Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Critical Lift Plan Required?
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Crane has adequate access around site?
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Jobsite provided with adequate material staging area?
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Adequate room for crane assembly/disassembly?
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Weather Conditions
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Pre-planning meeting conducted before assembly/disassembly?
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Qualified person supervised assembly/disassembly?
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Crane selected is appropriate for load capacity and reach?
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Crane operator training verified? NCCCO Certified?
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Crane's annual inspection has been verified?
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Crane's wire cable inspection has been verified?
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Crane setup on stable surface - Compacted soils, Drained, Firm?
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Outriggers extended - Wheels off ground?
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Blocking/Cribbing adequate size (Size = 3x float size)?
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Crane setup level?
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Swing radius barricaded to prevent access - employee training?
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Lift route planned to prevent worker exposure to falling loads?
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Work Zone Defined
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Marked boundary
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or 360 max radius
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Crane could get within 20' of powerline?
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or Distance per table
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Powerline voltage
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Distance
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Letter or notification from power company verifying powerline voltage received?
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Safety Measures In Place
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Pre-Planning meeting
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Non-Conductive tag lines in place?
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Elevate warning lines, or
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Barricades, plus
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A spotter, or
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Range limiter, or
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Warning device, or
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Insulating link?
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Employee training provided for powerline hazards?
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Qualified riggers present - Training verified and onsite?
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Rigging equipment appropriate for load to be lifted?
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Slings, spreader bars or chains checked for certifications?
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Rigging inspected?
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Tag lines attached?
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Softeners used?
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Qualified signal person present - training verified/documented?
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Hand signals posted at Jobsite?
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Daily Pre-lift meeting conducted?
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Competent person performed daily inspection and at each shift change?
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Competent person performing and documenting monthly inspection?
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Safety Manager
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Superintendent/Foreman
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Crane Operator
