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American Crane and Hoist Corporation

MONORAIL TRACK - INSPECTION REPORT




Customer: Our Job No:
Capacity: Mfg.: Model: Serial #:
Location: Inspection Date:


LEGEND: G=Good; F=Fair; R=Repair or Replacement Required; C= Clean; L= Lubricate


Notes:





Dec 2010
Item to be checked G F R C L Notes
Hangers

Hanger Rods
Bolts
Welds
Braces
Straightness between Supports
Elevation between Supports
Top Flange
Bottom Flange
Switches
Track Openers
Interlocks
Lift Drop Sections
Electrification



Capacity & Warning Signs

American Crane and Hoist Corporation
CRANE /HOIST/ MONORAIL - INSPECTION REPORT

Customer: Our Job No:
Mfg.: Model: Serial #: Inspection Date:
Mfg.: Model: Serial #: Inspected by:
Capacity: ( ) Crane; ( ) Monorail; ( ) Jib Crane ; ( ) Hoist; Location:
LEGEND: G=Good; F=Fair; R=Repair or Replacement Required; C= Clean; L= Lubricate Voltage:
Item Description G F R C L Notes
Limit Switches
Motor
Motor Brake
Load Brake
Gear Box
Upper Block Sheaves Safety Guards
Lower Block Sheaves Safety Guards
Hook
Safety Latch
Wire Rope / Load Chain
Rope Drum / Load Wheel
H
o
i
s
t

Chain Container
Motor
Wheels, Wheel Gage
Gear Box
Brake Electrical/Mechanical
T
r
o
l
l
e
y
/

T
r
a
c
t
o
r


Bumpers
Gear Box & Motor
Bearings, Shafts, Couplings, & Pinions
End Trucks / J ib Fittings
Wheels / Gage Rollers Drop Lugs
Girders / Connections
Brake Electrical/Mechanical
B
r
i
d
g
e

/


J
i
b

B
o
o
m

End Stops / Bumpers
Pendant Control and Connectors X
Directional Labels X
Pendant (P.B.) Cable X
P.B. Strain Relief Cable X
Main Line Contactor X
Hoist Controls X
Trolley / Tractor Controls X
Bridge Controls
Resistors / Electronics X
Cross Conductors &Collectors
C
o
n
t
r
o
l
s
,

W
i
r
i
n
g

&

E
l
e
c
t
r
i
f
i
c
a
t
i
o
n

Festoon / Reel Systems
Rails / Rail J oints X
End Stops X
Main Conductors X Outside power bars corroded dead spots
Main Collectors X
Switches
Interlocks
R
u
n
w
a
y

/

M
o
n
o
r
a
i
l

Power Feed Disconnecting Means X

Capacity & Warning Signs X
Notes:
Dead spots on curve




Rev. 05/18/11

American Crane and Hoist Corporation
CRANE /HOIST/ MONORAIL AIR POWERED INSPECTION REPORT

Customer: Our Job No:
Mfg.: Model: Serial #: Inspection Date:
Mfg.: Model: Serial #: Inspected by:
Capacity: ( ) Crane; ( ) Hoist; ( ) Monorail; ( ) Location:
LEGEND: G=Good; F=Fair; R=Repair or Replacement Required; C= Clean; L= Lubricate Voltage:
Item Description G F R C L Notes
Limit Switches
Motor
Motor Brake
Load Brake
Gear Box
Upper Block Sheaves Safety Guards
Lower Block Sheaves Safety Guards
Hook
Safety Latch
Wire Rope / Load Chain
Rope Drum / Load Wheel
H
o
i
s
t

Chain Container
Motor
Wheels, Wheel Gage
Trolley Bolts / Pins / Clevis
Gear Box
Brake Air Operated/Mechanical
T
r
o
l
l
e
y
/

T
r
a
c
t
o
r


Bumpers
Gear Box & Motor
Bearings, Shafts, Couplings, & Pinions
End Trucks / J ib Fittings
Wheels Wheel Gage Safety Drop Lugs
Girders & Connections
Brake Air Operated/Mechanical
B
r
i
d
g
e

/


J
i
b

B
o
o
m

End Stops / Bumpers
Pendant Control and Connectors
Directional Labels
Pendant (P.B.) Hoses
P.B. Strain Relief Cable
Hoist Controls
Trolley / Tractor Controls
Bridge Controls
Piping
Hoses
Hose Connections
C
o
n
t
r
o
l
s
,

A
i
r

S
u
p
p
l
y

Festoon / Reel Systems
Rails / Rail J oints
End Stops
Hoses
Hose Connections
Switches
Interlocks
R
u
n
w
a
y

/

M
o
n
o
r
a
i
l

Air Feed Disconnecting Means

Capacity & Warning Signs
Notes:





Rev. 01/02/08

American Crane and Hoist Corporation
MANUAL CRANE /HOIST/ MONORAIL - INSPECTION REPORT


Customer: Our Job No:
Mfg.: Model: Serial #: Inspection Date:
Mfg.: Model: Serial #: Inspected by:
Capacity: ( ) Crane; ( ) Hoist; ( ) Monorail; ( ) Location:
Voltage:

LEGEND: G=Good; F=Fair; R=Repair or Replacement Required; C= Clean; L= Lubricate


Notes:





Rev. Mar 2010
Item Description G F R C L Notes
Limit Switches
Motor
Motor Brake
Load Brake
Gear Box
Upper Block Sheaves Safety Guards
Lower Block Sheaves Safety Guards
Hook
Safety Latch
Wire Rope / Load Chain
Rope Drum / Load Wheel
H
o
i
s
t

Chain Container
Motor
Wheels, Wheel Gage
Gear Box
Mechanical T
r
o
l
l
e
y

Bumpers
J ib Fittings
Bearings
End Trucks
Wheels Wheel Gage Safety Drop Lugs
Girders & Connections
End Stops / Bumpers
B
r
i
d
g
e

/

G
a
n
t
r
y

/

J
i
b

B
o
o
m


Rails / Rail J oints
End Stops
Switches
Interlocks
R
u
n
w
a
y

/

M
o
n
o
r
a
i
l

Power Feed Disconnecting Means

Capacity & Warning Signs

American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118
Phone: (617) 482-8383; Fax (617) 482-8384


Page 1

OSHA COMPLIANCE
CRANE INSPECTION REPORT



Customer Name:


Street Address:


City, State, Zip:




Crane Manufacturer:


Capacity: Main Hoist Auxiliary Hoist

Bridge

Span:

Type: Overhead Gantry

Serial Number:

Other Identification:

Power Supply : AC DC Volts Phase Hertz

Crane Number:



Inspected by: Inspection Date:

Our J ob Number:









Page 2

Crane Inspection Report
Crane / Serial Number:


L
o
c
a
t
i
o
n






Component, Unit or Part
G
o
o
d

A
d
j
u
s
t
m
e
n
t

R
e
q
u
i
r
e
d

R
e
p
a
i
r

R
e
q
u
i
r
e
d

R
e
p
l
a
c
e
m
e
n
t

R
e
q
u
i
r
e
d

L
u
b
r
i
c
a
t
i
o
n

R
e
q
u
i
r
e
d

C
l
e
a
n
i
n
g

o
r

P
a
i
n
t
i
n
g

R
e
q
u
i
r
e
d






Remarks / Action taken
Motor
Brake & Hyd. System
Shaft Couplings
Shaft Bearing
Gears & Bearings
Wheels
Trucks
Girders &Connections
Footwalk & Handrail
Guards & Covers
B
r
i
d
g
e

Bumpers
Bridge
Trolley
Main Hoist
Auxiliary Hoist C
o
n
t
r
o
l

P
a
n
e
l
s

Mainline Panel
Bridge
Trolley
Main hoist
R
e
s
i
s
t
o
r

Auxiliary Hoist
Master Switches
Pushbutton
Warning Device
Fire Extinguishers C
o
n
t
r
o
l

S
t
a
.

o
r

C
a
b

Wiring
Motor
Motor Brake
Mechanical Load Brake
Dynamic Load Brake
Couplings
Gears, Shafts &Bearings
Upper Block
Lower Block
Hook &Throat Opening
Hoist Rope
Rope Drum
Guards
Limit Switch
Magnet
M
a
i
n

H
o
i
s
t

(
L
e
f
t
)


Notes:





Page 3

Crane Inspection Report
Crane / Serial Number:


L
o
c
a
t
i
o
n






Component, Unit or Part
G
o
o
d

A
d
j
u
s
t
m
e
n
t

R
e
q
u
i
r
e
d

R
e
p
a
i
r

R
e
q
u
i
r
e
d

R
e
p
l
a
c
e
m
e
n
t

R
e
q
u
i
r
e
d

L
u
b
r
i
c
a
t
i
o
n

R
e
q
u
i
r
e
d

C
l
e
a
n
i
n
g

o
r

P
a
i
n
t
i
n
g

R
e
q
u
i
r
e
d






Remarks / Action taken
Motor
Motor Brake
Mechanical Load Brake
Dynamic Load Brake
Couplings
Gears, Shafts &Bearings
Upper Block
Lower Block
Hook &Throat Opening
Hoist Rope
Rope Drum
Guards
Limit Switch
A
u
x
i
l
i
a
r
y

H
o
i
s
t

(
R
i
g
h
t
)



Motor
Brake
Couplings
Gears, Shafts & Bearing
Frame
Wheels
Bumpers
Guards
Rails
Conductors
Collectors
T
r
o
l
l
e
y


Rails including Span
Rail J oints
Main Conductors
Main Collectors
R
u
n
w
a
y


General Condition
Grease Fittings
Lubrication





M
i
s
c
e
l
l
a
n
e
o
u
s


Notes:





American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384

LEVER HOIST INSPECTION REPORT

Customer Name: J ob No.:
Address: Inspection Date:
Hoist Mfg. Name:
Hoist Capacity: Serial No.:
Hoist Location / ID: Model:
Inspected by:

Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate
Component G F R C L Comments/Remarks
Lever Arm
Load Wheel
Chain Guides
Chain / Wire Rope
Bottom Hook and Safety Latch
Bottom Hook Loadwheel
Dead End Bolt
Top Hook and Safety Latch
Gear Cover
Friction Washers
Load Brake Ratchet
ANSI Warning Labels
Capacity Signs


Trolley Frame
Trolley Load Pin
Trolley Clevis
Trolley Wheels
Wheel Gage


Further Comments/Remarks:








Rev. 6.2.10

American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384

MANUAL WIRE ROPE HOIST INSPECTION REPORT

Customer Name: J ob No.:
Address: Inspection Date:
Hoist Mfg. Name:
Hoist Capacity: Serial No.:
Hoist Location / ID: Model:
Inspected by: Tom Grochowski

Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate
Component G F R C L Comments/Remarks
Hand Wheel or Crank
Covers
Guides
Wire Rope
Lower Load Hook
Load Hook Bolt
Upper Load Hook
Gearcase
Brakes
Ratchets
ANSI Warning Labels
Capacity Signs









Further Comments/Remarks:








J an 2010

American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384

MANUAL CHAIN HOIST INSPECTION REPORT

Customer Name: J ob No.:
Address: Inspection Date:
Hoist Mfg. Name:
Hoist Capacity: Serial No.:
Hoist Location / ID: Model:
Inspected by: Tom Grochowski

Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate
Component G F R C L Comments/Remarks
Hand Wheel
Handwheel Cover
Hand Chain
Load Wheel
Chain Guides
Load Chain
Bottom Hook and Safety Latch
Hook Bolts
Dead End Bolt
Top Hook and Safety Latch
Gear Cover
Friction Washers
Load Brake Ratchet
ANSI Warning Labels
Capacity Signs



Trolley Frame
Trolley Load Pin
Trolley Clevis
Trolley Wheels
Wheel Gage


Further Comments/Remarks:








Rev. 8.2010

American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384

WINCH INSPECTION REPORT



Customer Name:

Our job No:
Address:
Inspected by: Date Inspection: Serial #:
Mfg.: Capacity: Model:
Other I D: Hp: Voltage: Phase:
Type: Location: Winch #:

LEGEND: G=Good; F=Fair; CL= Clean and/or Lubricate; R=Repair or Replacement Required
Item Description G F CL R Work done / Comments / Remarks
Frame
Bolts
Gear Box
Cover
Drum
Drum Clamps
Drum Bearing
Rope
Rope Guide
Rope Clamps
Sheaves and Sheave Assemblies
Safety Latch
Hook / Hook Block
Live End fittings
M
e
c
h
a
n
i
c
a
l

P
o
r
t
i
o
n


Air / Electrical Motor
Electrical control
Push Button
Control Valve
Limit Switch
Slack Line Limit Switch
Safety Torque Limiter
Electrical Motor Brake
Mechanical Load Brake
P
o
w
e
r

&

C
o
n
t
r
o
l
s

Control Box

Power Feed Disconnecting Means
Directional Indication / Label
Warning Sign /Label
Capacity Sign
Lubrication
Auxiliary equipment

M
i
s
c
e
l
l
a
n
e
o
u
s


Comments/Remarks:






Rev. 11.1.2010




American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384

INSPECTION REPORT

BELOW THE HOOK LIFTING DEVICE

Customer:

J ob No.:

Address:

Inspection Date:



Mfg. Name:

Capacity:

Serial No.:

Type:

Model:

Department: Inspected by: Tom Grochowski

Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate
Component G F R C L Comments/Remarks
Frame
Welds
Lifting Bail,
Eye or Ring

Bolts
Bearing
Chains
Hooks
Hook Latches
Forks
Wheels
Nameplate
ANSI Warning Label
Capacity Sign

Further Comments/Remarks:




6.1.10

American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384

MONTHLY CRANE VISUAL INSPECTION REPORT

COMPANY: CRANE I.D.:
J OB #: MFG:
DATE: CAPACITY:
INSPECTOR: MODEL:
HOIST #: SERIAL #:

*** CONDITION ***


PARTS OF THE
CRANE
O
K

A
D
J
U
S
T

R
E
P
A
I
R

R
E
P
L
A
C
E

L
U
B
R
I
C
A
T
E

C
L
E
A
N

CORRECTIVE ACTION NOTES
Electrical Brake

Upper Limit

Wire Rope / Chain

Bottom Block
H
O
I
S
T

Hook Latch

Brake

Collectors

Festoon

T
R
O
L
L
E
Y



Brake

Collectors

Guard & Covers

B
R
I
D
G
E



Pushbutton Station

Mag. M-L Disconnect

Direction Indication


E
L
E
C
T
R
I
C
A
L


Remarks:
American Crane and Hoist Corporation
1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (8384) Email: sales@ac-h.com

Customer Name: Date:
Inspected by: Job #:
MONTHLY CRANE VISUAL
INSPECTION REPORT
# Crane
Hoist
Winch
Monorail















B
R
A
K
E














L
I
M
I
T
S





R
O
P
E

/

C
H
A
I
N



















H
O
O
K







E
L
E
C
T
R
I
C
A
L











P
E
N
D
A
N
T


_NOTES_
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