Form No.: CM-510.

Inspection Checklist Rev No.: 1

Crane Date: August 2019

Page: Page 1 of 1

Contractor Name: Assessor’s Name: Date 19 August 2022

Operators Name: Moh Toyyib

Vehicle ID No:
Operators ID No:

Checks GO No N/A Remarks

GO
Any Type of oil leaks / Excessive Fume Emissions

Main hook block sheaves & swivel

Main hook safety catch
Aux hook block sheaves & swivel
Aux hook safety catch

Boom head sheaves

Rope condition
Hoist operation low & high
Anti to Block
Drum Brake
Outrigger pad condition
General mechanical condition e.g. pins ect.
Battery condition & Water level

Electrical gauges
Lights
Rotary Lamp
Drip Tray
Hydraulic Hose
Overload Alarm
Jib & Fixed pin
Cabin ( Drive & Operation )
Genera crane condition( Body & Tyre)
No
Documentation GO N/A Remarks
GO
Log Book / Daily pre use Checklist

3rd party certificate

License Operator
Licence rigger

Following Inspection of evidence presented, I ………………………………………………………….. herewith confirm the Assessment results to be
representative and correct.
Vehicle

Complying Not complying

……………………………………………………….. ………………………………………
Assessor’s Signature Date

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