Title Page

  • CL number

  • Registration number / serial number

  • Mileage

  • Bottom Hrs

  • Top Hrs

  • Date

  • Engineer

  • Driver / Operator

  • Customer

  • Site address

ENGINEER SAFETY CHECK LIST

  • For any No answers action must be taken to reduce perceived hazards

  • Are you aware of the safety, health and environment rules in force within this company

  • Are you aware of your responsibilities under the health and safety policy

  • Do you have access and egress to and from the machine

  • Is the work area free of slip and trip hazards

  • Do you have a safe place to work at the machine

  • Is the machine in a safe position (stable ground, overhead power lines, etc)

  • Have you taken precautions against falling from height

  • Have you adequate lighting to complete the task in hand

  • Is the machine in safe condition to work on (damage, contamination, etc)

  • Are you portable tools safe, "in test" and adequate for the task

  • Is you test equipment safe and adequate for the task

  • Are task manual handling requirements safely within your competence

  • Is available lifting equipment "in test" and adequate for the task

  • Do you have adequate PPE for the task

  • Have you taken adequate precautions when hazardous substance

  • Are you confident that the task will be accomplished in the safest way possible

  • Is the crane manufactures manual available

  • City Lifting Engineers on site assessment for repair works to be carried out

  • Engineers on site method statment / risk assessment

BREAKDOWN INFO

  • Fault reported

  • Work completed

  • Comments / Further action required

  • Engineer travel time

  • Engineer Hrs on site

  • Time of breakdown

  • Time crane back working

  • Chargeable

  • IS THE MACHINE SERVICABLE AND FIT FOR FURTHER USE

  • Engineer signature

  • Customer signature

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.