Information

  • Audit Title

  • Location
  • Conducted on

  • Prepared by

General Information

  • Branch Location

  • Operator / Crew

  • Make / Model

  • Unit #

  • Temperature (ºC)

  • Lighting Conditions

  • Weather Conditions

  • Wind Speed (m/s or mph)

Crane Details

  • Is Operator's manual in the cab?

  • Are Load chart(s) present?

  • Has the mobile crane log been complete for the day?

  • Has the FLRA been completed and signed off by crew?

  • Are fire extinguishers accessible and charged?

  • Is spill kit available?

  • Is the annual inspection (sticker) available and current?

  • Is the ownership and insurance available and current?

  • Are road permits available and current?

  • Are audible alarms functioning?

Cleanliness

  • Is the Operator's cab clean?

  • Are the crane deck walking surfaces clean/clear/dry?

  • Are ladders and/or steps free of defect or damage?

  • Is the crane free of any fluid leaks (i.e. hydraulic, oil, anti-freeze, etc.)?

Decals / Warnings

  • Select all decal / warning that are legible

Crane Setup

  • Is crane level?

  • Has crane assembly / disassembly form been properly completed?

  • Is swing radius properly barricaded and signed?

  • Is jib in use or stowed?

  • Is jib connection point/pin painted red?

  • Is any part of the crane (including load line or load) operated within 20 feet of a power line?

  • Controls in place?

  • Has the 360º work zone been established up to the crane’s maximum working radius?

  • Are outriggers fully deployed?

  • Is cribbing in use?

  • Type of material used.

  • Is proper distance maintained from an excavation?

  • Are the ground conditions adequate?

Lifting Operations

  • Describe the lift.

  • Take photo of lift area if possible.

  • Is lift in the blind?

  • Is there a qualified signal person present?

  • What method of communication is being used?

  • Is a suspended personnel platform used?

  • Have all the requirements per Regulations been met?

Configuration

  • Radius

  • Boom angle

  • Parts of line

  • Load weight

  • Lift (site) Drawing

Lifting with Ball / Block

  • Has load weight been verified?

  • How was load weight verified?

Rigging

  • Type of rigging used.

  • If hooks are used, is safety latch present?

  • Was rigging inspected prior to the task?

  • Was rigging properly tagged?

  • Was load rigged by a Qualified Rigger?

Safety

  • Are CSA approved hard hats worn?

  • Are CSA approved safety glasses/ side shields worn?

  • Is the proper class high visibility apparel worn?

  • Has a pre-lift meeting been held?

  • Is a safe work permit required?

  • Is the permit completed properly?

  • Is fall protection required?

  • Are the following requirements fulfilled?

  • Are H2S/CO Monitor(s) required?

  • Is the monitor bump tested and calibrated?

Reporting

  • How were observed actions/behaviours of the workers and work site condition(s)?

  • Was the Client made aware of the at-risk acts/behaviours and condition(s) of the work site?

  • Comments / Observations / Findings

  • Immediate Actions

Sign-off

  • Auditor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.