CICB OH Crane Inspection Checklist

1 Crane ID #: Against (d) (e)Warning (a)General (c)Safety (j)(2)(iii) (c)(1) (c)(2)Cracks, Nicks, (c)(3)Attachment (c)(6)Self-Locking (c)(7) (a) (b) (c)DistortionCorrosionBroken (a)(1)(a) (a)(1)(b) (a)(1)(c) (j)(2)(vii)Load Rating , Cracks, (b)(1)Air (c)(3) & (j)(2)(ii)Hydraulic (c)(3) & (j)(2)(ii) (c)(1) & (j)(2)(vi) (c)(1) & (j)(2)(vi) (c)(1) & (j)(2)(vi) Crane Inspection & Certification Box 621388 Orlando, FL 32862-1388(800) 327-1386 * (407) the appropriate boxes S - SatisfactoryU - UnsatisfactoryN - Not ApplicableReference StandardWi r eRopeSt ructureTrol l eyHo i s tCon t r o l sHookCha i nBr i dgeMachine Description & NumberMonthCICB Overhead Crane /Hoist Monthly (a) & (g)(5)(i) (b)(12)Warning (b)(12)Warning (b)(12)Limit (j)(2)(vi)Hoist (j)(2)(vi)Bridge (j)(2)(vi)Trolley (j)(2)(vi)Fire (b) Signal (c)

2 Reference StandardMonthMark the appropriate boxes S - Satisfactory U - Unsatisfactory N - Not ApplicablePlease 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 r icalFunc t i onCabInspector's Signature _____ If this Crane is not utilized on a date, draw a vertical line through the Description & NumberInspection of & (m)(1)Nominal & (m)(1)(i)Measured & (m)(1)(i)Rope & (m)(1)(vi)Broken Wires (1) Strand / (1) & (m)(1)(ii)Broken Wires (1) & (m)(1)(ii)Broken Wires at End & (m)(1)(ii) & (m)

3 (1)(iii) & (m)(1)(iv) (c)(5) & (7) (c)(1) (c)(2) (c)(2) (b)(2) (c)(3) (c)(6) (b)(5)CICB Monthly Rope & Hook Checklist **This form shall be used for each piece of rope.**Rope Description:Mfr. Breaking Strength:Application:Deformation/Throat OpeningWear - BowlWear - EyeMonthWi r eRopeHookSafety LatchPlease 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 , Nicks, GougesAttachment PointsSelf-Locking OperationInspector's Signature _____ If this Crane is not utilized on a date, draw a vertical line through the