No

  N/A

• Controls to be used for live power concern

  Isolate and lock out

  isolate on the hoist as required

  use spotter and PPE

  Other

• Traffic and or staff in the work area?

  Yes

  No

  N/A

• Controls to be used for traffic and staff

  Place bollards around the work site

  advise site staff

  locate away from production

  other

• Any other comments?

  Yes

  No

  N/A

Job details

• Time on site

  Date

• Job number

• Visitor pass required

  Yes

  No

  N/A

• Visitor pass number

• Any other comments

  Yes

  No

  N/A

• Any delays in access to the site

  Yes

  No

  N/A

Crane details

• Crane identification number

• Crane make

• Crane model

• Serial number

• Year

• Vehicle make

• Vehicle model

• Vehicle registration number

• Vehicle fleet number

• Vehicle chassis number

• Vehicle speedo reading

• Hour meter reading

Carrier condition

• truck and jib extended

  Media

• Tyre Condition

  Safe

  At Risk

  N/A

• PTO security

  Safe

  At Risk

  N/A

• PTO warning light

  Safe

  At Risk

  N/A

• Park brake operation

  Safe

  At Risk

  N/A

• Crane sub frame

  Safe

  At Risk

  N/A

• Crane mounting bolts tight

  Yes

  No

  N/A

• Crane mounting bolt condition

  Safe

  At Risk

  N/A

• Crane base bolt tension

  Safe

  At Risk

  N/A

HOIST

• Wire rope hoist

• wire rope condition

  Safe

  At Risk

  N/A

• Wire rope drum condition

  Safe

  At Risk

  N/A

• Hook block sheaves

  Safe

  At Risk

  N/A

• Return sheaves

  Safe

  At Risk

  N/A

• Anchor point

  Safe

  At Risk

  N/A

• Overload clutch condition

  Safe

  At Risk

  N/A

• Overload clutch weight setting

  Safe

  At Risk

  N/A

• Working height limit switches

  Safe

  At Risk

  N/A

• Working height limit adjustment

  Select Checked all motions, all OK adjustment made adjustment required repairs made repairs required

  • Checked all motions, all OK
  • adjustment made
  • adjustment required
  • repairs made
  • repairs required

• Motors

  Safe

  At Risk

  N/A

• Air gap on braking device

  Select No adjustment required Adjustment made adjustment required repair required repair made

  • No adjustment required
  • Adjustment made
  • adjustment required
  • repair required
  • repair made

• Couplings

  Safe

  At Risk

  N/A

• Transmission free from noise and vibration

  Yes

  No

  N/A

• Mountings

  Safe

  At Risk

  N/A

• Hook condition

  Safe

  At Risk

  N/A

• Hook safety catch

  Safe

  At Risk

  N/A

• Overload warning device 90% rated load

  Safe

  At Risk

  N/A

• Overload warning devise 100% Rated load

  Yes

  No

  N/A

• Overall Visual Condition. 10= Good. 1= Bad

Jib Arm Structure

• Boom structure

  Safe

  At Risk

  N/A

• Boom extensions

  Safe

  At Risk

  N/A

• Boom wear pads

  Safe

  At Risk

  N/A

Jib Arm Gearbox Oils

• Hydraulic filter condition

  Safe

  At Risk

  N/A

• Hydraulic oil condition and level

  Safe

  At Risk

  N/A

• Slew gearbox oil

  Safe

  At Risk

  N/A

• Hoist gearbox oil

  Safe

  At Risk

  N/A

• Oil filled base oil condition

  Safe

  At Risk

  N/A

Slew Ring

• Slew ring general condition

  Safe

  At Risk

  N/A

• Slew ring movement

  Safe

  At Risk

  N/A

• Slew ring bolts

  Safe

  At Risk

  N/A

Outrigger arms

• Outrigger beam locks

  Safe

  At Risk

  N/A

• Outrigger housing

  Safe

  At Risk

  N/A

• Outrigger mounting bolts

  Safe

  At Risk

  N/A

• Outrigger pads

  Safe

  At Risk

  N/A

• Dunnage blocks condition

  Safe

  At Risk

  N/A

• Dunnage block storage

  Safe

  At Risk

  N/A

Hydraulic system

• Main boom cylinder

  Safe

  At Risk

  N/A

• Jib cylinder

  Safe

  At Risk

  N/A

• hydraulic hoses

  Safe

  At Risk

  N/A

• Hydraulic pipes

  Safe

  At Risk

  N/A

• Hydraulic connections

  Safe

  At Risk

  N/A

• Valve bank

  Safe

  At Risk

  N/A

• Control lever operation

  Safe

  At Risk

  N/A

ELECTRICAL

• Contactors

  Safe

  At Risk

  N/A

• Control box

  Media

• Cables and catenary

  Safe

  At Risk

  N/A

• Pendant / radio TX

  Safe

  At Risk

  N/A

• Panel box condition

  Safe

  At Risk

  N/A

• Isolators

  Safe

  At Risk

  N/A

• Isolator signage

  Yes

  No

  N/A

GENERAL ITEMS

• Signage

  Yes

  No

  N/A

• Rated capacity charts

  Safe

  At Risk

  N/A

• Control lever signage readable and correct direction

  Yes

  No

  N/A

• Boom elevation indicator

  Yes

  No

  N/A

• Compass signage

  Yes

  No

  N/A

• Any other items of concern

• Any special instruction or directions for the operator to follow

  Yes

  No

  N/A

Test results

• Inspection pass

  Yes

  No

  N/A

• Is a re-test required

  Yes

  No

  N/A

• Date for re-test

  Date

• Load test completed

• Chart capacity load test pass

  Yes

  No

  N/A

• load test weight

• load test radius

• Hoist brake test pass

  Yes

  No

  N/A

• load test

  Media

Signatures Please

• Inspection Technician to sign. All work has been done to comply with the relevant Australian Standards.

  Sign

• next routine inspection and service due

  Date

• Customer to sign

  Sign