Pre-Task: Crane Checklist (Lifting checks for crane and hoist)

• Audit Title

• Prepared by

• Conducted on

  Date
• Location
  Address

• Project Name / Job Number

• Document No.

• Personnel

Load Information

• Time and date of lift

  Date

• Description of load being lifted

• Load weight:

• Block and rigging weight:

• Total weight being lifted:

• Radius:

• Boom length:

• Supervisor full name

• Signal person full name

• Crane / Hoist Operator full name

• Crane / Hoist Contractor

Pre-Lift Checks

• Has a JHA been completed?

  Yes

  No

  N/A

• Has a pre-lift meeting taken place?

  Yes

  No

  N/A

• Have all owners, subcontractors and other trades been informed of lifting operations?

  Yes

  No

  N/A

• Have all involved personnel (including those named above) completed the required training relevant to their lift duties?

  Yes

  No

  N/A

• Attach photos of operator licenses

  Media

• Have weather conditions been considered?

  Yes

  No

  N/A

• Wind conditions are safe and will be monitored over entire lift?

  Yes

  No

  N/A

• At what wind speed is the lift shut down at?

• Has communication procedures been established?

  Yes

  No

  N/A

• If using radios to signal the crane, has the radio communication procedure been made clear to all personnel?

  Yes

  No

  N/A

• Are Hand Signal charts are on site?

  Yes

  No

  N/A

• Have signals have been reviewed between operator, signal person(s) and rigging person(s)?<br>

  Yes

  No

  N/A

• Have materials to be hoisted been confirmed and has rigging methods been confirmed?<br>

  Yes

  No

  N/A

• Has all rigging passed a visual inspection and is appropriate for the material being hoisted?<br>

  Yes

  No

  N/A

• Full name of rigging inspector

• Is a tag line being used?

  Yes

  No

  N/A

• Detail why tag line is not in use for this lift?

• Do the ground conditions appear to be acceptable for crane set up?

  Yes

  No

  N/A

• Are outriggers fully extended with tires off the ground?

  Yes

  No

  N/A

• Are proper crane mats (if required) placed under outrigger floats and at a 90 degree angle to the outrigger cylinder?

  Yes

  No

  N/A

• Are the mats in good condition and of adequate size?

  Yes

  No

  N/A

• Has crane/hoist been inspected and deemed safe prior to this lift?

  Yes

  No

  N/A

• Are crane/hoist inspection records up to date?

  Yes

  No

  N/A

• Is the swing area barricaded to prohibit entry of unauthorized personnel (danger tape, ropes or flags)?<br>

  Yes

  No

  N/A

• Are all non-essential personnel removed from the area?

  Yes

  No

  N/A

• Have you assigned a designated spotter for this lift?

  Yes

  No

  N/A

• Full name of Spotter

• Is there safe clearance between near power lines and every portion of the lifting operation, including crane/hoist, personnel and lift path?

  Yes

  No

  N/A

• Has anyone walked the load down to ensure that there are no loose items that can fall?

  Yes

  No

  N/A

Sign Off

• We the undersigned that the above is a true and correct reflection of checks that occurred before this lift occurred.

• Signature & Full Name of Crane Operator

  Sign

• Signature & Full Name of Site Foreman

  Sign

• Signature & Full Name of Safety Personnel

  Sign