Title Page

  • Conducted on

  • Prepared by

  • Location

Crane

  • Operator certifications on file?

  • Cranes have daily inspection completed

  • Have hazards such as power lines, piping and traffic?

  • Have counter weights been barricaded?

  • Has the swing radius been barricaded?

  • Has the crane barricade been made separate from the work area barricade?

  • Has rigging been inspected?

  • Has the rigger and flagger been identified?

  • Outriggers fully extended?

  • Is the crane in good condition?

  • Is the weather adequate for performing the lift?

Administration

  • Have all employees on site been orientated?

PPE

  • Is the 100% required PPE being worn?(cut level 3 gloves, hard hat, z87 glasses, work boots, hi-vis)

  • Is the proper PPE being worn? (Face shield etc..)

Equipment

  • Are spotters being used?

  • Back up alarms working?

  • Fire extinguisher mounted?

  • Seat belts being worn?

  • Daily equipment inspection filled out?

  • Are the tools being used properly and inspected?

  • Electrical cords have monthly inspection tape?

Fire Protection

  • Fire extinguishers are proper size and type?

  • Fire extinguishers inspected monthly?

Fall Protection

  • Workers tied off in all lifts?

  • Workers tied off at leading edge?

House Keeping

  • Work area clean?

  • Materials staged in an orderly fashion?

  • Trash being picked up daily?

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.