MOBILE, CRAWLER & LORRY CRANE

INSPECTION CHECKLIST FORM

EHS F4 4.4
MOBILE, CRAWLER & LORRY CRANE CHECKLIST INSPECTION FORM
Company: LM Type: Lorry
Mobile Crawler
Crane

LM (PMA) No: LM Capacity: Lifting Permit

No:

(DD/MM):
Usage
First Entry(DD/MM/YY) :

Date

/
Re-Inspection, Month(DD/MM/YY):
S/No Items Check
1 Reverse Alarm
2 Hoisting Motor/Brake
3 Warning Light & Horn
4 Blinker Light & #Hazard Light
5 Head / #Rear & Brake Lights
6 #Back / #Rear & Side Mirror

7 #Parking / Hand Brakes

8 Lubrication on Live Pulley/Shaft

9 Lubrication on Jib Foot Rope & Hook
10 Lubrication on Hoisting Rope & Hook
11 Crane Hook with Safety Latch
12 Radiator Water & Battery Water Level
13 Engine Oil Level
14 Hydraulic Tank, Pump, Hose Conditions & Oil Level
15 Slewing Turntable, Gear & Bearing
16 Slewing/ Motor Brakes
Load, Angle & Boom Height Indicator,
17
Max Height/Depth Limit Switch
18 Limit Switches Electronic Operational System
19 Locked Overloading Override Switch
Limit Load Blocks and Safety Wires
20
(at least once a week)
21 Fitting & Free from Distortion
22 Electrical Operational
23 Boom Structure, Extension & Fly Jib
24 No Loose Connections of Wires & Mount Bolts
25 Wire Rope Condition including Boom Hoist Wire
26 Winch Motor

Inspected By:
Operator Sign

Counter Signed:
Lifting Supervisor Sign

#
Applicable to Mobile & Lorry Crane: Hazard, Rear & Brake Lights, Back/Rear & Side Mirrors, Parking/Hand Brakes

Legends:  = OK/Good X = Not OK/Bad NA = Not Applicable

EMY-04-EHS-7429-REC 42 – Mobile, Crawler and Lorry Crane Inspection Checklist Form

Prepared By: Palanitharan Revision Date: 05 Sep 2022 Page 1 of 2
Create date: 20 Jan 2021 Revision: 01
 MOBILE, CRAWLER & LORRY CRANE
INSPECTION CHECKLIST FORM

EHS F4 4.4
Company: LM Type: Lorry
Mobile Crawler
Crane
DD/MM/YY
LM (PMA) No: LM Capacity: Expiry Date:

(DD/MM):
Usage
First Entry(DD/MM/YY) :

Date

/
Re-Inspection, Month(DD/MM/YY):
S/No Items Check
27 Clutch
28 Boom Stop
29 Crane Hook Block Condition
30 Operation Levers
31 Safety Devices/Switches Operational
32 Swing Alarm Operational
33 Tracks / #Wheels & Outriggers Conditions
34 No Oil leakage
35 Soil Condition for Access
#Steel Plate Requirement & Padding,
36
Confirming with Site Requirement
37 #Outrigger Fully Extended & Wheels Off Ground

38 Load Chart in Cabin

39 Operating and Maintenance Manual
40 Crane Operator’s Log Book
41 Crane Maintenance Log Book
42 *DOSH Approval PMA copy displayed
Machinery / Equipment Operator Particular Form
43
(EMY-04-EHS-7429-REC 41) copy displayed
44 Fire Extinguisher with monthly tag
45 Exhaust Emission
46 Seat Belt

Inspected By:
Operator Name,
Badge ID & Sign

Counter Signed:
Lifting Supervisor Name,
Badge ID & Sign

#
Applicable to Mobile & Lorry Crane: Wheels & Outrigger Conditions, Steel Plate Requirement & Padding, Outrigger Fully Extended & Wheels Off
Ground
*
Applicable to Lorry Crane: Display valid JPJ & Puspakom approval sticker disc
Remarks:

Legends:  = OK/Good X = Not OK/Bad NA = Not Applicable

EMY-04-EHS-7429-REC 42 – Mobile, Crawler and Lorry Crane Inspection Checklist Form

Prepared By: Palanitharan Revision Date: 05 Sep 2022 Page
Page21ofof22
Create date: 20 Jan 2021 Revision: 01