Professional Documents
Culture Documents
1.0 General
Location:
Date of lift
Description of the object to be raised:
Lift description:
Diagram of Crane Lift and Load Placement Attached? ____ Yes ____No
Diagram of Rigging and Load Attached? ____ Yes ____No
Does this lift Involve Lifting Personnel? ____ Yes ____No
2.0 How weight of the object was obtained
Size of mats:
Source 1:
Number of mats:
Weight (lbs):
Source 2:
Weight (lbs):
3.0 Load Calculations
Others (lbs)
8.0 Rigging
9. 0 Crane Placement
Crane inspected
___________________________________________
Crane set up
___________________________________________
Matting acceptable
___________________________________________
___________________________________________
Rigging inspected
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Operator qualified
Obstacles in travel?
___________________________________________
___________________________________________
Rigger qualified
___________________________________________
___________________________________________
Traffic controlled
___________________________________________
Tailboard
___________________________________________
Site controlled
YES
NO