(COMPANY NAME)
S/NO | DESCRIPTION | DATE | DATE | DATE | DATE | DATE | DATE | DATE |
Safe load indicator | ||||||||
Radius Indicator | ||||||||
Angle Indicator | ||||||||
Main jib length indicator | ||||||||
Jib hoist cut out | ||||||||
Hoisting limiter | ||||||||
Duty chart in cab | ||||||||
Level indicator | ||||||||
Boom structure | ||||||||
Fly jib structure | ||||||||
Outriggers | ||||||||
Main hoist winch | ||||||||
Auxiliary hoist winch | ||||||||
Main hook | ||||||||
Auxiliary hook | ||||||||
Breaking / holding | ||||||||
Wire rope main | ||||||||
Wire rope auxiliary | ||||||||
Pendants | ||||||||
Crane controls | ||||||||
Swing machinery | ||||||||
Turntable bearing | ||||||||
Power unit | ||||||||
Hydraulic system | ||||||||
Carrier including engine | ||||||||
Tiers | ||||||||
Steering and Brakes | ||||||||
Electric | ||||||||
29. | Maintenance | |||||||
30. | General condition | |||||||
Operator’s Signature | SIGN | SIGN | SIGN | SIGN | SIGN | SIGN | SIGN | |
COMMENTS/RESERVATION: CONDITION SATISFACTORY √
CONDITION NOT SATISFACTORY X
SIGNATURE
(SAFETY DEPARTMENT)