Inspection Report: TELECOPING BOOM CRANE-ANNUAL OHA/ANI/AME tandards: OHA 1926.1400, 1910.180,1926.601 AME B30.5,B30.10 Date Inspected: 12/11/2017 Operation Hours: 1,180. upper Operation Miles: 14,500 Inspector: teve Marquis Equipment Identification and pecifications Name and Address of Owner erial Number Year Model Max Capacity Main Hoist Rope Length Main Hoist Rope Diameter Main Hoist Rope Type Aux Hoist Rope Length Aux Hoist Rope Diameter Aux Hoist Rope Type LOCKE CRANE ERVICE; PO Box 219, Raymond NH 03077 UA 5130-7559 Unit Number: 25 2016 Manufacturer GROVE GMK-5165-2 330,000 lbs 837 feet 19 mm rotation resistant 738 feet 19 mm 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 7
Inspection Details Type of Inspection: TELECOPING BOOM CRANE-ANNUAL =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item TELECOPING BOOM CRANE-ANNUAL 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) POWER PLANT (LOWER) 12. Engine / Pumps Performance 13. Exhaust ystem / Guards & Insulators 14. Belts / Pulleys 15. Hoses 16. Compressor Performance 17. Guards / Covers for Rotating Parts 18. Engine Oil Level 19. Transmission Oil Level 20. Coolant Level 21. Leaks DRIVER CAB / TATION (LOWER) 22. Brakes ervice / Parking 23. Headlights / Trail Lights 24. Brake Lights / Turn ignals 25. Back-up Alarm / Lights 26. Audible Warning (low air) 27. Glass 28. Windshield Wipers 29. Heater / Defroster 30. eat Belts 31. teering Enso Crane ervices U..A. Condition 32. Fire Extinguisher 33. Gauges / Light Display 34. Access / Grab Rails / teps 35. Mirrors 36. Power Take-Off 37. Air Pressure 38. Horn 39. Accelerator 40. Operators Manual CARRIER / DRIVETRAIN COMPONENT 41. Engine Mounts / Bolts 42. Transmission Mounts / Bolts 43. Drive Line 44. U-Joints 45. Main Frame Members 46. Axle Mounts 47. Hydraulic Hoses 48. Hydraulic Tubing 49. Hydraulic Fittings 50. Hydraulic Fluid Level 51. Axle Lockout ystem 52. Differential Breathers 53. Tires / Wheels Condition 54. Tire Inflation Pressure OUTRIGGER 55. Boxes 56. Beams 57. Cylinders / Extensions & tabilizers 58. Floats / Pads 59. Hydraulic Hoses 60. Hydraulic Tubing 61. Hydraulic Fittings 62. Pilot Operated Check Valves 63. Positive Position Locks 64. Decals / Warning Labels 65. Beam Marking Company Owner: Perry, tephen Contact: Perry, tephen Pg 2 of 7
Inspection Details Type of Inspection: TELECOPING BOOM CRANE-ANNUAL =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item RATED CAPACITY CHART 66. Correct Capacity Chart for Crane 67. Legible / Durable 68. ecured / Accessible to Operator OPERATIONAL AID 69. Boom Angle Indicator 70. Boom Length Indicator 71. Anti Two Block / Device / Warning 72. LMI Make & Model ECO 73. Load Moment Indicator 74. Load Radius Indicator 75. Load Weight Indicator 76. Main Hoist / Winch Rotation Indicator OPERATOR CAB / TATION 77. Glass / afety Type 78. Windshield Wipers / Washers 79. Cab Access / teps / Ladders 80. Hand holds / Guardrails 81. Anti lip Walking urfaces 82. Door Latch / Lock / Restraint 83. Fire Extinguisher 10BC 84. Operators Manual 85. All afety Decals 86. Electrocution Warning 87. Level Indicator 88. Horn 89. Gauges / Light Display 90. Crane Function Controls 91. Crane Function Controls Identified 92. wing Brake / Lock 93. Low Boom Warning POWER PLANT (UPPER) 94. Engine / Pumps Performance 95. Exhaust ystem / Guards & Insulators 96. Belts / Pulleys Enso Crane ervices U..A. Condition 97. Hoses 98. Compressor Performance 99. Guards / Covers for Rotating Parts 100. Engine Oil Level 101. Transmission Oil Level 102. Coolant Level 103. Leaks ROTATING UPERTRUCTURE 104. Turntable / All tructural Welds 105. Turntable Mounting Bolts 106. Directional Control Valves 107. Hydraulic Hoses 108. Hydraulic Tubing 109. Hydraulic Fittings 110. Hydraulic Pressure / Relief Valves 111. Electrical Wiring 112. wing / lew Gearbox 113. lewing / Rotation Bearing 114. Counterweight / Welds / Attachment Area 115. afety / Warning Labels 116. Main Hoist mounting Bolts 117. Auxiliary Hoist Mounting Bolts 118. Wire Rope Lay on Main Hoist MAIN BOOM 119. Boom Length 42-197 feet 120. Lift Cylinder(s) 121. Telescoping Cylinder(s) 122. Holding Device / Holding Valves 123. Hydraulic Hoses 124. Hydraulic Tubing 125. Hydraulic Fittings 126. Boom Wear Pads 127. Boom ection Alignment 128. Equal Extension / Boom equence 129. Condition of heaves Company Owner: Perry, tephen Contact: Perry, tephen Pg 3 of 7
Inspection Details Type of Inspection: TELECOPING BOOM CRANE-ANNUAL =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item 130. Hoist Line Retainers / Pins 131. Condition of Boom tructure 132. Condition of Boom Head 133. Condition of Auxiliary Boom Head / Rooster LATTICE BOOM EXTENION 134. Condition of Main Chords and Lacings 135. Condition of Mounting Pins / Keepers 136. End Connection / Attachment Points 137. Condition of heaves 138. towage Brackets Front / Rear 139. Boom Extension Alignment 140. Wire Rope Retainers / Pins 141. Condition of Welds 142. Positive tops 143. Length of Jib 33 or 59 luffer LOAD BLOCK AND HOOK INFORMATION 144. Manufacturer JOHNON 145. erial Number 17-2169 146. Rated Capacity 22 UT 147. Block Weight 1,550 lbs 148. Hook Tram Measurement ITEM 149. Capacity Marking 150. Weight Marking 151. heave(s) 152. afety Latch 153. 0 Degree Hook Bend or Twist 154. 5% Hook Throat Opening or 1/4 inch 155. 10% Hook Wear Enso Crane ervices U..A. Condition 156. Bearing 157. Pins and Retainers 158. Reeving 159. Wedge ocket / End Fitting OVERHAUL BALL AND HOOK INFORMATION 160. Manufacturer JOHNON 161. erial Number 16-297 162. Rated Capacity 22 UT 163. Ball Weight 761 lbs 164. Hook Tram Measurement ITEM 165. Capacity Marking 166. Weight Marking 167. afety Latch 168. 0 Degree Hook Bend or Twist 169. 5% Hook Throat Opening or 1/4 170. 10% Hook Wear 171. Bearing MAIN HOIT WIRE ROPE INFORMATION 172. Damage 173. Wear 174. Broken Wires 175. Lubrication Company Owner: Perry, tephen Contact: Perry, tephen Pg 4 of 7
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Notes Explanation 158: ITEM - Reeving: 2 parts 69: OPERATIONAL AID - Boom Angle Indicator: accuracy confirmed with a digital level 73: OPERATIONAL AID - Load Moment Indicator: LMI functioned as designed, safely disabled the crane at the correct radius with a known weight 74: OPERATIONAL AID - Load Radius Indicator: accuracy confirmed with a tape measure 75: OPERATIONAL AID - Load Weight Indicator: accuracy acceptable with a known weight Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 6 of 7
Annual Certification This is to certify that the unit described below received an TELECOPING BOOM CRANE-ANNUAL in accordance with OHA 1926.1400, 1910.180,1926.601 AME B30.5,B30.1 Equipment Owner: LOCKE CRANE ERVICE Model No.: GMK-5165-2 Equipment Make: GROVE erial No.: 5130-7559 Equipment Type: TELECOPING BOOM CRANE Unit Id: 25 Inspection ID: : 88.577.1513156449 Inspected on this: 11th (Monday) day of December, 2017 by: Enso Crane ervices 03821 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 7 of 7