Sheet 1 Crane No. Serial No. Make and Model
Daily inspection for the month of 20
Some of the tests recommended below may not apply depending on the type of crane or on the kind of work to be carried out.
Indicate the result of each field inspection by checking (P), if the element tested is in good condition.
Blacken the square (n) in case of defects and specify those defects on sheet 2.
This log shall be filled during regular working hours by the worker who has carried out the testing, test, field inspection or repair. NAME OF
OPERATOR
(write legibly)
Number of
work hours
(Crane) (Cumulative)
DAY: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
GENERAL
1. Manufacturer’s manual
2. Windows, windshield wipers and window defroster
3. Horn, mirrors and backup alarm
4. Boom angle indicator
5. Two-blocking warning device
6. Boom length indicator
7. Drum rotation indicator
8. Dials, gauges
9. Engine — upperworks, oil, water and belts
10. Machinery guards
11. Boom angle limit switch
12. Fire extinguishers
13. Power line approach limiting device
14. Greasing and lubrication
15. Cab locking
SWING AND HOISTS
16. Brakes, clutches and controls
17. Pawls, ratchets and locking devices
BOOM AND JIB
(Summary visual inspection)
18. Pins, cotter pins and hinge pins
19. Boom stop
20. Oil and hoses (hydraulic boom)
ROPES AND ACCESSORIES
(Summary visual inspection)
21. Main and auxiliary hoist ropes
22. Boom hoist rope
23. Rope spooling on drums
24. Boom and jib pendants
25. Rope attachments
26. Pulley blocks, hooks and safety latches
27. Sheaves, bearings and harnesses
CARRIER
28. Brakes
29. Tires and wheel lugs
30. Engine oil and water
31. Lights and flashers
32. Heater and window defroster
33. Outriggers
Sheet 2 Crane No. Serial No. Make and Model MOBILE CRANE
Monthly inspection for the month of 20
Points Points
34. Hand rails, footridges, non-skid floors 42. Load chart
35. Exhaust pipe 43. Detailed inspection of boom and jib structure
36. Electrical system and batteries 44. Load indicator
37. Hoist drums 45. Machinery guards
38. Cylinders and hydraulic system 46. Cable keepers on all sheaves
39. Turntable 47. Compressed air equipment
40. Counterweight fastening 48. Crawler (caterpillars, rollers, sprockets, etc.)
41. Gantry and live mast
INSPECTED BY: FUNCTION: DATE:
NOTE: All the monthly tests prescribed by the manufacturer’s manual shall be carried out.
Enter below the complete details with respect to any maintenance, inspections, tests and the revisions and modifications carried out. All incidents, mishaps, damage or repairs shall be recorded in detail (ref. CSA Z-150).
DATE INITIALS COMMENTS