Information
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Document No.
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Site / Job Number
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Unit Number (Registration)
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Conducted on
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Prepared by
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Location
Unit Information
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Make / Model
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Tare (kg)
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GVM (kg)
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Crane Max Rated Capacity
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VIN
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Truck YOM
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Body Serial No
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Body YOM
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SMU Meter 1
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PTO Meter 2
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Kilometres (km)
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Other Information
Plant Condition
Cab Chassis
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Paint / Surface
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Cabin Interior
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Seatbelts
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Chassis / Frame
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Tow Hitch
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Drive (Uni, Shafts etc)
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Drive / Suspension Greasing
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Oil Leaks
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Wheel Nut Indicators
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Rims
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Springs / Suspension
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Stickers / Logos
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Comments
Crane
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Paint / Surface
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Frame / Subframe
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Cabinets
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Cabinet Locks
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Slew Drive / Bearing
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Luff Cylinder(s)
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Hydraulic Lines
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Outriggers
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Boom
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Rope
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Hook
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Deck Access
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Comments
Servicing and Maintenance Compliance
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3 Monthly Inspection Compliance
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Last Completed Date - 3 Monthly Inspection
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Operator Prestart Inspection Compliance
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EFMR Defect Process Compliance
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Items for Attention prior to next service?
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Items for Attention at next service?
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Comments
Australian Standards and Thiess CSC Compliance
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Annual Inspection / Cranesafe Green Sticker
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Annual WH&S Registration
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Crane Plant Risk Assessment
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Annual LMI Calibration
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Annual Rope Inspection Certificate
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Annual Hook Block Inspection Certificate
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Load Charts (English, Metric, All load/setup positions)
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Outrigger Interlock Pins
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Outrigger Pads (Fitted, Rated, Sufficient for loading)
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Outrigger Zebra Striping
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Incremental Deadman Controls
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Trilight or external load indicator and audible alarm (>10tm)
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Anti Two Block Device
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Operator Safe Zone
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Rated Capacity Limiter (>1tm) or Hydraulic Overload Protection (<1tm)
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Load Indicator (>3tm)
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Dual Controls (>3tm)
Site Audit Photos
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Cabin Interior
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Exterior
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Underbody