1006877 02-1006877_J SH 1A2A3NA4A5A6A7A8 B

C132 shay shay Maint Your Crane Inspection

Maintenance Report
02-1006877
1300 761 822

Job No. J1604751 Client C1321 - Haynes Mechanical Date 29/11/16

Library No. NQ5728 Crane Details Crane Street 10t RC (t) 10 Equipment ID
Purchase Order No. 94925 Work Order No. NA Service Carried Out 3 Monthly
Site Details HMC Workshop

NQCranes Take 5 T5-3109 NQCranes JSA Client equivalent safety assessment Site working at heights

I/We declare that the above safety assessments were conducted prior to the commencement of these works:
X

A Inspected - No Action required, B Adjustments/Repairs Made, C Additional Repairs Required, D Urgent Repairs Required, E WARNING - DO NOT USE!, NA Not Applicable, I Image below

General Condition A B C D E NA Comment I

1. General Condition and Cleanliness
2. Pre Operational Log Book
Access Platforms and Ladders A B C D E NA Comment I
3. Adequate and Clean
Pendant / Radio Controls A B C D E NA Comment I
4. Housing
5. Buttons and Switches
6. Cable and Strainer Cable
7. Legends
8. Emergency Stop
Cross Catenary A B C D E NA Comment I
9. Tracks and Supports
10. Trolleys
11. Travelling "J" Box
12. Cables
13. Tow Arm
Bridge / Structure A B C D E NA Comment I
14. Beam Connections, Bolts/Welds
15. Alignment and Tracking
16. Rails and End Stops
17. Buffers
18. Guards and Covers
19. General structure and Welds
20. Rated Capacity (RC) Signage
21. Identification (ID) Signage
22. Compass Signage
23. Clearance
24. Limit Strikers
Electrics A B C D E NA Comment I
25. Electrical Schematics
26. Main Isolator and Sign
27. Access to Main Isolator
28. Service Isolators and Signs
29. Control Panel Enclosures
30. Contactors and Overloads
31. General Wiring
32. Lighting
33. Warning Sirens and Lights
34. Soft Starters - Resistors - VF Drive
35. Load Indicator
Downshop Supply A B C D E NA Comment I
36. Aerials
37. Carbon Brushes
38. Busbar System
39. Joints and Covers
40. Earth Rail and Connection
41. Cables
42. Service Isolators and Signs
43. Collector Arms and Shoes
44. Tow Arm
45. Cable Reel
Runways (Visual Only) A B C D E NA Comment I
46. General Condition
47. Rails / Wear
48. Hook Bolts
49. End Stops

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 Crane Inspection
Maintenance Report
02-1006877
1300 761 822

A Inspected - No Action required, B Adjustments/Repairs Made, C Additional Repairs Required, D Urgent Repairs Required, E WARNING - DO NOT USE!, NA Not Applicable, I Image below

Hoist A B C D E NA Comment I
50. General Condition
51. Hook and Safety Catch
52. Sheaves and Pins
53. Guards
54. Rope or Chain Condition Rope in good condition- lubed rope 4
55. Rope - Chain Guides
56. Rope Drum Lubed rope drum 4
57. Lubrication
58. Gearbox and Oil
59. Motor and Brake Cleaned hoist brake 3
60. Dead End and Anchor Point
61. Chain Bucket
62. Shafts and Couplings
63. Working Limits
64. Upper Final Limit
65. Load Limiter
Trolley / Crab A B C D E NA Comment I
66. General Condition
67. Service Isolator and Signs
68. Wheels and Bearings
69. Ring Gears and Pinions
70. Anti-Derailment / Anti-Capsize
71. Lubrication
72. Gearbox and Oil
73. Motor and Brake
74. Shafts
75. Transmission Couplings and Keys
76. Limits
77. Buffers
Long Travel A B C D E NA Comment I
78. General Condition
79. Service Isolator and Signs
80. Wheels and Bearings
81. Rings Gears and Pinions
82. Anti-Derailment / Anti-Capsize
83. Lubrication
84. Gearbox and Oil
85. Motor and Brake
86. Line Shaft and Bearings
87. Anti-Collision / Limits
88. Torque Arm Attachments
89. Storm Anchors
Functional Test A B C D E NA Comment I
90. Raise and Lower
91. Long Travel
92. Cross Travel

Comments

LSR/Hour Meter Reading: SAFE- 1599 Also performed during this service (tick): Earth Continuity Check Load Test

A.B.N. 20 060 375 699 www.nqcranes.com.au Page 2 of 3

 Crane Inspection
Maintenance Report
02-1006877
1300 761 822

Part No. Description Qty Store Technician Hours

Brakleen 1 241 LSA Nicholas Belton

Other Equipment Used

Access Equipment 8m Scissor Supplied By Client

Image 1. Image 2. Image 3.

Image 4. Image 5. Image 6.

Certificate of Test I hereby certify that any electrical installation work listed above has been tested in accordance with the prescribed procedures and that such work
complies with the requirements of Section 227 (3) Electrical Safety Regulation 2013. | Electrical Contractors License Number. 65624

The equipment has been function tested and at the time of service is in operational condition: Yes Job Complete: Yes Repairs Quote Required: No

Notes: 1. This report is made following visual inspection only of the equipment in accordance with AS2550.3-2002
2. No responsibility will be taken for unseen internal condition of components
3. Resultant repair work will only be conducted following authorization from the equipment owner
4. This docket should be kept as a record of inspection as required by government legislation

Serviced By (Name): Nick Belton Customer Name: Shayne Larcombe

X X

On completion a copy of this report will be emailed to shayne@haynesgroup.com.au Additional Email Address:

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