A pre use inspection checklist form is an important tool for any business. It can help to ensure that all equipment is in proper working order before it is put into use. This can help to prevent accidents and downtime. A pre use inspection checklist should be filled out by a qualified individual before each use of the equipment. The checklist should include a detailed inspection of the equipment, including any safety features. Any problems or defects should be noted on the form, and corrective action should be taken as necessary.
The table has got information regarding the pre use inspection checklist. It may be helpful to learn its size, the typical time needed to prepare the form, the blanks you'll have to fill in, and so on.
| Question | Answer |
|---|---|
| Form Name | Pre Use Inspection Checklist |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | lifting equipment inspection checklist pdf, rigging inspection forms, chain block inspection checklist, hoist inspection form |
Hoisting and Rigging: Mobile Crane
The operator completes inspection before beginning work, keeps the form on the crane during work, and forwards to the equipment custodian once work is completed.
Important: Operator makes a service request if any item fails inspection.
Visual Inspection |
Pass |
Fail |
N/A |
Engine fluid level correct (check dip stick or sight glass)
Hydraulic fluid level correct (check dip stick or sight glass)
Hydraulic system exhibits no apparent weeping or leaks
Air system exhibits no audible leaks
Tire pressure acceptable and tire not damaged
Telescoping boom exhibits no damage to structure, wear pads, boom stops, or cylinder
Wire rope free of dirt, excess lube, kinks, and wires and spooled correctly
Reeving correct
Wedge sockets and wire rope clips not distorded, cracked, or missing
Block not damaged
Ball and hook is free to swivel and rotate
Guards are in place
Outrigger float(s) secured with pad pin
Cab
Handrails in place and not damaged
Operator’s manual in vehicle
Load chart legible and visible to operator
Hand signal chart visible to workers
Charged fire extinguisher in place
Cab glass not cracked and wipers are functional
Operator: |
Crane number: |
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Model: |
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Signature: |
Date: |
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Pass |
Fail |
N/A |
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Gauges and Indicators |
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Load moment indicator operational
Drum rotation indicator functioning
Boom length indicator functioning
Boom angle indicator functioning
Engine: hydraulic, air, electrical, oil pressure, temperature, and fuel
Operational Inspection
Correct counterweight for the load
Main hoist control functioning
Auxiliary hoist control functioning
Swing brake
Lights and horns functional
URL: http://www- group.slac.stanford.edu/esh/eshmanual/references/hoistingFormMobile.pdf
Revision Record: https://www- internal.slac.stanford.edu/esh/docreview/reports/revisions.asp?ProductID=464
Department: Field Safety and Building Inspection Office
Program: Hoisting and Rigging
Authority: ESH Manual, Chapter 41, "Hoisting and Rigging"
Date Effective: 15 September 2009
31 Aug 2009 (updated 31 Aug 2009) |
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