Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Information

  • Select date

  • Branch Office

  • Project #

  • Equipment Type

  • Equipment Unit #

  • Weather Conditions

Planning

  • Is the crane log present and properly completed?

  • Is the pre-trip inspection/ driver's daily log available and completed?

  • Are engineered drawings available and pertinent to the lift plan?

  • Is the ground bearing pressure known and adequate for the planned lift?

  • Have all equipment (i.e. hydraulic transporters, forklifts, aerial work platform, etc) pre-inspections been completed?

Risk Assessment

  • Has a FLRA been completed, reviewed and signed off by operator and crew?

  • If the scope of work changed, has a subsequent FLRA been completed, reviewed and signed off by operator and crew?

  • Have all controls been put in place per the completed FLRA?

  • Have equipment specific (i.e. spmt, jack and slide, etc) full compliance checklists been completed prior to start of work?

  • Has a toolbox meeting occurred with crew prior to start of work?

  • Is a JSA/ pre-lift conference completed, reviewed and signed off by the involved personnel?

General Site

  • Have washroom facilities been provide and are they adequate?

  • Have lunchroom facilities been provided and are they adequate?

  • Is there adequate space in the office trailers?

  • Is the housekeeping in good order?

Personnel and PPE

  • Have all employees received appropriate job instructions?

  • Are all work clothes in order and representative to the company image?

  • Is required PPE worn by all Mammoet employees?

  • Are all Mammoet employees certified/ qualified?

  • Are all training certificates/ qualifications required to be on person available?

  • Have the operator/ crew been cooperative an involved in the workplace inspection?

Equipment/ Vehicles/ Tools/ Materials

  • Is there sufficient working space?

  • Are containers in order?

  • Are all required road permits present and complete?

  • Is ownership and insurance present and up-to-date?

  • Is the annual crane inspection available and current?

  • Is the hydro ground available and used properly if necessary?

  • Are ladders inspected regularly and in good condition?

  • Has the rigging been inspected and in good order?

  • Are loads adequately secured for transport?

  • Are jib connection points painted yellow and pinned properly?

  • Are mats (steel/ wood) required and adequate for the crane and ground conditions?

  • Are appropriate length tag lines used?

  • Are softeners used when sharp edges are present?

Cooperation

  • Is the job being executed in accordance with instructions?

  • Is the overall communication adequate (including from office to field)?

  • Are there any deficiencies with hired personnel or equipment?

  • Are there any complaints from the client about the equipment?

  • Are there any complaints from the client about Mammoet personnel?

Safety

  • First aid kit available including treatment log and contents list?

  • Fire extinguisher available, inspected, and with current annual inspection?

  • Are there any hazardous products present?

  • Are current (within 3 years) MSDSs available?

  • Are containers (i.e. spray bottles) properly labeled to identify the contents?

  • Is the work area adequately barricaded with signage and flagged as necessary?

  • Are safe work permits (i.e. hot work, confined space, restricted access)) completed as necessary?

  • Have all incidents, quality issues been reported to the supervisor and SHE-Q department?

Environmental Conditions

  • Is the wind speed below the crane manufacturers' limit?

Environmental Care

  • Are emergency spill kits available and adequately stocked?

  • Have any spills been reported to the supervisor and the SHE-Q department?

Communication

  • Is there a mutual understanding of hand signals between the operator and the signal person?

  • Are two way radios in good condition and include spare batteries?

  • Are there any complaints about the use of two way radios (stepping over, vulgar language, etc)?

  • Are spotters required and do they understand their duties?

Suspended man baskets

  • Are suspended man baskets used?

  • Have all permits been obtained from the jurisdictions OH&S department?

  • Is the checklist for hoisting of personnel in man basket completed?

  • Is a secondary safety line attached from the basket to above the ball/ block?

  • Is rescue equipment available and a rescue plan developed and communicated to the affected personnel?

Reporting

  • Did you notice any unsafe acts or conditions?

  • Were unsafe acts and conditions discussed with the client?

  • Inspector

  • Responsible Manager

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.