Title Page
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Site conducted
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Conducted on
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Prepared by
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Location on site
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Photo of site plan showing location of crane
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Reason for lifting operation
Crane
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Crane Type
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Crane Serial number
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Does this match the lifiting plan
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Date of last Thorough inspection for the crane
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Photo of the inspection Certificate
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Date of the last weekly inspection (LOLAR)
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Photo of last weekly inspection
Lifting accessories
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Last lifting accessories 6 monthly inspection report
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Photo on inspection report
Lifiting Items to be used
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Item description 1
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Serial number
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Is this item recorded on the 6 monthly report?
Site Pre-Lift Checks
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Banksman Available
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Can the Banksman Communicate Clearly with the crane
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Are the out-riggers correctly deployed and based as per the lift plan
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Are their any over head hazzards
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Are their any underground hazards - Culverts, Manholes etc
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Will the Jib and /or load oversail public areas or other operatives
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is access to the materials to be lifted clear
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What are the weather conditions?
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Is the wind speed with in the cranes safe working limit
Signatures / Authorisation
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Is the crane lifting authorised today?
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Crane Operator signature
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Lifting Supervisor Signature
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Site manager Signature
