Title Page
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Document No.
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Conducted on
Add Employee
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Name of Employee
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Service Number
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WorkCover Lic. No.
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Crane Type
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Plant No.
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Location
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Assessed By
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Assessors Name
- Brett Gibbs
- Joe Galea
Pre Operational Checks
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Conduct Routine plant post-operations inspection of vehicle as per manufactures instructions
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Operator manages actions to be taken for any defective equipment has been identified
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General house keeping in good order
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Additional Notes
Site Setup
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Vehicle parked safely according to task to be performed
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Hand break applied correctly in accordance with manufactures instruction
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Conduct WHRA and plan work
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Take photo of Risk Assessment
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Additional notes
Operational
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Engage PTO in accordance with manufactures instruction
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Lifting equipment checked for serviceability
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Assess the mass of the load to be moved
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Identify SWL chart to safely lift load
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Secure stabilisation of crane in accordance with manufactures intructions
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Crane manoeuvred to working position smoothly
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Carry out lift and perform task in accordance with manufactures instructions and required regulations
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Safety observer used at all times that crane is within live clearances
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Observers Name
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Operator and safety observer maintain effective communication at all times
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Appropriate clearances maintained with crane at all times
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Hydraulic accessories utilised in accordance with manufactures instruction
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Additional notes
Job completion
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Stabilisers stowed in accordance with manufactures instructions
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Crane stowed in accordance with manufactures instructions
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Worksite left in accordance with Endeavour energy's Procedures
Sign off page
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Operators name and signature
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Assessors name and signature
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SME's name and signature
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Additional comments
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Recommendations
