inspection: telescoping boom crane-annual ton annual cert.pdf · inspection report: telescoping...

Inspection Report: TELESCOPING BOOM CRANE-ANNUAL OSHA/ANSI/ASME Standards: OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.10

Date Inspected: 01/10/2018 Operation Hours: N/A Operation Miles: 116848

Inspector: Scott Hough Inspection ID: 93.148.1515602805

Equipment Identification and SpecificationsName and Address of Owner S&S Crane Rental; 1323 Baptist World Center DR , Nashville TN 37207 USASerial Number 291726 Unit Number: CR2Year 2005 Manufacturer National Model 1300Max Capacity 30 ton Main Hoist Rope Diameter 9/16 inch

Did the unit pass the inspection? Yes

No

X Do you want to attach an annual certification to this unit? Yes

No

X

Unit Location at Time of Inspection: Annual inspection of national 1300, Nashville, TN

GPS Tag: lat=36.20;lon=-86.78

Inspector Customer Signature

AScott Hough

Crawford Custom Consulting Inc. (814) 333-9600 Company Owner: Hough, Brian11139 Cutter Road Contact: Hough, Brian

(814) 336-3333 Generated on 01/10/2018 - 16:46:45 GMTMeadville PA 16335U.S.A. http://www.crawfordcustom.com Pg 1 of 8

Inspection DetailsType of Inspection: TELESCOPING BOOM CRANE-ANNUAL 93.148.1515602805Inspection ID:

S=Satisfactory R=Recommendation D=Deficiency N=Not Applicable

Item Condition Item Condition

TELESCOPING BOOM CRANE-ANNUAL CRANE DATA1. Inspection Records Daily / Monthly / Annual S2. Maintenance Records S3. Approved Modification Records S4. Load Test Records S5. Wire Rope Inspection Records S6. Ground Conditions SGENERAL CONDITION7. Sheet Metal S8. Paint Condition / Corrosion Control S9. Guards / Covers S10. External Lights S11. Housekeeping S12. Warning / Safety Labels R13. OSHA Approved Hand Signal Chart (outside) SPOWER PLANT (LOWER)14. Engine / Pumps Performance S15. Exhaust System / Guards & Insulators S16. Belts / Pulleys S17. Hoses S18. Compressor Performance S19. Guards / Covers for Rotating Parts S20. Engine Oil Level S21. Transmission Oil Level S22. Coolant Level S23. Leaks SDRIVERS CAB / STATION (LOWER)24. Brakes Service / Parking S25. Headlights / Trail Lights S26. Brake Lights / Turn Signals S27. Back-up Alarm / Lights S28. Audible Warning (low air) S29. Glass S30. Windshield Wipers S31. Heater / Defroster S

32. Seat Belts S33. Steering S34. Fire Extinguisher S35. Gauges / Light Display S36. Access / Grab Rails / Steps S37. Mirrors S38. Power Take-Off S39. Air Pressure S40. Horn S41. Engine Clutch S42. Accelerator S43. Operators Manual SCARRIER / DRIVETRAIN COMPONENTS44. Engine Mounts / Bolts S45. Transmission Mounts / Bolts S46. Drive Line S47. U-Joints S48. Main Frame Members S49. Axle Mounts S50. Hydraulic Hoses S51. Hydraulic Tubing S52. Hydraulic Fittings S53. Hydraulic Fluid Level S54. Fuel Tank Filler Screen S55. Axle Lockout System S56. Differential Breathers S57. Tires / Wheels Condition S58. Tire Inflation Pressure SOUTRIGGERS59. Boxes S60. Beams S61. Cylinders / Extensions & Stabilizers S62. Floats / Pads S63. Hydraulic Hoses S64. Hydraulic Tubing S65. Hydraulic Fittings S






66. Pilot Operated Check Valves S67. Positive Position Locks S68. Decals / Warning Labels S69. Front Stabilizer S70. Beam Marking SRATED CAPACITY CHART71. Correct Capacity Chart for Crane S72. Legible / Durable S73. Secured / Accessible to Operator SOPERATIONAL AIDS74. Boom Angle Indicator S75. Boom Length Indicator S76. Anti Two Block / Device / Warning S77. LMI Make & ModelPAT DS16078. Load Moment Indicator S79. Load Radius Indicator S80. Load Weight Indicator SOPERATORS CAB / STATION81. Glass / Safety Type S82. Windshield Wipers / Washers R83. Cab Access / Steps / Ladders S84. Hand holds / Guardrails S85. Anti Slip Walking Surfaces S86. Door Latch / Lock / Restraint S87. Fire Extinguisher 10BC S88. Operators Manual S89. All Safety Decals S90. Electrocution Warning S91. Level Indicator R92. Horn R93. Gauges / Light Display R94. Crane Function Controls S95. Crane Function Controls Identified S96. Swing Brake / Lock S97. Low Boom Warning S

ROTATING SUPERSTRUCTURE98. Turntable / All Structural Welds S99. Turntable Mounting Bolts S100. Hydraulic Swivel S101. Directional Control Valves S102. Hydraulic Hoses S103. Hydraulic Tubing S104. Hydraulic Fittings S105. Hydraulic Pressure / Relief Valves S106. Electric Swivel / Collector Ring S107. Electrical Wiring S108. Swing / Slew Gearbox S109. Slewing / Rotation Bearing S110. Safety / Warning Labels S111. Main Hoist mounting Bolts S112. Wire Rope Lay on Main Hoist SMAIN BOOM113. Boom Length105 feet114. Lift Cylinder(s) S115. Telescoping Cylinder(s) S116. Holding Device / Holding Valves S117. Hydraulic Hoses S118. Hydraulic Tubing S119. Hydraulic Fittings S120. Boom Extension / Retraction Cables R121. Boom Wear Pads R122. Boom Section Alignment S123. Equal Extension / Boom Sequence S124. Condition of Sheaves S125. Hoist Line Retainers / Pins S126. Condition of Boom Structure S127. Condition of Boom Head SLOAD BLOCK AND HOOKINFORMATION128. ManufacturerJohnson block






129. Serial Number99-9520130. Rated Capacity12 ton131. Block Weight182 lbs132. Hook Tram Measurement2 1/2ITEM133. Capacity Marking S134. Weight Marking S135. Sheave(s) S136. Safety Latch S137. 0 Degree Hook Bend or Twist S138. 5% Hook Throat Opening or 1/4 inch S139. 10% Hook Wear R140. Bearing S141. Pins and Retainers S142. Reeving S143. Non Destructive Test Results S144. Wedge Socket / End Fitting SMAIN HOIST WIRE ROPEINFORMATION145. Damage S146. Wear S147. Broken Wires S148. Lubrication S



Deficiency and Recommendation Report Inspection ID: 93.148.1515602805D/R Regulation Explanation Date Corrected

R 12: GENERAL CONDITION - Warning / Safety Labels: Needs 3 new

electrocution decals on truck bed,ASAP

R 82: OPERATORS CAB / STATION - Windshield Wipers / Washers:

Not working, needs new motor

R 91: OPERATORS CAB / STATION - Level Indicator: Always use a

level to check

R 92: OPERATORS CAB / STATION - Horn: Tag out horn button, anduse air horn till original horn is repaired

R 93: OPERATORS CAB / STATION - Gauges / Light Display:

Pressure gauge not working, repair when possible

R 120: MAIN BOOM - Boom Extension / Retraction Cables: Needs

the slack tacken out of the cables

R 121: MAIN BOOM - Boom Wear Pads: Needs lubed

R 139: ITEM - 10% Hook Wear: Monitor wear on hook. Use nylon

straps in in transit



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Work Order

Techn. Initials Item

Unit ID CR2 Model 1300

Q.C. Initials

Serial. Nr 291726 Make National

Op. Hours N/A Op. Miles 116848

Inspection ID: 93.148.1515602805

Date Description

139. 10% Hook Wear:Monitor wear on hook. Use nylon straps in in transit

:

12. Warning / Safety Labels:Needs 3 new electrocution decals on truck

bed,ASAP:

82. Windshield Wipers / Washers:Not working, needs new motor :

91. Level Indicator:Always use a level to check:

92. Horn:Tag out horn button, and use air horn till original horn is

repaired :

93. Gauges / Light Display:Pressure gauge not working, repair when

possible :

120. Boom Extension / Retraction Cables:Needs the slack tacken out of

the cables :

121. Boom Wear Pads:Needs lubed:



Annual CertificationThis is to certify that the unit described below received an TELESCOPING BOOM CRANE-ANNUAL in accordance with

OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.1

Equipment Owner: S&S Crane Rental

Model No.: 1300

Equipment Make: National

Serial No.: 291726

Equipment Type: TELESCOPING BOOM CRANE

Unit Id: CR2

Inspection ID: : 93.148.1515602805

Inspected on this: 10th (Wednesday) day of January, 2018

by: Crawford Custom Consulting Inc.

11139 Cutter Road 16335 Meadville( PA )

(814) 333-9600 (814) 336-3333

http://www.crawfordcustom.com

This Certificate Expires One Year From The Date of Inspection AboveCrawford Custom Consulting Inc. (814) 333-9600 Company Owner: Hough, Brian11139 Cutter Road Contact: Hough, Brian


inspection: telescoping boom crane-annual ton annual cert.pdf · inspection report: telescoping...

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