START OF WORK LMRA - Lifting and rigging

• Conducted on

  Date

• Prepared by

• WTG

• 1. STOP, THINK and ACT

  OK

  NOK

• 2. I am In GOOD CONDITION and WELL EQUIPPED

  OK

  NOK

• 3. I Take care of GOOD HOUSEKEEPING: Clear lifting area

  OK

  NOK

• 4. I KNOW and RESPECT the LIFTING PROCEDURE

  OK

  NOK

• 5. I COMMUNICATE with the crane driver & signaller

  OK

  NOK

LAST MINUTE RISK ASSESSMENT for NON STANDARD LOADS

• Is the lifting gear certified and undamaged? Check colour code!

  Yes

  No

  N/A

• Do we have our helmet?

  Yes

  No

  N/A

• Do we have taglines in case needed?

  Yes

  No

  N/A

• Do we have the slinger banksman training?

  Yes

  No

  N/A

• Is the battery of the remote control of the Palfinger crane replaced?

  Yes

  No

  N/A

• Are the weather conditions acceptable?

  Yes

  No

  N/A

EXTRA QUESTIONS

• Communication lines checked & number of UHF radios present ok?

• Evaluation made of PPE needed for the job? (e.g. type of mask correct?Helmet required?)

• Other safety hazards or remarks? (REPORT ALL HAZARDS IN A SHOC)

• Needed actions when one or more answers is no (STOP-THINK-ACT)

CONFIRMATION OF TOOLBOX TALK AND PRESENTATION OF METHOD STATEMENT

• 1. Name

  Sign

• 2. Name

  Sign

• 3. Name

  Sign

• 4. Name

  Sign

• 5. Name

  Sign

• 6. Name

  Sign

• 7. Name

  Sign

• 8. Name

  Sign