Information
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Job Number
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Conducted on
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Site Address
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Supervisor
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Construction Manager
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Vehicle Reg
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comment
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Photo of the Unit including registration
Pre lift Checks
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Does the lift zone meet the following requirements - DO NOT lift if any of the following items are not compliant
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Is there clear access & egress to lifting area eg: power lines, clear of foot paths, structures etc.
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Will the lifting operation place pedestrians/public at risk?
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Is adequate protection or signage around the area to assist pedestrian movement?
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Is Traffic Control required and has it been implemented?
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Photo of traffic control setup
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Has the mobile crane operator and dogman (where required) completed a SWMS and it is signed off?
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Photo of SWMS
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Has the operator provided evidence of an operator’s HRisk license/certificate of competency? (High Risk Work) Type CN
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Photo of operators certificate
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Is the equipment check log completed. (operator will show you this info)
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Has the operator inspected the ground for soft ground, trenches or covered pits unsuitable for outriggers?
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Are the outriggers fully extended and appropriate bog mats or sole plates used to prevent sinking? (line pump truck outriggers are on a solid surface)
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Have all persons involved in the lift wearing the appropriate PPE?
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