Ryobi Kiso (S) Pte Ltd

Crane Pre-Inspection Form

Company: LM No: Inspected By (Name): Desi nation " Company
S/N o # ( + 0 3 4 6 8 #: ## #( #+ ##0 #3 #4 #6 #8 (: (# (( (+ ((0 (3 (4 Items $e%erse &'arm )oistin Motor*Brake Warnin Li ,t )orn L!.rication on Li%e /!''ey*S,aft L!.rication on 1i. 2oot $ope " )ook L!.rication on )oistin $ope " )ook Crane )ook 5it, Safety Catc, Load Indicator7 Max )ei ,t*Dept, Limit S5itc, Limit S5itc,es E'ectronic 9perationa' System Limit Load B'ocks and Safety Wires 2ittin free from Distortion S'e5in *Motor Brakes E'ectrica' 9perationa' No 'oose connections of 5ires " mo!nt .o'ts Wire rope condition Stee' /'ate $e;!irement " Condition Crane )ook B'ock Condition Safety De%ices*S5itc,es 9perationa'< S5in &'arm 9perationa' 9!tri er 9!tri er /addin confirmin 5it, site re;!irement W,ee's*Tracks No 9i' Leak e Load C,art in Ca.in 2ire Extin !is,er =a'idity of Ins!rance =a'idity of /E certification

Trade of Work: Expiry Date: Si nat!re Date

Check

EOHSMS-02-C05_Rv 0

Page 1 of 2

Issued on 15 Sept 2010

Ryobi Kiso (S) Pte Ltd

Legends: > ? 9@*Aood

$emarks :

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EOHSMS-02-C05_Rv 0

Page 2 of 2

Issued on 15 Sept 2010