INSPECTION RECORD
Ingersoll Rand
Free Standing Workstation Crane
Inspection Form
Good
condition
Fair
condition
Poor
condition
Return to
Service
Center for
repair
Destroy or
recycle
If the equipment condition is due to
normal wear and use, state so; if not, state
circumstances.
Component
Required Action:
Operator: ____________________ Date:________
Company:____________________
Inspector:____________________ Date:________
Department:____________________
Supervisor:___________________ Date:________
Date:__________________________
Time:_________________________
This page may be photocopied and used by inspectors or maintenance personnel.
12
Form 24308157 Edition 2
