Post on 30-Mar-2018
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ANNUAL OVERHEAD
K�::�ECTION SERVICES IN
� RANE IN s p E CTI ON
www.kempcoinspections.com
4747 Gulf Freeway
Houston, TX 77023
713-926-1005 off.
713-926-6033 fax
Tulsa, OK 918-200-5511
Corpus Christi, TX 361-443-7757
CUSTOMER: ____________________ LOCATION __________________ _
EQ#: I MAKE: MODEL:
PO#: I W/0:
IAIR/ELECTRIC/CHAIN:
A U AA - cceo a e t bl - nacceota e uu bl
DD 1. Emergency Power Off (Marked)
DD 2. Master I.D. Switch
DD 3. Controllers / Control Buttons
DD 4. Warning Signs & Alarms
DD 5. Hook / Safety Latch / Dye Test
DD 6. Crane Structure/ Rail
DD 7. Ladders & Cages
DD 8. Walkways / Guardrails
DD 9. Beam Capacity (Marked)
DD 10. Braking System
DD 11. Hoist System
DD 12.Sheaves
DD 13. Full Operational Functions
DD
DD Cable
DD 14. Load Line
DD Chain
DD 15. Load Test
I SERIAL#: I DATE OF INSPECTION:
I INSPECTED BY: I Cl PASS D FAIL
C ommen s
COMMENTS/APPEARANCE:-----------------------------------------
Signature Showing Repairs Complete _______________________ Date:-----------=�.,.,.., KISS94218
Do Not Copy - Sample
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Do Not Copy - Sample
©
Do Not Copy - Sample
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