WHS-FR-031 Pre-Climb Checklist

• Contractor

• Job / Site Details

• Climbing Crew

• Date

  Date

THIS CHECKLIST MUST BE COMPLETED PRIOR TO CLIMB COMMENCING

• Penetration size correct as per drawings

  Yes

  No

  N/A

• Penetration plumb with other penetrations and as per drawings

  Yes

  No

  N/A

• Penetration formwork stripped

  Yes

  No

  N/A

• Propping installed as per drawings

  Yes

  No

  N/A

• Competent persons assigned to complete boom climb

  Yes

  No

  N/A

• Concrete is up to required strength as per placing boom engineered drawings before boom climb

  Yes

  No

  N/A

• Frames and hydraulic jacks at the correct levels

  Yes

  No

  N/A

• Tower ladders accessible on site

  Yes

  No

  N/A

• Workers on site and Crane crew aware that placing boom climb is taking place

  Yes

  No

  N/A

• Exclusion zones established

  Yes

  No

  N/A

• Power lead has sufficient length for climb / Power Isolation board at correct level

  Yes

  No

  N/A

• Power lead secured and protected from pinching points during climb

  Yes

  No

  N/A

• Placing boom climbing pendant and hydraulic hoses have sufficient length for climb

  Yes

  No

  N/A

• Temporary penetration coverings ready to cover penetrations when they become exposed

  Yes

  No

  N/A

• Check wind speed is within allowable speed as per manufacturer's specifications

  Yes

  No

  N/A

• Placing boom mast pipeline disconnected prior to climb

  Yes

  No

  N/A

• Check tower has clear pathway vertically so nothing can stop the tower climbing

  Yes

  No

  N/A

• Ensure boom package is at correct alignment and orientation

  Yes

  No

  N/A

• Comments:

• Employee Name

• Signature

  Sign

• Date

  Date