Attachment C - Annual Inspection Example.pdf

This document is an Annual Safety Inspection and Certificate of Compliance for a Terex T-340-1 Mobile Crane owned by the Army Corps of Engineers, located in Troy, NY. The inspection was conducted on 6/7/19 by inspector Jeff Duchesne and covers comprehensive safety checks across multiple crane systems including historical data, general components, driver's cab, power plant, carrier assembly, and operational testing. The crane has a serial number 15858, 80,000-pound capacity, and the inspection follows OSHA 1926 Subpart CC, 1926.601, 1910.180, PCSA#4, and ASME B30.5, B30.10 standards. The inspection checklist systematically verifies the status of over 140 specific crane components and features, with most items marked as satisfactory, and the certificate expires on 6/7/2020.