Pre Lift Risk Assessment

• Site conducted

  Select

• Completed by: Initials

• Contract number:

• Location of pre-lift assessment:
  Address

• Are you completing the lifting operations

  yes

  no

• Is the lifting area clearly segregated and managed?

  Yes

  No

• Contact the lifting operations team

  I Understand

• Add compliance photo

  Media

• Is this a delivery or collection?

  Delivery

  Collection

• Has the roof been checked for materials that may fall in transit?

  Yes

  No

• This is a mandatory requirement as per Mobile Mini's Safe System of Work. Telescopic mirrors must be used if bottom lifting. If this is not possible contact the lifting operations team (Contact Information on Page 1 of your Method Statement)

  I Understand

• Before travel the overall height of the vehicle needs to be checked, and the indicator in the cab needs to be set. This is a legal requirement and the drivers responsibility

  I Understand

Weather Conditions

• Are the weather conditions suitable for lifting operations? (Please see your SSOW for details of safe wind speeds)

  Yes

  No

• If the lifting operation cannot proceed due to high winds a photo of the anemometer wind reading is required

  I Understand

• Add a photo of the anemometer reading

  Media

Ground Conditions

• Are the ground conditions suitable for the lorry stabilisers and at a suitable distance away from any underground voids, services and excavations?

  Yes

  No

• Is there a suitable alternative set up location?

  Yes

  No

• Has this been discussed with the customer?

  Yes

  No

• Please contact one of the Lifting Operations Team (Contact information on Page 1 of your Method Statement)

  I Understand

• Add a photo of the unsuitable ground conditions

  Media

• Add a photo of the unsuitable ground conditions

  Media

Overhead Hazards

• Is the lifting area a safe distance from overhead power lines? Safe distances from overhead powerlines as per ALLMI training are; 10m + the length of the boom + any protruding load.

  Yes

  No

• Is there a suitable alternative set up location?

  Yes

  No

• Has this been discussed with the customer?

  Yes

  No

• Please contact one of the Lifting Operations Team (Contact information on Page 1 of your Method Statement)

  I Understand

• Add a photo of the overhead powerlines

  Media

• Add a photo of the overhead powerlines

  Media

• Is the lifting area clear of all other overhead hazards which may affect the safety of the lifting operation -telephone lines, pipes, canopies, trees and any other restrictions?

  Yes

  No

• Is there a suitable alternative set up location?

  Yes

  No

• Has this been discussed with the customer

  Yes

  No

• Please contact one of the Lifting Operations Team (Contact information on Page 1 of your Method Statement)

  I Understand

• Add a photo of the hazard(s)

  Media

• Add a photo of the Hazard(s)

  Media

Positioning and Personnel

• Can you perform the lifting operation from a position of safety so you are not at risk from any unintended crane or load movements?

  Yes

  No

• Can an alternative set up location be found?

  Yes

  No

• Has this been discussed with the customer?

  Yes

  No

• Please contact one of the Lifting Operations Team (Contact information on Page 1 of your Method Statement)

  I Understand

• Add a photo

  Media

• Add a photo

  Media

• Stacking / de-stacking and staircase erection / dismantling is a two person task as per Mobile Mini's Safe System of Work. Does this lifting operation have the required personnel to undertake the task safely?

  I Understand

• Is there a clear line of sight for the vehicle, load and the intended path of the load?

  Yes

  No

• Please contact one of the Lifting Operations Team (Contact information on Page 1 of your Method Statement)

  I Understand

• Add a photo of the obstruction

  Media

• Has the radius and load been checked against the cranes capacity and lifting plans?

  Yes

  No

• If you cannot do this please contact the lifting operations team (Contact information on Page 1 of your Method Statement)

  I Understand

Network Rail

• Are you on a Network rail site?

  yes

  no

• All lifting operations at Network rail sites require approval of the lifting operations team. Contact one of the lifting operations team (Contact information on Page 1 of your Method Statement)

  I Understand

• Is the lifting operation a safe distance from any Network Rail property boundary fence? A safe distance is a minimum of The BOOM length + any protruding load + 4 meters.

  Yes

  No

• Please contact one of the lifting operations team (Contact information on Page 1 of your Method Statement)

  Select I Understand

  • I Understand

Lifting Points

• Are the units lifting points suitable and free from defects? Jacklegs are never to be used as a lifting point

  Yes

  No

• Please contact the lifting operations team (Contact information on Page 1 of your Method Statement)

  I Understand

• Add a photo of the unsuitable lifting points

  Media

Roof Check

• Is this a delivery or collection?

  Delivery

  Collection

• Has the roof been checked for materials that may fall in transit?

  Yes

  No

• This is a mandatory requirement as per Mobile Mini's Safe System of Work. Telescopic mirrors must be used if bottom lifting. If this is not possible contact the lifting operations team (Contact Information on Page 1 of your Method Statement)

  I Understand

• Before travel the overall height of the vehicle needs to be checked, and the indicator in the cab needs to be set. This is a legal requirement and the drivers responsibility

  I Understand

Segregation

• Is the lifting zone identified and segregated to prevent ingress of personnel?

  Yes

  No

• This is a mandatory requirement as per Mobile Mini's Safe System of Work. If this cannot be achieved contact the lifting operations team (Contact information on Page 1 of your Method Statement)

  I Understand

Additional Hazards

• Are there any other hazards that will deviate the lifting operation from the method statement and lifting plan?

  yes

  no

• Please state additional hazards

• Please contact the lifting operations team (Contact information on Page 1 of your Method Statement)

  I Understand

Compliance

• Add a compliance photo showing the segregated area, vehicle, stabilisers, and load path.

  Media

• I fully understand & take responsibility for all of the above answers (in relation to technical & practical risk assessment questions) & that the delivery / collection has been conducted in safe & organised manner. Any issues have been raised with Lift Ops team & have been completed with the scope of Mobile Mini RAMS.

• Date & Time of pre lift risk assessment completed

  Date

• Signature of driver

  Sign