ERICKSONS'S CRANE & RIGGING

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Communication

• Are the proper forms being utilized for the situations encountered?

  Yes

  No

  N/A

• Has a JSA been prepared, reviewed and revised as worksite conditions change?

  Yes

  No

  N/A

• Is the foreman doing a good job of communicating the job tasks with the rest of the crew?

  Yes

  No

  N/A

• Is there a site emergency action plan posted and do the employees know where it is?

  Yes

  No

  N/A

• Do the employees know where to report in the event of an emergency?

  Yes

  No

  N/A

• Is SDS information available for review if needed?

  Yes

  No

  N/A

• Have customer specific documents been completed property before starting the job task?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are hard hats being properly worn if required or performing overhead work?

  Yes

  No

  N/A

• Are safety glasses being worn if required?

  Yes

  No

  N/A

• Are tinted glasses only being worn outside?

  Yes

  No

  N/A

• Is high visibility vest being worn in required areas?

  Yes

  No

  N/A

Is hearing protection being worn in areas with 85 Db or greater?

• Are gloves in good protection and appropriate for the task

  Yes

  No

  N/A

• Is proper footwear protection including meta tarsal protection if required being worn?

  Yes

  No

  N/A

• Are hard hats in good condition and are being worn properly when conditions and overhead hazards dictate?<br><br><br>

  Yes

  No

  N/A

• Is face shield/welding hood being worn when cutting and welding?

  Yes

  No

  N/A

• Are seat belts being worn if equipped?

  Yes

  No

  N/A

• Is proper respiratory protection being worn as required?

  Yes

  No

  N/A

• Is FR clothing being worn if required and completely covers the extremities?<br>

  Yes

  No

  N/A

Fall Protection

• Is proper fall protection being used when assembling/dis-assembling crane components?

  Yes

  No

  N/A

• Arconic Only- Is approved loading dock fall prevention system or modified Erickson's trailer being utilized properly when working above 2'?

  Yes

  No

  N/A

• Are scaffolding systems, ladders, and platforms being used correctly?

  Yes

  No

  N/A

• Does the scaffolding system have a current inspection tag stating limitations?

  Yes

  No

  N/A

• Is fall protection in good condition and has a legible dated inspection tag with punched in-service date < 5 years?

  Yes

  No

  N/A

• Is proper lanyard, restraint or SRL being used correctly?

  Yes

  No

  N/A

• Is the 2', 4' or 6' fall protection rule being followed?

  Yes

  No

  N/A

• Are the anchorage straps or cables rated for fall protection and not used for rigging?

  Yes

  No

  N/A

• Is anchorage point rated and engineered for 5000 lb load?

  Yes

  No

  N/A

• Are acceptable tie off methods being used in aerial lifts?

  Yes

  No

  N/A

• Are holes covered and marked/secured and/or barricaded to prevent falling?<br>

  Yes

  No

  N/A

Loading/Unloading of Material

• Has the load been inspected prior to loading for possible pre-existing damage?

  Yes

  No

  N/A

• Have the door openings been measured to assure that the load can be delivered or removed without damaging the load or structure?

  Yes

  No

  N/A

• Is the load properly secured and protected from the elements?

  Yes

  No

  N/A

• Is the load height, weight, length and weight known and has it been verified to meet clearance and weight restrictions for transport?

  Yes

  No

  N/A

• Is the trailer on stable and level ground to prevent material from shifting or unwanted movement?

  Yes

  No

  N/A

• Is there a spotter available and being utilized to assist operator while operating heavy equipment?

  Yes

  No

  N/A

• Are ramps, inclines and loading docks suitable for delivery and pick up?

  Yes

  No

  N/A

• Are dollies and cribbing material in good condition and secured under the load before moving?

  Yes

  No

  N/A

• Is the shipping container in good condition and able to withstand movement?

  Yes

  No

  N/A

• Is the load secured for un-banding and has the stored energy potential been eliminated?

  Yes

  No

  N/A

• If load is being placed on trailer, is non-skid material available and being used to prevent sliding and<br>movement?

  Yes

  No

  N/A

• Are straps and chains in good condition that are being used to secure the load?

  Yes

  No

  N/A

• Has the center of gravity been considered and/or top weight been minimized or compensated for while securing of the load to prevent tip over?

  Yes

  No

  N/A

• Is the load secured on forks, or properly rigged using slings/chains that will not damage the equipment?

  Yes

  No

  N/A

• Are bystanders clear of the area when loading and unloading?

  Yes

  No

  N/A

• When standing on trailer decking for loading/un-loading of material, are 3-points of contact being used to prevent falling from trailer height?

  Yes

  No

  N/A

• Have proper lifting points been identified and rigging device is secure to prevent slipping off of material being lifted?

  Yes

  No

  N/A

• Are steps or a ladder being used to access the trailer decking?

  Yes

  No

  N/A

• Are trailer tires chalked and secured before equipment is moved?

  Yes

  No

  N/A

Pre-Use Inspection Documentation

• Have the required and appropriate pre-use inspection forms been completed prior to use?<br>

  Yes

  No

  N/A

• Is a current inspection tag or label legible?<br><br><br><br>

  Yes

  No

  N/A

• Is the manufacturers operation manual available for reference if needed?

  Yes

  No

  N/A

Crane Operations

• Crane- is the annual inspection and 3 additional monthly inspections in the crane cab?

  Yes

  No

  N/A

• Crane- Is the annual inspection sticker legible and current?

  Yes

  No

  N/A

• Does the operator have a current NCCCO verification card or other required card for the type of equipment that is being operated?

  Yes

  No

  N/A

• Has an engineered pre-lift plan been reviewed with the operator and riggers?

  Yes

  No

  N/A

• Is the weight known and been verified?

  Yes

  No

  N/A

• Have the power lines been evaluated and Kv rating is known for minimum approach distance?

  Yes

  No

  N/A

• Have physical boundaries been established to provide the minimum clearance from overhead power lines?

  Yes

  No

  N/A

• Has a pre-lift meeting been conducted before starting the lift?

  Yes

  No

  N/A

• Are the outrigger mats properly positioned and set on firm and stable ground?

  Yes

  No

  N/A

• Have crane area trip hazards been identified and addressed?

  Yes

  No

  N/A

• Has a reliable rigger/operator communication method been established and is understood by all crew members?

  Yes

  No

  N/A

• Has the swing radius been identified and is known to other personnel on site?

  Yes

  No

  N/A

• Have any potential pinch points or crushing hazards been identified and addressed?

  Yes

  No

  N/A

• Are lifting points suitable for the load and proper rigging methods used?

  Yes

  No

  N/A

• Has the rigging hardware been inspected and in good condition?

  Yes

  No

  N/A

• Are slings protected from sharp objects?

  Yes

  No

  N/A

• Is lifting method understood by crew and special consideration to protecting the property from damage during the lift is also understood?

  Yes

  No

  N/A

• Have engineered plans been approved prior to lift and reviewed by operator and riggers/signal person?

  Yes

  No

  N/A

• Are riggers and signal person NCCCO trained and documented with current credentials?

  Yes

  No

  N/A

• Is the communication method adequate for the site conditions?

  Yes

  No

  N/A

• Is load control such as using tag lines being utilized properly and with adequate material?

  Yes

  No

  N/A

• Have the occupants of inside structures been notified of the lift and are safe from potential falling loads or boom collapse?

  Yes

  No

  N/A

• Is landing area been identified properly and known by other personnel?

  Yes

  No

  N/A

• If equipment grounding is required, is it correctly bonded?

  Yes

  No

  N/A

• Is audible notification being used to warn others when lift is under way if required?

  Yes

  No

  N/A

• If using a man basket, has the Personnel Platform (man basket) Inspection Checklist been completed?

  Yes

  No

  N/A

• If using a man basket, has un-manned practice lift been performed and lift capacity de-rated by two (2)?

  Yes

  No

  N/A

Barricading & Signage

• Is signage present, visible and accurate to the hazards encountered?

  Yes

  No

  N/A

• Is the rope being used for limiting access the correct color and installed correctly?

  Yes

  No

  N/A

• Are safety cones adequate and spaced properly?

  Yes

  No

  N/A

• Are barricades clearly visible at night?

  Yes

  No

  N/A

• Is entrance gate of restricted area marked appropriately?

  Yes

  No

  N/A

• Are roadway signs secured in the event of high winds?

  Yes

  No

  N/A

Fire Safety

• Are the vehicle mounted fire extinguishers tagged, sealed and secured on the vehicle?

  Yes

  No

  N/A

• Are the fire extinguishers the correct type for the area hazards that may be present?

  Yes

  No

  N/A

• Are inspection tags current and legible?

  Yes

  No

  N/A

• Are employees trained in the use of stored pressure and cartridge operated fire extinguishers?

  Yes

  No

  N/A

• Is there an adequate fire extinguisher in the job trailer If applicable?<br>

  Yes

  No

  N/A

Tools and Small Equipment

• Are tools and equipment being used correctly and safely?

  Yes

  No

  N/A

• Are tools and equipment rated and engineered for the intended purpose?

  Yes

  No

  N/A

• Are tools and equipment in good working condition?

  Yes

  No

  N/A

• Have the tools and equipment been inspected regularly?

  Yes

  No

  N/A

• Are the safety guards in place and in good condition?

  Yes

  No

  N/A

• Is the operator properly trained in the use of tools/equipment being operated?

  Yes

  No

  N/A

• Are warning decals and safety procedure labeling intact and legible?

  Yes

  No

  N/A

• Is the GFCI being used if required?

  Yes

  No

  N/A

• Are extension cords in good condition if being used as a temporary power source?

  Yes

  No

  N/A

Housekeeping and Work Area Conditions

• Is the work area free from clutter?

  Yes

  No

  N/A

• Have slip, trip and fall hazards been minimized or eliminated as a result of good housekeeping?<br>

  Yes

  No

  N/A

• Is work area secured when unattended?

  Yes

  No

  N/A

• Is debris being disposed of in proper containers?

  Yes

  No

  N/A

• Is there appropriate protection for overhead work?

  Yes

  No

  N/A

• Is job trailer clean and organized?

  Yes

  No

  N/A

• Is portable restroom facility/trailer clean and sanitary?

  Yes

  No

  N/A

• Are tools and equipment stored properly when not in use?

  Yes

  No

  N/A

• Have sharp or protruding hazards been minimized or eliminated?

  Yes

  No

  N/A

• Is the walking area of equipment free of oil, sand, grease or other debris that could result in a fall?

  Yes

  No

  N/A

Hot Work

• Has a hot work plan been prepared and a safe work permit issued by the AHJ?

  Yes

  No

  N/A

• Is a fire extinguisher of adequate size and type available if needed?

  Yes

  No

  N/A

• If fire blankets are being utilized, are they effective in keeping sparks and embers in check?

  Yes

  No

  N/A

• Have flammable liquids and materials been eliminated from the hot work area?

  Yes

  No

  N/A

• Has the wind speed been considered and is deemed safe to conduct hot work safely?

  Yes

  No

  N/A

• Is FR clothing being worn properly when performing hot work?

  Yes

  No

  N/A

• Has a fire watch plan been developed and a designated person been identified?

  Yes

  No

  N/A

LOTO

• Have the employees been properly trained in LOTO?

  Yes

  No

  N/A

• Have the proper lockout devices been utilized and are consistent with the procedures in place at the worksite?

  Yes

  No

  N/A

• One lock, One key, One person concept being utilized?

  Yes

  No

  N/A

• Proper continuity of the LOTO process during personnel or shift changes?

  Yes

  No

  N/A

• Has the LOTO been verified prior to the start of the work?

  Yes

  No

  N/A

Health and Environmental

• Has the exposure to lead been eliminated if lead hazards exist?

  Yes

  No

  N/A

• Has the exposure to asbestos been eliminated if asbestos is present?

  Yes

  No

  N/A

• Is respiratory protection adequate for the job task if required?

  Yes

  No

  N/A

• Is the proper hazardous chemical protection being worn if needed?

  Yes

  No

  N/A

• Is proper hydration available to prevent heat stress?

  Yes

  No

  N/A

• Is there a spill kit available in the event of a fluid spill or leak?

  Yes

  No

  N/A

• Is the work area free from contamination caused by leaking tools and equipment?

  Yes

  No

  N/A

• Are noise reduction methods being utilized?

  Yes

  No

  N/A

• Is SDS in formation available for all the chemicals being transported and used?

  Yes

  No

  N/A

• Is the proper gas detector being used correctly if required?

  Yes

  No

  N/A

• Has the gas detector been bump tested prior to starting work in a hazardous environment?

  Yes

  No

  N/A

• Is the calibration date on the gas detector current?

  Yes

  No

  N/A

Confined Space

• Have the employees had the required confined space training prior to entry?

  Yes

  No

  N/A

• Has the proper permit been completed?

  Yes

  No

  N/A

• Is the attendant in place and understands the role of this position?<br>

  Yes

  No

  N/A

• Is there proper communication with the entrant(s)?

  Yes

  No

  N/A

• Is there a rescue procedure in place?

  Yes

  No

  N/A

• Have fall protection options been discussed and adequate fall protection or retrieval methods is in place?

  Yes

  No

  N/A

• Are air sampling methods being used correctly using the proper air sampling devices?

  Yes

  No

  N/A

• LOTO has been identified and proper procedures followed?

  Yes

  No

  N/A

• Foreman's Name:

  Sign

• I have reviewed this safety audit with the Safety Director and agree to abate any safety concerns that may be found in this audit.