Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Contractor acknowledges proper insurance, certification, licensure
-
- Yes
- No
- N/A
-
Add media
-
Adequate barriers in place
-
- yes
- no
- N/A
-
Add media
-
Weight of load being lifted is within manufacturer limitations of crane
-
- Yes
- No
- N/A
-
Add media
-
Load weight
-
- Yes
- No
- N/A
-
Add media
-
Maximum crane lift
-
- Yes
- No
- N/A
-
Add media
-
Span of lift
-
- Yes
- No
- N/A
-
Add media
-
Rigging is appropiate
-
- Yes
- No
- N/A
-
Add media
-
Overhead wires
-
- Yes
- No
- N/A
-
Add media
-
Overhead obstacles
-
- Yes
- No
- N/A
-
Add media
-
Interim Life Safety Measures (ILSM) in place, if needed
-
- Yes
- No
- N/A
-
Add media
-
Contractors trained regarding ILSM
-
- Yes
- No
- N/A
-
Add media
-
Temporary Fire Prevention in place
-
- Yes
- No
- N/A
-
Add media
-
Contractor aware of egress route
-
- Yes
- No
- N/A
-
Add media
-
Traffic control required
-
- Yes
- No
- N/A
-
Add media
-
All exits clear
-
- Yes
- No
- N/A
-
Add media
-
Free access to Emergency Services
-
- Yes
- No
- N/A
-
Add media
-
Alternate routes for public and Emergency use
-
- Yes
- No
- N/A
-
Add media
-
Additional Firefighting staff and equipment available
-
- Yes
- No
- N/A
-
Add media
-
Smoking is strictly prohibited
-
- Yes
- No
- N/A
-
Add media
-
Construction site clean and orderly
-
- Yes
- No
- N/A
-
Add media
-
Contractors are informed if adjacent areas are affected
-
- Yes
- No
- N/A
-
Add media
-
Construction site access restricted
-
- Yes
- No
- N/A
-
Add media
-
Effective site storage of materials and equipment
-
- Yes
- No
- N/A
-
Add media
-
Fire zones maintained, contractors aware of changes
-
- Yes
- No
- N/A
-
Add media
-
Will there be any noise and vibration risk? ("Noise and Vibration Risk Assessment" form required if answered "Yes")
-
- Yes
- No
- N/A
-
Add media
-
Select date
-
Add signature
