Annual Comprehensive Form Los Angeles, CA Crane Information:CraneSelect CraneBroderson #523087Broderson #570197Komatsu #31072Komatsu #31108Hour reading *Today's date *Shift Inspection Items:S = SatisfactoryD = DeficiencyCrankcase oilSDEngine coolantSDHydraulic fluidSDBatterySDBelts/hosesSDFluid leaksSDPTO (Power Take Off)MANITEX ONLYSDFire extinguisherSDOperator cab windowsSDOperator seat/safety beltSDLoad ChartSDControl mechanismsSDControl and drive mechanismsSDHousekeepingSDAir, hydraulic, and other pressurized linesSDLoad block/Overhaul ball swivels hooks and latchesSDBoom restMANITEX ONLYSDElectrical components & wiringSDChassis/suspensionSDTires/WheelsKomatsu - Not NeededSDTravel steering, brakes, and locking devicesSDWarning lables decals/placardsSDOutrigger or stabilizer pads/floatsKomatsu - Not NeededSDSlider pads (wear pads)SDSteps, ladders, handrails, guardsSDAnti Skid SurfacesSDRotator bearingSDCenter swivelSDExhaustSDMagnetic Key BoxMagnetic key box is located on crane with a copy of the crane's key(s) insideSDSafety devices and operational aids:S = SatisfactoryD = DeficiencyAnti-Two BlockSDBoom Angle IndicatorsSDLevel IndicatorSDLoad Moment (or rated capacity) limiterSDDrum rotation indicatorSDWire Rope:S = SatisfactoryD = DeficiencyMain hoistSDWedge Socket(s)SDWire rope reeving/wrapping on drumSDWire rope clips/retainersSDPhotos:Engine Oil (photo)Choose FileNo file chosenDelete uploaded fileWire Rope on Drum (photo)Choose FileNo file chosenDelete uploaded fileInside of Cab (photo)Choose FileNo file chosenDelete uploaded fileOutside of Crane (photo)Distance picture where entire crane fits inside screenChoose FileNo file chosenDelete uploaded fileAny additional notesFull Name *Submit Inspection Form
