Percival Testing and Technical Consultancy Services

Virginia Bldg., Brgy. Maitim Bay, Laguna

Email add: pt.tcs@yahoo.com
Tel No: (049) 310 - 9399 / Mobile No: 0938 797 4165

Sticker
2000
Submitted
Standard / Referrence
ASME B30.5

INSPECTION STANDARD CHECKLIST

BOOM TRUCK
Equipment Type Boom Truck Brand / Make Unic
Rated Capacity 3.5 t Model / Year 1997
Unit No. Serial / Pin / Chassis V053865
Javen Moving Services Plate No. / Series WIG 645
Company
Other Specs
Brgy. Banay-banay Cabuyao, Company Representative Joven Diolata
Place of Inspection
Laguna Date October 28, 2022

I - ENGINE SIDE
FINDINGS REMARKS
1 Compression Good Compression Satisfactory
2 Smoke Belching Light smoke Emission Satisfactory
3 Blow-by No Sign of Blow-by Satisfactory
4 Injection Pump In Good Condition Satisfactory
5 Radiator/ Cap No Leak / with Cap Satisfactory
6 Fan/ Belts In Good Tension Satisfactory
7 Starter Motor Quick Starting Satisfactory
8 Alternator Motor Charging Satisfactory
9 Water Pump/ Hoses No Leaks Satisfactory
10 Battery Connection Properly Connected Satisfactory
11 Hydraulic Hoses No Leaks Satisfactory
Others:

II - CABIN/ CONTROLS

1 Lights Functioning Satisfactory

2 Ventilation Fan Installed Satisfactory
3 Seatbelt Installed Satisfactory
4 Control Levers
4.1 Swing
Functioning Satisfactory
4.2 Boom Up/Down
Functioning Satisfactory
4.3 Boom Extend/ Retract
Functioning Satisfactory
4.4 Hoisting
Functioning Satisfactory
4.5 Parking Brake
Functioning Satisfactory
4.6 Outrigger Extend/Retract
Functioning Satisfactory
4.7 Outrigger Jack
Functioning Satisfactory
5 Ignition Switch
Functioning Satisfactory
6 Horn
Functioning Satisfactory

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 Satisfactory
7 Pedals Satisfactory
7.1 Accelerator Functioning Satisfactory
7.2 Brake Functioning Satisfactory
8 Wiper Blade/s Functioning Satisfactory
9 Header Glass/ Windshield No Damage
10 Load Chart Available
11 Load Moment Indicator N/A
Others:

III - DASH BOARD PANEL /

Functioning Satisfactory
1 Fuel Gauge Functioning Satisfactory
Functioning Satisfactory
2 Engine Oil Pressure Gauge Functioning Satisfactory
Functioning Satisfactory
3 Hydraulic Oil Gauge
Functioning Satisfactory
4 Water Temperature Gauge
5 Ampere Gauge
6 Hour Meter
7 Speedometer
IV - STRUCTURAL /
8 Air Pressure Gauge
Others:
1 Telescopic Boom No Damage Satisfactory
2 Load Bed No Damage Satisfactory
3 Turntable No Damage Satisfactory
4 Axle No Damage Satisfactory
5 Tires/ Rim No Damage Satisfactory
6 Canopy No Damage Satisfactory
7 Steering Rod No Damage Satisfactory
8 Stud Bolts Complete Satisfactory
9 Body Sidings No Damage Satisfactory
10 Leaf Suspension Spring No Damage Satisfactory

V - HYDRAULIC SYSTEM

1 Hydraulic Pump Functioning Satisfactory

2 Hydraulic Motor Functioning Satisfactory
3 Control Valve / Selector valve Functioning Satisfactory
4 Boom Hydraulic Cylinder No Sign of Leak Satisfactory
5 Outrigger Cylinder No Sign of Leak Satisfactory
6 Hydraulic Hose No Sign of Leak Satisfactory
Others:

VI - TANK

1 Fuel Tank No Sign of Leak Satisfactory

2 Hydraulic Tank No Sign of Leak Satisfactory
Others:

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 VII - CRANE
Boom
1 Boom Status In Good Condition Satisfactory
2 Boom Segments 4
3 Boom Deflection No Damage Satisfactory
Satisfactory
4 Slide Plates No Damage
5 Boom End Sheave 2

A B C D E F
Diameter 140 mm 140 mm
Hook Block
Opening 15 mm 15 mm
1 Hook 10.5 mm 10.5 mm
Pitch Diameter Satisfactory
a. Minor Opening 17 mm 17 mm 61 mm
Depth Satisfactory
b. Major Opening 1 mm 3 mm 70 mm
Thickness
2 Safety Latch No Spring Install
3 Mounting/ Fitting Installed Satisfactory
4 Cable Keeper Satisfactory
Installed
5 No. of Partline/s 4
6 Hook Block Cap. Marking None Install
7 Hook Block Sheave/s 2

Main A B C D E F
200 mm 200 mm Satisfactory
1 CableDiameter
Size Ø 9.5 mm
16 mm 16 mm Satisfactory
2 CableOpening
Status Lubricated
Pitch Diameter 13.5 mm 13.5 mm Satisfactory
3 No. of Strand & Wire 6x19
Depth 17 mm 17 mm Satisfactory
4 Type/ Kind 6 mm 6 mm IWRC
5 Thickness
Capacity (Single Partline) 1 ton

Wire
Drum

1 Diameter 120 mm Satisfactory

2 Length 150 mm Satisfactory
3 Rope Alignment Aligned Properly Satisfactory
4 Type Plane Satisfactory
5 Winding in Drum More than 3 windings left Satisfactory

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 1 Toolbox w/ tools
2 Rear/ Side View Mirrors
3 Safety Handholds
4 Step Ladder VIII - SAFETY REQUIREMENTS
5 Anti-Skid Surface
6 Night Operation Lightings Mechanic on Stand-by Satisfactory
Installed Satisfactory
Satisfactory
Head Lights Functioning
Installed Satisfactory
Satisfactory
Rear Lights Functioning
Installed Satisfactory
Satisfactory
Signal Lights Functioning
Installed Install
Satisfactory
7 Beacon Light None
Satisfactory
8 Fire Extinguisher Available
Install
9 Boom Angle Indicator Missing pointer Install
10 Anti-Two Blocking Device None
11 Load Moment Limiter N/A
12 Outrigger Floats No Damage Satisfactory
Satisfactory
14 Spirit Level Installed
15 Lowering Limiter N/A
17 Emergency Stop Functioning Satisfactory
Others:

IX - LOAD TESTING

1 Rated Capacity 3.5 t

1 ton steel frame
2 Load Weight Used
3 Boom Length
4 Boom Angle
5 Working Radius
6 Time Duration 15 minutes
7 Lift Height 23 cm
Follow Load Chart
8 Safe Working Load
Remarks:

EQUIPMENT EVALUATION

MARK:
PASSED

LEGEND:
PASSED Met the safety requirements and equipment's rated capacity or SWL
FAILED Failed to meet the safety requirement and/or equipment's rated capacity

NOTE:
PERCIVAL TESTING & TECHNICAL CONSULTANCY SERVICES had done the BASIC Ocular Technical Safety
Inspection on all concerned equipment. However, incidents that may cuase the internal failure due to
material deficiencies, beyond our reach/ access such as; metal fatigue, strain, wear and tear and mis-use,
have no assurance of 100% of security.

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 SUMMARY OF FINDINGS &

1 Need to install beacon light. It notify, warn and attract attention to a specific location.
2 Wrong installation of wire rope clip. Saddle is on the incorrect end of the rope. The saddle of the clip rests on the
live end of the rope, while the U-bolt is to rest on the dead end of the rope. The U-bolt part of the clamp crushes
the strand thereby weakening the rope.
3 Wrong installation of socket wedge. Align live end of rope with the center line of pin. Loads may slip or fall if the
socket wedge is not properly installed.
4 Need to install safety latch spring, to prevent the components from becoming unfastened from the hook and
falling on the worker below.
5 Missing boom angle indicator. Need to install. The boom angle indicator is a quick reference for the operator to
know what angle the boom is at.
6 Need to install hook block capacity marking.
7 Kindly monitor kink found on the cable.
8 Need to install anti-two blocking device to prevent contact of hook block and upper sheave. Two-blocking is
one of the most dangerous incidents involving cranes, as it can snap wire ropes and cause dropped loads and
other
catastrophic accidents.
9 Unusual sound when hoisting up.
10 One of the boom end sheave has dent and too thin flange. A condition that could seriously damage the wire rope.
Replace Sheave
11 The unit is " FIT FOR OPERATION ".
12 The following documents should be available in the equipment:
a) Latest certificate/ sticker of inspection.
b) Operator's Log Book to indicate status of the equipment and Maintenance Records.
c) Equipment Operation Manual.

Inspected

Christian C. Coria, ME Jeric B. Coria, ECT

Signature over Printed name Signature over Printed name
Technical
Checked and Verified by: Inspector Technical Inspector

Percival O. Maligalig
Signature over Printed name
President

Date October 28, 2022

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