Dec 2010 Item to be checked G F R C L Notes Hangers
Hanger Rods Bolts Welds Braces Straightness between Supports Elevation between Supports Top Flange Bottom Flange Switches Track Openers Interlocks Lift Drop Sections Electrification
Capacity & Warning Signs
American Crane and Hoist Corporation CRANE /HOIST/ MONORAIL - INSPECTION REPORT
Customer: Our Job No: Mfg.: Model: Serial #: Inspection Date: Mfg.: Model: Serial #: Inspected by: Capacity: ( ) Crane; ( ) Monorail; ( ) Jib Crane ; ( ) Hoist; Location: LEGEND: G=Good; F=Fair; R=Repair or Replacement Required; C= Clean; L= Lubricate Voltage: Item Description G F R C L Notes Limit Switches Motor Motor Brake Load Brake Gear Box Upper Block Sheaves Safety Guards Lower Block Sheaves Safety Guards Hook Safety Latch Wire Rope / Load Chain Rope Drum / Load Wheel H o i s t
Chain Container Motor Wheels, Wheel Gage Gear Box Brake Electrical/Mechanical T r o l l e y /
T r a c t o r
Bumpers Gear Box & Motor Bearings, Shafts, Couplings, & Pinions End Trucks / J ib Fittings Wheels / Gage Rollers Drop Lugs Girders / Connections Brake Electrical/Mechanical B r i d g e
/
J i b
B o o m
End Stops / Bumpers Pendant Control and Connectors X Directional Labels X Pendant (P.B.) Cable X P.B. Strain Relief Cable X Main Line Contactor X Hoist Controls X Trolley / Tractor Controls X Bridge Controls Resistors / Electronics X Cross Conductors &Collectors C o n t r o l s ,
W i r i n g
&
E l e c t r i f i c a t i o n
Festoon / Reel Systems Rails / Rail J oints X End Stops X Main Conductors X Outside power bars corroded dead spots Main Collectors X Switches Interlocks R u n w a y
/
M o n o r a i l
Power Feed Disconnecting Means X
Capacity & Warning Signs X Notes: Dead spots on curve
Rev. 05/18/11
American Crane and Hoist Corporation CRANE /HOIST/ MONORAIL AIR POWERED INSPECTION REPORT
Customer: Our Job No: Mfg.: Model: Serial #: Inspection Date: Mfg.: Model: Serial #: Inspected by: Capacity: ( ) Crane; ( ) Hoist; ( ) Monorail; ( ) Location: LEGEND: G=Good; F=Fair; R=Repair or Replacement Required; C= Clean; L= Lubricate Voltage: Item Description G F R C L Notes Limit Switches Motor Motor Brake Load Brake Gear Box Upper Block Sheaves Safety Guards Lower Block Sheaves Safety Guards Hook Safety Latch Wire Rope / Load Chain Rope Drum / Load Wheel H o i s t
Chain Container Motor Wheels, Wheel Gage Trolley Bolts / Pins / Clevis Gear Box Brake Air Operated/Mechanical T r o l l e y /
T r a c t o r
Bumpers Gear Box & Motor Bearings, Shafts, Couplings, & Pinions End Trucks / J ib Fittings Wheels Wheel Gage Safety Drop Lugs Girders & Connections Brake Air Operated/Mechanical B r i d g e
/
J i b
B o o m
End Stops / Bumpers Pendant Control and Connectors Directional Labels Pendant (P.B.) Hoses P.B. Strain Relief Cable Hoist Controls Trolley / Tractor Controls Bridge Controls Piping Hoses Hose Connections C o n t r o l s ,
A i r
S u p p l y
Festoon / Reel Systems Rails / Rail J oints End Stops Hoses Hose Connections Switches Interlocks R u n w a y
/
M o n o r a i l
Air Feed Disconnecting Means
Capacity & Warning Signs Notes:
Rev. 01/02/08
American Crane and Hoist Corporation MANUAL CRANE /HOIST/ MONORAIL - INSPECTION REPORT
Rev. Mar 2010 Item Description G F R C L Notes Limit Switches Motor Motor Brake Load Brake Gear Box Upper Block Sheaves Safety Guards Lower Block Sheaves Safety Guards Hook Safety Latch Wire Rope / Load Chain Rope Drum / Load Wheel H o i s t
Chain Container Motor Wheels, Wheel Gage Gear Box Mechanical T r o l l e y
Bumpers J ib Fittings Bearings End Trucks Wheels Wheel Gage Safety Drop Lugs Girders & Connections End Stops / Bumpers B r i d g e
/
G a n t r y
/
J i b
B o o m
Rails / Rail J oints End Stops Switches Interlocks R u n w a y
/
M o n o r a i l
Power Feed Disconnecting Means
Capacity & Warning Signs
American Crane and Hoist Corporation 1234 Washington Street, Boston, MA 02118 Phone: (617) 482-8383; Fax (617) 482-8384
Page 1
OSHA COMPLIANCE CRANE INSPECTION REPORT
Customer Name:
Street Address:
City, State, Zip:
Crane Manufacturer:
Capacity: Main Hoist Auxiliary Hoist
Bridge
Span:
Type: Overhead Gantry
Serial Number:
Other Identification:
Power Supply : AC DC Volts Phase Hertz
Crane Number:
Inspected by: Inspection Date:
Our J ob Number:
Page 2
Crane Inspection Report Crane / Serial Number:
L o c a t i o n
Component, Unit or Part G o o d
A d j u s t m e n t
R e q u i r e d
R e p a i r
R e q u i r e d
R e p l a c e m e n t
R e q u i r e d
L u b r i c a t i o n
R e q u i r e d
C l e a n i n g
o r
P a i n t i n g
R e q u i r e d
Remarks / Action taken Motor Brake & Hyd. System Shaft Couplings Shaft Bearing Gears & Bearings Wheels Trucks Girders &Connections Footwalk & Handrail Guards & Covers B r i d g e
Bumpers Bridge Trolley Main Hoist Auxiliary Hoist C o n t r o l
P a n e l s
Mainline Panel Bridge Trolley Main hoist R e s i s t o r
Auxiliary Hoist Master Switches Pushbutton Warning Device Fire Extinguishers C o n t r o l
S t a .
o r
C a b
Wiring Motor Motor Brake Mechanical Load Brake Dynamic Load Brake Couplings Gears, Shafts &Bearings Upper Block Lower Block Hook &Throat Opening Hoist Rope Rope Drum Guards Limit Switch Magnet M a i n
H o i s t
( L e f t )
Notes:
Page 3
Crane Inspection Report Crane / Serial Number:
L o c a t i o n
Component, Unit or Part G o o d
A d j u s t m e n t
R e q u i r e d
R e p a i r
R e q u i r e d
R e p l a c e m e n t
R e q u i r e d
L u b r i c a t i o n
R e q u i r e d
C l e a n i n g
o r
P a i n t i n g
R e q u i r e d
Remarks / Action taken Motor Motor Brake Mechanical Load Brake Dynamic Load Brake Couplings Gears, Shafts &Bearings Upper Block Lower Block Hook &Throat Opening Hoist Rope Rope Drum Guards Limit Switch A u x i l i a r y
H o i s t
( R i g h t )
Motor Brake Couplings Gears, Shafts & Bearing Frame Wheels Bumpers Guards Rails Conductors Collectors T r o l l e y
Rails including Span Rail J oints Main Conductors Main Collectors R u n w a y
General Condition Grease Fittings Lubrication
M i s c e l l a n e o u s
Notes:
American Crane and Hoist Corporation 1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384
Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate Component G F R C L Comments/Remarks Lever Arm Load Wheel Chain Guides Chain / Wire Rope Bottom Hook and Safety Latch Bottom Hook Loadwheel Dead End Bolt Top Hook and Safety Latch Gear Cover Friction Washers Load Brake Ratchet ANSI Warning Labels Capacity Signs
American Crane and Hoist Corporation 1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384
MANUAL WIRE ROPE HOIST INSPECTION REPORT
Customer Name: J ob No.: Address: Inspection Date: Hoist Mfg. Name: Hoist Capacity: Serial No.: Hoist Location / ID: Model: Inspected by: Tom Grochowski
Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate Component G F R C L Comments/Remarks Hand Wheel or Crank Covers Guides Wire Rope Lower Load Hook Load Hook Bolt Upper Load Hook Gearcase Brakes Ratchets ANSI Warning Labels Capacity Signs
Further Comments/Remarks:
J an 2010
American Crane and Hoist Corporation 1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384
MANUAL CHAIN HOIST INSPECTION REPORT
Customer Name: J ob No.: Address: Inspection Date: Hoist Mfg. Name: Hoist Capacity: Serial No.: Hoist Location / ID: Model: Inspected by: Tom Grochowski
Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate Component G F R C L Comments/Remarks Hand Wheel Handwheel Cover Hand Chain Load Wheel Chain Guides Load Chain Bottom Hook and Safety Latch Hook Bolts Dead End Bolt Top Hook and Safety Latch Gear Cover Friction Washers Load Brake Ratchet ANSI Warning Labels Capacity Signs
American Crane and Hoist Corporation 1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384
WINCH INSPECTION REPORT
Customer Name:
Our job No: Address: Inspected by: Date Inspection: Serial #: Mfg.: Capacity: Model: Other I D: Hp: Voltage: Phase: Type: Location: Winch #:
LEGEND: G=Good; F=Fair; CL= Clean and/or Lubricate; R=Repair or Replacement Required Item Description G F CL R Work done / Comments / Remarks Frame Bolts Gear Box Cover Drum Drum Clamps Drum Bearing Rope Rope Guide Rope Clamps Sheaves and Sheave Assemblies Safety Latch Hook / Hook Block Live End fittings M e c h a n i c a l
P o r t i o n
Air / Electrical Motor Electrical control Push Button Control Valve Limit Switch Slack Line Limit Switch Safety Torque Limiter Electrical Motor Brake Mechanical Load Brake P o w e r
&
C o n t r o l s
Control Box
Power Feed Disconnecting Means Directional Indication / Label Warning Sign /Label Capacity Sign Lubrication Auxiliary equipment
M i s c e l l a n e o u s
Comments/Remarks:
Rev. 11.1.2010
American Crane and Hoist Corporation 1234 Washington Street, Boston, MA 02118; Tel (617) 482-8383; Fax (617) 482-8384
INSPECTION REPORT
BELOW THE HOOK LIFTING DEVICE
Customer:
J ob No.:
Address:
Inspection Date:
Mfg. Name:
Capacity:
Serial No.:
Type:
Model:
Department: Inspected by: Tom Grochowski
Legend: G=Good; F=Fair; R=Repair or Replace; C=Clean; L=Lubricate Component G F R C L Comments/Remarks Frame Welds Lifting Bail, Eye or Ring