LOCK-OUT KIT INFO REQUEST

Date:

Customer Name:

Address line 1:

Address line 2:

City:

Zip Code:

Point of Contact:

Phone:

Cell:

Fax:

Email:

   
  Crane Description:
   

Manufacturer:

Year:

Model:
  Vicon: Yes No
  Tower Attachment: YES NO

Serial # :

Crane electrical voltage:

Type of Crane:

crawler truck pedestal RT
other:

Where is the crane being used?

Dock Rail Construction Offshore
other:

Type of Boom:

lattice hydraulic telescoping fixed boom
other:

Describe:

Number of Hoist Drums:

Location Of Drums :

waterfall side by side
other:

Type of Brake for the hoist line:

choose from the following descriptions:
 To set the hoist brake I must step on a mechanical brake pedal and latch it.
 To set the hoist brake I must pull on a lever that dumps oil pressure or air to a spring brake attached to the hoist brake bands.
 When I let go of the controls to the hoist, the brakes set automatically.
other, please describe:
Does boom hoist stop automatically when the control lever is released ?
YES NO
If NO, can boom free fall YES NO
If YES, is there a mechanical foot brake with latch YES NO

Type of Controls:

air over friction hydro over friction PLC pilot

if pilot control:

air hydraulic electric joy stick over hydro control electric joy stick over air control
Are prints for this machine available? YES NO
Is the crane used for personal lift only? YES NO
Power down feature? YES NO
Is crane used for Corp. of engineers or military use YES NO
Are you requesting Lock-Out for 1 2 or 3 hoist lines?
Special requests:

Last Updated on 11/20/02