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