South Dhahran Home Ownership (SDHO) Project
Residential District-1
Contract # 6600036148
BI - 28 - 00013
___________________________ MOBILE CRANE SAFETY CHECK / SET UP / WORK LOCATION CHECKLIST
DATE
___________________________ (TO BE ACCOMPLISHED IN EVERY NEW LOCATION BY THE CRANE OPERATOR & RIGGER)
PLATE #
___________________________ LOCATION 1 LOCATION 2 LOCATION 3 LOCATION 4 LOCATION 5 LOCATION 6 LOCATION 7
BODY #
SAFETY CHECK YES NO YES NO YES NO YES NO YES NO YES NO YES NO
(TO BE ACCOMPLISHED BY SAFETY OFFICER)
Lifting procedure/prepared / planned
Approved / Certified Crane Operator
Approved / Certified Riggers or Signal Man
Lifting calculation completed/Load Test/Charts
Shackles inspected
Details of crane lift shall be communacated to
the affected personnel
Slings inspected with certificates
Safety Latches on Hook
Daily crane checklist completed
LOCATION 1 LOCATION 2 LOCATION 3 LOCATION 4 LOCATION 5 LOCATION 6 LOCATION 7
SET UP CHECKLIST
YES NO YES NO YES NO YES NO YES NO YES NO YES NO
Crane Stability and Positioning
Main crane inspected / Jibs in good condition
Outriggers fully extend
Tag lines in place
Crane Boom Damage
Safe Load charts
Mats / Pads permanently fixed
Winch Break system functioning
Main Brake system functioning
Crane Operator's line of sight to the designated
signal man shall not be obstructed
All cab glass shall be safety glass and kept clean
without obstruction or damage
Fire Extinguisher
LOCATION 1 LOCATION 2 LOCATION 3 LOCATION 4 LOCATION 5 LOCATION 6 LOCATION 7
LOCATION CHECKLIST
YES NO YES NO YES NO YES NO YES NO YES NO YES NO
Weather in Good condition
Wind Speed below or equal to 32 kp/h (20mph)
Warning sign and Barrication
Pick up and drop paths identified
Is the Lift area around the crane controlled
LOCATION 1 LOCATION 2 LOCATION 3 LOCATION 4 LOCATION 5 LOCATION 6 LOCATION 7
* Note*
IF ANY OF THE FOLLOWING APPLIES; TO BE
CONSIDERED AS CRICTICAL LIFT
YES NO YES NO YES NO YES NO YES NO YES NO YES NO
Critical Lift Permit available
Close to any Excavtion
Close to Electtrical Power lines
Operating around hydrocarbons
Above Ground Pressurized pipes
Populated/Traffic Areas and Rail roads
All Loads 40 tons or greater
All Loads exceeding 85% of the rated load
capacity for that specific lift
Tandem, multiple or tailing lifts (any lift
requiring two or more cranes to lift one load)
Crane suspended personnel
platforms(manbasket)
High Level and / or long reach crane lift
Nighttime crane lift(except as approved during
turnaround and inspection {T&I} or shut down
Other lifts as determined by SA management
LEGEND
A C A= BOOM LENGTH S W L = SAFE WORKING LOAD
B= RADIUS
C= HOOK WEIGHT C C C = CURRENT CRANE CAPACITY
D= ACTUAL LOAD
D
CALCULATION
A = meter
B = meter
C = ton C C C % = C+D
100 =
D = ton SWL
S W L = TONS
CCC=%
B
NOTE: MUST NOT BE MORE THAN 85 %
REMARKS:
Safe to commence work
YES NO
*** if answer is NO to any of these question, DO NOT COMMENCE LIFT***
INSPECTED BY
NAME:______________________________________________ SIGNATURE:_______________________________
OPERATOR
NAME:_____________________________________________ SIGNATURE:_______________________________
RIGGER
CHECKED BY:
NAME:______________________________________________ SIGNATURE:_______________________________ SN : FC
SAFETY OFFICER 4.1.30
