Annual Inspection Report Page 4
ADVERTISEMENT
1
2
3
4
5Describe repairs to boom and test procedures:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
12. Have all hydraulic and pneumatic pumps and motors been inspected and repaired for
the following:
I. Loose bolts and fasteners?
Yes____ No____
II. Leaks at joints between connections?
Yes____ No____
III. Shaft seal leaks?
Yes____ No____
IV. Unusual noises or vibration?
Yes____ No____
V. Loss of operating speed?
Yes____ No____
VI. Excessive heating of the fluid?
Yes____ No____
VII. Loss of pressure?
Yes____ No____
13. Have all hydraulic and pneumatic valves been inspected and repaired for the
following:
I. Cracks in the valve housing?
Yes____ No____
II. Improper return of the spool to the neutral position?
Yes____ No____
III. Leaks at spools or joints?
Yes____ No____
IV. Sticking spools?
Yes____ No____
V. Proper relief valve pressures as specified by the
manufacturer?
Yes____ No____
14. Have all hydraulic and pneumatic cylinders been inspected and repaired for the
following:
I. Drifting caused by fluid leaking past the piston?
Yes____ No____
II. Rod seals leaking?
Yes____ No____
III. Leaks at welded joints?
Yes____ No____
IV. Scored, nicked or dented piston rods?
Yes____ No____
V. Dented case (barrel)?
Yes____ No____
VI. Loose or deformed rod end or connecting joint?
Yes____ No____
VII. Evidence of rubber particles or metal chips on filter the
elements of hydraulic filters?
Yes____ No____
15. Have additions or alterations been made to counterweight?
Yes____ No____
Describe:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
16. Have all defects been repaired or replaced?
Yes____ No____
17. Do all replacement parts have at least the original safety factor?
Yes____ No____
18. Was the annual inspection performed, by a qualified person,
in compliance with the applicable ANSI standards and
manufacturer’s specifications?
Yes____ No____
4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Medical