Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Size crane requested

  • Start day of rental

  • End day of rental

  • Leave yard

  • Arrive on site

Customer Information

  • Customer name

  • Terms/PO#

  • Customer address and phone

Jobsite Information

  • Jobsite name

  • Jobsite address
  • Jobsite phone

  • Operator reports to

  • Contact phone number

  • Contact cell phone number

  • Contact email address

  • Crane ordered by

  • Contact phone number

  • Contact email address

  • Contact cell phone number

Lift Details

  • Back from edge

  • Up

  • In from edge

  • Total radius

  • Total weight

  • Work description

  • Comments/Extra Equipment/# of Counterweight Loads

Rates

  • Straight Time

  • Overtime (after 8hrs/ 4pm/ Saturday)

  • Double time (Sunday)

  • Hourly minimum

Rates for Counterweight

  • Freight in

  • Freight out

  • Fuel Surcharge

  • Misc information

Directions from yard

  • Specific directions

  • Salesman

Jobsite Photos

  • Photos of site area

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.