Inspection: BOOM TRUCK-ANNUAL...Inspection Report: BOOM TRUCK-ANNUAL OSHA/ANSI/ASME Standards: OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.10 Date Inspected: 04/30/2018 Operation

Inspection Report: BOOM TRUCK-ANNUALOSHA/ANSI/ASME Standards: OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.10

Date Inspected: 04/30/2018 Operation Hours: 03,239. Operation Miles:

Inspector: Steve Marquis Inspection ID: 88.577.1525172792

Equipment Identification and SpecificationsName and Address of Owner LOCKE CRANE SERVICE; PO Box 219 , Raymond NH 03077 USASerial Number 295984 Unit Number: 15Year 2010 Manufacturer NATIONAL /CAT 574 skidderModel 8100-DMax Capacity 46,000 lbsMain Hoist Rope Diameter 9/16Main Hoist Rope Type rotation resistant

Did the unit pass the inspection? Yes

No

X Do you want to attach an annual certification to this unit? Yes

No

X

Unit Location at Time of Inspection: Tewksbury, MA

GPS Tag:

Inspector

Steve Marquis

Enso Crane Services 603-781-7795 Company Owner: Perry, StephenP.O. Box 671 Contact: Perry, Stephen

Generated on 05/01/2018 - 11:06:32 GMTDover NH 03821U.S.A. http://www.ensocrane.com Pg 1 of 9

Inspection DetailsType of Inspection: BOOM TRUCK-ANNUAL 88.577.1525172792Inspection ID:

S=Satisfactory R=Recommendation D=Deficiency N=Not Applicable

Item Condition Item Condition

BOOM TRUCK-ANNUALCRANE DATA1. Inspection Records Daily / Monthly / Annual S2. Maintenance Records S3. Approved Modification Records S4. Wire Rope Inspection Records S5. Ground Conditions SGENERAL CONDITION6. Sheet Metal S7. Paint Condition / Corrosion Control S8. Guards / Covers S9. External lights S10. Housekeeping S11. Warning / Safety Labels S12. OSHA Approved Hand Signal Chart (outside) STRUCK POWER PLANT13. Engine / Pumps Performance S14. Exhaust System / Guards & Insulators S15. Belts S16. Hoses S17. Guards / Covers for Rotating Parts S18. Engine Oil Level S19. Transmission Oil Level S20. Coolant Level S21. Leaks SCARRIER / DRIVETRAIN22. Engine Mounts / Bolts S23. Transmission Mounts / Bolts S24. Drive Line S25. U-Joints S26. Main Frame Members S27. Axle Mounts S28. Carrier Hydraulic Hoses S29. Carrier Hydraulic Tubing S30. Carrier Hydraulic Fittings S31. Hydraulic Fluid Level S

32. Tire / Wheel Condition S33. Tire Inflation Pressure SDRIVERS CAB34. Brakes Service / Parking S35. Headlights / Tail Lights S36. Back-up Alarm / Lights S37. Glass S38. Windshield Wipers S39. Defroster / Heater S40. Seat Belts S41. Steering Free Play S42. Fire Extinguisher S43. Gauges / Light Display S44. Access / Grab Rails / Steps S45. Mirrors S46. Horn S47. Accelerator S48. Operators Manual SOUTRIGGERS49. Outrigger Boxes S50. Outrigger Beams S51. Outrigger Cylinders / Extensions & Stabilizers S52. Outrigger Floats / Pads S53. Outrigger Hydraulic Hoses S54. Outrigger Hydraulic Tubing S55. Outrigger Hydraulic Fittings S56. Pilot Operated Check Valves S57. Outrigger Crush Warning Labels SROTATING SUPERSTRUCTURE58. Turntable / All Structural Welds S59. Turntable Mounting Bolts S60. Hydraulic Swivel S61. Directional Control Valves S62. Swivel Hydraulic Hoses S63. Swivel Hydraulic Tubing S64. Swivel Hydraulic Fittings S






65. Hydraulic Pressure / Relief Valves S66. Electric Swivel / Collector Ring S67. Electrical Wiring S68. Swing / Slew Gearbox S69. Main Hoist Mounting Bolts S70. Wire Rope Lay on Main Hoist SOPERATORS STATION71. Cab Access / Steps / Ladders S72. Hand Holds / Guardrails S73. Anti Slip Surfaces S74. Fire Extinguisher 10BC S75. Operators Manual S76. All Safety Decals In Cab S77. Electrocution Warning In Cab S78. Crane Level Indicator S79. Horn S80. Gauges / Light Display S81. Crane Function Controls Movement S82. Crane Function Controls Identified S83. Swing Brake / Lock S84. Low Boom Warning SRATED CAPACITY CHART85. Correct Capacity Chart for Crane S86. Legible / Durable S87. Secured / Accessible to Operator SOPERATIONAL AIDS88. Boom Angle Indicator S89. Boom Length Indicator S90. Anti Two Block / Device / Warning S91. LMI Make & ModelPAT DS-16092. Load Moment Indicator S93. Load Radius Indicator S94. Load Weight Indicator SMAIN BOOM95. Boom Length29 - 100 feet

96. Boom Lift Cylinders S97. Boom Telescoping Cylinder(s) S98. Holding Device / Holding Valves S99. Boom Hydraulic Hoses S100. Boom Hydraulic Tubing S101. Boom Hydraulic Fittings S102. Boom Extension / Retraction Cables S103. Boom Wear Pads S104. Boom Section Alignment S105. Equal Extension / Boom Sequence S106. Condition of Sheaves S107. Hoist Retainers / Keepers S108. Condition of Boom Structure S109. Condition of Boom Head SLOAD BLOCK AND HOOKINFORMATION110. ManufacturerJOHNSON111. Serial Number98-4568112. Rated Capacity15 UST113. Block Weight215 lbs114. Hook Tram Measurementn/aITEM115. Capacity Marking S116. Weight Marking S117. Sheave(s) S118. Safety Latch S119. 0 Degree Hook Bend or Twist S120. 5% Hook Throat Opening or 1/4 inch S121. 10% Hook Wear S122. Bearing S123. Pins and Retainers S






124. Reeving S125. Wedge Socket / End Fitting SMAIN HOIST WIRE ROPEINFORMATION126. Damage S127. Wear S128. Broken Wires S129. Lubrication S



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Notes Inspection ID: 88.577.1525172792Explanation

124: ITEM - Reeving: 2 parts

92: OPERATIONAL AIDS - Load Moment Indicator: LMI functioned as designed, safely diabled the crane at the

correct radius with a known weight

93: OPERATIONAL AIDS - Load Radius Indicator: accuracy confirmed with a tape measure

94: OPERATIONAL AIDS - Load Weight Indicator: accuracy acceptable with a known weight



Annual CertificationThis is to certify that the unit described below received an BOOM TRUCK-ANNUAL in accordance with

OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.1

Equipment Owner: LOCKE CRANE SERVICE

Model No.: 8100-D

Equipment Make: NATIONAL /CAT 574 skidder

Serial No.: 295984

Equipment Type: BOOM TRUCK

Unit Id: 15

Inspection ID: : 88.577.1525172792

Inspected on this: 30th (Monday) day of April, 2018

by: Enso Crane Services

P.O. Box 671 03821 Dover( NH )

603-781-7795

http://www.ensocrane.com

This Certificate Expires One Year From The Date of Inspection AboveEnso Crane Services 603-781-7795 Company Owner: Perry, StephenP.O. Box 671 Contact: Perry, Stephen


Documents

Inspection: BOOM TRUCK-ANNUAL...Inspection Report: BOOM TRUCK-ANNUAL OSHA/ANSI/ASME Standards: OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.10 Date Inspected: 04/30/2018 Operation