Monthly Hydraulic Crane Inspection

Elkhorn Construction, Inc Safety Manual Title: Crane Inspection Form Review Date:12-15-2008

Make ______Model ______Date ______

Condition Notes Good Fair Poor 1.0 General 1.1 Appearance 1.2 Paint 1.3 Glass 1.4 Oil leaks 1.5 Fire Extinguisher

2.0 Engine 2.1 Starting System 2.2 Air System 2.3 Instruments

3.0 Carrier 3.1 Steering System 3.2 Brakes 3.3 Outriggers 3.4 Tires 3.5 Wheel Lugs 3.6 Lights 3.7 Mirrors 3.8 Backup Alarm

4.0 Upper 4.1 Swing Assembly 4.2 Swing Lock 4.3 Main Hoist 4.4 Main Hoist Brake 4.5 Auxiliary Hoist 4.6 Auxiliary Hoist Brake 4.7 Boom Cylinders

5.0 Boom 5.1 Boom Sections 5.2 Point Sheaves 5.3 Anti Two Block Device 5.4 Boom Angle Indicator

Document No: 2B-00xx Revision 1 Page 1 of 2 Elkhorn Construction, Inc Safety Manual Title: Crane Inspection Form Review Date:12-15-2008

Monthly Hydraulic Crane Inspection (continued)

Condition Notes Good Fair Poor 6.0 Jib 6.1 Point Sheave 6.2 Stow Lock

7.0 Main Load Block 7.1 Sheaves 7.2 Swivel 7.3 Hook/Shackle 7.4 Safety Latch

8.0 Auxiliary load 8.1 Ball 8.2 Swivel 8.3 Hook/Shackle 8.4 Safety Latch

9.0 Wire Rope 9.1 Broken Wires 9.2 Diameter Reduction 9.3 Kinked Rope 9.4 Crushed Rope 9.5 Hook Attachment

Inspected By ______

Title ______Elkhorn Crane Operator

Document No: 2B-00xx Revision 1 Page 1 of 2