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MIL-HDBK-1038
APPENDIX A
Sample Crane Information Form for
Overhead Electric Traveling Crane(s)
Date__________
1.
PROJECT INITIATION LETTER ________________________________________________
2.
REQUIREMENT VALIDATED BY _________________________________________________
Name
Signature
3.
USING ACTIVITY ___________________________________________________________
__________________________________________________________________________
4.
BUILDING INFORMATION:
a)
Building name (and number) _________________________________________
b)
Room or area of crane location _____________________________________
5.
NUMBER OF IDENTICAL CRANES REQUIRED ______________________________________
(If cranes are not identical, prepare a separate form for each crane)
6.
RATED CAPACITY:
a)
Main/auxiliary hoist __________ tons (short)
b)
Bridge __________ tons (short)
7.
CRANE DESIGN:
a)
CMAA #70 Class __________ or
Approximate main hoist lifts per 8-hour shift:
Number
of
rated capacity lifts _____________________________
Number
of
75% rated capacity lifts _________________________
Number
of
50% rated capacity lifts _________________________
Number
of
25% rated capacity lifts _________________________
b)
Desired speed ranges:
high/low (feet per minute)
Main hoist
_______/_______
Auxiliary hoist
_______/_______
Trolley
_______/_______
Bridge
_______/_______
8.
CRANE SERVICE:
(Check and fill-in appropriate items.)
a)
General Purpose Service (GPS):
Yes_____
No_____
(If "no", see Section 6.)
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