Mobile Crane Daily Safety Form-068

Checklist Rev.: AC Date: 19 03 2018

PJT site: Subcontractor: Register No.: Inspection date:

⑦
⑨ ④
①
② ⑧

⑥
③ ⑤

No. part Item inspection method S S M T W TH inspection photo

Over-load When overloaded, the operation except

① limiter & rotation will be stopped with alarm sound.
Screens All screen curtains & view obstructions
should be removed operators’ cabin

Over winding Before hook reaches to the top, Overload Over winding
② prevent operation stops with alarm sound limiter prevent device
device
Hook & Hook latch shouldn't have any
③ Sheave abnormality such as detachment. Hook and
sib should rotate smoothly
There should be no wire cut on wire rope and
④ Wire rope end treatment should be good Hook & wire rope
Sheave
Balance should be kept for maximum
⑤ Outrigger expansion. More than 2 struts should not be
used

Counter Its weight should comply with manual

⑥ weight and stably fixed without being arbitrarily
manipulated Outrigger Counter weight

Wire rope Wire rope fixing pin should be installed on

⑦ fixing pin & sheave. Reverse Alarm ,Beacon lights, Head,
Alarms rail, fog, mars light should work normally

Hydraulic Hydraulic motor, cylinder, pipe should not be fixing pin Hydraulic cylinder
⑧ system worn, damaged and leak. No Diesel tank
and cylinder leakage and black smoke emission
Operators Operators Safety Induction should be signed by
⑨ Induction form the operator.
Brake & Functions of brake, clutch, driving device
⑩ Clutch, should be normal & Head, rail, fog, mars
Lamps light should work normally Lamps Brake
Inspector/Site Name: (signature) In
Engineer c
Site

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