OSHA / ANSI Initial Inspection Checklist Date:

Unit # Unit Serial # Inspector:

Crane Model: Crane Serial # Max. Crane Capacity:

Notes: 1. Crane must be away from power lines, and leveled with outriggers fully extended before inspecting and operating.2. OSHA & ANSI require qualified and competent individuals to inspect /operate cranes3. Inspectors must have been through training, have extensive knowledge and demonstrated ability in the subject matter.

References: O = OSHA 1926.550, 1910.180, PCSA#2, ANSI B30.5(1968) A = ANSI / ASME B30.5 (Latest), ASME B30.10 (Latest)

Status: = Satisfactory X = Deficiency R = Recommendation N/A = Not Applicable

Crane Inspection Checklist1701 S. 2nd Ave Sheldon, IA 51246 712-324-5001

REFERENCE ITEM StatusGeneral

O-1926.550(a)(8)&(10) 1. Guards / CoversO-1926.601(b)(i)&(ii) 2. Internal / External LightsO-1926.550(a)(2) 3. Instructions / Caution / Warning DecalsO-B30.5-3.4.7 4. HousekeepingO-1926.550(a)(4) 5. Hand Signal ChartO-PCSA #2 7.12.1 / 6. 85% Stability Rule & DocumentationA-B30.5-3.4.2O-B30.5-2.2.1a 7. No-Load Operational Test

Driver’s Cab

O-1926.550(a)(13)(i)&(iii) 8. Access - Grab Rails / StepsO-1926.550 (a)(12) 9. GlassO-1926.601(b)(2)(i)&(ii) 10. Windshield WipersO-1926.601(b)(4) 11. MirrorsA-B30.5-3.4.9(a) 12. Fire ExtinguisherO-1926.601(b)(9) 13. Seat BeltsA-B30.5-2.1.3(m) 14. PTO (Power Take Off)O-1926.601(b)(1) 15. Parking BrakeO-B30.5-2.1.2(a)(4) 16. Air / Hydraulic LinesO-1926.601(b)(14) 17. Instruments / GaugesO-B30.5-2.1.2(3)&(7) 18. Electrical Switches / FunctionsO-1926.601(b)(3) 19. HornO-B30.5-2.1.3(a)(10) 20. SteeringO-B30.5-1.6.3(d) 21. ClutchO-B30.5-1.6.3 22. AcceleratorO-PCSA #2 5.14 23. BrakeO-PCSA #2 8.01 24. Operator’s Manual

Chassis

O-PCSA #2 6.01 25. PerformanceO-1926.550(a)(10) 26. Exhaust System / Guards & InsulatorsO-B30.5-2.1.3 27. Belts / HosesO-1926.550(a)(8) 28. Guards/Covers - Rot. & Recip. PartsO-B30.5-1.6.3(d) 29. TransmissionO-B30.5-2.1.3 30. DrivelineO-B30.5-2.1.3(a)(11) 31. Tires / WheelsO-PCSA #2 8.3.3.5(3) 32. Tire Air PressureO-1926.550(a)(1) 33. Main Frame MembersO-PCSA #2 8.2.1.3 34. Hydraulic Hoses / Tubes / FittingsO-1910.180(d)(3)(iv) 35. Hydraulic Fluid LevelO-1926.550(a)(13)(iii) 36. Anti-Skid SurfaceO-1926.550(a)(8) 37. Guards / CoversO-1926.601(b)(4)(i) 38. Backup Alarm

REFERENCE ITEM StatusOutriggers

O-B30.5-2.1.3 39. BeamsO-B30.5-1.9.3(a) 40. Outrigger Lock (if manual extend)A-B30.5-2.1.3(o) 41. CylindersO-B30.5-1.9.3(d) 42. Outrigger SandpadsO-PCSA #2 8.2.1.3 43. Hydraulic Hoses / Tubes / FittingsO-B30.5-1.9.3(b) 44. Holding Valves (Vertical O.R. cylinders)O-1926.550(a)(2) 45. Caution / Warning Signs

Operator Controls

O-1926.550(a)(13)(ii) 46. Grab Rails / Steps / PlatformsO-1926.550(a)(13)(iii) 47. Anti-Skid SurfaceO-1926.550(a)(2) 48. Electrocution Warning Decal on RemoteO-B30.5-1.6.1(b) 49. Fully Operating RemoteO-B30.5-1.6.1(a) 50. Controls IdentifiedO-B30.5-1.6.2(a) 51. Controls - Forces / MovementsO-PCSA #2 8.2.1.3 52. Hydraulic LeaksO-1926.601(b)(3) 53. Horn - Warning DeviceO-B30.5-1.6.3(a) 54. Remote Start StopO-B30.5-1.6.3(b) 55. Speed Control on Remote

Load Chart

O-1926.550(a)(1)&(2) 56. Per ConfigurationO-B30.5-1.1.3 57. DurableO-B30.5-1.1.3 58. LegibleO-PCSA #2 7.14 59. On Both Sides of TowerO-B30.5-1.1.3 60. Securely Attached

Safety Devices / Operational Aide

O-PCSA #2 7.11.2 61. Boom Angle IndicatorO-B30.5-2.1.3(n)(6) 62. Overload Protection / CounterbalanceO-B30.5-1.9.9(d) 63. Crane Level IndicatorA-B30.5-1.9.9.1(a) 64. Anti-2-Block Device

Tower

O-B30.5-2.1.3 65. Turntable / Rotate / BearingO-B30.5-2.1.3(m) 66. Hydraulic MotorsO-PCSA #2 8.2.1.3 67. Hydraulic Hoses / Tubes/ FittingsO-PCSA #2 8.1.4 68. Hydraulic PressureO-B30.5-2.1.3 69. Electric WiringA-B30.5-1.3.2(2)(c) 70. Hoist - Wrapping on Drum (1/2" flange)O-PCSA #2 8.1.5.2 71. Hoist - Minimum (2) Rope WrapsA-B30.5-1.9.11(g) 72. Electrocution Warning Decal

REFERENCE ITEM StatusMain Boom

A-B30.5-2.1.3(o) 73. Lift CylinderA-B30.5-2.1.3(o) 74. Extend CylinderO-PCSA #2 8.2.1.3 75. Hydraulic Hoses / Tubes/ FittingsO-PCSA #2 4.07.1 76. Boom Section AlignmentO-B30.5-2.1.3(a)(4) 77. Wear PadsO-B30.5-1.7.4(a) 78. SheaveO-B30.5-1.7.3 79. Wire Rope EndO-B30.5-1.7.4(b) 80. Wire Rope Retainer (Close Fitting Guard)O-B30.5-2.1.3(4) 81. Tower & Lift Cylinder PinsO-B30.5-2.1.3(a)(1) 82. Boom Head SectionO-B30.5-2.1.3(a)(1) 83. Structure

Load Block & Hook

O-PCSA #2 7.11.6 84. Capacity MarkingO-B30.5-1.7.6 85. Weight MarkingO-B30.5-1.7.4(a) 86. SheaveO-B30.5-1.7.4(b) 87. Wire Rope Retainer (Close Fitting Guard)O-B30.5-1.7.6 88. Safety LatchA-B30.10-1.2.3(c)(1) 89. 0° Hook TwistA-B30.10-1.2.3(c)(2) 90. 5% Hook Throat OpeningA-B30.10-1-2.3(c)(3) 91. 10% Hook WearO-B30.5-2.1.3(a)(4) 92. Hook SwivelO-B30.5-2.1.3(a)(2) 93. Pin For Load Block

Hook Throat Opening:

Cable Diameter:

O-B30.5-2.2.2 Load Test Main Boom:

Extended Length

Load Radius

Boom Angle

Parts of Line

Rated Capacity

Test Weight

% of Rated Capacity

Results of Load Test Passed Failed Not Applicable

Explanation:

DEFICIENCY / RECOMMENDATION REPORT

The following corrective actions are to be performed by a qualified person in accordance with the manufacturer’s specifications & requirements.OSHA requires that, “any deficiency X shall be repaired or defective parts replaced before continued use.”

Recommendations R should be considered for corrective action. The advisability of a particular recommendation depends on each situation. Anycorrective action must be performed by a qualified person in accordance with manufacturer’s specifications & requirements.

X = Deficiency R = Recommendation

X / R ITEM # EXPLANATION DATE CORRECTED

Rev. B 1007