Title Page

  • Site conducted

  • Conducted on

  • Conducted By:

  • Location
  • Specific Area Inspected (i.e Wind Turbine Number / Workshop etc..)

  • Scoring Criteria
    Compliant – No shortfalls identified, criteria met or standards required achieved
    Partially Compliant – Minor shortfalls identified in the standard or requirement, minor opportunities for improvement identified and the standard is still to an acceptable level. (For Example -PAT Testing – Most items tested and in date however a few units have been missed)
    Non-Compliant – The standard or requirement has not been achieved and deemed to be unacceptable. Immediate action is required to address the shortfall/s (Example – PAT Testing – Most items out of date and not tested)

  • Is the work being supervised and Authorised Person (AP) established?

  • Is a record of names of persons involved in the lifting operation available?

  • Are the following roles assigned and trained, slinger / signaller, banksman, lift supervisor, crane operator and are they fully aware of their roles and positions during the lift?

  • Lifting equipment within inspection period (ID by Colour or Date Tag?)

  • Is the lifting equipment / lifting accessories in line with those identified in the lifting plan? - dip check equipment numbers

  • Is the load rigged as per the lift plan?

  • Has the lift been correctly categorised? (Complex / Basic / Intermediate)

  • Does the lifting operation require the use of fall arrest or fall prevention equipment, and if so is this adequately risk assessed and controlled?

  • Where the lift is being undertaken using mobile equipment, has the position of outriggers been ID’d on the lifting plan? - (Does it take into account load bearing)

  • Where lifting equipment is mounted to structural steel work or temporary structures such as scaffolds – identify how these have been identified as suitable to bear lifting weight? (For scaffolding lift frame request design)

  • How has a safe exclusion zone around the lift been established? Is it effective? Is the size of the zone sufficient?

  • Has the item to be lifted been reviewed by the Supervisor or AP to ensure it is safe and suitable for the lift?

  • Have checks have been undertaken on the lifting equipment or accessories prior to the lift taking place (daily inspections)? - check colour coding / SWL / tagging / Condition

  • Tag lines in use to ensure the lift is controlled?

  • Davit Arms - Has temporary Davit Arms been inspected prior to use? (Note: Davit Arm requires reinspection when dismantled and re-erected)

  • NOTES:

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.