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Crane Service
J Bar Provides Crane Service for your Needs!
Crane Site Check List
Inspector Name
First
Last
Customer Name
First
Last
Customer Email
Site Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
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Northern Mariana Islands
Ohio
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
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Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
GPS Cooridinates
Emergency Contact Info (911)
Emergency Contact Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Inspection
Date
MM slash DD slash YYYY
Time
:
Hours
Minutes
AM
PM
AM/PM
Personal Protective Equipment Needed:
Hard Hat
Safety Glasses
Safety Toed Footwear
Gloves
Ear Plugs
Sunglasses
2 Way Radio
Job Planning
1. Has the job been planned, coordinated and communicated with all employees, including any 3rd party companies?
Yes
No
N/A
2. Are there any OH powerlines withing 25 ft or less?
Yes
No
N/A
3. Have all parties on the job site been notified of swing zones,and any potential hazzards?
Yes
No
N/A
4. If the crane operating near or on roads, are there measures in place to control the movement of traffic safely around the crane?
Yes
No
N/A
5. Is the crane poistioned so that the lifting loads over public areas is avoided as much as possible (i.e. footpaths, roads, railways, buildings)?
Yes
No
N/A
6. Have factors been considered that will affect the ability of the ground to provide adequate support( i.e., type of ground, presence of water, etc.)?
Yes
No
N/A
7. Has there been any recent trenching or digging done where the crane will be setting up?
Yes
No
N/A
8. What is the weight of what we will be lifting?
Yes
No
N/A
Site Photo Submission
Submit Photos with your phone
Muster Point
Accepted file types: jpg, jpeg, png, gif.
Entry Location
Accepted file types: jpg, jpeg, png, gif.
Exit Location
Accepted file types: jpg, jpeg, png, gif.
Crane Location
Accepted file types: jpg, jpeg, png, gif.
Septic Tank (if any)
Accepted file types: jpg, jpeg, png, gif.
UG Utilities Location
Accepted file types: jpg, jpeg, png, gif.
OH Utilities Location
Accepted file types: jpg, jpeg, png, gif.
OH Utilities Location
Accepted file types: jpg, jpeg, png, gif.
Swing Zone
Accepted file types: jpg, jpeg, png, gif.
Load Location
Accepted file types: jpg, jpeg, png, gif.
Hazards
Accepted file types: jpg, jpeg, png, gif.
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