Tasman Power Lifting Operations CCFV

• Site conducted

• Date and Time

  Date

• Task

• Work Location

• Conducted on

• Prepared by

Mechanical Integrity of Crane

• 1. Does the pre operational inspection, specific to the crane, confirm itis safe for use? (including crane certification)

  Yes

  No

  N/A

Mechanical Integrity of Lifting Equipment

• 2. Are the lifting equipment and lifting points safe for use? i.e. inspected with no defects<br>

  Yes

  No

  N/A

Lifting Plan Execution

• 3. Is the weight of the load within the capacity of the current crane<br>configuration and lifting equipment arrangement?

  Yes

  No

  N/A

• 4. Do weather and ground conditions allow for a safe lift?

  Yes

  No

  N/A

• 5. Is the lift area free from overhead power lines and other obstructions?

  Yes

  No

  N/A

• 6. Does the work team have agreed communication methods? E.g. radio, spotter, hand signals.

  Yes

  No

  N/A

• 7. Has the load been rigged as per the lift plan?

  Yes

  No

  N/A

• 8. Is the team authorized and competent for the lifting activity?

  Yes

  No

  N/A

Barriers and Segregation

• 9. Are controls in place to prevent unauthorised access?

  Yes

  No

  N/A

• 10. Is the exclusion area large enough to protect people from the lifting operation? E.g. falling load, crane movement.

  Yes

  No

  N/A

• 11. Is there a method to ensure authorised personnel maintain a safe distance from the suspended load? E.g. tag lines.

  Yes

  No

  N/A