Crane Field Safety Audit Report

• Conducted on

  Date

• Prepared by

Crane Operator Name:

• undefined

• Location
  Address

Make/model of Crane

• undefined

Weather description

• undefined

Crane Details

• Is the FLHRA completed

  Yes

  No

  NA

• Is operator's manual in the cab?

  Yes

  No

  NA

• Are Load Charts present?

  Yes

  No

  NA

• Has the Pre-shift Crane inspection been logged by an operator?

  Yes

  No

  NA

• Fire extinguisher accessible/charged?

  Yes

  No

  NA

• Is spill kit present?

  Yes

  No

  NA

• Is annual inspection current?

  Yes

  No

  NA

• Are audible alarms functioning?

  Yes

  No

  NA

• Is daily job ticket signed

  Yes

  No

  NA

• Is the operator's cab clean?

  Yes

  No

  NA

• Is the crane deck and walking surfaces clean/clear/dry?

  Yes

  No

  NA

• Are ladders and steps free of debris, defects, and damage?

  Yes

  No

  NA

• Are there visible leaks

  Yes

  No

  NA

• Is the Counterweight/Crushing Hazard Warning decal present?

  Yes

  No

  NA

• Is the Electrocution Hazard Warning decal present?

  Yes

  No

  NA

• Is the Hand Signals decal present?

  Yes

  No

  NA

• Is the Outrigger Crushing Hazard Warning decal present?

  Yes

  No

  NA

• Is the Three-Point of contact warning decal present?

  Yes

  No

  NA

• Is the Collapsing Boom Hazard decal present?

  Yes

  No

  NA

Crane Setup

• Is the crane level?

  Yes

  No

  NA

• Has crane assemble/disassembly form been filled out?

  Yes

  No

  NA

• Is swing radius properly barricaded?

  Yes

  No

  NA

• Is jib in use?

  Yes

  No

  NA

• Is crane working near overhead powerlines?

  Yes

  No

  NA

• Has the 360 degree work zone been established up to the crane's maximum working radius?

  Yes

  No

  NA

• Are outriggers fully deployed?

  Yes

  No

  NA

• Is proper cribbing in use?

• If set up near an excavation, is proper distance maintained?

  Yes

  No

  NA

• Are there any visible ground condition hazards?

  Yes

  No

  NA

• Is any part of the crane , including loadline or load, working within 20 feet of a powerline?

  Yes

  No

  NA

• If yes, is the crane grounded, and/or 20 foot clearance established?

  Yes

  No

  NA

Lifting Operations

• Describe Lift

• Is lift in the blind?

  Yes

  No

  NA

• Is there a qualified signaller present?

  Yes

  No

  NA

• What method of communication is being used? (hand, radio, phone, 2-way, other)

• Is suspended personnel platform being used?

  Yes

  No

  NA

• What configuration is being used?

• Radius?

• Boom angle

• Parts of line

• Load weight

• Lifting with block/ball?

  Yes

  No

  NA

• How was load weight verified?

Rigging

• What rigging is being used? Please describe briefly

• If hooks are being used, are the safety latches present?

  Yes

  No

  NA

• Was rigging inspected prior to use?

  Yes

  No

  NA

• Was rigging properly labelled and tagged?

  Yes

  No

  NA

• Was load rigged by a qualified rigger?

  Yes

  No

  NA

Safety

• Are had hats worn?

  Yes

  No

  NA

• Are safety glasses worn?

  Yes

  No

  NA

• Is high visibility apparel worn?

  Yes

  No

  NA

• Pre-lift meeting held?

  Yes

  No

  NA

• Safe work permit required?

  Yes

  No

  NA

• Is fall protection in use?

  Yes

  No

  NA

• Are H2S/CO monitors in use?

  Yes

  No

  NA

• Yes

  No

  NA