CIVIL WORKS COMPANY LTD.

CRANE INSPECTION CHECKLIST

User/Group: ____________________ Driver/Operator: ___________________ Date: __________

Equipment Description: _________________________Co. No. _________ Plate No. __________
Name of Project: __________________________ Location: _______________________

Check “OK” if item is as it should be otherwise check “NOT OK”. If not applicable check “N/A”

NOT NOT
OK OK N/A OK OK N/A
Heavy Equipment licensed / Insurance available? Engine Oil
Driver licensed Fan Belts
TPI inspection stickers pasted in optr.cabin Horn
Brake/Brake Fluid/Parking Brake Boom Hydraulic
Steering Power/Steering Fluid Safety Belts
Battery/Terminals Clutch Operation
Transmission Fluid Dents/Scratches
Fluid Leaks (oil, water, etc.) Air Conditioning
Wipers/Washer Fluid Mobile Lights
Tire Pressure/Wear/Spare Radiator Coolant
Rear-view /Side Mirrors Outrigger Oil
Outrigger in good condition Safety Latch
Anti two block Wind Shield
Fire Extinguisher / Tools available? Cabin housekeeping
Early Warning Device (triangular) Wire/ sling ropes
Hook in good condition Drum Ropes
Sling ropes spare extension in good condition Sheave pulley
Equipment parked closer than 1.5m the edge Wind Shield
of excavation

Remarks:
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________
(I personally inspected the equipment described above on the date shown. Found it to be in the condition noted hereon.)

_________________________________
Operator signature / Co. I.D.No.

_____________________________________
Safety Inspector / Engr. Signature/I.D. No.
.................................................................................................................................................................................................................

The driver/operator report of the equipment condition has been reviewed.

The deficiency appears to be Safety Related and the equipment should be delivered to the repair
shop and must not be operated at this time.
Equipment is required for inspection of problem and possible ordering of parts. Please deliver the
equipment on _________________________.
Parts are required and on order.
Parts are in stock and vehicle is scheduled for repairs on _______________________________.

________________________________________
Supervisor/Foreman

Cc: Attached file: Project T/Hr –Admin.Main/HSE Dept. /File;