A04.06_SOW_Attch._Contractor_Crane_Certificate_of_Compliance_and_Checklist.pdf

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

SUSPENDED LOADS) 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, MHE, 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 nation regulations for naval activities in foreign countries) and applicable ASME B30 or other standards. The following OSHA regulations and ASME or other 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. All safety devices and operator aids are enabled and functioning properly and the operators noted above have been trained not to bypass safety devices and operator aids 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.

5. Signal persons used in construction work are qualified in accordance with 29 CFR 1926.1428.

6. Riggers are qualified in accordance with NAVFAC P-307, paragraph 11.1.k.

7. All personnel working on the job site have been trained to not stand under a load or in the fall zone of a suspended load unless specifically allowed by USACE EM 385-1-1.

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) Figure P-1

P-1

CONTRACTOR CRANE OR RIGGING OPERATION CHECKLIST

YES NO N/A

1 Is the Certificate of Compliance, P-1, in the operator’s cab (or in the contractor’s on-site office for rigging operations) with the current operator’s name listed?

2 Is the crane/machine transited to and from the job site correctly? Are the OEM instructions for travel being followed?

3 Does the operator know the weight of the load to be lifted?

4 Is the load to be lifted within the crane/machine manufacturer's rated capacity in its present configuration?

5 Are outriggers/stabilizers required and, if so, are they properly extended and down?

6 If outrigger/stabilizers are used, and the wheels are not off the ground is this the correct setup in accordance with the OEM?

7 Is the crane/machine level and on firm ground, or if the ground is not firm are adequate supporting materials provided?

8 If supporting materials are provided, is the entire surface of the outrigger/stabilizer pad supported and is the supporting material of sufficient strength to safely support the loaded outrigger/stabilizer pad?

9 If outriggers/stabilizers are not used, is the crane/machine rated for on-rubber lifts by the OEM’s load chart?

10 Is the swing radius of the crane counterweight clear of people and obstructions and are accessible areas within the swing area barricaded to prevent injury or damage?

11 Has the hook been centered over the load in such a manner to minimize swing?

12 Is the load well secured and balanced in the sling or lifting device after it is lifted a few inches for verification?

13 Is the lift and rotation path clear of obstructions?

14 If rotation of the load being lifted is hazardous, is a tagline or other restraint being used?

15 Are personnel prevented from standing or passing under a suspended load?

16 Is the operator paying full attention to the signal person?

17 Are proper signals being used? Is the operator responding properly to the signals? Are radios used for blind lifts?

18 Are empty hooks lashed or otherwise secured during travel to prevent swinging?

19 Does the operator remain at the controls while the load is suspended?

20 Does the operator ensure that side loading is prohibited?

21 Are personnel prevented from riding on a load?

22 Are start and stop motions in a smooth fluid motion (no sudden acceleration or deceleration)?

23 Is the lift a critical lift?

24 If so, is a lift plan provided and understood and check-off sheets initialed and signed off?

25 If overhead power lines are in the vicinity, is a critical lift plan provided addressing the requirements of 29 CFR 1926.1407-1411?

26 If pick and carry operations are allowed and performed, are OEM directions followed (e.g. rotation lock engaged, boom centered over front or rear, etc.)?

27 When the crane/machine is left unattended, is it in a safe condition?

28 Is rigging gear undamaged and acceptable for the application?

Figure P-2 (1 of 2) P-2

YES NO N/A

29 Does rigging gear meet applicable ASME or host nation standards (e.g., ASME B30.9 for slings, B30.10 for hooks, B30.26 for rigging hardware such as shackles, safety hoist rings, and eyebolts, B30.20 for below the hook lifting devices)?

30 Was the rigging gear inspected prior to use?

31 Is sling protection used to protect slings (especially synthetic slings) and equipment from damage due to abrasion and sharp corners and edges?

32 Is the rigging gear used in accordance with its working load limit?

Is the working load limit marked on the rigging gear?

33 Are positive latching devices (or “mousing”) used on crane and rigging hooks?

34 If a mobile crane is used on a barge, are all rules of 29 CFR 1926.1437(construction) being followed?

35 If a mobile crane is used on a barge are the outriggers/stabilizers blocked or are the crawlers traveling in a defined space as allowed by 29 CFR 1926.1437 (construction)?

36 For floating cranes, are rules of 29 CFR 1915 (ship repair) or 29 CFR 1926.1437 (construction) being followed?

37 If a multi-purpose machine, forklift, or construction equipment is being used, is there proof from the OEM (or qualified PE) that the machine is approved for suspended load lifting and is there a load chart?

38 If a personnel lift is being performed with a crane or base mounted hoist, are all requirements of NAVFAC P-307, paragraph 11.1.g(5) for a crane or 11.1.m for a base mounted hoist being followed?

Contractor:

Subcontractor:

Location:

Date:

Notes:

Signature of Government Representative:

Figure P-2 (2 of 2)

P-3