Monthly Inspection Report - Construction Equipment and Light Vehciles

/ Form 000.653.F0108
Monthly Inspection Report – Construction
Equipment and Light Vehicles
Company Name / Date
Equipment No. / Year Manufactured
Type of Equipment / Serial No.
Make/Model / Model No.
Hours / Project No./Contract No.
Location
CRANES
Good / Repair / N/A / Comments
1 / All Control Mechanisms
Maladjusted
Excessive Wear
2 / Hydraulic System
Level of Oil
Filters
Hoses and Connections
3 / Electrical Apparatus
Excessive Deterioration
Malfunctioning
4 / Engine
Fluid Levels
Air System and Pressure
Air Filter
Belts
Batteries
5 / Cab
Glass
Signal Horn
Windshield Wipers
Operational Aids Anti-Two Block LMI Console
Gauges and Warning Lights
Lights
Mirrors
Bubble Level
Load Chart
Extinguisher
6 / Brakes and Clutches
7 / Tires or Tracks
8 / Wire Rope
Condition - Damage
Connections (sockets, clips)
Reeving
9 / Hooks, Block, and Ball
Cracks
Excessive Wear
Bent
Sockets
Latch
10 / Drums
Locking Devices/Dogs
Brakes
Minimum 3 Wraps of Rope
CRANES
GOOD / REPAIR / N/A / COMMENTS
11 / Boom and Jib
Pendent Lines
Sheaves
Bent Lattices or Cords
Automatic Stops
Limiting Device
Angle Indicator
12 / All Safety Devices
Anti-Two Block/LMI Components
Overhead Crane Travel Warning Device
Overall Cleanliness
MOTORIZED EQUIPMENT
1 / Engine
Fluid Levels
Air System and Pressure
Air Filter
Belts
Batteries
2 / Braking System (travel and emergency)
Excessive Wear
Parts
Linings
3 / Rollover Protection/Overhead Guard
4 / Seat Belt
5 / Rotating Belts, Gears
6 / Shafts, etc., Guard
7 / Guard on Exhaust Pipes and Muffler
8 / Hand Hold or Guardrail at Catwalks
9 / Glass and Wiper
10 / Controls and Gauges
11 / Signal Horn
12 / Reverse Signal Alarm
13 / Nonslip Surface on Running Boards
Light VEHICLES
1 / Engine
Fluid Levels
Air System and Pressure
Air Filter
Belts
Batteries
2 / Braking System (travel and emergency)
Brakes, Excessive Wear
Parts
Linings
Trailer Brake Connections
3 / Tires
4 / Signal Horn
5 / Steering Mechanisms
6 / Coupling Devices
7 / Operating Controls
8 / Seat Belts
9 / Lights
Head Lights
Tail Lights
Brake Lights
Turn Signals
10 / Glass and Wipers
11 / Controls and Gauges
12 / Defroster
13 / Fire Extinguisher
14 / Safety Devices
15 / Reverse Signal Alarm
SIGNATURES:
Inspected
By: / Approved
By:
Estimated Hours To Repair
Copyright © 2009, P2S. All Rights Reserved.
Form Date: 01May2009 / Page 1 of 3 / Health, Safety, and Environmental
/ Form 000.653.F0108
Monthly Inspection Report – Construction
Equipment and Light Vehicles

Note:This form is referenced in Practices 000.502.1000, 000.653.3103, 000.653.3200,000.653.3201, 000.653.3203, and 000.653.3204.