Doc.

No: 0568/HSE /FRM - 01

DG CEMENT PROJECT LASBELA HUB. Revision: 0

Date: October 10, 2015

CRANE SAFETY AUDIT CHECKLIST

Contractors name: Date: Area:

Checked by safety officer: VEHICLE NO: TYPE/

MAKE:

Signature: Operator Name & Signature:

No. ITEM YES NO N/A Comments & Corrective Action Done

1 Crane is certified .phisicaly ok?. Valid up to:

2 Is the crane inspected from clint?

3 Operator authorizrd/ Valid liecence? Valid up to:

4 Load Chart available?

5 Limit Switch/ SLI/ LMI working?

6 Has the crane condition acceptable?

7 Ground Surface Hard and Smooth?

8 Are outriggers extended with tires off the ground?

9
Are proper crane pads placed under outrigger floats and at a
90-degree angle to the outrigger cylinders?

10 Is exact load of equipment known?

11 Riggers Trained and with visible jackets and whistle?

12
Slings, Shackles and Belts are of coorect capacity and third
party certified and colour coded. Certificate available?

13 Is fire extinguisher present in the crane?

14 Crane swing radius area barricaded?

15 Person assigned to control the load with the use of a tag line?

16 Is TBT being conducted?? JSA/ TBT form available?

17 Lifting Activity Work Permit Available.?

18 Lifting Signals chart available?

19 Are daily preoperational checks performed on the crane?

Are wind conditions acceptable? If wind speeds are in excess

20 of 10m/s, the lift should not be made; if wind speeds are more
than 10 m/s, consider postponing the lift.

21
Is the area clear of obstacles (including power lines, pipelines,
and unnecessary personnel)?

Has a pre-lift meeting between the crane operator,

22 signalperson, supervisor, and other affected persons been
conducted?
Any Other:

24

Remarks:

25

________________________

HSE INCHARGE INCHARGE E&P HSE Officer