Crane CHK List RA Form
Crane CHK List RA Form
Crane CHK List RA Form
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
SAFE WORKLOAD AT LIFT RADIUS WEIGHT OF HOOK BLOCK, SLINGS, ATTACHMENT TOTAL WEIGHT KG
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)
CRANE OPERATOR WITH VALID "SAFE CRANE OPERATION PERMIT" AND PROPER REST DURING LAST 24 HOURS 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 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 SHACKLES USED IF MORE THAN 2 SLINGS ARE ATTACHED TO THE HOOK? 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 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
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