Information
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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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Employee
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Supervisor
Unit Operated
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Unit Number
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Make and Model
Crane Setup
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Configuration used
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Matting used?
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Outriggers pinned?
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Outriggers fully extended?
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Crane level?
Documentation
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Operator's Experience Log Book available˜?
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Signed off for competency?<br>
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Competency Level?<br>
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Log Book filled out correctly?
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FLRA complete?
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FLRA reviewed by supervisor?
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Lift Classification correct as per NCSG Hoist Standard?
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Lift calculation correctly filled out?
VTA Completion
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Priority 1 training complete?
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Priority 2 training complete?
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Priority 3 training complete?
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Enter training request here: