Crane/ Pump Setup Checklist

• Site conducted

  Select

• Project Name

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Setup Location onsite

• Plant type

  Crane

  Concrete Pump

  Other (name in notes)

• Plant Induction Number

  Select

• What is the Plant Register number or next available number?

  Select

• What is the Plant Register number or next available number?

  Select

• What is the Plant Register number or next available number?

  Select

• What is the Plant Register number or next available number?

  Select

• Company Name

• Operators Name

• Doggers Name

• Load Rating for Plant

  Yes

  No

  N/A

• What is the Load Rating

• Pre Start Inspection

  Yes

  No

  N/A

• Interlocking/ Pins

  Yes

  No

  N/A

• Brakes

  Yes

  No

  N/A

• Boom radius and reach unobstructed

  Yes

  No

  N/A

• Lifting and Winch Gear

  Yes

  No

  N/A

• Safety Limit Switches operating

  Yes

  No

  N/A

• Hook & Block

  Yes

  No

  N/A

• Line Thickness

  Safe

  At Risk

  N/A

• Safety Pins in couplings/ Clamps

  Yes

  No

  N/A

Weather

• Are weather conditions satisfactory (overcast/ sun location etc)

  Yes

  No

  N/A

• Is there wind that may effect the operation of the plant

  Yes

  No

  N/A

• Is there rain that may effect the operation of the plant

  Yes

  No

  N/A

Setup Location

• Are the Ground Conditions acceptable?

  Yes

  No

  N/A

• Are there any recent excavations in the setup location?

  Yes

  No

  N/A

• Is the operator happy to continue works?

  Yes

  No

  N/A

• Are there any overhead obstructions in the setup location?

  Yes

  No

  N/A

• What has been done to protect these structures, life and plant

• Have isolation zones been established?

  Safe

  At Risk

  N/A

• What are the isolation zones

• Is there any back propping (support under floor system/ concrete slab)

  Yes

  No

  N/A

Communications

• What type of communication is being used with supporting workers? (Doggers etc)

  Select Audio (2 way radio/ whistle) Visual (Hand signals etc)

  • Audio (2 way radio/ whistle)
  • Visual (Hand signals etc)

Traffic

• Are there pedestrians/ Other Trades/ Public in the immediate area of works?

  Yes

  No

  N/A

• What is being done to prevent them from accessing danger zones

• Are there roadways/ Vehicles in works area

  Yes

  No

  N/A

• What is being done to protect these areas from incidents?

• Are there isolation zones in place?

  Yes

  No

  N/A

• What are the isolation zones

Authorisation

• Operator Name

  Sign

• What is Operators High Risk Work Licence no.

• Elevated Living Verifier

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• What work is being conducted with the crane/ concrete pump?

Who has this been communicated too?

• Add signature

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