RW-ECM Lifting Equipment Inspection Report

Database No.: Contractor: Area:

Reg. No: Date:
Fleet No: Inspection by:
Equipment Type: (Underline or Circle) Compliance = 1 * Non-compliance = 0
Lattice Mobile & Crawler Crane, Truck Cranes, Not Applicable = N/A
Hydraulic (Tadano) Cranes, Side Booms, A-
CPI HES Guideline Vol. III OS. 29
Frame Truck
Item DESCRIPTION Score REMARKS
A STANDARD SAFETY DEVICES
01 Safety Belt / Seat – Driver / Operator
- Seats for all vehicles all passenger
- Seat belt lock mechanism working
02. View Mirrors (Sides & Rear)
- The mirror in good condition and/or damage to obstruct
views
03 Signal Lights, Stop, Turn, Head, amber Beacon, brake
Light
All lights and equipment itself must in working order
04 All Cables Condition
All cables must in good condition and arrange in safe position
05 Horn
The horn must sound in strong enough to hear by others
06 Windshield Wiper & Windshield glass
-Clean, no major cracks or damage to obstruct vision.
- Windshield wipers working
07 Boom Hoist Limiting Device
- It safety devices must in working order
08 Boom Back Stop / Boom Pawl Lock
Ensure that is safety devices in good condition
09 Boom Angle Indicator / Load Rating Chart
- It safety devices must in working order
10 Swing Brakes
Take a swing and stop to known the condition is running well
11. Anti Two Block & Alarm
- Its safety devices must running well and ensure that is
maintain properly
12 Hook Latch
Ensure that latch and spring is working properly
13 Back Up Alarm
Ensure that alarm working properly and sound good strong
enough
14 Parking Brakes & Services Brakes
Ensure that is safety devices is in working order
15 Odometer (KM Reading), Engine Hour, for wheel type only
Ensure those safety devices are in working order
16 Outrigger
Ensure that out rigger in good condition and as per
manufacturing design
17 Expired Document & Crane certificate
Ensure that document is in valid condition
TOTAL SCORE Total Possible- 17 - _____N/A = _____

C822444-COR-HS-FRM-0007
B LIMITED USE
1 Triangle Red Cones, Red Flags, First Aid Kit
Ensure those equipment available and adequate on equipment
for emergency
2 Expired CPI Permit / SIO / Govt. License
Ensure those permit in valid condition
3 Hour Meter
Check the hour meter is in working order
4 Door Operator / Driver Cabin
Door handles on inside and outside in working order
TOTAL SCORE Total Possible- 4 - _____N/A = _____
C MECHANICAL / NEED ASSISTANCE
1 Oil Engine / Transmission / hydraulic Oil
Check the condition from leakages or any other defective
2 Water Radiator / Driver Belt / Brake Fluid
Check the function in working order
3 Battery Level / Fuel / Gear Oil
Check the condition & function
4 Steering / Master Clutch / Service Brake
Check and ask to Operator those function
5 Air Gauge / Oil Gauge / Water Gauge
Check in cabin and ask the operator for well function
6 Control Level / Brake Lining AC
Check and ask to operator those function
7 Tire (Including spare) / Spring / Track Pin
Check the tires as per manufacturing in design
8 Drive Chain / Sprocket / Rollers
Check those function as per lifting equipment used
9 Hook cable / Pendant Cable / Boom Hoist Cable
Check those equipment as Rigging practices
10 Turn Cable Gear / Out Rigger / Boom Lock
Check the function and any leakages
11 Boom Connection and Pin / Counter Weight
12 Others
Notes on this section for other non-compliances were not
shown on above description
TOTAL SCORE Total Possible- 12 - _____N/A = _____
*NOTE: Record Non - Compliance items on Inspection Summary Report.

SCORING SUMMARY
Section Total A. Total Possible:
Section Total B. Total Possible:
Section Total C. Total Possible:
TOTAL SCORE Total Score Possible:

FINAL RATING: TOTAL SCORE X 100 = __________ %

Total Score Possible

Remark:

C822444-COR-HS-FRM-0007