Crane CHK List RA Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

JERP SAFETY MANUAL

Annexure Annexure -15.2


REAL MOBILE CRANE PLANNING & RISK ASSESSMENT CHECKLIST
TO BE FILLED BY AUTHORIZED CRANE USER , PRESENTED TO WORK PERMIT ISSUER AND KEPT WITH CRANE OPERATOR DURING LIFT
LOCATION

LIFT DESCRIPTION START HR/DAY


(Compliment with sketch, if
EXPECTED
required)
DURATION
HR/DAY
LIFT

SAFE ACCESS ROUTE AND PLACE FOR CRANE SET UP CHECKED WITH SS/SFE
YES / NO
LOAD KG LxWxH LIFT RADIUS LIFT HEIGHT M GROUND FOR CRANE SET UP SAFE YES / NO

ECCENTRIC LOAD: CALCULATED / TRIAL AND ERROR LIFT


CRANE SELECTION & RISK ASSESSMENT IN CONSULTATION WITH P& M.
CRANE SELECTION

CRANE Model / Number :

CRANE TYPE : TYRE MOUNTED WITH OUTRIGGERS/CRAWLER/HYDRA BOOM LENGHT M

SAFE WORKLOAD AT LIFT RADIUS WEIGHT OF HOOK BLOCK, SLINGS, ATTACHMENT TOTAL WEIGHT KG

ATTACHMENT DESCRIPTION CAPACITY LOADING %

STANDARD LIFT CONFIRMED, NO SPECIAL LIFT PLAN REQUIRED YES / NO

VALID RELIANCE CRANE LOAD TEST CERTIFICATE AND LOAD CHART AVAILABLE IN CAB (LESS THAN 1 YEARS OLD) YES / NO

DAILY CRANE OPERATOR CHECKLIST AND P&M' S FORTNIGHTLY SERVICE CHECKLIST AVAILABLE IN CAB AND FILLED YES / NO
PEOPLE & EQUIPMENT

SAFE LOAD INDICATORS WORKING AND TRIPPING NOT BYPASSED (NOT FOR ALL LIFTS/ONLY REGULAR AUDIT). YES / NO

YES / NO
LIMIT SWITCHES FOR OVER-HOISTING (CRAWLER and HYDRALIC CRANES), BOOM ANGLE (CRAWLER) OVERLOADING (HYDRAS) WORKING
(NOT FOR ALL LIFTS/ONLY REGULAR AUDIT)

FREE FALL SYSTEM BLOCKED BY INSTRUCTION TO OPERATOR YES / NO

CRANE OPERATOR WITH VALID "SAFE CRANE OPERATION PERMIT" AND PROPER REST DURING LAST 24 HOURS YES / NO

LIFTING SUPERVISOR WITH VALID "SAFE LIFT PERMIT" YES / NO

SIGNALER WITH VALID "SAFE SIGNAL PERMIT" YES / NO

DOES CRANE LIFT RADIUS AND BOOM LENGTH CHECK WITH PLANNED? YES / NO

ARE OUTRIGGERS FULLY EXTENDED TO MARKING, PLACED ON LOAD SPREADERS AND CRANE LEVELED? WILL CRANE REMAINED LEVELED? YES / NO

ARE OUTRIGGERS/CRANE SET ON SOLID GROUND FREE FROM WATER LOGGING/SOAKING AND ON SAFE DISTANCE(=DEPTH)FROM ANY CAVITY? YES / NO

IS ELECTRICAL OVERHEAD LINE AT LEAST 6 METERS AWAY FROM THE TIP OF FULLY EXTENDED BOOM WHEN POINTED TOWARDS LINE? YES / NO

IS CRANE SLEWING/MOVEMENT FREE OF ANY OBSTRUCTION WITH AT LEAST 0.6 M OR BARRICADED? YES / NO

IS THE CRANE FREE OF OIL LEAKAGE, E.G. FROM OUTRIGGERS ? YES / NO


SITE INSPECTION BEFORE LIFT

IS WEATHER CONDITION (WIND - CHECK WITH MFS/BELOW 14 KNOTS, VISIBILITY - AVOID NIGHT LIFTS) SAFE FOR LIFT? YES / NO

ARE SLINGS MARKED WITH SAFE LOAD, VALID COLOR CODE AND WITHOUT ANY VISUAL DAMAGE? IS CAPACITY LOADING BELOW 50%? YES / NO

ARE SLINGS PROTECTED FROM SHARP EDGES ON THE LOAD? YES / NO

IS ANGLE BETWEEN SLING AND LOAD MORE THAN 60 DEGREE? YES / NO

ARE SHACKLES USED IF MORE THAN 2 SLINGS ARE ATTACHED TO THE HOOK? YES / NO

IS LOAD FREE WITHOUT ADHESION? YES / NO

ARE LIFTING LUGS FREE FROM VISUAL DEFECTS ? YES / NO

IS LOAD CENTER OF GRAVITY KNOWN, E.G. BY TRIAL AND ERROR LIFT WITHOUT THE LOAD COMPLETELY OFF THE GROUND? YES / NO

IS LOAD ONLY LIFTED AND NOT DRAGGED? IS LIFT LINE PLUMB ? OR IS SPECIAL INSTRUCTION FROM REAL USED FOR LOAD INSERTS? YES / NO

IS SIGNALER IN HIGH VISIBILITY VEST? YES / NO

IS LIFT AREA FREE FROM ANY OTHER CONFLICTING ACTIVIES ? (IF NOT STOP TEMPORARILY CONFLICTING ACTIVITIES) YES / NO

YES / NO
IS LIFT AREA BARRICADED OR PEOPLE KEPT AWAY BY OTHER MEAN? ARE SIGNALER / SLINGER CLEAR OF THE LOAD BY USE OF GUIDE ROPES?
I CERTIFY THAT ABOVE PRECAUTIONS ARE FULFILLED AND ALLOW THE LIFT TO BE CARRIED OUT. IF ANY OF ABOVE CHECKS CANNOT BE ANSWERED WITH
YES, CRANE USER'S MANAGER MUST ASSESS RISK AND GIVE CONSENT TO PROGRESS WITH THE LIFT.
CLEARANCE

SIGNATURE OF CRANE USER

DATE SIGNATURE OF AUTHORIZED CRANE USER

-151-

You might also like