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: 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 Aux Hoist Rope Diameter Aux Hoist Rope Type LOCKE CRANE ERVICE; PO Box 219, Raymond NH 03077 UA 234202 Unit Number: 21 2013 Manufacturer GROVE TM-760E 120,000 lbs 3/4 rotation resistant 3/4 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: omerset, MA GP Tag: Inspector teve Marquis Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 1 of 8
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. Housekeeping 9. Warning / afety Labels 10. OHA Approved Hand ignal Chart (outside) POWER PLANT (LOWER) 11. Engine / Pumps Performance 12. Exhaust ystem / Guards & Insulators 13. Belts / Pulleys 14. Hoses 15. Compressor Performance 16. Guards / Covers for Rotating Parts 17. Engine Oil Level 18. Transmission Oil Level 19. Coolant Level 20. Leaks DRIVER CAB / TATION (LOWER) 21. Brakes ervice / Parking 22. Headlights / Trail Lights 23. Brake Lights / Turn ignals 24. Back-up Alarm / Lights 25. Audible Warning (low air) 26. Glass 27. Windshield Wipers 28. Heater / Defroster 29. eat Belts 30. teering 31. Fire Extinguisher Enso Crane ervices U..A. Condition 32. Gauges / Light Display 33. Access / Grab Rails / teps 34. Mirrors 35. Power Take-Off 36. Air Pressure 37. Horn 38. Engine Clutch 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. Differential Breathers 52. Tires / Wheels Condition 53. Tire Inflation Pressure OUTRIGGER 54. Boxes 55. Beams 56. Cylinders / Extensions & tabilizers 57. Floats / Pads 58. Hydraulic Hoses 59. Hydraulic Tubing 60. Hydraulic Fittings 61. Pilot Operated Check Valves 62. Positive Position Locks 63. Decals / Warning Labels 64. Front tabilizer 65. Beam Marking Company Owner: Perry, tephen Contact: Perry, tephen Pg 2 of 8
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 PAT 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 ROTATING UPERTRUCTURE 94. Turntable / All tructural Welds 95. Turntable Mounting Bolts 96. Hydraulic wivel Enso Crane ervices U..A. Condition 97. Directional Control Valves 98. Hydraulic Hoses 99. Hydraulic Tubing 100. Hydraulic Fittings 101. Hydraulic Pressure / Relief Valves 102. Electric wivel / Collector Ring 103. Electrical Wiring 104. wing / lew Gearbox 105. lewing / Rotation Bearing 106. Counterweight / Welds / Attachment Area 107. afety / Warning Labels 108. Main Hoist mounting Bolts 109. Auxiliary Hoist Mounting Bolts 110. Wire Rope Lay on Main Hoist MAIN BOOM 111. Boom Length 36-110 feet 112. Lift Cylinder(s) 113. Telescoping Cylinder(s) 114. Holding Device / Holding Valves 115. Hydraulic Hoses 116. Hydraulic Tubing 117. Hydraulic Fittings 118. Boom Wear Pads 119. Boom ection Alignment 120. Equal Extension / Boom equence 121. Condition of heaves 122. Hoist Line Retainers / Pins 123. Condition of Boom tructure 124. Condition of Boom Head 125. Condition of Auxiliary Boom Head / Rooster LATTICE BOOM EXTENION 126. Condition of Main Chords and Lacings 127. Condition of Mounting Pins / Keepers 128. End Connection / Attachment Points 129. Condition of heaves Company Owner: Perry, tephen Contact: Perry, tephen Pg 3 of 8
Inspection Details Type of Inspection: TELECOPING BOOM CRANE-ANNUAL =atisfactory R=Recommendation D=Deficiency N=Not Applicable Item Condition Item 130. towage Brackets Front / Rear 131. Boom Extension Alignment 132. Wire Rope Retainers / Pins 133. Condition of Welds 134. Positive tops 135. Length of Jib 33 ft offset OLID DEIGN BOOM EXTENION 136. Condition of Boom Extension 137. Condition of Mounting Pins / Keepers 138. End Connection / Attachment Points 139. Condition of heaves 140. towage Brackets Front / Rear 141. Boom Extension Alignment 142. Wire Rope Retainers / Pins 143. Condition of Welds 144. Positive tops 145. Length of Jib 22 ft AW LOAD BLOCK AND HOOK INFORMATION 146. Manufacturer JOHNON 147. erial Number 13-11874 148. Rated Capacity 40 UT 149. Block Weight 796 lbs ITEM 150. Capacity Marking 151. Weight Marking 152. heave(s) 153. afety Latch 154. 0 Degree Hook Bend or Twist 155. 5% Hook Throat Opening or 1/4 inch Enso Crane ervices U..A. Condition 156. 10% Hook Wear 157. Bearing 158. Pins and Retainers 159. Reeving 160. Wedge ocket / End Fitting OVERHAUL BALL AND HOOK INFORMATION 161. Manufacturer JOHNON 162. erial Number 13-12758 163. Rated Capacity 12 UT 164. Ball Weight 354 lbs 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 OTHER NOTE 172. stowed on crane MAIN HOIT WIRE ROPE INFORMATION 173. Damage 174. Wear 175. Broken Wires 176. Lubrication Company Owner: Perry, tephen Contact: Perry, tephen Pg 4 of 8
Image 1 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 5 of 8
Image 2 Enso Crane ervices U..A. Company Owner: Perry, tephen Contact: Perry, tephen Pg 6 of 8
Notes Explanation 159: ITEM - Reeving: 2 parts 69: OPERATIONAL AID - Boom Angle Indicator: accuracy confirmed with a digital level 73: OPERATIONAL AID - Load Moment Indicator: LMI functions as designed. 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 7 of 8
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.: TM-760E Equipment Make: GROVE erial No.: 234202 Equipment Type: TELECOPING BOOM CRANE Unit Id: 21 Inspection ID: : 88.577.1540378860 Inspected on this: 23rd (Tuesday) day of October, 2018 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 8 of 8