Information

  • Job Number

  • Conducted on

  • Site Address
  • Supervisor

  • Construction Manager

  • Vehicle Reg

  • comment

  • Photo of the Unit including registration

Pre lift Checks

  • Does the lift zone meet the following requirements - DO NOT lift if any of the following items are not compliant

  • Is there clear access & egress to lifting area eg: power lines, clear of foot paths, structures etc.

  • Will the lifting operation place pedestrians/public at risk?

  • Is adequate protection or signage around the area to assist pedestrian movement?

  • Is Traffic Control required and has it been implemented?

  • Photo of traffic control setup

  • Has the mobile crane operator and dogman (where required) completed a SWMS and it is signed off?

  • Photo of SWMS

  • Has the operator provided evidence of an operator’s HRisk license/certificate of competency? (High Risk Work) Type CN

  • Photo of operators certificate

  • Is the equipment check log completed. (operator will show you this info)

  • Has the operator inspected the ground for soft ground, trenches or covered pits unsuitable for outriggers?

  • 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)

  • Have all persons involved in the lift wearing the appropriate PPE?

  • comments

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.