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(A) Form 16-2 Standard Pre-Lift Crane Planchecklist

This document is a standard pre-lift checklist used to plan crane lifts. It contains sections to check that the crane, load, rigging, personnel, and area are properly prepared. Some key points covered are verifying the lift is within the crane's capacity, identifying potential hazards, determining weights and rigging needs, defining roles, notifying other personnel, and preparing landing locations. Completing the checklist helps ensure lifts are conducted safely.

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Verde Gri
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69 views2 pages

(A) Form 16-2 Standard Pre-Lift Crane Planchecklist

This document is a standard pre-lift checklist used to plan crane lifts. It contains sections to check that the crane, load, rigging, personnel, and area are properly prepared. Some key points covered are verifying the lift is within the crane's capacity, identifying potential hazards, determining weights and rigging needs, defining roles, notifying other personnel, and preparing landing locations. Completing the checklist helps ensure lifts are conducted safely.

Uploaded by

Verde Gri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EM 385-1-1

30 Nov 14

FORM 16-2

Standard Pre-Lift Crane Plan/Checklist

DATE: ___/___/______ Job Number: _____________ Location: ___________________

TIME: __________ Completed By (Competent Person):____________________

NOTE: Applies to Cranes, Derricks, Hoists and Power-Operated equipment that can be
used to hoist, lower and/or horizontally move a suspended load (includes excavators,
forklifts, Rough Terrain equipment, etc., when used with rigging).

Crane Considerations Yes No


Are the lifts within the crane’s rated capacities? (based on boom height,
1
radius)
2 Boom deflections considered?
3 Have all potential crane boom obstructions been identified?
Have Environmental Considerations been addressed? (Wind, Weather-
4 Lightning)
5 Have electrical hazards been addressed (Overhead / Underground)
- Clearance distances established?
- Is a spotter required?
- Public Utility contact required?
6 Crane swing radius properly barricaded and personnel advised of hazards?
Comments:

Load Yes No
1 Weights and Centers of Gravity (COG) have been Determined?
2 Anything Inside / Outside the loads that could shift during the lift?
3 Determine if the rigging needs protection from the loads?
4 All anchor bolts, hold downs, or fasteners have been removed?
5 Potential for binding – are load cells required to verify the loads are free?
6 Attachment points rated to take load weight?
7 Are the loads structurally capable of being lifted? (bending & twisting issues)
8 Is a critical lift plan required per the EM section 16.H?
Comments:

16-72
EM 385-1-1
30 Nov 14

FORM 16-2 (cont’d)

Standard Pre-Lift Crane Plan/Checklist

Rigging Yes No
1 All rigging has been inspected by a Qualified Rigger?
2 Have sling angles been calculated?
3 Are shackles correctly sized for the sling eyes?
4 Are softeners needed?
Comments:

Personnel Yes No
1 The roles, responsibilities and qualifications for personnel have been defined?
(Operator, Lift Supervisor, Rigger, Signal Person)
2 A Pre-Lift meeting has been conducted?
3 Personnel trained per the EM?
Comments:

Area Preparation Yes No


1 The locations for the load landings has been selected and prepared?
2 Blocking and or Cribbing is available to set the loads on?
3 Travel paths have been determined and cordoned off?
4 Other personnel in the area have been notified of the lifts?
5 Have ground bearing support questions been addressed?
Comments:

Crane Operator: _____________________________ Date: ____________

Riggers: ___________________________________ Date: ____________

Signal Person: ______________________________ Date: ____________

Others: ____________________________________ Date: ____________

16-73

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