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: 04/30/2018 Operation Hours: 03,239. Operation Miles: 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 LOCKE CRANE ERVICE; PO Box 219, Raymond NH UA Unit Number: Manufacturer NATIONAL /CAT 574 skidder 8100-D 46,000 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: Tewksbury, MA GP Tag: Inspector teve Marquis Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 1 of 9
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. Approved Modification Records 4. Wire Rope Inspection Records 5. Ground Conditions GENERAL CONDITION 6. heet Metal 7. Paint Condition / Corrosion Control 8. Guards / Covers 9. External lights 10. Housekeeping 11. Warning / afety Labels 12. OHA Approved Hand ignal Chart (outside) TRUCK POWER PLANT 13. Engine / Pumps Performance 14. Exhaust ystem / Guards & Insulators 15. Belts 16. Hoses 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. Back-up Alarm / Lights 37. Glass 38. Windshield Wipers 39. Defroster / Heater 40. eat Belts 41. teering Free Play 42. Fire Extinguisher 43. Gauges / Light Display 44. Access / Grab Rails / teps 45. Mirrors 46. Horn 47. Accelerator 48. Operators Manual OUTRIGGER 49. Outrigger Boxes 50. Outrigger Beams 51. Outrigger Cylinders / Extensions & tabilizers 52. Outrigger Floats / Pads 53. Outrigger Hydraulic Hoses 54. Outrigger Hydraulic Tubing 55. Outrigger Hydraulic Fittings 56. Pilot Operated Check Valves 57. Outrigger Crush Warning Labels ROTATING UPERTRUCTURE 58. Turntable / All tructural Welds 59. Turntable Mounting Bolts 60. Hydraulic wivel 61. Directional Control Valves 62. wivel Hydraulic Hoses 63. wivel Hydraulic Tubing 64. wivel Hydraulic Fittings Company Owner: Perry, tephen Contact: Perry, tephen Pg 2 of 9
3 Inspection Details Type of Inspection: =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item 65. Hydraulic Pressure / Relief Valves 66. Electric wivel / Collector Ring 67. Electrical Wiring 68. wing / lew Gearbox 69. Main Hoist Mounting Bolts 70. Wire Rope Lay on Main Hoist OPERATOR TATION 71. Cab Access / teps / Ladders 72. Hand Holds / Guardrails 73. Anti lip urfaces 74. Fire Extinguisher 10BC 75. Operators Manual 76. All afety Decals In Cab 77. Electrocution Warning In Cab 78. Crane Level Indicator 79. Horn 80. Gauges / Light Display 81. Crane Function Controls Movement 82. Crane Function Controls Identified 83. wing Brake / Lock 84. Low Boom Warning RATED CAPACITY CHART 85. Correct Capacity Chart for Crane 86. Legible / Durable 87. ecured / Accessible to Operator OPERATIONAL AID 88. Boom Angle Indicator 89. Boom Length Indicator 90. Anti Two Block / Device / Warning 91. LMI Make & Model PAT D Load Moment Indicator 93. Load Radius Indicator 94. Load Weight Indicator MAIN BOOM 95. Boom Length feet Enso Crane ervices U..A. Condition 96. Boom Lift Cylinders 97. Boom Telescoping Cylinder(s) 98. Holding Device / Holding Valves 99. Boom Hydraulic Hoses 100. Boom Hydraulic Tubing 101. Boom Hydraulic Fittings 102. Boom Extension / Retraction Cables 103. Boom Wear Pads 104. Boom ection Alignment 105. Equal Extension / Boom equence 106. Condition of heaves 107. Hoist Retainers / Keepers 108. Condition of Boom tructure 109. Condition of Boom Head LOAD BLOCK AND HOOK INFORMATION 110. Manufacturer JOHNON 111. erial Number Rated Capacity 15 UT 113. Block Weight 215 lbs 114. Hook Tram Measurement n/a ITEM 115. Capacity Marking 116. Weight Marking 117. heave(s) 118. afety Latch Degree Hook Bend or Twist % Hook Throat Opening or 1/4 inch % Hook Wear 122. Bearing 123. Pins and Retainers Company Owner: Perry, tephen Contact: Perry, tephen Pg 3 of 9
4 Inspection Details Type of Inspection: =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item 124. Reeving 125. Wedge ocket / End Fitting MAIN HOIT WIRE ROPE INFORMATION 126. Damage 127. Wear 128. Broken Wires 129. Lubrication Enso Crane ervices U..A. Condition Company Owner: Perry, tephen Contact: Perry, tephen Pg 4 of 9
5 Image 1 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 5 of 9
6 Image 2 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 6 of 9
7 Image 3 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 7 of 9
8 Notes Explanation 124: ITEM - Reeving: 2 parts 92: OPERATIONAL AID - Load Moment Indicator: LMI functioned as designed, safely diabled the crane at the correct radius with a known weight 93: OPERATIONAL AID - Load Radius Indicator: accuracy confirmed with a tape measure 94: OPERATIONAL AID - Load Weight Indicator: accuracy acceptable with a known weight Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 8 of 9
9 Annual Certification This is to certify that the unit described below received an in accordance with OHA , , AME B30.5,B30.1 Equipment Owner: LOCKE CRANE ERVICE Model No.: 8100-D Equipment Make: NATIONAL /CAT 574 skidder erial No.: Equipment Type: BOOM TRUCK Unit Id: 15 Inspection ID: : Inspected on this: 30th (Monday) day of April, 2018 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 9 of 9
Inspection Report: BOOM TRUCK-ANNUAL. Equipment Identification and Specifications
Inspection Report: OHA/ANI/AME tandards: OHA 1926.1400, 1910.180,1926.601 AME B30.5,B30.10 Date Inspected: 07/25/2016 Operation Hours: 11,121. Operation Miles: 107,160. Inspector: teve Marquis Equipment
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Inspection Report: TELECOPING BOOM CRANE-ANNUAL OHA/ANI/AME tandards: OHA 1926.1400, 1910.180,1926.601 AME B30.5,B30.10 Date Inspected: 10/23/2018 Operation Hours: 3,472. Operation Miles: 34,951. Inspector:
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