Inspection: TELESCOPING BOOM CRANE-ANNUAL

Inspection Report: TELESCOPING BOOM CRANE-ANNUAL OSHA/ANSI/ASME Standards: OSHA 1926.1400, 1910.180,1926.601 ASME B30.5,B30.10

Date Inspected: 11/29/2019 Operation Hours: 1,669 upreng Operation Miles: 27,147.

Inspector: Steve Marquis Inspection ID: 88.577.1575488191

Equipment Identification and SpecificationsName and Address of Owner LOCKE CRANE SERVICE; PO Box 246 , Chester NH 03036 USASerial Number 5130-7559 Unit Number: 25Year 2016 Manufacturer GROVEModel GMK-5165-2Max Capacity 330,000 lbsMain Hoist Rope Length 837 feetMain Hoist Rope Diameter 19 mmMain Hoist Rope Type rotation resistantAux Hoist Rope Length 738 feetAux Hoist Rope Diameter 19 mmAux 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 12/04/2019 - 19:36:31 GMTDover NH 03821U.S.A. http://www.ensocrane.com Pg 1 of 8

Inspection DetailsType of Inspection: TELESCOPING BOOM CRANE-ANNUAL 88.577.1575488191Inspection ID:

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

Item Condition Item Condition

TELESCOPING BOOM CRANE-ANNUAL CRANE DATA1. Inspection Records Daily / Monthly / Annual S2. Maintenance Records S3. Wire Rope Inspection Records S4. Ground Conditions SGENERAL CONDITION5. Sheet Metal S6. Paint Condition / Corrosion Control S7. Guards / Covers S8. External Lights S9. Housekeeping S10. Warning / Safety Labels S11. OSHA Approved Hand Signal Chart (outside) SPOWER PLANT (LOWER)12. Engine / Pumps Performance S13. Exhaust System / Guards & Insulators S14. Belts / Pulleys S15. Hoses S16. Compressor Performance S17. Guards / Covers for Rotating Parts S18. Engine Oil Level S19. Transmission Oil Level S20. Coolant Level S21. Leaks SDRIVERS CAB / STATION (LOWER)22. Brakes Service / Parking S23. Headlights / Trail Lights S24. Brake Lights / Turn Signals S25. Back-up Alarm / Lights S26. Audible Warning (low air) S27. Glass S28. Windshield Wipers S29. Heater / Defroster S30. Seat Belts S31. Steering S

32. Fire Extinguisher S33. Gauges / Light Display S34. Access / Grab Rails / Steps S35. Mirrors S36. Power Take-Off S37. Air Pressure S38. Horn S39. Accelerator S40. Operators Manual SCARRIER / DRIVETRAIN COMPONENTS41. Engine Mounts / Bolts S42. Transmission Mounts / Bolts S43. Drive Line S44. U-Joints S45. Main Frame Members S46. Axle Mounts S47. Hydraulic Hoses S48. Hydraulic Tubing S49. Hydraulic Fittings S50. Hydraulic Fluid Level S51. Axle Lockout System S52. Differential Breathers S53. Tires / Wheels Condition S54. Tire Inflation Pressure SOUTRIGGERS55. Boxes S56. Beams S57. Cylinders / Extensions & Stabilizers S58. Floats / Pads S59. Hydraulic Hoses S60. Hydraulic Tubing S61. Hydraulic Fittings S62. Pilot Operated Check Valves S63. Positive Position Locks S64. Decals / Warning Labels S65. Beam Marking S






RATED CAPACITY CHART66. Correct Capacity Chart for Crane S67. Legible / Durable S68. Secured / Accessible to Operator SOPERATIONAL AIDS69. Boom Angle Indicator S70. Boom Length Indicator S71. Anti Two Block / Device / Warning S72. LMI Make & ModelECO-EKS73. Load Moment Indicator S74. Load Radius Indicator S75. Load Weight Indicator S76. Main Hoist / Winch Rotation Indicator SOPERATORS CAB / STATION77. Glass / Safety Type S78. Windshield Wipers / Washers S79. Cab Access / Steps / Ladders S80. Hand holds / Guardrails S81. Anti Slip Walking Surfaces S82. Door Latch / Lock / Restraint S83. Fire Extinguisher 10BC S84. Operators Manual S85. All Safety Decals S86. Electrocution Warning S87. Level Indicator S88. Horn S89. Gauges / Light Display S90. Crane Function Controls S91. Crane Function Controls Identified S92. Swing Brake / Lock S93. Low Boom Warning SPOWER PLANT (UPPER)94. Engine / Pumps Performance S95. Exhaust System / Guards & Insulators S96. Belts / Pulleys S

97. Hoses S98. Guards / Covers for Rotating Parts S99. Engine Oil Level S100. Transmission Oil Level S101. Coolant Level S102. Leaks SROTATING SUPERSTRUCTURE103. Turntable / All Structural Welds S104. Turntable Mounting Bolts S105. Directional Control Valves S106. Hydraulic Hoses S107. Hydraulic Tubing S108. Hydraulic Fittings S109. Hydraulic Pressure / Relief Valves S110. Electrical Wiring S111. Swing / Slew Gearbox S112. Slewing / Rotation Bearing S113. Counterweight / Welds / Attachment Area S114. Safety / Warning Labels S115. Main Hoist mounting Bolts S116. Auxiliary Hoist Mounting Bolts S117. Wire Rope Lay on Main Hoist SMAIN BOOM118. Boom Length42 - 197 ft119. Lift Cylinder(s) S120. Telescoping Cylinder(s) S121. Holding Device / Holding Valves S122. Hydraulic Hoses S123. Hydraulic Tubing S124. Hydraulic Fittings S125. Boom Wear Pads S126. Boom Section Alignment S127. Condition of Sheaves S128. Hoist Line Retainers / Pins S129. Condition of Boom Structure S






130. Condition of Boom Head S131. Condition of Auxiliary Boom Head / Rooster SLATTICE BOOM EXTENSION132. Condition of Main Chords and Lacings S133. Condition of Mounting Pins / Keepers S134. End Connection / Attachment Points S135. Condition of Sheaves S136. Stowage Brackets Front / Rear S137. Boom Extension Alignment S138. Wire Rope Retainers / Pins S139. Condition of Welds S140. Positive Stops S141. Length of Jib36-59' lufferLOAD BLOCK AND HOOKINFORMATION142. ManufacturerJOHNSON143. Serial Number17-2169144. Rated Capacity22 UST145. Block Weight1,560 lbs146. Hook Tram Measurementn/aITEM147. Capacity Marking S148. Weight Marking S149. Sheave(s) S150. Safety Latch S151. 0 Degree Hook Bend or Twist S152. 5% Hook Throat Opening or 1/4 inch S153. 10% Hook Wear S154. Bearing S155. Pins and Retainers S

156. Reeving S157. Wedge Socket / End Fitting SMAIN HOIST WIRE ROPEINFORMATION158. Damage S159. Wear S160. Broken Wires S161. Lubrication S



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Notes Inspection ID: 88.577.1575488191Explanation

156: ITEM - Reeving: 3 parts

69: OPERATIONAL AIDS - Boom Angle Indicator: accuracy confirmed with a digital level

73: OPERATIONAL AIDS - Load Moment Indicator: LMI functions as desgned

74: OPERATIONAL AIDS - Load Radius Indicator: accucracy confirmed with a tape measure

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



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

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

Equipment Owner: LOCKE CRANE SERVICE

Model No.: GMK-5165-2

Equipment Make: GROVE

Serial No.: 5130-7559

Equipment Type: TELESCOPING BOOM CRANE

Unit Id: 25

Inspection ID: : 88.577.1575488191

Inspected on this: 29th (Friday) day of November, 2019

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


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Inspection: TELESCOPING BOOM CRANE-ANNUAL