• Well site

  • Prepared by


  • Date/Time of Inspection

  • Image of load

  • Image/Drawing of Lift Plan

  • Valid PTW available?

  • Valid Job Hazard Analysis (JHA)Available?

  • Toolbox Talk (TBT) Conducted?


  • Crew Boss

  • Crane Operator

  • Operators Certification Available/Valid?

  • Cherry Picker Operator

  • Fork Lift Operator

  • Banksman

  • Is Banksman Identified (i.e) Hi-Vis Vest

  • Slinger/Rigger(s)

  • Other

  • List/Justify other Personnel Required


  • Have "Hand Signals" been discussed?

  • Will Operator always have "Line of Sight" with load throughout the Lift?

  • Radio Communication between Operator and Banksman?


  • Is the crane certified to make the lift

  • Is the crane operator comfortable making the lift

  • Crane hook and block in good repair and are safety latches in place on hook


  • Slings in date

  • Slings free of pinched cables, bird cages, broken strands

  • Synthetic slings not showing signs of wear, worn spots, indicator threads showing

  • Are they the right sling for the job, rated, right angle, not too short or too long

  • Slings: has the certificates been reviewed, are they Onsite.


  • Shackles: all shackles used are four part

  • Shackles: Correct sized pin installed

  • Shackles: all the same size and rating

  • Are shackles on good certified lifting points

Dropped Objects

  • Have all loose items been removed from the load, are all objects staying on the load secured so not to fall or dislodge and shift the load

  • Has a "Dropped Object" Photo Book been compiled?

Tag lines

  • Tag lines: at least two tag lines, preferably four

  • Tag lines: are they long enough for the job

  • Tag lines: no knots or horse tails on the tag lines


  • Lifting points center the load, ensuring it will not shift/swing when lifted

  • Is the load going avoiding having to go over a high risk area

  • Is the travel path clear of personnel

  • Will either the load centre of gravity shift or move when the load is lifted or placed in its new position

Completed safety Pre-lift Checklist

  • Is this operation safe to proceed?

  • Detail what additional controls are needed?

  • Authorizing signature

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.