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Crane Location Model Number Serial Number Date
Operator / Inspector
Check all Items indicated. Inspect as indicated and note condition. S = Satisfactory U = Unsatisfactory
Contractor / Project
NA = Not Applicable
Foundation/Anchors (Visual Only) Tower Bolts (Random Check) Ladders Landings Lacings Tie-Ins Gearbox Leaks Reaving Hook Hook Block
Upper / Machinery
Unusual Noises Reaving Hoist Trollet Luffing Brakes Hoist Trollet Luffing Lubrication Ropes Sheaves Slewing Gear Drive attachments Lights Fire Extinguisher
Horn E-Stop Wind Speed Indicator Radius Indicator Load Indicator Hoisting Up Slowdown Limit Up Final Limit Down Final Limit Trolley In Final Limit In Slowdown Limit Out Slowdown Limit Out Final Limit Luffing Up Final Limit Up Slowdown Limit
Down Slowdown Limit
Down Final Limit Slewing Left Limit Right Limit
Operator's Signature Supervisor's Signature
Any "Unsatisfactory" Condition should be reported to the supervisor and the servicing authority immediately. Crane operations should cease until all "Unsatisfactory" conditions have been resolved. Once any repairs have been made, all systems should be checked for proper functionality.