Blue Giant BG ZERO - Page 13

VERSION G PAGE 1 OF 2
MODEL: SERIAL:
P F C
P F C
Instrument panel is clean and free of debris and dash display is funconal.
Operator le side control arm steering wheel func properly.
Emergency lower buon operates properly.
Ensure gate switches disable travel/li and lower funcons and g lights on the front and rear of
the vehicle.
HOUR METER:
BATTERY SPEC.: OPTIONS: PREVIOUS INSPECTION:
Plarm guard rails are undamaged and gates open / close freely.
Chains are adequately lubricated and are not dry or rusty.
Mast cover plates are in place and securely hed for each secon.
Coned on page 2
FREQUENT INSPECTIONS: The owner and user are required by ANSI A92.6 to ensure frequent inspec of the BG Zero Task
Support Vehicle occur and are performed in accordance with the following points: 1. If purchased used unless it's determined
that the frequent and annual inspec are current. 2. The BG Zero Task Support Vehicle has been in service for three (3)
months or 150 hours, whichever comes rst. 3. The BG Zero Task Support Vehicle has been out of service for a period longer
than three (3) months. inspec is to be performed by a mechanic that is ed and authorized to perform service on the
BG Zero Task Support Vehicle. All service records must be maintained.
INSPECTION REQUIREMENTS per ANSI A92.6 (ANNUAL AND FREQUENT)
ANNUAL INSPECTION: The owner and user are required by ANSI A92.6 to ensure annual inspec of the BG Zero Task Support
Vehicle occur and are performed no later than 13 months from the date of prior annual inspec or every 700 hundred hours
of use, whichever occurs rst. This annual inspec is to be performed by a mechanic that is ed and authorized to
perform service on the BG Zero Task Support Vehicle. All service records must be maintained.
NOITAMROFNI RESU DNE / RENWONOITAMROFNI RELAED
COMPANY:
ADDRESS:
Annual Inspec�on Report
INSTRUCTIONS: Refer to service/maintenance manuals for specc informa regarding inspec procedures and criteria.
Indicate in the appropriate space as each item has been performed. If the item is found to be not acceptable, describe each
discrepancy on an addi page and aach to the form. Immediate acon must be taken to correct all discrepancies. The
vehicle shall not be placed in service un all discrepancies have been corrected.
CITY/STATE/ZIP:
COMPANY:
ADDRESS:
CITY/STATE/ZIP:
MAST SIZE:
VEHICLE INFORMATION:
Operator right side control arm funcons properly. Horn / travel / li / lower / accelerator buons are
func.
Put a
in the column that applies: P = Passed Inspec�on , F = Failed Inspec�on, C = Corrected
Drive and operate machine to test all funcons. Ensure controls operate properly and return to "" or
neutral when released.
Ensure emergency power disconnect switch deactes all movement and power and that the deadman
foot switch operate properly.
FUNCTIONS and CONTROLS
Mast sec are free of visual evidence of damage. Mast chains and cables are inspected per the
Service and Maintenance Manual.
OPERATOR PLATFORM ASSEMBLIES
The drive wheel returns to "neutral" (straight forward) whe
n powering up the vehicle and is accurately
depicted on the LCD display.
All nuts, bolts, pins, shas, covers, bearings and wear pads are checked for proper installa, and do
not have excessive wear, cracks or distoron.
Mast wiring harnesses are properly installed, seated in their pulleys and that there are no frayed or
broken strands.
Mast operates smoothly to full height and descends smoothly. Ensure speed cutbacks occur at
appropriate heights per the maintenance manual.
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