Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Employee

  • Supervisor

Unit Operated

  • Unit Number

  • Make and Model

Crane Setup

  • Configuration used

  • Matting used?

  • Outriggers pinned?

  • Outriggers fully extended?

  • Crane level?

Documentation

  • Operator's Experience Log Book available˜?

  • Signed off for competency?<br>

  • Competency Level?<br>

  • Log Book filled out correctly?

  • FLRA complete?

  • FLRA reviewed by supervisor?

  • Lift Classification correct as per NCSG Hoist Standard?

  • Lift calculation correctly filled out?

VTA Completion

  • Priority 1 training complete?

  • Priority 2 training complete?

  • Priority 3 training complete?

  • Enter training request here:

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.