Cicb Oh Crane Inspection Checklist Template Page 2
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1
2
3Machine Description & Number
Mark the appropriate boxes
S - Satisfactory
U - Unsatisfactory
Month
Reference Standard
N - Not Applicable
Jan.
Feb.
Mar.
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
E l e c t r i c a l
Emergency Disconnect
B30.2-1.13.5 (a) & 1910.179 (g)(5)(i)
Identification/labels
B30.2-2.1.3 (b)(12)
Warning Labels/decals
B30.2-2.1.3 (b)(12)
Warning Labels/decals
B30.2-2.1.3 (b)(12)
F u n c t i o n
Limit Switches
1910.179 (j)(2)(vi)
Hoist Mechanisms
1910.179 (j)(2)(vi)
Bridge Mechanisms
1910.179 (j)(2)(vi)
Trolley Mechanisms
1910.179 (j)(2)(vi)
C a b
Fire Extinguisher
B30.2-1.5.5
Housekeeping
B30.2-3.4.2 (b)
Lighting
B30.2-1.5.6
Hand Signal Chart
B30.2-2.3.3.1 (c)
Inspector's Signature ________________________________________________
If this 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.
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