PRE-OPERATION EXAMINATION FORM

MOBILE CRANES

Before Startup Checks:

Leaks______

 Fuel Filter______

 Battery______

 Tires or Crawler Tracks ______

 Driveline______

 Coolant______

 Engine Oil______

 Hydraulic Oil______

 Transmission Oil ______

 Belts

______

Warm-up Checks:

 Instruments

______

 Electrical System

______

 Engine Oil Pressure: ______PSI

______

Safety Checks:

 Engine

______

 Transmission

______

 Brakes

______

 Steering

______

 Gauges/Electrical

______

 Back-up Alarm

______

 Lights

______

 Wipers

______

 Horn

______

 Seat Belt

______

 Air tanks – proper pressure and relief pressure ______

 Fire Extinguisher

______

SAFETY: If there is a safety-related problem – DO NOT OPERATE

Preoperation Checks:

 Operating Mechanisms and Instruments

______

 Lift Components

______

 Swing Components

______

 Hoisting Components

______

 Boom and Jib Components

______

 Length Marks on all Boom Inserts

______

 Outriggers

______

Wire rope and End Connections

______

 Sheaves, Drums

______

 Hooks, and Rigging Hardware

______

 Free Rotation of all Swivels

______

 Guards – condition and in place

______

Shutdown Checks:

 Cab Clean

______

 Air Cleaner Indicator ______

 Air Tanks Bled

______

 Daily Lubrication ______

Operating Data:

 Fuel Used: ______GAL.

 Engine Oil: ______GAL.

 Trans Oil: ______GAL.

 Gear Oil: ______GAL.

 Hyd. Oil: ______GAL.

 Coolant: ______GAL.

Repairs Needed:

Corrective Actions Taken:

EXAMINATION FORM

OVERHEAD CRANES

Checks:

Lubricant and Fluid Levels ______

 Hydraulic System Components ______

Safety Devices ______

 Brakes

______

 Clutches______

Hoisting Components ______

 Wire Rope and End Connections ______

 Sheaves and Drums ______

 Hooks and Rigging Hardware ______

 Pendants and Instruments ______

 Guards – condition and in place ______

 Operators Cab ______

SAFETY: If there is a safety-related problem – DO NOT OPERATE

Repairs Needed:

Corrective Actions Taken:

FREQUENT EXAMINATION FORM

MOBILE/OVERHEAD CRANES

Checks:

Control Mechanisms – excessive wear ______

 Control Mechanisms – system leaks ______

 Control Mechanisms – contamination ______

 Electrical Components – malfunctions ______

 Electrical Components – excessive deterioration ______

 Electrical Components – dirt/moisture accumulation ______

Safety Devices ______

 Crane Hooks – deformation or cracks ______

 Wire Rope Reeving

______

SAFETY: If there is a safety-related problem – DO NOT OPERATE

Repairs Needed:

Corrective Actions Taken:

PERIODIC EXAMINATION FORM

MOBILE CRANES

Checks:

Structure – deformed, cracked or corroded members

______

 Boom – deformed, cracked or corroded members

______

 Loose Bolts/Rivets

______

 Sheaves and Drums – cracks and wear

______

 Pins, Bearings, Shafts, Gears and Rollers – cracks and wear

______

 Locking Devices – cracks and wear

______

Brake and Clutch System Parts - excessive wear

______

Wear Linings – excessive wear

______

Pawls and Ratchets – excessive wear

______

 Load, Boom Angle and Other Indicators – inaccuracies

______

 Engines, Power Plants – performance

______

Chain-drive sprockets – excessive wear

______

 Drive Chains – excessive wear/stretch

______

 Boom Cylinders – leaks

______

 Travel Steering – improper operation

______

 Brakes – improper operation

______

 Locking Devices – improper operation

______

 Tires – excessive wear or damage

______

SAFETY: If there is a safety-related problem – DO NOT OPERATE

Repairs Needed:

Corrective Actions Taken:

PERIODIC EXAMINATION FORM

OVERHEAD CRANES

Checks:

Structure -- deformed, cracked or corroded members

______

 Loose Bolts/Rivets ______

 Sheaves and Drums – cracks and wear ______

 Pins, Bearings, Shafts, Gears and Rollers – cracks and wear

______

 Locking/Clamping Devices – cracks and wear ______

 Brake System Parts – excessive wear ______

 Wear Linings – excessive wear ______

 Pawls and Ratchets – excessive wear ______

 Load, Wind and Other Indicators – inaccuracies ______

 Drive Motors, Power Plants – performance ______

 Chain-drive Sprockets – excessive wear ______

 Drive Chains – excessive wear/stretch ______

 Electrical Apparatus – signs of pitting ______

 Controller Contactors – deterioration ______

 Limit Switches – deterioration ______

 Push Button Stations – deterioration ______

______

SAFETY: If there is a safety-related problem – DO NOT OPERATE

Repairs Needed:

Corrective Actions Taken: