Needs OK N/A Notes Re pair Pin condition Frame Threaded legs Needs OK N/A Notes Re pair Tie down Rack structure Needs OK N/A Notes Re pair Pins and lugs (outrigger to carrier) Frame condition Frame welds Guy line lugs Spreader bar condition Screw jack condition All keeper pins and chains Belly jack condition Belly jack attachment points Mat condition Needs OK N/A Notes Re pair Raising ram condition Raising ram connection Needs OK N/A Notes Re pair Drill line anchor bolts Drill line anchor welds LEVEL III INSPECTION COMPLETION This Level III Inspection been logged in the Overhead Equipment Log Book This Level III Inspection was done in and 11.0 accordance with CAODC RP’s: 3.0, 4.0, 10.0 Inspector’s signature: signature: Field superintendent’s Estimated completion date for all repairs:
OK Needs Re pair N/A Notes Pin condition Frame Threaded legs OK Needs Re pair N/A Notes Tie down Rack structure OK Needs Re pair N/A Notes Pins and lugs (outrigger to carrier) Frame condition Frame welds Guy line lugs Spreader bar condition Screw jack condition All keeper pins and chains Belly jack condition Belly jack attachment points Mat condition OK Needs Re pair N/A Notes Raising ram condition Raising ram connection OK Needs Re pair N/A Notes Drill line anchor bolts Drill line anchor welds LEVEL III INSPECTION COMPLETION This Level III Inspection been logged in the Overhead Equipment Log Book This Level III Inspection was done in accordance with CAODC RP’s: 3.0, 4.0, 10.0 and 11.0 Inspector’s signature: Field superintendent’s signature: Estimated completion date for all repairs: