Certification Bureau CICB Mobile Crane Inspection

Crane ID #: Capacity: Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec. Boom B30.5-2.1.3 (a) Boom Extensions, Jibs B30.5-2.1.3 (a) Boom She...

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Crane Inspection & Certification Bureau P.O. Box 621388 Orlando, FL 32862-1388 (800) 327-1386 or (407) 277-0884 www.cicb.com

Mark the appropriate boxes S - Satisfactory U - Unsatisfactory N - Not Applicable W A L K A B O U T

O P E R A T O R

C A B

Boom Boom Extensions, Jibs Boom Sheaves Fire Extinguisher Fluid Leaks Fluid Levels Guards Hoist Drum(s) Hooks Outriggers/Pads Structural Welds Tire Condition, pressure Wire Rope, Beckets, Pins Anti-two Block Axle Oscillation Lockout Backup Horn Brakes Controls/Functions Electrical Equipment Gauges Housekeeping Lights, Signals, Horn Load Charts Operational Aids Operators Manual Steering Swing Locks and Brakes Warning Labels

CICB Mobile Crane Inspection Checklist Crane ID #:

Capacity:

Machine Description & Number

Month Reference Standard

Jan.

Feb.

Mar.

April

May

June

July

Aug.

Sept.

Oct.

Nov.

Dec.

B30.5-2.1.3 (a) B30.5-2.1.3 (a) B30.5-2.1.3 (a) B30.5-3.4.9 (a) B30.5-2.1.2(h) B30.5-2.1.2(h) B30.5-2.1.3(d) B30.5-2.1.3(c) B30.5-2.1.2(e) 1926.1412(f)(xiv) B30.5-2.1.3 (a) B30.5-2.1.2 (i) B30.5-1.7.3(d) 1926.1412(f)(2)(v) B30.5-1.5.3(a) 1926.1412(f)(2)(i)(v) B30.5-1.5.3(a) 1926.1412(d)(1)(i) B30.5-2.1.3(g) B30.5-2.1.3(f) B30.5-3.4.7(b) 1926.1412(f)(2)(v) 1926.1417(c)(1) 1926.1416 1926.1417(c)(1) 1926.1412(f)(2)(viii) 1926.1412(2)(ix) 1926.1417(c)(1)

Inspector's Signature ________________________________________________ If this mobile crane is not utilized on a date, draw a vertical line through the column. Please Note - An inspector/operator is responsible to bring Unsatisfactory items to the attention of his/her supervisor and/or maintenance department. CICB has put this Monthly Checklist together as a guide and the operator/inspector should always refer to the manufacturer to ensure that all required items are being inspected at the proper frequency.

© Crane Inspection Certification Bureau, 2011

CICB Rope & Hook Checklist **This form shall be used for each piece of rope.**

Rope Description:

Mfr. Breaking Strength:

Inspection Points W i r e R o p e Parts of Line Nominal Diameter Measured Diameter Rope Damage Broken Wires (1) Strand / (1) Lay Broken Wires (1) Lay Broken Wires at End Fittings Wear Corrosion H o o k Safety Latch Deformation/Twists Deformation/Throat Opening Wear - Bowl Wear - Eye Cracks, Nicks, Gouges Attachment Points Self-Locking Operation

Application:

Month Jan.

Feb.

Mar.

April

May

June

July

Aug.

Sept.

Oct.

Nov.

Dec.

B30.5-2.4.3 & 1910.180 (g)(1) B30.5-2.4.3 & 1910.180 (g)(1)(i) B30.5-2.4.3 & 1910.180 (g)(1)(i) B30.5-2.4.3 & 1910.180 (g)(1)(vi) B30.5-2.4.3 & 1910.180 (g)(1)(ii) B30.5-2.4.3 & 1910.180 (g)(1)(ii) B30.5-2.4.3 & 1910.180 (g)(1)(ii) B30.5-2.4.3 & 1910.180 (g)(1)(iii) B30.5-2.4.3 & 1910.180 (g)(1)(v) B30.10-1.2.1.2 (c)(5) & (7) B30.10-1.2.1.3 (c)(1) B30.10-1.2.1.3 (c)(2) B30.10-1.2.1.2 (c)(2) B30.10-1.2.3 (b)(2) B30.10-1.2.1.2 (c)(3) B30.10-1.2.1.2 (c)(6) B30.10-1.2.3 (b)(5)

Inspector's Signature ________________________________________________ If this mobile crane is not utilized on a date, draw a vertical line through the column. Please Note - An inspector/operator is responsible to bring Unsatisfactory items to the attention of his/her supervisor and/or maintenance department. CICB has put this Monthly Checklist together as a guide and the operator/inspector should always refer to the manufacturer to ensure that all required items are being

© Crane Inspection Certification Bureau, 2011