Information

  • Terminal Location

  • Document No.

  • Conducted on

  • Audit Title

Employee

  • Manager conducting audit.

  • Employee being audited.

  • Crane Being Audited. (Crane Number)

  • is Employee wearing required eye protection?

  • Is Employee Wearing Required Lime Green Breakaway Vest?<br>

  • Is Employee Wearing Proper Steel Toe Boots, With Defined Heel And Ankle Protection?<br>

  • Is Employee Wearing A Hardhat (When Required)? Mark N/A If Not Applicable At Time Of Testing.<br>

  • Does Employee Have A Valid E-Railsafe Badge On His / Her Person?<br>

  • If Employee Observed Climbing Crane, Are They Using Proper 3 Point Contact While Faceing Towards The Machine?

  • Note: A badge in an employees locker or personal vehicle is not considered "on his/her person". Badge must be able to be readily produced if approached.

  • Does Employees Attire Meet H&M Prescribed Standards? No Loose Or Torn Clothing, No Shorts Or Sleeveless Shirts. <br>

  • Did The Employee Properly Identify The Cone, During The Cone Stop Test?

  • NOTE: Automatic Fail If Employee Runs Cone Over, Or Goes Around it.

Crane

  • Outside Appearance. Is Exterior Of Crane Neat and Clean with Equipment Numbers Easily Read From A Distance? <br>

  • Please detail any discrepancies.

  • Are Overhead And Drive/Work Lights Functional?<br>

  • Are Strobes on Machine Functioning Properly?

  • Is Drive Alarm Functioning Properly In Both Directions?<br>

  • If Traveling More Than One Railcar, Or Changing Tracks, Did Operator Have Required Escort?

  • Is Crane Equipped with Functioning/Secure Fire Extinguisher? Is Extinguisher Sign-Off Up to Date?

  • Did Operator Keep Ground Person In View And Follow Hand Signals?

  • Any Other Observations?

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