Information
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Audit Title
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Location
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Conducted on
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Prepared by
General Information
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Branch Location
- Mississauga, ON
- Hamilton, ON
- Sudbury, ON
- Mount Pearl, NL
- Saskatoon, SK
- Nisku, AB
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Operator / Crew
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Make / Model
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Unit #
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Temperature (ºC)
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Lighting Conditions
- Day
- Night
- Dusk
- Dawn
- Indoors
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Weather Conditions
- Rain
- Snow
- Clear
- Overcast
- Ice
- Fog
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Wind Speed (m/s or mph)
Crane Details
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Is Operator's manual in the cab?
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Are Load chart(s) present?
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Has the mobile crane log been complete for the day?
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Has the FLRA been completed and signed off by crew?
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Are fire extinguishers accessible and charged?
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Is spill kit available?
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Is the annual inspection (sticker) available and current?
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Is the ownership and insurance available and current?
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Are road permits available and current?
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Are audible alarms functioning?
Cleanliness
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Is the Operator's cab clean?
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Are the crane deck walking surfaces clean/clear/dry?
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Are ladders and/or steps free of defect or damage?
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Is the crane free of any fluid leaks (i.e. hydraulic, oil, anti-freeze, etc.)?
Decals / Warnings
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Select all decal / warning that are legible
- Counterweight/Crushing Hazard Warning
- Electrocution Hazard Warning
- Hand Signals
- Outrigger Crushing Hazard Warning
- Three-Point of Contact Warning
- Collapsing Boom Hazard
Crane Setup
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Is crane level?
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Has crane assembly / disassembly form been properly completed?
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Is swing radius properly barricaded and signed?
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Is jib in use or stowed?
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Is jib connection point/pin painted red?
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Is any part of the crane (including load line or load) operated within 20 feet of a power line?
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Controls in place?
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Has the 360º work zone been established up to the crane’s maximum working radius?
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Are outriggers fully deployed?
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Is cribbing in use?
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Type of material used.
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Is proper distance maintained from an excavation?
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Are the ground conditions adequate?
Lifting Operations
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Describe the lift.
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Take photo of lift area if possible.
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Is lift in the blind?
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Is there a qualified signal person present?
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What method of communication is being used?
- Hand
- Dedicated radio
- Phone
- 2-way radio
- Other
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Is a suspended personnel platform used?
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Have all the requirements per Regulations been met?
Configuration
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Radius
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Boom angle
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Parts of line
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Load weight
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Lift (site) Drawing
Lifting with Ball / Block
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Has load weight been verified?
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How was load weight verified?
Rigging
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Type of rigging used.
- Shackles
- Nylon slings
- Round slings
- Kevlar slings
- Wire rope slings
- Chain slings
- Hooks
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If hooks are used, is safety latch present?
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Was rigging inspected prior to the task?
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Was rigging properly tagged?
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Was load rigged by a Qualified Rigger?
Safety
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Are CSA approved hard hats worn?
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Are CSA approved safety glasses/ side shields worn?
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Is the proper class high visibility apparel worn?
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Has a pre-lift meeting been held?
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Is a safe work permit required?
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Is the permit completed properly?
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Is fall protection required?
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Are the following requirements fulfilled?
- Trained personnel
- PFPE Inspected prior to use
- Using approved anchor points
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Are H2S/CO Monitor(s) required?
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Is the monitor bump tested and calibrated?
Reporting
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How were observed actions/behaviours of the workers and work site condition(s)?
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Was the Client made aware of the at-risk acts/behaviours and condition(s) of the work site?
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Comments / Observations / Findings
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Immediate Actions
Sign-off
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Auditor