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30 – February 2018
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Maintenance
Annual Inspection Report
Key: "Y" Yes/Acceptable
"N" No/Unacceptable
"R" Repaired
"U" Unnecessary/Not Applicable
Comments:
Signature/Mechanic:
Signature/Owner-User:
Date:
Date:
• Check each item listed below.
• If an item is found to be "Unacceptable" make the necessary repairs and check the
"Repaired" box.
• When all items are "Acceptable", the unit is ready for service.
Dealer
Street
City/State/Zip
Phone Number
Contact
Date
Serial Number
Model Number
Date Of Last Inspection
Date Placed In Service
Global Machinery Group, Inc.
3428 Bullock Lane, San Luis Obispo, CA 93401 USA
800-301-0499 • 805-303-2066 • Fax: 805-293-6211
Customer
Street
City/State/Zip
Phone Number
Contact
U
R
N
Y
U
R
N
Y
U
R
N
Y
Decals:
Proper Placement/Quantity
Legibility
Correct Capacity Noted
Rails:
All Rail Fasteners Secure
Entry Gate Closes Properly
Manual/Safety Data In Box
Platform:
Platform Bolts Tight
Platform Structure
Wire Harnesses:
Mounted Correctly
Physical Appearance
110/220V Outlet Safe/Working
Elevating Assembly:
Beam Structures
Welds
Retaining Rings
Cylinder Pins Secure
Scissor Slide Blocks*
Maintenance Lock:
Secure
Operational
Base:
Cover Panels Secure
Base Fasteners Tight
Bolts Tight
Axle/Wheel Assemblies:
Wheel Mounting Secure
Component Area:
Valve Manifold(s) Secure
Hoses Tight/No Leaks
D/C Mtr(s) Secure/Operational
Contactors Secure
Pump Secure
Batteries:
Secure
Fully Charged
Battery Charger:
Secure
Operational
Breaks All Circuits
Operation:
Wires Tight
Switches Secure
All Functions Operational
Emergency Down:
Operational
Pressures & Hydraulics:
Oil Level Correct/Chg
Lift Pressure Set
Replace Breather Cap
Inspect Hydraulic Oil;
*See Service & Parts Manual for instructions
Annual Inspection Report
Emergency Stop:
Replace If Needed
13328
• Use proper Operator’s, Service and Parts manual for specificinformation and settings
Cable Secure
1030-PA
