Attachment D - Technical Exhibit 5.pdf

Preventive Maintenance & Safety Inspection

Date of Inspection:

Work Order #:

Location:

Contract BPA Task Order #

Serial Numbers: Model: (BPW, LP, CB, HDML, HBP, etc.): _________________ Post 1:

Post 2:

Post 3:

Post 4:

Provide a numerical rating for each inspection item:

GENERAL

ALI Sticker Manufacturer Logo Rated Load Capacity Label Cleaned Post-No grease, Metal shaving, Etc..

LIFT CONTROLS

Raise/Lower Single Mode Multi/Group Mode E-Stop

SAFETY DEVICES

Lockable main switch / Lock-out (function) Lower Limit Bracket (function & 2mm space) L-Bracket (E1, 10-15mm from sensor) Screw Cover

ELECTRICAL COMPONENTS (LP, HDML)

Power Box Lock-out (function) Cables (Lock-Outage, fastening, strain relief) Dummy Plug (ohm leads 1-2, 118-120) Remote (if applicable) Verify PCB Configured for Proper Load Capacity

ELECTRICAL COMPONENTS (BPW)

Antenna Cable Antenna & BNC Adapter (damage, fastening) Battery Charging LED (110 plug) Battery charger (55-55 volts DC)

Post 1 2 3 4 5 6

STRUCTURAL

I/H-Beam (Mushrooming/Chafing) Wheels Carriage Paint

CARRIAGE

Rollers (visually check for damage) Front (no gap) | Side (0.5-1.5mm gap) Thrust Washers - <1mm wide => replace (2mm is new) | Old style should be glued in place Axle (rust, damage, set screws in place)

W912JB-22-Q-0069 ATTACHMENT D

Total Pages: 2

MOTOR

Visual Damage Brake Release (installed handle) Proximity Sensor (2mm gap from ball screw nut) Driveshaft, Snap RIng, Top & Side plugs, Seals

MECHANICAL

Ball-Screw and Bottom Bearing Conical Socket between Spindle nut & Carriage Seals Hydraulic Jack (function) Check for leaks Wedge-Lock & Solenoid (function)

BATTERIES (BPW, CB, HBP) (10-12 volt) Post 1:

Post 2:

Post 3:

Post 4:

Post 5:

Post 6:

Notes: (Insert number written above followed by issue)

Customer Name: Signature:

Inspector Name: Signature: