Inspection Report: BOOM TRUCK-ANNUAL. Equipment Identification and Specifications
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1 Inspection Report: OHA/ANI/AME tandards: OHA , , AME B30.5,B30.10 Date Inspected: 07/25/2016 Operation Hours: 11,121. Operation Miles: 107,160. Inspector: teve Marquis Equipment Identification and pecifications Name and Address of Owner erial Number Year Model Max Capacity Main Hoist Rope Diameter Main Hoist Rope Type HERMAN CRANE; 140 West treet, Wilmington MA UA Unit Number: C Manufacturer MANITOWOC ,000 lbs 9/16 rotation resistant X Yes No Did the unit pass the inspection? Do you want to attach an annual certification to this unit? X Yes No Unit Location at Time of Inspection: Wilmington, MA GP Tag: Inspector teve Marquis Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 1 of 8
2 Inspection Details Type of Inspection: =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item CRANE DATA 1. Inspection Records Daily / Monthly / Annual 2. Maintenance Records 3. Wire Rope Inspection Records 4. Ground Conditions GENERAL CONDITION 5. heet Metal 6. Paint Condition / Corrosion Control 7. Guards / Covers 8. External lights 9. Housekeeping 10. Warning / afety Labels 11. OHA Approved Hand ignal Chart (outside) TRUCK POWER PLANT 12. Engine / Pumps Performance 13. Exhaust ystem / Guards & Insulators 14. Belts 15. Hoses 16. Compressor Performance 17. Guards / Covers for Rotating Parts 18. Engine Oil Level 19. Transmission Oil Level 20. Coolant Level 21. Leaks CARRIER / DRIVETRAIN 22. Engine Mounts / Bolts 23. Transmission Mounts / Bolts 24. Drive Line 25. U-Joints 26. Main Frame Members 27. Axle Mounts 28. Carrier Hydraulic Hoses 29. Carrier Hydraulic Tubing 30. Carrier Hydraulic Fittings 31. Hydraulic Fluid Level Enso Crane ervices U..A. Condition 32. Tire / Wheel Condition 33. Tire Inflation Pressure DRIVER CAB 34. Brakes ervice / Parking 35. Headlights / Tail Lights 36. Brake Lights / Turn ignals 37. Back-up Alarm / Lights 38. Audible Warning (low air) 39. Glass 40. Windshield Wipers 41. Defroster / Heater 42. eat Belts 43. teering Free Play 44. Fire Extinguisher 45. Gauges / Light Display 46. Access / Grab Rails / teps 47. Mirrors 48. Power Take-Off 49. Air Pressure 50. Horn 51. Engine Clutch 52. Accelerator 53. Operators Manual OUTRIGGER 54. Outrigger Boxes 55. Outrigger Beams 56. Outrigger Cylinders / Extensions & tabilizers 57. Outrigger Floats / Pads 58. Outrigger Hydraulic Hoses 59. Outrigger Hydraulic Tubing 60. Outrigger Hydraulic Fittings 61. Pilot Operated Check Valves 62. Outrigger Crush Warning Labels 63. Outrigger Beam Marking ROTATING UPERTRUCTURE 64. Turntable / All tructural Welds Company Owner: Perry, tephen Contact: Perry, tephen Pg 2 of 8
3 Inspection Details Type of Inspection: =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item 65. Turntable Mounting Bolts 66. Hydraulic wivel 67. Directional Control Valves 68. wivel Hydraulic Hoses 69. wivel Hydraulic Tubing 70. wivel Hydraulic Fittings 71. Hydraulic Pressure / Relief Valves 72. Electrical Wiring 73. wing / lew Gearbox 74. Main Hoist Mounting Bolts 75. Wire Rope Lay on Main Hoist OPERATOR TATION 76. Cab Access / teps / Ladders 77. Hand Holds / Guardrails 78. Anti lip urfaces 79. Fire Extinguisher 10BC 80. Operators Manual 81. All afety Decals In Cab 82. Electrocution Warning In Cab 83. Crane Level Indicator 84. Horn 85. Gauges / Light Display 86. Crane Function Controls Movement 87. Crane Function Controls Identified 88. wing Brake / Lock 89. Low Boom Warning RATED CAPACITY CHART 90. Correct Capacity Chart for Crane 91. Legible / Durable 92. ecured / Accessible to Operator OPERATIONAL AID 93. Boom Angle Indicator 94. Boom Length Indicator 95. Anti Two Block / Device / Warning 96. LMI Make & Model PAT D Load Moment Indicator Enso Crane ervices U..A. Condition 98. Load Radius Indicator 99. Load Weight Indicator MAIN BOOM 100. Boom Length feet 101. Boom Lift Cylinders 102. Boom Telescoping Cylinder(s) 103. Holding Device / Holding Valves 104. Boom Hydraulic Hoses 105. Boom Hydraulic Tubing 106. Boom Hydraulic Fittings 107. Boom Extension / Retraction Cables 108. Boom Wear Pads 109. Boom ection Alignment 110. Equal Extension / Boom equence 111. Condition of heaves 112. Hoist Retainers / Keepers 113. Condition of Boom tructure 114. Condition of Boom Head OLID DEIGN BOOM EXTENION 115. Jib Length 26 or 46 feet 116. Jib Type (Fixed, Off-et, Luffing, etc.) fixed 117. Condition of Boom Extension 118. Condition of Mounting Pins / Keepers 119. End Connections / Attachment Points 120. Condition of heaves 121. towage Brackets Front / Rear 122. Boom Extension Alignment 123. Wire Rope Retainers / Keepers 124. Condition of Welds 125. Positive tops LOAD BLOCK AND HOOK INFORMATION 126. Manufacturer McKissick Company Owner: Perry, tephen Contact: Perry, tephen Pg 3 of 8
4 Inspection Details Type of Inspection: =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item 127. erial Number Rated Capacity 20 UT 129. Block Weight 264 lbs ITEM 130. Capacity Marking 131. Weight Marking 132. heave(s) 133. afety Latch Degree Hook Bend or Twist % Hook Throat Opening or 1/4 inch % Hook Wear 137. Bearing 138. Pins and Retainers OTHER NOTE 139. stowed on crane OVERHAUL BALL AND HOOK INFORMATION 140. Manufacturer McKissick 141. erial Number Rated Capacity 7 UT 143. Ball Weight 178 lbs ITEM 144. Capacity Marking 145. Weight Marking 146. afety Latch Degree Hook Bend or Twist % Hook Throat Opening or 1/ % Hook Wear Enso Crane ervices U..A. Condition 150. Bearing 151. Wedge ocket / End Fitting MAIN HOIT WIRE ROPE INFORMATION 152. Damage 153. Wear 154. Broken Wires 155. Lubrication Company Owner: Perry, tephen Contact: Perry, tephen Pg 4 of 8
5 Image 1 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 5 of 8
6 Image 2 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 6 of 8
7 Notes Explanation 93: OPERATIONAL AID - Boom Angle Indicator: mechanical 95: OPERATIONAL AID - Anti Two Block / Device / Warning: CRANE MART 97: OPERATIONAL AID - Load Moment Indicator: functioned as designed, safely disabled the crane at the correct radius with a known weight 98: OPERATIONAL AID - Load Radius Indicator: accuracy confirmed with a tape measure 99: OPERATIONAL AID - Load Weight Indicator: accuracy acceptable with a known weight Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 7 of 8
8 Annual Certification This is to certify that the unit described below received an in accordance with OHA , , AME B30.5,B30.1 Equipment Owner: HERMAN CRANE Model No.: 2892 Equipment Make: MANITOWOC erial No.: Equipment Type: BOOM TRUCK Unit Id: C-125 Inspection ID: : Inspected on this: 25th (Monday) day of July, 2016 by: Enso Crane ervices Dover( NH ) This Certificate Expires One Year From The Date of Inspection Above Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 8 of 8
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To learn more about this model, call or visit giuffre.com today! GIUFFRE.COM. 34,000 Ib ( kg) maximum lifting capacity
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Sacramento: 916.440.8090 Reno: 775.972.7677 Santa Ana: 714.265.6550 www.coastlinecd.com Sacramento Location 325 North 5th Street Sacramento, CA 95811 You can own this equipment with our Lease to Buy Monthly
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