Percival Testing and Technical Consultancy Services

Virginia Bldg., Brgy. Maitim Bay, Laguna

Email add: pt.tcs@yahoo.com
Tel No: (049) 310 - 9399 / Mobile No: 0938 797 4165

Sticker
2000
Submitted
Standard / Referrence
ASME B30.5

INSPECTION STANDARD CHECKLIST

BOOM TRUCK
Equipment Type Boom Truck Brand / Make Unic
Rated Capacity 3.5 t Model / Year 1997
Unit No. Serial / Pin / Chassis V053865
Javen Moving Services Plate No. / Series WIG 645
Company
Other Specs
Brgy. Banay-banay Cabuyao, Company Representative Joven Diolata
Place of Inspection
Laguna Date October 28, 2022

I - ENGINE SIDE
FINDINGS REMARKS
1 Compression Good Compression Satisfactory
2 Smoke Belching Light smoke Emission Satisfactory
3 Blow-by No Sign of Blow-by Satisfactory
4 Injection Pump In Good Condition Satisfactory
5 Radiator/ Cap No Leak / with Cap Satisfactory
6 Fan/ Belts In Good Tension Satisfactory
7 Starter Motor Quick Starting Satisfactory
8 Alternator Motor Charging Satisfactory
9 Water Pump/ Hoses No Leaks Satisfactory
10 Battery Connection Properly Connected Satisfactory
11 Hydraulic Hoses No Leaks Satisfactory
Others:

II - CABIN/ CONTROLS

1 Lights Functioning Satisfactory

2 Ventilation Fan Installed Satisfactory
3 Seatbelt Installed Satisfactory
4 Control Levers
4.1 Swing
Functioning Satisfactory
4.2 Boom Up/Down
Functioning Satisfactory
4.3 Boom Extend/ Retract
Functioning Satisfactory
4.4 Hoisting
Functioning Satisfactory
4.5 Parking Brake
Functioning Satisfactory
4.6 Outrigger Extend/Retract
Functioning Satisfactory
4.7 Outrigger Jack
Functioning Satisfactory
5 Ignition Switch
Functioning Satisfactory
6 Horn
Functioning Satisfactory

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 Satisfactory
7 Pedals Satisfactory
7.1 Accelerator Functioning Satisfactory
7.2 Brake Functioning Satisfactory
8 Wiper Blade/s Functioning Satisfactory
9 Header Glass/ Windshield No Damage
10 Load Chart Available
11 Load Moment Indicator N/A
Others:

III - DASH BOARD PANEL / GAUGES

1 Fuel Gauge Functioning Satisfactory

2 Engine Oil Pressure Gauge Functioning Satisfactory
3 Hydraulic Oil Gauge
4Functioning
Water Temperature Gauge Satisfactory
5Functioning
Ampere Gauge Satisfactory
6Functioning
Hour Meter Satisfactory
7Functioning
Speedometer Satisfactory
8 Air Pressure Gauge
Others:

IV - STRUCTURAL / UNDERCHASSIS

1 Telescopic Boom No Damage Satisfactory

2 Load Bed No Damage Satisfactory
3 Turntable No Damage Satisfactory
4 Axle No Damage Satisfactory
5 Tires/ Rim No Damage Satisfactory
6 Canopy No Damage Satisfactory
7 Steering Rod No Damage Satisfactory
8 Stud Bolts Complete Satisfactory
9 Body Sidings No Damage Satisfactory
10 Leaf Suspension Spring No Damage Satisfactory

V - HYDRAULIC SYSTEM

1 Hydraulic Pump Functioning Satisfactory

2 Hydraulic Motor Functioning Satisfactory
3 Control Valve / Selector valve Functioning Satisfactory
4 Boom Hydraulic Cylinder No Sign of Leak Satisfactory
5 Outrigger Cylinder No Sign of Leak Satisfactory
6 Hydraulic Hose No Sign of Leak Satisfactory
Others:

VI - TANK

1 Fuel Tank No Sign of Leak Satisfactory

2 Hydraulic Tank No Sign of Leak Satisfactory
Others:

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 Boom VII - CRANE
1 Boom Status In Good Condition Satisfactory
2 Boom Segments 4
3 Boom Deflection No Damage
Satisfactory
4 Slide Plates No Damage
Satisfactory
5 Boom End Sheave 2

A B C D E F
Diameter 140 mm 140 mm
Opening 15 mm 15 mm
Pitch Diameter 10.5 mm 10.5 mm
Depth 17 mm 17 mm
Thickness 1 mm 3 mm

Hook Block
1 Hook
a. Minor Opening 61 mm Satisfactory
b. Major Opening 70 mm Satisfactory
2 Safety Latch No Spring Install/ Check Latch Before Lift
3 Mounting/ Fitting Installed Satisfactory
4 Cable Keeper Installed Satisfactory
5 No. of Partline/s 4
6 Hook Block Cap. Marking None Install
7 Hook Block Sheave/s 2

Main A B C D E F
Diameter 200 mm 200 mm
Opening 16 mm 16 mm
Pitch Diameter 13.5 mm 13.5 mm
Depth 17 mm 17 mm
Thickness 6 mm 6 mm

Wire Rope

1 Cable Size Ø 9.5 mm Satisfactory

2 Cable Status Lubricated Satisfactory
3 No. of Strand & Wire 6x19 Satisfactory
4 Type/ Kind IWRC Satisfactory
5 Capacity (Single Partline) 1 ton

Drum

1 Diameter 120 mm Satisfactory

2 Length 150 mm Satisfactory
3 Rope Alignment Aligned Properly Satisfactory
4 Type Plane Satisfactory
5 Winding in Drum More than 3 windings left Satisfactory

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 VIII - SAFETY REQUIREMENTS

1 Toolbox w/ tools Mechanic on Stand-by Satisfactory

2 Rear/ Side View Mirrors Installed Satisfactory
3 Safety Handholds Installed Satisfactory
4 Step Ladder Installed Satisfactory
5 Anti-Skid Surface Installed Satisfactory
6 Night Operation Lightings
Head Lights Functioning Satisfactory
Rear Lights Functioning Satisfactory
Signal Lights Functioning Satisfactory
7 Beacon Light None Install
8 Fire Extinguisher Available Satisfactory
9 Boom Angle Indicator Missing pointer Install/ Provide Communication with AvailableRigger

10 Anti-Two Blocking Device None Install

11 Load Moment Limiter N/A
12 Outrigger Floats No Damage Satisfactory
14 Spirit Level Installed Satisfactory
15 Lowering Limiter N/A
17 Emergency Stop Functioning Satisfactory
Others:

IX - LOAD TESTING

1 Rated Capacity 3.5 t

2 Load Weight Used 1 ton steel frame
3 Boom Length
4 Boom Angle
5 Working Radius
6 Time Duration 15 minutes
7 Lift Height 23 cm
8 Safe Working Load Follow Load Chart
Remarks:

EQUIPMENT EVALUATION

MARK:
PASSED

LEGEND:
PASSED Met the safety requirements and equipment's rated capacity or SWL
FAILED Failed to meet the safety requirement and/or equipment's rated capacity

NOTE:
PERCIVAL TESTING & TECHNICAL CONSULTANCY SERVICES had done the BASIC Ocular Technical Safety
Inspection on all concerned equipment. However, incidents that may cuase the internal failure due to
material deficiencies, beyond our reach/ access such as; metal fatigue, strain, wear and tear and mis-use,
have no assurance of 100% of security.

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 SUMMARY OF FINDINGS & RECOMMENDATIONS

1 Need to install beacon light. It notify, warn and attract attention to a specific location.
2 Wrong installation of wire rope clip. Saddle is on the incorrect end of the rope. The saddle of the clip rests on the
live end of the rope, while the U-bolt is to rest on the dead end of the rope. The U-bolt part of the clamp crushes
the strand thereby weakening the rope.
3 Wrong installation of socket wedge. Align live end of rope with the center line of pin. Loads may slip or fall if the
socket wedge is not properly installed.
4 Need to install safety latch spring, to prevent the components from becoming unfastened from the hook and
falling on the worker below.
5 Missing boom angle indicator. Need to install. The boom angle indicator is a quick reference for the operator to
know what angle the boom is at.
6 Need to install hook block capacity marking.
7 Kindly monitor kink found on the cable.
8 Need to install anti-two blocking device to prevent contact of hook block and upper sheave. Two-blocking is
one of the most dangerous incidents involving cranes, as it can snap wire ropes and cause dropped loads and
other
catastrophic accidents.
9 Unusual sound when hoisting up.
10 One of the boom end sheave has dent and too thin flange. A condition that could seriously damage the wire rope.
Replace Sheave
11 The unit is " FIT FOR OPERATION ".
12 The following documents should be available in the equipment:
a) Latest certificate/ sticker of inspection.
b) Operator's Log Book to indicate status of the equipment and Maintenance Records.
c) Equipment Operation Manual.

Inspected by:

Christian C. Coria, ME Jeric B. Coria, ECT

Signature over Printed name Signature over Printed name
Technical Inspector Technical Inspector

Checked and Verified by:

Percival O. Maligalig
Signature over Printed name
President

Date: October 28, 2022

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