Gantry Observation Audit

• Document No.

• Driver Name:

• Cartage Company:

• Truck Registration:

• Forest Owner

  Select Pan Pac Ernslaw Matariki NZFM P.F Olsen OJI Kinleith NZL Forestry Group FMNZ Other

  • Pan Pac
  • Ernslaw
  • Matariki
  • NZFM
  • P.F Olsen
  • OJI Kinleith
  • NZL Forestry Group
  • FMNZ
  • Other

• Owner:

• Date:

  Date

• Prepared by

• Location
  Address

Documentation

• Port Induction Card Current?

  Yes

  No

• Gantry Induction Current?

  Yes

  No

• Log Truck Safety Council Lifting Permit?

  Yes

  No

Personal Protection Equipment

• Hard Hat <3 years old/Good Condition?

  Yes

  No

• Steel Cap Boots/Good Condition?

  Yes

  No

• Hi Vis Top? - <br>(Reflective strips; good condition)

  Yes

  No

Operator Pre Lift Checks

• Did Operator conduct a Pre lift check of -

• Gantry Condition (wire & hook)?

  Yes

  No

• Trailer Lifting Chain?

  Yes

  No

• Did the Operator stop and consult Supervisor

  Yes

  No

• Were any of the following observed?

  Select No Operator Under Trailer Climbing on Trailer Operator in Pinch Point Trailer Angle Poor Struggle to move Trailer Impact with Gantry

  • No
  • Operator Under Trailer
  • Climbing on Trailer
  • Operator in Pinch Point
  • Trailer Angle Poor
  • Struggle to move Trailer
  • Impact with Gantry

• Was the Operator required to climb on the trailer?

  Yes

  No

• Were three points of contact maintained whilst climbing on and off the trailer?

  Yes

  No

• Was horizontal arms length maintained from the Trailer?

  Yes

  No

• Was a two person lift conducted

  Yes

  No

• Did one person only operate gantry whilst the other positioned Trailer?

  Yes

  No

• Was there good communication between the two?

  Yes

  No

• Did the second person position themselves on the rear tyre?

  Yes

  No

• Were they visible to each other at all times Gantry was being Operated?

  Yes

  No

• Was horizontal arms length maintained from the Trailer by both people?

  Yes

  No

• Was the lift compliant with the SOP?

  Yes

  No

• Comments:

• Corrective Actions:

• Driver Signature:

  Sign

• Observer Signature:

  Sign