Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Hoist Machine Operator (First and Last Name)
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License Number:
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Wind Speed ( MPH ):
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All inspections are to be performed by a competent individual with relevant experience designated by the concrete contractor, except where otherwise noted.
1.0 Weather Conditions
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Does the Hoist Machine Operator have a wind monitoring system and has the ability and is able to constantly monitor the wind?
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What Tell-tale device is being used to monitor the wind speed?
- Anemometer
- Weather Station with Mobile Application
- Other
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What type of Tell-tale device is being used to monitor the wind?
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Weather Condition for the day:
- Sunny & Clear
- Partly Sunny
- Sunny With Showers
- Cloudy
- Cloudy with Rain
- Cloudy with Heavy Rain
- Thunderstorms
- Overcast sky
- Snowy Conditions
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Were any operations halted due to weather or wind?
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Did you notify the Supervisor of the Jobsite?
2.0 Configuration & Controls for Operations
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Is the Hoist Machine Operator located and configured in accordance with plans?
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Are Pedestrian and Traffic controls in place Pre, During, and Post operations?
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Is everyone involved in the Hoist Machine operations qualified?
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Has the Hoist Machine been inspected prior to lifting operations?
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As required by Section 3319-01(k)(2) has the operator completed a<br>written record prior to leaving the site?
3.0 Operations
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Are loads being carried over an occupied building?
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If yes, are the top two floors vacated, and proper roof protection is in place as required by Section 3319-01(q)(3)(v)?
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Are there operations near overhead power lines?
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Are you within compliance with section 3319-01(s)(3)
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Are you hoisting personnel with Hoist Machine?
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Are you within compliance with section 3319-01(q)(6)
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Are all inspections of the Hoist Machine rigging equipment<br>performed prior to start of shift?
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Is there proper, constant communication between operator, rigging<br>supervisor, and signal persons?
4.0 Pre-Shift Safety Meeting
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Prior to the start of every shift, the lift director must hold a pre-shift meeting for the following personnel: Hoisting machine operator, rigging supervisor, crane operator, signal persons, and the supervisor of the flag persons and pedestrian traffic managers. Take a photo of the sign in sheet after completion.
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Did you hold a pre-shift safety meeting with all required parties as stated above in the instructions and covered the following topics:The following topics must be discussed at every meeting:<br>• The day’s planned operations<br>• Pedestrian and traffic controls<br>• Current weather conditions and forecasts<br>• As applicable, signaling/communication protocols for tandem picks<br>• Multiple crane or derrick operations, and operating in the blind<br>• Roles of personnel<br>• Objects to be lifted/lowered, including a review of their weights, lifting points, and any special considerations<br>• Rigging equipment to be used<br>• Site conditions<br>• Pick and landing zones<br>• Fall, crush, electrical, struck by and other hazards<br>• service and out of service wind thresholds for the crane or derrick<br>• Permit validity<br>• Snagged- Wire Ropes, Tag Lines, Rope, Nylon Straps, Chains, Cables
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Notes:
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Upload Photo of Rigging Log Checklist
Safety Review of Hand Signals and Lifting Chart
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Please review the Crane Hand Signals with your crew prior to lifting operations.
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Please review the load ratings with your crew prior to lifting operations. Scan the QR code below to view hand signals.