DOC TITLE: MOBILE CRANE INSPECTION REPORT

OPERATOR NAME: INSPECTION DATE:

JKKP REG: INSPECTOR NAME:

CRANE TYPE / MODAL: DESIGNATION:

PMA NO:
SIGNATURE:
VALIDITY NO:
OPERATOR SIGNATURE:

INSPECTION RESULT ( ): GOOD FAIR POOR

NO CHECK ITEMS OK NO REMARK

A OPERATOR / VALIDITY / SAFETY

1 Operator Competency certificate Available.
2 PMA Certificate Valid / displayed.
3 PPE for Operator available / function.
4 Fire extinguisher available function.

B TRUCK CONDITION
1 Chassis clean & well maintained.
2 Driver’s cabin in good condition.
3 Cabin Instrumentation.
4 Head light / signal light function
5 Horning system functioning.
6 Reverse warning function.
7 Wheels / tyres in good condition.
8 Brake system / lights function.
9 Engine Condition / Function.

C CRANE
1 Operator cab Condition
2 Instrumentation Satisfactory
3 Control levers condition
4 Sheaves function (Head, gantry, bridle, equalizing)
5 Main / aux hook blocks condition
6 Pin Jib Lacing / Cords condition

D WIRE ROPES
1 Diameter reduction < 7% & breakage < 10%
2 No deformation, kink, twist, abrasion & ending
3 Lubrication, no corrosion
4 Reel winding in order

NO CHECK ITEMS OK NO REMARK

E SAFETY DEVIDE
1 Over-wind warning device function
2 Over-load warning device function
3 Load indicator function
4 Angle indicator function
5 Load chart available
6 Hook’s safety catch function

HOIST DEVICES
F Clutch drums condition / function
1 Brake drum condition / function
2 Sheaves lubrication / condition
3 Boom condition
4 Drum Lock Pawl (function / condition)
5

Outriggers
G
Jacks & Sliders (function / condition)
1
Level gauges (function / condition)
2

MISC
H
Hydraulic system function
1
Hydraulic pump function
2
Crane lighting function
3
Fly-jib condition
4
REQUIRED DOCUMENT
I
PMA Certificate
1
Crane Operator Competency Certificate
2
Lifting Gear manufacturer’s Certificate
3