Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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If 'NO' is selected for any of the controls - Work must stop immediately until the control is in place and verified
CONTROL: Ground conditions and/or outrigger pads supply suitable footing for mobile cranes Purpose: To prevent operation of a crane on unstable ground and resulting loss of control of load or crane
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Tick "Yes" if applicable
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Crane or lifting equipment is set up on even ground / stable ground?
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Outrigger pads have been set up and verified to suit the conditions of the lift?
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Ground conditions have been assessed prior to any mobile crane lift to ensure there is no potential for the ground undermining, striking of services or underground pits? e.g. excavations nearby, water on the ground, pipelines, signs of work/fill, sustained lifts
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Where the ground condition is identified to have a risk of collapse or displacement, an engineer has been engaged to assess and confirm that the ground conditions are suitable for the crane?
CONTROL: Cranes are not operated when high wind speed is present Purpose: To prevent operation of a crane in high wind and resulting loss of control of load or crane
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Tick "Yes" if applicable
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The lifting operation is occurring with the wind indicator showing less than approx. 36km/hr or 10m/sec
CONTROL: No persons positioned under a suspended load or within objects load swing radius Purpose: To prevent a person being struck by a falling or suspended load
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Tick "Yes" if applicable
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No one is under a suspended load?
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Barricades in place to restrict non essential personnel
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Clear demarcation of exclusion zones and signage displayed when required?
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Spotter in place?
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Dogger / rigger maintains safe distance from moving load?
CONTROL: The maximum rated Working Load Limit (WLL) of cranes & lifting equipment is not exceeded PURPOSE: To prevent a mechanical failure and resulting loss of control of load or crane/lifting equipment
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Tick "Yes" if applicable
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The load being lifted is within WLL and radius capacity?
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WLL displayed / verifiable?
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Known capacity of crane at operating radius?
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Known weight of load and lifting equipment?
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For Critical Lift, lift is executed as per the lift plan?
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Safety devices and movement limiting devices are never tampered with or overridden?
CONTROL: Loads must be rigged, lifted, suspended and moved in a way that ensures that the load remains under control at all times PURPOSE: To prevent the suspended load from falling or shifting
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Tick "Yes" if applicable
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Tag line being used?
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Wind speed checked?
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Slings positioned correctly and not around sharp corners?
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Reeve angle less than 120 degrees?
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Rated equipment in test date?
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Double wrapped chain on metal loads?
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Is lifting gear in good condition? e.g. No frayed slings, ropes or stretched chains
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Hooks positioned the right way round?
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Clear / planned Lift path for pick and carry operations?
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Slinging methods used to manage any expected dynamic load forces? (e.g. wind or sudden crane halt).
CONTROL: All loads must be landed onto an adequate load bearing surface and stable before unslinging PURPOSE: To prevent a landed load from moving post lift.
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Tick "Yes" if applicable
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Even, stable landing pad?
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Hold down straps on items that could roll?
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Chocks, side bracing in place to hold load?
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Scaffold not overloaded?
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Where secondary containment is used internal objects have been secured against movement in transit to prevent uncontrolled movement when the containment is opened?
CONTROL: Cranes that use a workbox to elevate people are fitted with a secondary independent brake to all winches. PURPOSE: To prevent rapid, uncontrolled descent to ground of a workbox elevating people.
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Tick "Yes" if applicable
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Anti-free fall device / secondary independent brake installed?
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De-rated capacity considered?
CONTROL: Emergency Response PURPOSE: To minimise the impact to human life from an overturned crane or loss of load control.
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Tick "Yes" if applicable
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Ability to contact emergency services?
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Ability to confirm location / who is involved?
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First Aid resources on site?
Additional Information
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