ATTACHMENT I PWS INSPECT REPAIR TEST AND CERTIFY MHE.pdf

USNS Medgar Evers

( TAKE 13 )

HABITABILITY OUTFITTING AND

FURNISHINGS

CONTRACT NO. N00000-00-X-0000

ITEM NO. SOR-26-0010 CATEGORY "A" 2026-04-27

INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

FORKLIFTS

Port Engineer's Name

SOR-26-0010 - Page 1

1.0 ABSTRACT

This item describes the requirements to repair all deficiencies and conduct an annual inspection, test, and certification of the ship's material handling equipment (MHE) - forklifts to meet full operational and certification standards.

2.0 REFERENCES/ENCLOSURES

2.1 References

2.1.1 NAVSUP Tech Manual 0530-LP-642-6711, NAVSUP

Publication 538; Management of Material Handling Equipment (MHE) and Shipboard Mobile Support Equipment (SMSE)

2.1.2 Tech Manual 0530-LP-102-4114, Hyster Fork Lift

Truck, Diesel Powered, S60XM – 6000 LB CAPACITY

2.1.3 Tech Manual T4550-COT-010, Hyster Fork Lift

Truck, Diesel Powered, S60FTG – 6000 LB CAPACITY

2.1.4 Tech Manual 0532-LP-000-4105, Hyster Fork Lift

Truck, Electric Powered, E40XM – 4000 LB CAPACITY

2.1.5 Tech Manual T4548-COT-010, Hyster Fork Lift

Truck, Electric Powered, E60ZG – 6000 LB CAPACITY

2.1.6 Tech Manual 0532-LP-010-4120, Hyster Fork Lift

Truck, Electric Powered, E60XM – 6000 LB CAPACITY

2.1.7 Tech Manual TG300-AH-MMC-010, Hyster Fork Lift

Truck, Electric Powered, E100Z – 10K LB CAPACITY

2.1.8 NAVSEA Tech Manual SW023-AH-WHM-010, Handling

Ammunition and Explosives with Industrial Materials Handling

Equipment (MHE)

2.2 Enclosures

2.2.1 Enclosure 1, NAVSUP Publication 538, Fig. 8-12, MHE Initial Receipt Inspection Form

2.2.2 Enclosure 2, NAVSUP Publication 538, Fig. 8-13, Fork Maintenance Inspection Form

2.2.3 Enclosure 3, NAVSUP Publication 538, Fig. 6-1, MHE Safety Certification Form

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CONTRACT NO. N00000-00-X-0000

ITEM NO. SOR-26-0010 CATEGORY "A" 2026-04-27

INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 2

2.2.4 Enclosure 4, Hyster Dealers

3.0 ITEM LOCATION/DESCRIPTION/QUANTITY

3.1 Location/Quantity

3.1.1 Locations: Contractor Facility, MSC will

deliver all Fork Trucks

3.1.2 Quantity: 9 Fork truck, 7 Hyster and 2 Hubtex

3.2 Item Description/Manufacturer's Data

3.2.1 Bill of Materials: N/A

3.2.2 Description of Equipment/Systems: The following

MHE are to be serviced under this work item:

Qty Mfg Model

Capacity

(lbs) Serial No.

1 HUBTEX VQ45 10,000 62235

1 HYSTER E60XM 6,000 F108G04709T

1 HUBTEX VQ45 10,000 62234

1 HYSTER E60XM 6,000 G108N09043F

1 HYSTER E60XM 6,000 F108G4694F

1 HYSTER E60XM 6,000 F108G04694T

1 HYSTER E60XM 6,000 F108G04693T

1 HYSTER E100Z 10,000 E098N02570H

1 HYSTER E100Z 10,000 E098N02576H

4.0 GOVERNMENT FURNISHED EQUIPMENT/MATERIAL/SERVICE: Items

identified in 3.2.2

5.0 NOTES

5.1 The contractor, regardless of tier must consult the

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CONTRACT NO. N00000-00-X-0000

ITEM NO. SOR-26-0010 CATEGORY "A" 2026-04-27

INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 3

General Technical Requirements (GTR) to determine applicability to this work item. In performance of this work item, the contractor regardless of tier must comply with the requirements of all applicable GTRs including but not limited to GTRs 1 through 7, 22, 23, 24, 28, and 29.

5.2 Any additional deficiencies discovered, or

recommendations for further repairs must be documented and submitted to the Port Engineer via a Condition Found Report

(CFR). Contractor shall provide all CFRs within 24 hours of discovery, to Main TPOC, Jospeh Fader, with recommended repairs.

All CFR repairs maybe addressed via over and above CLIN.

5.3 Powered industrial truck designations per 29 CFR

§1910.178(b).

5.4 Per MSC QMS Procedure N4.48.4460.1-Q entitled

Management of Material Handling Equipment all Afloat MHE will be certified for ordnance handling.

5.5 Charging, testing and maintenance shall not be

performed in magazines or other areas/spaces where ammunition and explosives are present.

5.6 Period of performance / Location:

5.6.1 Period of performance Start: JUNE 8, 2026

5.6.2 Period Of performance End: JULY 20, 2026. The

period of performance end date is tentative per potential CFRs.

5.6.3 All required MHE Services must be completed by

period of performance end date to remain in compliance with this contract.

5.6.4 Location: TBD, upon completion, MSC will pickup

all Fork Trucks.

5.7 MSC Rep and Point of Contacts:

5.7.1 Main Technical Point of Contact (TPOC):

5.7.2 Joe Fader, Principal Port Engineer

Direct: 682-433-3191

5.7.3 Alternate Point of Contacts:

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CONTRACT NO. N00000-00-X-0000

ITEM NO. SOR-26-0010 CATEGORY "A" 2026-04-27

INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 4

5.7.4 Port Engineer USNS Medgar Evers T-AKE 13

Joseph Fader

U.S. Navy's Military Sealift Command

471 East C Street, Bldg sp-47

Norfolk, VA 23511-2914

Office: 757-443-0991

Cell: 757-214-8429

Email: joseph.a.fader2.civ@us.navy.mil

6.0 QUALITY ASSURANCE REQUIREMENTS:

6.1 Contractor shall be qualified to perform maintenance

and repair on Hyster and Hubtex model forklifts. The contractor shall have established access and ability to provide Original

Equipment Manufacturer (OEM) parts for all repairs and shall have a facility located within a 50-mile radius of Naval Station

Norfolk.

6.2

7.0 STATEMENT OF WORK REQUIRED

7.1 Arrangements/Outfitting

7.1.1 The contractor shall keep MHE in an secured

covered facility at all times.

7.2 Structural

7.2.1 Inspect all external weldments for structural

cracks or defects. If defects are found, Contractor shall reject

MHE and provide a CFR within 24 hours of discovery, to Main

TPOC, Joe Fader, with recommended repairs.

7.2.2 Inspect all welds and hardware on overhead

guards and load backrests. Verify that guards, backrests, and hardware are in place and all structural members are secured.

7.3 Mechanical/Fluids

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ITEM NO. SOR-26-0010 CATEGORY "A" 2026-04-27

INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 5

7.3.1 Repairs: Accomplish repairs to correct all

deficiencies for each piece of MHE to ensure certification standards are met:

a. Serial No. 62235: Install all missing labels, lead and chromate free markings, and instruction plates.

Replace broken conduit cable fitting, missing load backrest, leaking and dry-rotted hydraulic lines, and worn tires. Install new non-slip coating on operator pedals.

b. Serial No. F108G04709T: Install new tie-down marking and instruction plate. Repair/replace battery cover lid, cracked hydraulic line, and non-functional gauges. Repair/adjust parking brake and service brake function.

c. Serial No. 62234: Repair/replace broken chain. Install new warning labels, decals, lead and chromate free marking, and instruction plates. Replace missing/broken hardware, bent/cracked/worn accessories, and missing load backrest. Replace all dry-rotted hydraulic lines and worn tires.

Install new non-slip pad on accelerator pedal.

d. Serial No. G108N09043F: Provide and install new battery. Install all missing covers and panels.

e. Serial No. F108G4694F: Troubleshoot and repair drive system (forklift will not move). Repair/replace damaged top panel.

f. Serial No. F108G04694T: Secure mast to forklift. Install missing cargo guard hardware. Repair cracked left side panel. Repair/replace damaged hydraulic cylinder, cut

DC motor cables, fork heel pin, left anchor pin, and brake light. Install new non-slip pad on brake pedal.

g. Serial No. F108G04693T: Secure mast to forklift. Install new tie-down marking and cargo guard. Install missing covers/panels. Replace bent, cracked, or worn accessories and missing/broken hardware. Prepare and repaint surfaces. Replace neoprene hydraulic lines. Repair/adjust mast rollers and locks.

h. Serial No. E098N02570H: Charge/test battery and troubleshoot no-start condition. Install new cargo guard and hitch pin.

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CONTRACT NO. N00000-00-X-0000

ITEM NO. SOR-26-0010 CATEGORY "A" 2026-04-27

INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 6

i. Serial No. E098N02576H: Replace battery and troubleshoot no-start condition. Lubricate all grease fittings.

Install new cargo guard.

7.3.2 Accomplish maintenance on all MHE listed in

paragraph 3.2.2 in accordance with the manufacturer's design, using References 2.1.2 through 2.1.7 as guidance. The maintenance shall include:

a. Replace Hydraulic Oil and Hydraulic Oil Filter.

b. Replace the Hydraulic Tank Breather.

c. Replace the Brake Fluid.

d. Replace the Differential and Drive Axle Oil.

e. Replace the Integral Sideshift Carriage bearings regardless of wear.

f. Clean and lubricate the Lift Chains.

g. Adjust the brakes in accordance with the manufacturer's recommendations.

h. Visually examine all hydraulic hoses/fittings for damage, wear, age, cracking, leaks, and kinks.

i. Clean and lubricate all moving parts where lubrication is specified (Mast, pivots, bearings, tilt cylinders, brake master cylinder, levers, wheel bearings, tie rod ends, king pins, pedals, seat rails, cables, hinges, and linkages).

7.4 Electrical

7.4.1 Replace Contactor tip sets for the hydraulic

pump.

7.4.2 Inspect fuse blocks, fuses and connectors for

damage and corrosion.

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INSPECT, REPAIR, TEST AND CERTIFY

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SOR-26-0010 - Page 7

7.4.3 Verify and adjust all switches for proper

operation (brake lights, seats, seat brake, parking brake, direction, start, etc.).

7.4.4 Clean battery and cable terminations.

7.4.5 For electric-powered MHE, inspect while

operating each electrical motor for spark emission in a dark location. The MHE shall be rejected if there is any spark emission.

7.5 Electronics: None additional

7.6 Preparation of Drawings/Documentation

7.6.1 Provide the services of a Manufacturer’s

Authorized Service Provider to inspect, test and certify the

MHE. Qualifications for the company and field service representative are to be submitted to the OMT REP for review and approval prior to the start of any work.

7.6.2 Submit a condition report to the OMT REP with

recommended repairs and required parts for any deficiency found.

Submit one electronic copy in PDF.

7.6.3 All required forms, reports, and certifications

shall be submitted to the MSCREP upon machinery turnover.

Prepare and submit completed and signed Inspection, Test and

Certification forms (Enclosures 1 through 3) for each MHE.

7.7 Inspection/Test

7.7.1 General:

a. The contractor shall provide a minimum of 10 days advanced notice of completion to the MSCREP/Port Engineer to allow for inspection of the MHE at the contractor's facility.

b. Demonstrate current calibration of all test equipment prior to any testing.

7.7.2 Initial Receipt Inspection: Conduct an

inventory and inspection of the MHE, using References 2.1.1 through 2.1.8 as guidance. Record results on Enclosure 1.

7.7.3 Fork Inspection: Conduct the annual fork

maintenance inspection using Reference 2.1.1 as guidance. Record

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INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 8 results on Enclosure 2. Any fork defect shall be a cause for the

MHE to be removed from service until repaired or replaced.

7.7.4 Test Setup: Install barricades and warning

signs. Use only known values of test weights, accurate to +5/-0 percent. Brake test course shall be level, clean asphalt, brushed concrete, or equivalent surface.

7.7.5 Functional Test: Conduct a functional test

under no-load conditions. Record results on Enclosure 3.

7.7.6 Static Discharge Test: For TYPE EE, EX MHE, conduct test using a calibrated Megohmmeter. Resistance must not exceed 250,000 ohms. Record results on Enclosure 3.

7.7.7 Operational Weight Test (100% SWL): Using a

rated load, test mast lift, lateral shift, and hold for 2 minutes. Measure downward and tilt drift. Inspect for cracks, deformation, or failures. Record results on Enclosure 3.

7.7.8 Brake System Tests:

a. Service Brake Test: With a 100% SWL load, bring MHE to a stop from maximum speed. Measure stopping distance and verify it is within the limits of Reference 2.1.8, Table 6-2.

b. Parking Brake Test: Engage parking brake on an unloaded MHE and attempt to drive forward. Adjust if MHE moves.

c. Safety Braking/Disconnect Test: Engage travel control disconnect while moving at moderate speed.

7.7.9 Overload Weight Test (150% SWL): THIS TEST

SHALL BE CONDUCTED on all MHE listed in this work item. Place a

150% test load on the forks for two minutes. Remove load and

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INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 9 visually inspect for cracks or permanent deformation. Record results on Enclosure 3.

7.7.10 Lifting Eye Test (150% MHE Weight): THIS TEST

SHALL ONLY BE CONDUCTED IF LIFTING EYES WERE REPAIRED OR

REPLACED. Apply a vertical lifting force of 150% of the MHE weight for 2 minutes. Record results on Enclosure 3.

7.8 Painting

7.8.1 Prepare, prime, paint, and restore all new, soiled, and disturbed surfaces to match surrounding surfaces.

7.9 Marking

7.9.1 Remove previous weight test tags/markings from

equipment that passes all testing.

7.9.2 Verify all function, instruction, caution, and

warning labels are clearly and properly marked.

7.9.3 Stencil or label the MHE Safety Certification

marking on all certified equipment, per Reference 2.1.8. The expiration date shall be 18 months from the certification date.

7.10 Manufacturer's Representative: None

SAFETY CERTIFICATION / WEIGHT TEST

ACCOMPLISHED BY:

IAW NAVSEA SW023-AH-WHM-010

EXPIRES: ________________________________

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INSPECT, REPAIR, TEST AND CERTIFY

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SOR-26-0010 - Page 10

8.0 GENERAL REQUIREMENTS

8.1 The contractor shall provide and utilize all

specialized tools, diagnostic equipment, and calibrated testing apparatus required by the Original Equipment Manufacturer (OEM) to perform the specified repairs, maintenance, and certifications.

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SOR-26-0010 - Page 11

ENCLOSURE 2.2.1 - NAVSUP Publication 538, Fig. 8-12, MHE Initial

Receipt Inspection Form

SHIPBOARD UNIT SHOREBASED UNIT INSPECTION DATE

MAKE MHE TYPE BLADE LENGTH

MODEL MOTOR TYPE FUEL TYPE

YEAR TIRE TYPE HOUR METER READING

SERIAL NO. CAPACITY EQUIPMENT COST CODE

ITE

M

No.

INSPECTION POINT ACCEPT REJECT N/

A

1 Manufacturer’s data/identification plate

2 Manufacturer’s “STRUCTURALLY WEIGHT

TESTED” marking (ammunition or shipboard handling)

3 Accredited laboratory certification plate

(e.g., UL, FM)

4 Alphabetical designation (EE, DS, etc.)

5 Operational controls correctly labeled/marked

6 Battery identification plate or marking

7 Fuel type marking (e.g., DIESEL FUEL

ONLY)

8 Warning decals and labels

9 Safe working load marking (sides and mast) (e.g., SWL 6000 LBS)

Vehicle weight marking (sides and mast)

(e.g., VW 10,000 LBS)

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SOR-26-0010 - Page 12

Registration number (e.g., 13-20000)

SLEP data plate

“LEAD AND CHROMATE FREE PAINT” marking

“LIFT HERE” marking

“TIEDOWN” marking

Tire pressure marking (pneumatic only)

Fuel cap (color coded)

“SHIPBOARD USE APPROVED” marking

Blue diagonal striping (type EX only)

Instruction plates

Grease fittings (on components) fully filled and accessible

Receipt Inspection Form

ITE

M

No.

INSPECTION POINT ACCEPT REJECT N/

A

Correct fluid levels (brake, radiator, transmission, hydraulic, etc.)

Paint is smooth and adheres well

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INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 13

No evidence of loose, missing or broken hardware

No evidence of bent, cracked or worn accessories

No evidence of missing covers, panels, loose or poor fit

Overhead guard and load backrest (cargo guard) not damaged

Forks are straight within 1% of length

Hydraulic cylinders: no weld cracks, leaks or other damage

Neoprene hydraulic lines: free of paint, routed correctly and secured

Towing devices, hitch pins, tow chains, etc. are attached

Battery cables: secure, no cuts/abrasions, and protected by non-conductive covers

Battery mounts and hold downs are secure

Wiring harness is correct with no frayed, brittle or crimped connections (soldered only)

Tires are correct type, size and thread

(no delamination shall be accepted)

Wheel lugs are torqued as specified

Check mast rollers and locks

3 Fork heel pins and locks function

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SOR-26-0010 - Page 14

Lift chains and anchor pins are secure and functional

Operator pedals are equipped with rubber pads or non-slip coating

Operator restraint system/seat belt equipped and functional

Dash gauges are correct and marked

Key ignition switch (verify key numbers match contract numbers)

Start MHE and note any unusual noises

Weight gauge is legible and operable

ITE

M

No.

INSPECTION POINT ACCEPT REJECT N/

A

Steering wheel is smooth and little free play

Verify all gauges function

Verify hourmeter operates properly

Verify horn operates

5 Verify back-up alarm operates

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INSPECT, REPAIR, TEST AND CERTIFY

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SOR-26-0010 - Page 15

Verify all lights operate: brake, spot, battle/blackout, etc.

No evidence of steering play or loose suspension

Bring to full operating temperature (fuel power only) and check for leaks

Check for arcing and operation of contactors, traction, steer and hydraulic pump motors (electric MHE only)

Battery disconnect switch is operable

Check accelerator and inching/declutching pedal operation

Check brake operation

Parking brake functions

Check emergency stop operation

Check for smoothness when raising mast to full height

Verify hose reel functions smoothly

Check tilt and side shift (rotation some models) operation and smoothness

Check acceleration (all forward and reverse gears)

Check braking (at speed) if smooth and straight

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SOR-26-0010 - Page 16

Check transmission (forward and reverse)

Clutch adjustment, engagement and operation

Check for exhaust leaks

Check applicable steering modes (2 wheel, 4 wheel, crab)

Verify the turning radius/tracking

For electric trucks, the presence of static conductive straps or tires

INSPECTION

ACTIVITY

INSPECTOR NAME DATE

(MMDDYY)

PRINT:

SIGNATURE:

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SOR-26-0010 - Page 17

ENCLOSURE 2.2.2 - NAVSUP Publication 538, Fig. 8-13, Fork

Maintenance Inspection Form

USN: -

Manufacturer’: Model: Year: Serial Number:

Contract Number:

REQUIREMEN

T

Each fork shall be inspected and documented in the MHE history file at intervals of not more than

12 months or whenever any defect or permanent deformation is detected. Any defect shall be a cause for rejection. MHE shall be removed from service until the fork is repaired or replaced.

DESCRIPTI

ON

LEFT FORK RIGHT FORK Not

Applica ble SAT UNSAT SAT UNSAT

1. Manufacturer’s SWL Markings

2. Surface Cracks

3. Straightness of Blade and Shank:

(a) Upper Face of Blade

(b) Front Face of Shank

4. Fork Angle: (original specification = _)

5. Difference in Height of Fork Tips:

(Length of blade = inches x 0.03

= inches)

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6. Fork

Blades:

Left

Fork:

original thickness = _ inches x

0.10 = _ inches current thickness = _ inches

Right Fork:

original thickness = _ inches x 0.10 = inches current thickness = inches

7. Positioning Locks/Latches and

Stops (where applicable)

8. Fork Hooks (where applicable)

9. Plated Fork (Type EX Only)

Inspection results: Based on the above inspections, the overall condition of each fork is:

Left Fork: SAT/UNSAT Right Fork:

SAT/UNSAT

Inspector: Date: Next Due Date:

Print Name/Rate: Inspection Activity:

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ENCLOSURE 2.2.3 - NAVSUP Publication 538, Fig. 6-1, MHE Safety

Certification Form

USN/MSC

REGISTRATION

NO.

MHE

CLASS/LIFT

CODE/TYPE

SWL HOUR READER

METER

DATE

TEST

PARAGRA

PH

PROCEDURE RESULTS

MARKINGS 6-6.1 VISUAL

INSPECTION:

ACCEP

T

REJEC

FUEL SYSTEM 6-6.2 LEAK

INSPECTION:

N/

A

NEUTRAL START

SWITCH

(Fueled MHE)

6-6.3 OPERATIONAL

INSPECTION: ACCEP

WARNING

DEVICES

(Powered MHE)

6-6.4 OPERATIONAL

SPARK EMISSION

(Powered MHE)

6-6.5 VISUAL

INSPECTION:

STATIC

DISCHARGE

(Electric and

HS/Ordnance

Pallet Truck)

6-6.6 CONDUCTOR

TYPE:

TIRES

STRAP

S

RESISTANCE

READING

LEFT RIGHT

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(OHMS):

CARRIAGE REACH

& ROLLER

(Reach and

Tier)

6-6.7 OPERATIONAL

INSPECTION:

DRIVE CONTROL

(Powered

Pallet Trucks)

6-6.8 OPERATIONAL

BRAKE

(Except

Straddle

Carriers and

Manual Pallet

Trucks)

6-6.9.1 TRAVEL

DISTANCE

(TABLE 6-2):

FEET

PEDAL FEEL:

6-6.9.2 PARKING

BRAKE:

6-6.9.3 SAFETY

BRAKING/DISCO

NNECT SYSTEM:

BRAKE

(Straddle

Carrier)

6-6.10 OPERATIONAL

OPERATIONAL

WEIGHT TEST

(Forklift

Trucks)

6-6.11 100% RATED

LOAD

HELD FOR 2

MINUTES:

ENCLOSURE 2.2.3 - NAVSUP Publication 538, Fig. 6-1, MHE Safety

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Certification Form

LOAD TEST

(Aerial Work

Platform)

8-7.6 150% RATED LOAD

HELD FOR 2

MINUTES:

KING PIN

(Straddle

Carrier)

6-6.13 VISUAL

LIFTING WEIGHT

TEST

(Straddle

Carrier)

6-6.14 100% RATED

LOAD:

OVERLOAD

WEIGHT TEST

(Except Pallet

Trucks and

Straddle

Carriers)

6-5.3 AFTER

REPAIRS/MODIFIC

ATIONS

AFFECTING LOAD-

BEARING

COMPONENTS

YES NO

6-7 100% LOAD

HELD FOR 2

MINUTES:

150% LOAD

HELD FOR 2

MINUTES:

LIFT EYES

(Except

Straddle

Carriers)

6-5.4 AFTER

REPAIR/REPLACEM

ENT

YES NO

6-8 150% WEIGHT OF

MHE

HELD FOR 2

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INSPECT, REPAIR, TEST AND CERTIFY

MATERIAL HANDLING EQUIPMENT -

SOR-26-0010 - Page 22

MINUTES:

THIS IS TO CERTIFY THAT THE ABOVE MHE WAS INSPECTED AND TESTED IN

ACCORDANCE WITH NAVSEA SW023-AH-WHM-010.

MECHANIC/MAINTENANCE PROVIDER:

PRINT FULL NAME SIGNATURE DATE

CERTIFIED BY:

PRINT FULL NAME SIGNATURE DATE

THIS 18 MONTH

CERTIFICATION EXPIRES

ON:

MONTH/YEAR