NCSG Crane and Equipment Focused Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Unit Make and Model

• Unit Number

• Personnel

Job Start

• Was FLRA complete?

  Yes

  No

  N/A

• Was lift calculation compete?

  Yes

  No

  N/A

• What is the lift classification?

  Standard Lift

  Non-Standard

  Critical Lift

  No lift

• Is the Operator Experience Log Book available?

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Is the Operator signed off for the make and model of crane they are operating?

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Was daily equipment log book complete?

  Yes

  No

  N/A

General

• Warning devices operational?<br>Horns, alarms, etc.

  Yes

  No

  N/A

Set-up

• Crane Level?

  Yes

  No

  N/A

• Weight off tires?

  Yes

  No

  N/A

• Outrigger beams pinned (if required)?

  Yes

  No

  N/A

• Safe Distance to Structures/Equipment/Powerlines

  Safe

  At Risk

  N/A

• Power authority contacted if crane has the potential to reach 7 meters 921 feet) of overhead energized power source?

  Yes

  No

  N/A

• Permit received from power authority?

  Yes

  No

  N/A

• Tail-swing barricaded if less than 2 feet (600mm)?

  Yes

  No

  N/A

• Swing hazard area (fall zone) flagged?

  Safe

  At Risk

  N/A

• LMI configured and functioning correctly?

  Yes

  No

  No observed

Signals

• Designated Signal Person?

  Yes

  No

  N/A

• Clearly Identified (Gauntlet/Signalman's Vest) ?

  Yes

  No

  N/A

• Signals clear and correct?

  Yes

  No

  N/A

• Visibility/Lighting/Weather

  Safe

  At Risk

  N/A

Ground Conditions

• Have the ground conditions been assessed for stability?

  Yes

  No

  N/A

• Appropriate matting being used as per NCSG standard?

  Yes

  No

  N/A

• Matting Size?

• Is there evidence of ground instability, cracks or depressions in the ground around mats?

  Safe

  At Risk

  N/A

Personal Protective Equipment

• All appropriate equipment or gear worn correctly?

  Yes

  No

  N/A

• PPE kept in good condition?

  Yes

  No

  N/A

Load Control

• Load Weight known prior to lift?

  Yes

  No

  N/A

• Radius verified?<br>Measured?

  Yes

  No

  N/A

• Percentage of chart capacity

• Tagline used?

  Yes

  No

  N/A

• Horizontal pull on the boom? (side-load, over or under boomed)

  Safe

  At Risk

  N/A

Engineered Lifts

• Drawing available?

  Yes

  No

  N/A

• Drawing details verified?

  Yes

  No

  N/A

Rigging

• Rigging used, hitch used, hitch capacity

• Load stable? C of G accounted for?

  Safe

  At Risk

  N/A

• Load rigged correctly?

  Yes

  No

  N/A

• Appropriate softeners used?

  Yes

  No

  N/A

Behaviour

• Were any unsafe behaviours observed during this insepction?

  Safe

  At Risk

  N/A

• Enter the unsafe behaviour observed