Doc. n.

FORM-BOSS-ASST-xxx

CLAMSHELL VISUAL PRE USE CHECKLIST (AIR / HYDRAULIC) Rev.00 Date: 15/08/2020

Page 1 of 1

Operator Name Date

Type of Equipment Hourmeter

Asset #: Skidway # Workshop # BAY/Line #

Status
Item Description
NO OK N/A
1 Check Power cable / plug (380 V) condition
2 Check electric motor condition
3 Check Hydraulic Oil level
4 Check Hydraulic Oil tank condition
5 Check Hydraulic pump condition
6 Check Hydraulic hose(s) condition
7 Check Hydraulic quick coupling condition
8 Check Hydraulic Lever Control Valve condition
9 Check Hydraulic motor condition
10 Check Ring Gear Clamp condition
11 Check Locking Pin condition
12 Check Swivel Hoist Ring condition
13 Check Tripper condition
14 Check Tool Slide condition
15 Check locator pad extension condition
16 Check locator condition
17 Check Gear Guard condition
18 Check oil lubricator
19 Check air hose and whip cable
20 Check air quick coupling
21 Check collet condition
22 Check wedge condition
23 Check racthet adjuster condition
24 Check basic tools
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