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Chapter 4 Crane Reference 71 Inspection Checklist NOTICE: Tho user of thie form ie responeiblo for determining that thee inspections catiefy all applicable regulatory requirements, (OWNERIGOMPANY: TYPE OF INSPECTION (crcle one) (CONTACT PERSON: DAILY MONTHLY] QUARTERLY [ANNUAL [GRANE MAKE & MODEL: DATE INSPECTED: (CRANE SERIAL NUMBER, HOURMETER READING (i applicable) UNIT TD. NUMBER INSPECTED BY (prin LOCATION OF UNIT: ‘SIGNATURE OF INSPECTOR: ‘TYPE OF INSPECTION NOTES: Daily and monthly inspections are to be performed by a “d2signated” person, who has been selected or assigned by the employer ‘of the employer's representative as being competent to perform specific duties, Quarterly and annual inspections are to be performed by ¢ “qualified” person who, by possession of a recognized degree in an applicable Neld or cerineate of professional standing, or wo, by extensive Knowledge, Waning arid experience Nas SUCvESSTUly ‘demonstrated the abilly to solve or resolve problems relatad to the subject matter and work, ‘One hour of normal crane operation assumes 20 complete cycles per hour. If operation exceeds 20 cyeles per hour, inspection frequency should be increased accordingly ‘Consult Operator / Service Manual for addtional inspection items, service bulletins and other information, [Before inspecting and operating crane, crane must be setup away from power lines and leveled with outriggers fully extended. DAILY (D): Before each day of operation, those items designated with a (D) must be inspected. This inspection need not be recorded unless a deficiency (B ) found: Ifthe end user chooses to record all daily inspections and those daily inspections include the monthly inspection requirements, there would be no need for a separate monthly inspection MONTHLY (Mt): Monthly inspections or 100 hours of nortral operation (which ever comes first) includes all daily Inspections plus tems designated with an (\M). This inspection must be recorded JQUARTERLY (Q): Every three to four months or 300 hours of normal operation (which ever comes fist) includes all daly and monthly inspection items plus items designated with a (Q). This inspection must be recorded |ANNUAL (A): Each year or 1200 hours of normal operation (which ever comes fist) includes all items on this form which lencompasses daily, monthly and quarterly inspections plus those items designated by (A). Ths inspection must be recorded T2___EZHauler 3500 Manual Part # 99903718 INSPECTION CHECKLIST STATUS KEY: (S= Satisfactory jecommendation (should be considered for corrective action) X= Deficient (must be corrected prior to operation) NA = Not Applicable FREQUENCY |iTEM [KEY INSPECTION DESCRIPTION STATUS (SRXNA) D 1 [Labels | Allload charts, safety & warning labels, and control labels are present and legible D 2 [Grane [Check all safety devices for proper operation D 3 [Controls | Control mechanisms for proper operation of allfunclions, leaks and loracks. D a [Station | Control and operator’ station for dit, contamination by lubricants, and foreign materia D 5 Hydraulic | Hydraulic system (hoses, tubes, fitings) for leakage and proper ol [System __|level D e Hook Presence and proper operation of hook safety latches. D. 7 Rope Proper reeving of wie rope on sheaves and winch drum D e Pins: Proper engagement of all connecting pins and pin retaining Gevioes, D a [General [Overall observation of crane for damaged or missing parts, cracked welds, and presence of safety covers. D 7 [Operation [During operation, observe crane for abnormal performance, unusual wear (loose pins, wie rope damage, elc.). i observed, discontinue use and determine cause and severity of hazard, D Tt Remote Cul_| Operate remote control devices to check for proper operation, D 12 Electrical | Operate-allights, alarms, eto. o check for proper operation, D. 1 [Anti Block [ Operate anli2-bock device to check for proper operation D 14 (Other (Per custemer requirements) D 1 (Other (Per custemer requirements) IM 16 Dally All daily inspection tems. iM 7 [Cylinders | Visual inspection of cyfindars Tor leakage at rod, filings, and welds, Damage to rod and case. oo cy Valves Holding valves for proper operation IM 19. Valves Control valves for leaks at fitings and between stations. iM 20 Valves Control valve lincages for wear, smoothness of operation, and tightness of fasteners, oo 21 [General [Bent, broken, or significantly rusted/corroded parts iM 22 Electrical | Electical systems for presence of dirt, moisture, and frayed wires IM 23 [Structure [Al structural members for damage. IM 24 Welds [Allwelds for breaks and cracks. IM 25 Pins: [Allpins for proper installation and condition. IM 26 Hardware | Allbolts, fasteners and retaining rings for ightness, wear and IM Pa (Wear Pads | Presence of wear pads iM 28 Pump & | Hydraulic pumps and motors for leakage at filings, seals, and Motor between sections, co oe FIO, Lransmission/P| O for ieakage, abnormal vibration, and nose. IM 30 Hiyd Fluid [Quality of hydraulic fuid and presence of water IM a Hyd Lines | Hoses & tubes for leakage, abrasion damage, blistering, cracking, deterioration, tng leakage, and secured propert Chapter 4 Crane Reference B FREQUENCY |iTEM [KEY INSPECTION DESCRIPTION STATUS (SRXNA) IM 32 Fook Toad hook for abnormal throat distance, Wwist, wear, and cracks, iM aS Rope: ‘Gonaiton orroad ine. IM 34 [Manual [Presence of operator's manual wih uni IM. 35 Other a. 36 Daily All daily inspection tems. oF 37 [Konthly [Ail monthly inspection items. a. 38 Extensions | Condition of wear pads. a. 39 Rotation Sys | Rotation bearing for proper torque of al accessible mounting Dols iQ 40. Hardware [Base mounting bolts for proper torque. a. a [Gtructure [All stuctural members for deformation, cracls and corosien a2 + Base as > Outrigger beams ana legs ag = Mast 45 Inner Boom 26 = Outer Boor a7 = Extension(s) a8 + Jib boom 49 = uib extension() 50 = Other a 31 Hardware | Pins, bearing, shafs, gears, rollers, and locking devices for wear, cracks, corrosion and distortion, wz + Rotation bearing(s) 3 ~ Inner Boom piv pin(e) and retainers) Ey = Outer boom pit pin(s) and retainer(s) 5 + Inner boom cylinder pin(s) and retainer(s) 36 * Outer boom eyinder pin(s) and retainer(s) aT = Extension oyinder pin(s) and retainer(s) 38 = ib Boom pin(s} and retainer(s) 50 + sib cylinder pins) and retainer(s) 60 7 ib extension cylinder pin(s) and retamner(s) Gi Boom tip attachment 2 Other a 63 Hyd Lines | Hoses, fitings and tubing for proper routing, leakage, bistering, [deformation and excessive abrasion a + Pressure lines) fom pump to control valve & ~ Return line(s) fiom control valve to reservoir 6 Suction line(s) from reservoir to pump oF = Pressure line(e) fom control valve to each function: 68 Load holding valve pipe(s) and hose(S) 68 = Other a 70 Pumps, | Pumps, PTO's & motors for loose bolisfasteners, leaks, noise, PTO's& | vibration, loss of performance, heating & excess pressure, Motors 7 = Winch motors 72, Rotation motor) 73 = Other a 74 vanes Tyaraulic valves for cracks, spool return to neutral, SUCKING SpOOTs, proper relief valve setting, relief valve failure. 7 * Main control valve 76 Load holding valvets) T4___ EZ Hauler 3500 Manual Part # 99903718 FREQUENCY |iTEM [KEY INSPECTION DESCRIPTION STATUS (SRXNA) 77 7 Ouirigger or auxiliary contra valve(S) 78 = Other valves (per customer requirements) 78 ~ Other (per cuslomer requirements) a 0 [Cylinders [Hydraulic eyinders for drifing, rod seal leakage and leakage al welds Rods for nicks, scores and dents, Case for damage. Case and rod [ends for damage and abnormal wear. a = Outiggor oyindor(e) a2 = Tnner boom cylinder(S) Eg Outer boom eyinder(s) a Extension oyinder(s) 25 Rotation oylindor(e) 36 =i it eylinder(s) aT 7b extension cyinder(s) 28 * Other (per customer requirements) a 89 Winch Winch, sheaves and drums for damage, abnormal wear, abrasions [and other irreguiartes. a oo Hyd Filers [Hydraulic Titers or replacement per mainlenance schedule, A at Dally All daily inspection tems, A 2 [Monthly [All monthly inspection items. A 33 [Quarterly [All quarterly inspection items A 38 Fiyd Sys _[Rydiaulc Mid change per maintenance sedule A 5 [Controls | Control valve calbration for correct pressure & relief valve setings: A 26 Vaives Safety valve calbration for correct pressure & relet valve settings. A 7 [Valves | Valves for failure to maintain correct settings, A 38 Rotation Sys | Rolalion drive system for proper backlash clearance & abnormal wear, [deformation and cracks. A 39 Lubrication | Gear oll change in rotalion dive system per maintenance schedule A 700 Hardware —] Check tightness of all fasteners and bolls, using torque specifications [on component drawings or torque chart im ToT | Wear Pads | Wear pads for excessive wear. A 702 [Loadiine _[Loadiine for proper attachment to drum:

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