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⚠️ OSHA 1926.1412 | ASME B30
🏗️ Pre-Shift Crane Inspection
Mobile Cranes, Boom Trucks, Overhead Cranes
📋 Crane & Operator Information
Operator Name
*
Date
*
Shift
*
Select...
Day Shift
Night Shift
Swing Shift
Company
*
Select...
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Location
*
Select...
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Crane Number
*
Crane Type
*
Select...
Mobile Hydraulic Crane
Rough Terrain Crane
All Terrain Crane
Crawler Crane
Boom Truck
Carry Deck Crane
Tower Crane
Overhead Bridge Crane
Gantry Crane
Jib Crane
Knuckle Boom
Other
Make
Model
Serial Number
Capacity (tons)
Hour Meter
Last Annual Inspection
🛢️ Fluid Levels & Engine
Engine Oil Level
Select...
OK
Low - Added
Needs Attention
Hydraulic Fluid Level
Select...
OK
Low - Added
Needs Attention
Coolant Level
Select...
OK
Low - Added
Needs Attention
Fuel Level
Select...
Full
3/4
1/2
1/4
Low - Needs Fuel
DEF Level (if equipped)
Select...
OK
Low - Added
N/A
Leaks Check
Select...
No Leaks
Minor Leak
Major Leak - DNO
Belts and Hoses
Select...
OK
Worn
Damaged - DNO
Air Filter
Select...
OK
Service Soon
Restricted
Battery Condition
Select...
OK
Corrosion - Clean
Weak
🏗️ Boom & Structure
🚨 CRITICAL: Any cracks, deformation, or damage to structural components = DO NOT OPERATE
Boom Condition
Select...
OK
Minor Damage
Cracked/Bent - DNO
Boom Pins & Keepers
Select...
OK
Worn
Missing/Damaged - DNO
Boom Sections (Extend/Retract)
Select...
OK
Sluggish
Not Working - DNO
Jib Condition (if equipped)
Select...
OK
Damaged
N/A
Jib Pins & Connections
Select...
OK
Worn
N/A
🪝 Wire Rope & Rigging
🚨 CRITICAL: Wire rope with broken wires, kinks, bird caging, or corrosion = DO NOT OPERATE
Wire Rope Condition
Select...
OK
Worn - Monitor
Damaged - DNO
Wire Rope Terminations
Select...
OK
Worn
Damaged - DNO
Sheaves Condition
Select...
OK
Worn
Damaged - DNO
Hook Condition
Select...
OK
Worn
Cracked/Bent - DNO
Hook Safety Latch
Select...
OK
Bent
Missing/Broken - DNO
Hook Block
Select...
OK
Damaged
Load Block Swivel
Select...
OK - Free
Stiff
Seized - DNO
🛡️ Safety Devices
🚨 CRITICAL: Non-functional safety devices = DO NOT OPERATE
Anti Two-Block Device
Select...
OK - Tested
Not Working - DNO
N/A
LMI/RCL Function
Select...
OK - Tested
Not Working - DNO
N/A
Load Charts Available
Select...
Yes
No - DNO
🦿 Outriggers & Stabilizers
Outriggers Condition
Select...
OK
Damaged
Not Working - DNO
N/A
Outrigger Pads
Select...
OK
Damaged
Missing
N/A
🔄 Brakes & Controls
Swing Mechanism
Select...
OK
Noisy
Not Working - DNO
Swing Brake
Select...
OK
Weak
Not Holding - DNO
Hoist Brake
Select...
OK
Weak
Not Holding - DNO
Boom Hoist Brake
Select...
OK
Weak
Not Holding - DNO
Travel Brakes
Select...
OK
Weak
Not Working - DNO
N/A
Counterweights Secure
Select...
OK
Loose - DNO
N/A
🚗 Cab, Lights & Alarms
Cab Windows
Select...
OK
Cracked
Broken - DNO
Mirrors
Select...
OK
Damaged/Missing
Controls Response
Select...
OK
Sluggish
Not Responding - DNO
Gauges Function
Select...
OK
Not Working
Warning Lights
Select...
OK
Warning Active
Horn
Select...
OK
Not Working
Backup Alarm
Select...
OK
Not Working - DNO
Headlights
Select...
OK
Not Working
Work Lights
Select...
OK
Not Working
Beacon/Strobe
Select...
OK
Not Working
Fire Extinguisher
Select...
OK - Charged
Needs Recharge
Missing - DNO
📄 Documentation & Signage
Operator Manual Present
Select...
Yes
No
Load Charts Posted
Select...
Yes
No - DNO
Hand Signals Posted
Select...
Yes
No
Safety Decals Legible
Select...
Yes
Some Worn
Not Legible
🌤️ Site & Weather Conditions
Ground Conditions
Select...
Firm - Stable
Soft - Use Mats
Frozen
Muddy
Sloped
Unstable - DNO
Weather Conditions
Select...
Clear
Cloudy
Light Rain
Heavy Rain - Caution
Snow
Fog - Limited Visibility
Severe - DNO
Wind Speed (mph)
Temperature (°F)
✅ Overall Condition & Inspection Result
Overall Crane Condition
*
Select...
Good - No Issues
Fair - Minor Issues Noted
Poor - Needs Immediate Attention
Inspection Result
*
✅ Pass - Safe to Operate
❌ Fail - Do Not Operate
Defects Found?
*
Yes
No
Additional Comments
Submit Inspection
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