Inspection Checklist for a Mobile Crane or Boom Truck Revision #4, September 10, 2009, Doug Y. Engineer, document and sticker available? Documentation / Information Yes No REFERENCE Crane annual Inspection completed by P.
Identification REFERENCE Prime contractor: Site address: WCA 118 Contact person: Phone # Email: OHS (6) Employer ( Crane owner): WCA 115(2)(e) Contact person: Phone # Email: OHS Crane operator: Phone # Crane manufacturer: Crane model: Crane SN: OHS Carrier manufacturer: Carrier model: Carrier LP #: OHS Crane type: Conventional crawler Conventional Truck mounted Hydraulic crawler Hydraulic Truck mounted Rough terrain hydraulic Carry deck Articulating boom Truck Telescopic boom Truck Sign Truck Other: Other: 2.
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