A22 - Enclosure D - ENG_Form_6209_Certificate of Compliance for LHE and Rigging (JUN-2023).pdf
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- W. Kerr Scott Crane Rental
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- W912PM26QA048
About this file
This document is ENG Form 6209, a Certificate of Compliance for Load Handling Equipment and Rigging issued by the U.S. Army Corps of Engineers (USACE) in June 2023.
The form serves as a certification that Load Handling Equipment (LHE), cranes, rigging gear, and equipment operators meet all applicable regulatory requirements before commencing work under a USACE contract. A company official must complete and sign this certificate prior to the start of all LHE and crane activities, and the Contracting Officer must accept it in accordance with Section 16-7 of EM 385-1-1. The form captures identifying information including the project name, contract number, names and contact information for the Contracting Officer, prime contractor, sub-contractor, and Site Safety and Health Officer (SSHO) or Quality Control representative. It also requires documentation of the LHE manufacturer, equipment type, capacity, and the names of all operators.
The signatory certifies six key compliance points: that the LHE and rigging gear conform to EM 385-1-1, applicable ASME standards, manufacturer instructions, and federal, state, and local requirements including inspections and tests; that operators are trained, qualified, and designated for the specific equipment; that operators are trained not to bypass safety devices; that operators have received a physical examination within the past three years meeting ASME B30.5 physical qualifications; that operators, riggers, and company staff understand the requirement to immediately report all accidents to the Contracting Officer; and that the completed and signed certificate will be posted and maintained with each crane or LHE unit.
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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
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.
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
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