Ericsson Internal

INSPECTION FORM 1 (2)

Prepared (Subject resp) No.

EAZIREF Aziz Refaat USCR-16:000326 Uen

Approved (Document resp) Checked Date Rev Reference

USCRBA [Aziz Refaat] 2016-06-01 A

Lifting Inspection
Project Name : ………………………………. Site ID : ……………………………….
Person in Charge : ………………………………. Position / Title : ……………………………….
Account : ………………………………. Date of Inspection : ……………………………….

Documentation
Review and specify all the below mentioned items, and ensure that:
- The crane serial no. is the one mentioned in the certificate
- The certificate validity is 6 month in case of using man-basket
Crane Type ……………………………. Operator Name …………………………….
Crane Capacity ……………………………. Operator license validity Yes No
Crane Supplier ……………………………. Calibration Certificate validity Yes No

Crane Visual inspection

Operate the crane (fully extend the outriggers, ensure that crane is balanced, fully extend the boom, turn over the ring
gear, descend the hook to the ground
If Shaded items scores (NO), then crane is rejected
Item Yes No Comments
1 Is the crane visually in a good condition and
clean?
2 The crane structure is free from cracks, dents,
corrosion, broken welds or other damages?
3 Is the hydraulics system in a good condition and
there are no any leaks in hydraulics hoses or boom
cylinders?
4 Are outriggers, landing pads and the wooden pads
in a good condition, with no visible leaks or cracks
from the cylinders or the hoses inside?
5 Are the steps and handles to the crane deck free of
grease?
6 Is the crane deck tidy and clean of oil spills?
7 Is there any engine oil, fuel or water leakage?
8 Are all safeguards (fixed covers) of rotating parts
installed & in a good condition?
9 Is a height-limiting device fitted on all lines? With
automatic shutdown (Limit Switch)?
10 Are load limiting switch working properly with
automatic stoppage for the hook?
11 Is the emergency stop switch operational?
12 The boom angle & length indicators are available
& in good condition
13 The load chart displayed in the operator’s cabinet?
14 Are there any loose bolts or rivets?
 Ericsson Internal
INSPECTION FORM 2 (2)
Prepared (Subject resp) No.

EAZIREF Aziz Refaat USCR-16:000326 Uen

Approved (Document resp) Checked Date Rev Reference

USCRBA [Aziz Refaat] 2016-06-01 A

15 Are hooks equipped with swivel safety latches &

in a good condition (no deformation, damage,
cracks, corrosion or wear observed)?
16 Are the following in a good working condition?
 Head Lights
 Rear view mirrors (left & right side)
 Reversing light and alarm
 Horn
17 Is the crane provided with following & in a good
working condition:
 Suitable fire extinguisher
 First aid kit

Lifting Gears Visual inspection

Inspect and state the lifting gears used as (webbing slings, wire ropes, and shackles) to ensure that:
No wears, cuts, kinks, bird cage Tagged and certified Contain grease
Note: any rejected gears not to be used
Item Accepted Rejected Comments
1
2
3
4
5

Man Basket Visual inspection

Inspect and review if the man-basket is in a good working condition and validate the following:
Item Yes No Comments
1 Is there is a valid basket calibration certificate
(serial no. plate)
2 Is the doors opens inward and lockable
3 Is the platform in a good condition (fixed, no
cracks, free from any oil or grease)
4 Is lifting points (pad eye) free of cracks

Operational validation
After performing a simulation for the task needed with no load (from the initial to final position)
Consider the following:
- Validate through the load chart (as per the below requirements)
- Make sure that the load is half the SWL mentioned in the console of the crane cabinet
Item Valid in the load chart
Boom Length ………….
Actual value from the crane
Radius …………. Yes No
cabinet console of:
SWL (Safe working load) ………….
Actual total weight of lifted load, (considering person 120kg) ………….

Acceptance
As per the previous items of inspection and survey for the current condition and figures, the operation is safe to be handle
with no change in any parameters and condition other than the simulation made
Inspector Name ………………... Crane operator ………………... OHS Auditor ………………...
Signature ………………... Signature ………………... Signature ………………...