<p> Elkhorn Construction, Inc Safety Manual Title: Crane Inspection Form Review Date:12-15-2008</p><p>Monthly Hydraulic Crane Inspection </p><p>Make ______Model ______Date ______</p><p>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</p><p>2.0 Engine 2.1 Starting System 2.2 Air System 2.3 Instruments</p><p>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</p><p>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</p><p>5.0 Boom 5.1 Boom Sections 5.2 Point Sheaves 5.3 Anti Two Block Device 5.4 Boom Angle Indicator</p><p>Document No: 2B-00xx Revision 1 Page 1 of 2 Elkhorn Construction, Inc Safety Manual Title: Crane Inspection Form Review Date:12-15-2008</p><p>Monthly Hydraulic Crane Inspection (continued)</p><p>Condition Notes Good Fair Poor 6.0 Jib 6.1 Point Sheave 6.2 Stow Lock</p><p>7.0 Main Load Block 7.1 Sheaves 7.2 Swivel 7.3 Hook/Shackle 7.4 Safety Latch</p><p>8.0 Auxiliary load 8.1 Ball 8.2 Swivel 8.3 Hook/Shackle 8.4 Safety Latch</p><p>9.0 Wire Rope 9.1 Broken Wires 9.2 Diameter Reduction 9.3 Kinked Rope 9.4 Crushed Rope 9.5 Hook Attachment</p><p>Inspected By ______</p><p>Title ______Elkhorn Crane Operator </p><p>Document No: 2B-00xx Revision 1 Page 1 of 2</p>