Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

ITEM

  • Are all required persons on site to safely complete the lift

  • If Required is a Lift Study held on site and all persons aware of the requirements

  • Is there an approved SWMS foin place and have all personnel signed onto the SWMS

  • Are tag lines used to control loads? consider length, non conductive fibre and thickness (16mm)

  • Has adequate crane matting been placed under all Outriggers

  • Has all lifting gear been inspected and tagged - Correct quarterly tag used

  • Have all Known Services been identified

  • Is the crane being used on site correct for task - working at its capacity to undertake the lift

  • Have exclusion zones with signage been established

  • if a Permit is Required, has it been obtained and approved

  • Is a tag line being used

Corrective Actions

  • Action

  • Action

  • Action

  • Action

  • Action

Inspection Team

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

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