Form 062

Daily Lifting Checklist

Rev.: AC Date: 19 03 2018

Description of the Work to be Done: Location of the Work:

Name of Competent Person: Date:

1 Crane Location & Ground Conditions:

2 Lift Plan, MS/RA, JSA (if required)

Type of Permits Required? (if any)
3
Power Lines, WAH, Lifting Personnel
4 Item(s) to be lifted. Estimated Weight?

Dimensions / Centre of Gravity?

Are the Lifting Points Suitable?

Lifting Equipment Required?

Environmental Conditions?
5
Weather, Wind, Lightening
Selection of Crane?

6 Size, Make, Model

Can it do the Task? SWL?

Lifting Team

7 Competency/Qualifications

8 Working at Height? Harness Required?

9 Hand Signals or Radios? Channel?

10 Specialist Lifting Equipment?

11 Planned Lifting Activities?

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