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UPFPRELIFT

SAFETYCHECKLIST
WorkPackageNo.
____________________________
TaskNo.:____________

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CFN-1092, Y17-95-64-871(09/11)

RecordNumber: InspectionDate:
EQUIPMENTNUMBER: RIGGINGDRAWINGNUMBER:
LIFTDATE:12 WEIGHTOFLIFT:
CRANEMANUFACTURER: CRANEMODEL:
CRANEEQUIPMENTNUMBER: DIMENSIONSOFLIFT:
WEATHERCONDITIONS:
PRELIFTVERIFICATIONS:
1. Conditionoflinesandfasteningsacceptable(nofrayedcables,wornparts,etc.):(Heavy&CriticalLiftsonlyRequired)
Performedondailychecklist Loadlines Boomline Sheaves&blocks
2. Conditionofboommembers&connectionsacceptable:(Heavy&CriticalLiftsonlyRequired)
Performedondaily
checklist
Alignmentcorrect? Bentordefectivemembers?
Boompinsandkeepersinplace?
3. Conditionofmachineryacceptable:
Performedondailychecklist Engine Powertakeoff&clutch Winchdrums&gears
Brakes Safetydogs Controls
Cranetracksortruckmounting Outriggers Cab
4. Verifyriggingaccessoriesacceptable(slings,shackles,spreaderbars,etc.):
Size Capacity Condition
5. Verifythefollowingarecorrect:
Boomlength Radius Loadlinereeving
Crawlersoroutriggersextendfully(asapplicable) Cranelevel
6. Checkgroundconditions:
Safetotakecraneloading Lookformuddyoruneventerrain
Iflifttobemadeonfill,verifyitiscompacted Matsrequired(verifynumberandsizerequired)
7. Verifyoverheadpowerlineclearances.
8. Verifyoperatorisqualified.
9. Checkforanyobstructionsorhazardousmaterialinpath,adjacenttopathorbelowpathofliftingoperations.
10. Makesuretaglinesareused.
11. Verifythatsignalman(onepersononlyauthorizedtogivesignals)isinclearandcompleteviewofoperatororthatradiocommunicationis
available.
12. Performpreliminaryliftbyslowlyraisingandloweringliftafewinchestoensureallequipmentisfunctioningproperlyandissuspended
correctly.
13. Doestheactualriggingschemedifferfromtheapprovedriggingdiagrams?
Yes No Ifyes,explainonbackofsheet.

UPFPRELIFT
SAFETYCHECKLIST
WorkPackageNo.
____________________________
TaskNo.:____________

Page2of2

CFN-1092, Y17-95-64-871(09/11)

RecordNumber: InspectionDate:
PRELIFTVERIFICATIONS(continued):
14. Verifythefollowingweightsandlookfordiscrepancies:
a. Design engineering calculated
b. Certified Rigging Engineer calculated
c. Field engineering calculated
d. Vendor calculated
e. Scale or load cell weight
15. Whenthepayloadiswithin5percentofcranechartcapacity,thevesselorcomponentshouldbeeitherweighedonscales(hydrauliccalibrated
jacksacceptable)oranapprovedloadcelltoensureagainstoverloadofcraneand/orriggingattachments.
Theentirecraneassembly,auxiliaryequipment,engineeringdata,andthesitemustbeinspectedandverifiedtobeinproperconditionpriorto
makingthelift.
16. Checkif"OSHA"requiredinspectiondocumentsareinorder.(Monthly/Periodic/Annualinspections).
YES NO
COMMENTS:
PRE: DATE:
RS: DATE:
1. TheOperatorhascompletedthedailycraneinspectionchecklistandallequipmentandsystemsareina
satisfactoryconditiontoperformthelift.
2. Theriggingcrewandequipmentoperator(s)haveverifiedhaulingandliftingequipmentissetupperthe
rigging/liftingplan.
3. TheRiggingEngineerand/orRiggingSupervisorhasinspectedandverifiedadequacyofthespecifiedliftpoints.
4. TheRiggingEngineerand/orRiggingSupervisorhaveinspectedtheloadforfactorsthatmayaddtothetotalweight
ofthelift,suchasice,excessmoistureorpackingmaterials.
5. TheRiggingSupervisorhasinspectedthehaulingandliftingequipment.
6. ClearcommunicationsbetweentheOperatorandtheRiggingcrewhasbeenemphasized.
7. TheRiggingSupervisorhasevaluatedweatherconditionstoensuretheliftcanbemadesafely.
8. Theriggingcrewandequipmentoperator(s)haveinspectedattachmentsandriggingequipmentincludinglugs,
slings,shackles,andspreaderbeams.
9. Theriggingcrewhasevaluateduseoftaglinesorothermeansforcontrollingtheload.
10. Theriggingcrewhasplacedtemporarybarricadesaroundtheworkareaandnotifiedadjacentworkcrewsofthe
riggingworkoperation.

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