Crane Cert.pdf

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Attached to
Scheduled Dock Side Repairs USCGC IDA LEWIS (WLM-551)
Solicitation number
HSCG85-12-Q-P30775
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Amend 00001 HSCG85-12-Q-P30775.pdf PDF
Solicitation For USCGC IDA LEWIS_WLM_551_DOCKSIDE.docx DOCX document
One Day Pass Request.xlsx XLSX spreadsheet
NAVSTA Newport Pier Restriction.pdf PDF
IDA LEWIS SPECIFICATION.pdf PDF

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FIGURE P-1

APPENDIX P – CONTRACTOR CRANE (OR ALTERNATE MACHINE USED TO LIFT

SUSPENDED LOAD) AND RIGGING GEAR REQUIREMENTS

CERTIFICATE OF COMPLIANCE

This certificate shall be signed by an official of the company that provides cranes (or multi-purpose machines, material handling equipment, or construction equipment used to lift loads suspended by rigging gear) or rigging gear for any application under this contract. Post a completed certificate on each crane or alternate machine (or in the contractor’s on-site office for rigging operations) brought onto Navy property.

CONTRACTING OFFICER’S POINT OF CONTACT

(Government Representative)

PHONE

PRIME CONTRACTOR/PHONE

CONTRACT NUMBER

CRANE OR ALTERNATE MACHINE SUPPLIER/PHONE

(if different from prime contractor)

CRANE OR

ALTERNATE MACHINE

NUMBER (i.e., ID number)

CRANE OR ALTERNATE MACHINE MANUFACTURER/TYPE/CAPACITY

CRANE OR ALTERNATE MACHINE OPERATOR'S NAME(S)

I certify that

1. The above noted crane or alternate machine and all rigging gear conform to applicable OSHA regulations (host country regulations for naval activities in foreign countries) and applicable ASME B30 standards. The following OSHA regulations and ASME standards apply:________________________________________________________

2. The operators noted above have been trained and are qualified for the operation of the above noted crane(s) or alternate machine(s).

3. The operators noted above have been trained not to bypass safety devices during lifting operations.

4. The operators, riggers and company officials are aware of the actions required in the event of an accident as specified in the contract.

COMPANY OFFICIAL SIGNATURE

DATE

COMPANY OFFICIAL NAME/TITLE

POST ON CRANE (OR ALTERNATE MACHINE)

(IN CAB OR VEHICLE)

(or in the contractor’s on-site office for rigging operations)

P-1.pdf
CONTRACTING OFFICER’S POINT OF CONTACT
CRANE OR ALTERNATE MACHINE SUPPLIER/PHONE
Company:
Crane ManufactuwCrane ModeVCrane Number:
Date of Annual Inspection Expiration:
Date of Quadrennial Inspection Expiration:
Contracting OIftclal:
Phone Number:
Location of lift site:
Duration crane will be continuously on the job site hrs days weeks:
Which OSHA regulations does the certificate of compliance indicate For cranes used in cargo transfer 29 CFR 1917 applies for cranes used in construction demolition or maintenance 29 CFR 1926 applies for cranes used in shipbuilding ship repair or ship breaking 29 CFR 1915 applies:
Does the plan designate a qualified RiggerinCharge:
What is the weight of the heaviest load to be lifted:
What is the weight of the rigging gear:
Main Block:
Aux Block:
Jib Stowed:
Jib Erected:
Other:
What is the main boom length If a jib will be utilized indicate the length and offset:
What are the minimum and maximum load radii I Min:
Max:
What are the environmental conditions under which crane operations are to be stopped:
What circumstances require this lift to be classified as a critical lift Blind lift 75 of chart nonroutine rigging etc:
What are the exact dimensions of the load L x W x H:
Does the plan indicate the crane position Overhead view:
What is the maximum lift height of the lift:
What is the minimum boom angle:
What is the maximum boom angle:
What is the name of the operator:
Indicate names of backup operator if required:
Does the plan show lift points:
Does the plan describe the rigging procedures:
Does the plan indicate rigging hardware requirements:
What are the coordination and communication requirements for the l lift eg radio and hand signals:
What is the name of the lift supervisor:
Does the plan indicate the qualifications of the lift supervisor:
What are the names of the riggers:
I:
I_3:
I_4:
Proposed Dates of Entry:
Prime Contractor:
Prime Contractor POe I Phone:
Contracting Officer:
Phone I Contract Number:
Crane SupplierlPhooc if different from prime contractor I Serial number:
Crane Manufacturer I Crane Model I Crane Number:
2:
Manufacturers Maximum Rated Capacity I Heaviest Lift:
3:
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CONTRACTING OFFICERS POINT OF CONTACT Government Representative:
PHONE:
PRIME CONTRACTORPHONE:
CONTRACT NUMBER:
CRANE OR ALTERNATE MACHINE SUPPLIERPHONE if different from prime contractor:
Text1:
CRANE OR ALTERNATE MACHINE MANUFACTURERTYPECAPACITY:
CRANE OR ALTERNATE MACHINE OPERATOR S NAMES:
apply:
COMPANY OFFICIAL SIGNATURE:
DATE:
COMPANY OFFICIAL NAMETITLE:

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