Title Page

  • Site Conducted

  • Conducted on

  • Prepared by

  • Location

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  • Is a permit to work needed to carry out the work?

  • Is a permit to work correctly filled out and open for the lift?

  • Has the lift been properly planned?

  • Is their a risk assessment currently at the workplace?

  • Is the risk assessment suitable & sufficient for the task?

  • Is a specific lifting plan available?

  • Has a toolbox talk been carried out?

  • Are all members involved in the lift signed on to the toolbox talk?

  • Are all members of the team aware of roles and responsibilities?

  • Has the lift path been sufficiently barriered off to prevent access to unauthorised personnel?

  • Has lift path and landing area been cleared of obstructions?

  • Have signs been placed on barriers accordingly?

  • Do signs have the relevant information needed?

  • Have signs and barriers been respected by personnel not involved, for the duration of the lift?

  • Do all personnel have the relevant training required, in order to carry out their duties?

  • Has all lifting equipment been thoroughly examined?

  • Has all lifting equipment got the current colour code applied?

  • Is all lifting equipment documented in the vessel lifting equipment register?

  • Is lifting equipment being used within its recommended limitations?

  • Is the lifting equipment being used as per manufacturers guidance?

  • Have pre use checks been carried out on all lifting accessories?

  • Is their sufficient communication available between banksman and crane operator?

  • Is the banksman clearly identifiable?

  • Does the load require taglines attached?

  • Have tag lines been attached to the load?

  • Has the lift been executed as per project procedures?

  • Have all personnel stayed outside of the cone of exposure, from the suspended load?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.