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H&S Self-Assessment Checklist—CRANES, HOISTS AND RIGGING Page 1 of 2
This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s Field Safety
Instructions. This checklist is to be used at locations where CH2M HILL employees are exposed to crane, hoist and rigging hazards.
Designated Safety Coordinator (DSC) may consult with subcontractors when completing this checklist, but shall not direct the means and
methods of crane, hoist and rigging operations nor direct the details of corrective actions. Subcontractors shall determine how to correct
deficiencies and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious injury or death)
shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.
Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________
This specific checklist has been completed to:
Evaluate CH2M HILL employee exposure to crane, hoist and rigging hazards
• Check “Yes” if an assessment item is complete/correct.
• Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the subcontractor. Section 2
must be completed for all items checked “No.”
• Check “N/A” if an item is not applicable.
• Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-44.
SECTION 1
SAFE WORK PRACTICES (3.1)
1. Individuals operating cranes and hoists of any type are certified operators
2. Cranes have current annual inspection and operations manual with load charts on site
3. Swing radius of cranes are guarded and barricaded
4. Competent person inspects crane daily
5. Pre-lift meetings conducted with all parties involved in crane operations
6. Cranes used to lift vertically only
7. Adequate distance maintained between cranes parts and overhead power lines
8. Dedicated signal person assigned to signal operator
9. Cranes do not swing over live roadways, railways, processes, or occupied buildings
10. Critical lifts have written lifting/rigging plan
11. No personnel permitted on or under loads lifted by crane. Tag lines used to control load
12. Manufacturers specifications and limitations for hoists followed
13. Personnel not permitted to ride on material hoists
14. Weather conditions considered when lifting operations performed
15. All rigging used as intended, inspected, stored, protected and supervised.
16. No fabrication, modifications, or additions to rigging made without testing and approval
Yes No N/A N/O
GNV310133632156.DOC/090840008 A-85