CraneAuditCalifornia

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Crane operator certifications

• Does the crane operator have a valid crane certification card (NCCCO)?

  Yes

  No

  N/A

• Does the crane operator have a valid medical card?

  Yes

  No

  N/A

• Does the driver have a valid drivers license? (Note expiration date in comments)

  Yes

  No

  N/A

Vehicle Certifications

• Does the crane have its quad annual (4 years) certification?

  Yes

  No

  N/A

• Does the crane have its annual certification?

  Yes

  No

  N/A

• Valid proof of registration (note expiration date in comments)?

  Yes

  No

  N/A

• Does the crane have current proof of insurance?

  Yes

  No

  N/A

Lights and Signals

• Head lights

  Compliant

  Non-compliant

• Tail lights

  Compliant

  Non-compliant

• Turn signals

  Compliant

  Non-compliant

• Reverse lights

  Compliant

  Non-compliant

• Anti-tube block

  Compliant

  Non-compliant

• Back-up alarm

  Compliant

  Non-compliant

Vehicle condition

• Reflectors and mirrors

  Compliant

  Non-compliant

• Wind shield wipers

  Compliant

  Non-compliant

• Tires/tread

  Compliant

  Non-compliant

• Brakes/parking brake

  Compliant

  Non-compliant

• Fuel cap on?

  Yes

  No

  N/A

• Exhaust system intact?

  Yes

  No

  N/A

• Cab housekeeping

  Compliant

  Non-compliant

• Truck bed housekeeping

  Yes

  No

  N/A

• Horn

  Working

  Not working

• Turret bolts all in place?

  Yes

  No

  N/A

Vehicle equipment

• First aid kit and Dr. Note

  Compliant

  Non-compliant

• Fire extinguisher(s)

  Compliant

  Non-compliant

• Hook and latch

  Compliant

  Non-compliant

• Block assembly condition

  Safe

  At Risk

  N/A

• Weight listed on the block?

  Yes

  No

  N/A

• Sheave condition

  Compliant

  Non-compliant

• Wire cable

  Compliant

  Non-compliant

• Anchor/swedge

  Compliant

  Non-compliant

• Boom condition

  Compliant

  Non-compliant

• Welds/crakes

  Compliant

  Non-compliant

• Hydraulic system

  Compliant

  Non-compliant

• Operator platform (verify it is level)

  Compliant

  Non-compliant

• Controls labeled

  Yes

  No

  N/A

• High voltage labels and signs

  Compliant

  Non-compliant

• Slings and riggings

  Compliant

  Non-compliant

• Tools and equipment

  Compliant

  Non-compliant

• Outrigger pads

  Compliant

  Non-compliant

• O2 and Acytelyne bottles secured and capped?

  Yes

  No

  N/A

General operator knowledge

• Inspection process

  Competent

  Not competent

• Slings and rigging

  Competent

  Not competent

• Load chart understanding

  Competent

  Not competent

• Lift plan completed

  Competent

  Not competent

Status of crane

• Select status: <br>-If crane 'Pass(es)' crane is cleared to work with no repairs needed<br>-If crane 'Needs repairs' issues need to be resolved in a timely manner but are not safety critical<br>-If crane 'Fail(s)' audit, crane is not to be used until issues are resolved

  Pass

  Needs repairs

  Fail

Audit explained to crane operator

• Add signature

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