A2 - SOW_Enclosure A - CERTIFICATE OF COMPLIANCE FOR LHE.pdf
PDF 49 KB Posted
- Attached to
- BEJ Crane Rental Services
- Solicitation number
- W912PM25QA022
About this file
The document is an ENG FORM 6209 (June 2023) Certificate of Compliance for Load Handling Equipment and Rigging, used by the U.S. Army Corps of Engineers to certify that load handling equipment (LHE), rigging, and operators meet regulatory requirements. The form requires comprehensive certification that includes:
- Verification that the LHE and rigging gear conform to EM 385-1-1, ASME standards, manufacturer instructions, and federal/state/local requirements. 2. Confirmation that operators are trained, qualified, and designated to operate the specific LHE, have received a physical examination within the past three years, and are trained not to bypass safety devices. 3. A commitment that all accidents will be immediately reported to the Contracting Officer. The form must be signed by the company's official representative, completed prior to LHE/crane activities, and submitted to and accepted by the Contracting Officer, with the completed certificate to be posted and maintained with each crane/LHE.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ENG FORM 6209, JUN 2023
U.S. Army Corps of Engineers (USACE)
CERTIFICATE OF COMPLIANCE FOR LOAD HANDLING EQUIPMENT AND RIGGING
For use of this form, see EM 385-1-1; the proponent agency is CESO.
Purpose: This form designates and certifies that LHE, Rigging, and Operator(s) meet all applicable regulatory requirements.
This certificate must be signed by the official of the company that provides Load Handling Equipment (LHE)/Cranes and rigging gear for any application under this contract. Prior to the start of all LHE/crane activities, the completed certificate must be submitted to, and accepted by, the Contracting Officer according to Section 16-7 of the EM 385-1-1.
Project Name Contract Number
Contracting Officer's Name Phone Number
Prime Contractor Name Phone Number
Sub-Contractor Name Phone Number
SSHO or QC Name Phone Number
LHE Manufacturer LHE Type LHE Capacity
LHE Operator(s) Name(s)
I certify that the:
LHE identified above and all rigging gear conform to the EM 385-1-1, applicable ASME standards, manufacturer's instructions, federal, state, and local requirement to include inspections and tests.
Operator(s) identified above are trained, qualified, and designated to operate the LHE identified above.
Operator(s) identified above are trained not to bypass safety devices during LHE operations.
Operator(s) identified above received a physical examination within the past three years and meets the physical qualifications of ASME B30.5.
Operator(s), rigger(s), and company official (staff) understand the requirement that all accidents will be immediately reported to the Contracting Officer.
This completed and signed CoC will be posted and maintained with each Crane/LHE.
Name of Company's Official Representative: Title of Company's Official Representative
Signature of Company's Official Representative Date
ENG FORM 6209, JUN 2023
CERTIFICATE OF COMPLIANCE FOR LOAD HANDLING EQUIPMENT AND RIGGING
For use of this form, see EM 385-1-1; the proponent agency is CESO.
Purpose: This form designates and certifies that LHE, Rigging, and Operator(s) meet all applicable regulatory requirements.
This certificate must be signed by the official of the company that provides Load Handling Equipment (LHE)/Cranes and rigging gear for any application under this contract. Prior to the start of all LHE/crane activities, the completed certificate must be submitted to, and accepted by, the Contracting Officer according to Section 16-7 of the EM 385-1-1.
I certify that the:
1.0 darwin.chen@usace.army.mil 2023-05-05 Forms Design Team Darwin Chen 2023-05-30
CERTIFICATE OF COMPLIANCE FOR LOAD HANDLING EQUIPMENT AND RIGGING
CERTIFICATE OF COMPLIANCE FOR LOAD HANDLING EQUIPMENT AND RIGGING
ENG FORM 6209, JUN 2023
Print Form Save As
CERTIFICATE OF COMPLIANCE FOR LOAD HANDLING EQUIPMENT AND RIGGING
For use of this form, see EM 385-1-1; the proponent agency is CESO.
Purpose: This form designates and certifies that LHE, Rigging, and Operator(s) meet all applicable regulatory requirements.
This certificate must be signed by the official of the company that provides Load Handling Equipment (LHE)/Cranes and rigging gear for any application under this contract. Prior to the start of all LHE/crane activities, the completed certificate must be submitted to, and accepted by, the Contracting Officer according to Section 16-7 of the EM 385-1-1.
Project Name Contract Number Contracting Officer's Name Phone Number
Prime Contractor Name
Sub-Contractor Name
SSHO or QC Name
LHE Manufacturer LHE Type LHE Capacity LHE Operator(s) Name(s) I certify that the:
LHE identified above and all rigging gear conform to the EM 385-1-1, applicable ASME standards, manufacturer's instructions, federal, state, and local requirement to include inspections and tests.
Operator(s) identified above are trained, qualified, and designated to operate the LHE identified above.
Operator(s) identified above are trained not to bypass safety devices during LHE operations.
Operator(s) identified above received a physical examination within the past three years and meets the physical qualifications of ASME B30.5.
Operator(s), rigger(s), and company official (staff) understand the requirement that all accidents will be immediately reported to the Contracting Officer.
This completed and signed CoC will be posted and maintained with each Crane/LHE.
Name of Company's Official Representative:
Title of Company's Official Representative Signature of Company's Official Representative Date
| PrintButton1: |
| saveas: |
| TextField1: |
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
TextField1:
CheckBox1:
CheckBox1:
CheckBox1:
CheckBox1:
CheckBox1:
CheckBox1:
| SignatureField1: |
| DateField1: |
File details come from the government source that posted it. Updated .