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INSPECTION SCHEDULE AND MAINTENANCE REPORT
CRANE SERIAL NO. (MFGRS) _______________________
CUSTOMER CRANE IDENTITY NO. _______________________
RATED LOAD __________________
LOCATION IN PLANT __________________________________
TYPE ________________________
THIS INSPECTION IS
MONTHLY
❒
ANNUAL
❒
VOLTAGE _____________________
SEMI-ANNUAL
❒
INSPECTED BY: ________________
DATE _____________
*
Recom-
CONDITION
COMPONENT, UNIT OR PART
mended
(Check column best indicating condition when
CORRECTIVE ACTION
and location
Inspection
part or unit is inspected. Use note column to
NOTES
Interval
the right if condition is not listed below.)
MONTHL
Y
SEMI-ANNU
AL
ANNU
AL
GOOD
ADJUSTMENT
REQUIRED
REP
AIR REQ
UIRED
(Loose P
a
rts or
Wires)
REPLA
CEMENT
REQUIRED
(W
orn or Dama
g
ed)
LUBRICA
TION
REQUIRED
(L
o
w Oil or Grease
,
Rust or Corr
osion)
CLEANING OR
P
A
INTING
REQUIRED
LOCA
TION
COMPONENT,
UNIT OR
PART
(Indicate corrective action taken during inspection and note date. For
corrective action to be done after inspection, a designated person must
determine that the existing deficiency does not constitute a safety hazard
before allowing unit to operate. When corrective action is completed,
describe and note date in this column.)
DATE
Motor
Gears & Bearings
Wheels
Trucks
Girders & Connections
Footwalk & Handrail
Motor
Motor Brake
Mechanical Load Brake
Overload Clutch
Couplings
Gear, Shafts & Bearings
Upper Block
Lower Block
Hook & Throat Opening
X
Record Hook Throat Opening
Hoist Rope
Rope Drum
Guards
Limit Switch
Bridge Panel
Trolley Panel
Hoist Panel
Pushbutton
Wiring
Motor
Brake (when so equipped)
Couplings
Gear, Shafts & Bearings
Frame
Wheels
Bumpers
Guards
Conductors
Collectors
Monorail Joints
Monorail
Main Conductors
Main Collectors
General Condition
Load Attachment Chains
Rope Slings & Connections
Change Gearcase Lub.
Grounding Faults
HOIST
T
R
OLLEY
MISC.
R
UNW
A
Y
S
CONTR
O
L
P
ANELS AND
PUSH B
U
T
T
ON
BRIDGE
*
See text for DAILY & WEEKLY REQUIREMENTS.
SIGNED & DATED REPORT REQUIRED – OSHA.
INSPECTION INTERVAL.
X MAGNETIC PARTICLE OR EQUIVALENT EXAMINATION REQUIRED.
Typical Inspection Schedule and Maintenance Report form.
User must adjust inspection interval and components to suit his individual conditions and usage.
12382A
