BOOM ATTACHED PERSONNEL

PLATFORM INSPECTION EVALUATION

CUSTOMER

Customer Name: Date:

_________________________________________________________
Manufacturer:
_________________________________________________________
Model:
_________________________________________________________
Date of Manufacture:
_________________________________________________________
Location:
_________________________________________________________
Capacity in Personnel:
_________________________________________________________
Capacity in Pounds:
_________________________________________________________
/ /
________________________________________________________
Customer #:
________________________________________________________
Serial Number:
________________________________________________________
Platform Weight:
________________________________________________________
Inspection Criteria:
B30.23 Other________________________________________
√ = Accepted O = Rejected NA = Not Applicable

Posted plate with all specifications (make, model, s/n, weight, capacity, date of Mfg., B30.23 Compliance)______________________________
Designed with 5-1 safety factor___________________________________________________________________________________________
Designed to minimize tipping___________________________________________________________________________________________
42” high top rail ______________________________________________________________________________________________________
Intermediate rail _____________________________________________________________________________________________________
4” toe board with expanded metal from the top of the toe board to the intermediate rail. ___________________________________________
Slip resistant drain-able floor with openings no larger than .5 in. ______________________________________________________________
Expanded metal openings not greater than .5 in.____________________________________________________________________________
Grab rail inside the entire perimeter_______________________________________________________________________________________
Access gate swings in if so fitted_________________________________________________________________________________________
Access gate restraining device and hinges_________________________________________________________________________________
Mounting by the Manufacturer__________________________________________________________________________________________
Rough edges smoothed________________________________________________________________________________________________
All welds free of defects _______________________________________________________________________________________________
Rigging must be at 5-1 if fitted___________________________________________________________________________________________
Levering to 10% regardless of boom angle__________________________________________________________________________________
Bolt Connections to AISC Spec. using ASTM A 325 or A 490 Bolts______________________________________________________________
Inspect platform after trial lift___________________________________________________________________________________________
Personnel Harness tie-offs _____________________________________________________________________________________________
Weatherproof compartment for operators manual for units with controls in the platform____________________________________________
Controls identified, protected, easily accessible, return to neutral when released and a Deadman Control_______________________________
Test Weight - ____________ lb. _________________________________________________________________________________________
Perform a 125% proof test ______________________________________________________________________________________________

Notes________________________________________________________________________________________________________________
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P.O. Box 726 Niantic, CT 06357 P: (860) 739-4446 HESCOcrane.com