CCV Dropped and Swinging Loads

• Work Order Number

• Job Description

• Location

• Conducted on

  Date

• Conducted by

• CMW's involved in lift and task (crane operator, rigger, fitter etc.)

Lift Plans The design of the standard is based on industry standard practice, OEM crane design & recognised training standards for crane operation and configuration. SOP11 - Lifting & Cranage sets the minimum expectations for safety factors & categorises lifts on complexity. The SOP details the requirements for documentation and site authorisation to conduct lifts on these defined complexity levels. Every lift conducted on site is assessed in line with the requirements of SOP11.

• Is a lift assessment or pre lift assessment completed

  Yes

  No

  N/A

• Add comments:

• Did the plan identify the category of lift

  Category 1

  Category 2

  Category 3

• Add comments:

Gather evidence

• Check Take 5 or JSEA's controls are in place and relevant

  Safe

  At Risk

  N/A

• Take a photo of evidence

  Media

• Add comments:

• Cat 1 - Check Lift Plan for correct weights, determination of centre of gravity <br>Cat 2 - Check Complex Lift Plan for correct weights, determination of centre of gravity, crane configuration, ground pressure etc.<br>Cat 3 - Check Complex Lift Plan for correct weights, determination of centre of gravity, crane configuration, ground pressure, SSE and independent engineer sign off etc.

  Safe

  At Risk

  N/A

• Take a photo of evidence

  Media

• Add comments:

• Check LMS records for current authorisations

  Yes

  No

  N/A

• Take a photo of evidence

  Media

• Add comments:

• For category 3 <br>Check independent competent person sign off and SSE or delegate signature

  Yes

  No

  N/A

• Add comments:

• SSE sign off

• Independent person sign off

• Take a photo of evidence

  Media

Exclusion Zones All lifts have exclusion/drop zones in line with BMC Barricading Standard that is calculated based on the potential for dropping loads.

• Did the Lift Assessment determine a drop zone was required

  Yes

  No

  N/A

• Take a photo of evidence

  Media

• Add comments:

• Is the drop zone compliant to the BMC Barricading Standard<br>Danger or Caution tap used with information tag?<br>Considers distance and potential velocity and deflection of falling objects?<br>Are spotters used?<br>Are all accesses barricaded?

  Yes

  No

  N/A

• Take a photo of evidence

  Media

• Add comments:

• Category 2 & 3 lifts require exclusion/drop zones in line with BMC barricading standard that is calculated based on the crane toppling. Exclusion/drop zones distance will be calculated on the boom strike length & operating range. <br>"Could the boom fall on someone during the lift"

  Safe

  At Risk

  N/A

• Take a photo of evidence

  Media

Fit for Purpose Equipment All equipment will have defined OEM specifications for operation

• Does the crane have a current safety certificate<br>(Crane Safe Sticker)

  Yes

  No

  N/A

• Take a photo of evidence - certification sticker

  Media

• Is there any evidence of modifications?<br>Check for welding etc.

  Yes

  No

  N/A

• Take a photo of evidence - crane

  Media

• Does the crane operator have the required certification to safely operate and assemble crane?<br>(LMS records or statement from employer)

  Yes

  No

  N/A

• Take a photo of evidence

  Media

• Is the crane configuration safe working load match the lift category <br>I.e. Load less than 80% of SWL, taking into account all rigging.

  Yes

  No

  N/A

• Take a photo of evidence

  Media

• Is the crane maintained as per OEM specifications. <br>Check service records

  Yes

  No

  N/A

• Add comments:

• Add signature

  Sign

• Email audit and attach to Notification of Work Order