Cranes and Material Handling Devices
Contents
1. Testing Date Project Equipment Manufacturer Model Capacity Pre Start Inspection PASS 1 Assure that no repairs are in progress a 2 Check all fluid levels a 3 Check tires wheels a 4 Check for oil leaks a 5 Check the brakes a 6 Check all hoses a 7 Check battery a 8 Check lights a 9 Check horn a 10 Check back up alarm a 11 Check fire extinguisher a 12 Operator knows the capacity of forklift a 13 Check operation of controls a 14 Capacity chart posted a 15 Operator s manual cab a Operating Skills Evaluation PASS 1 Does operator drive at a safe rate of speed 2 Did operator slow down at stops intersections a 3 Did the operator approach the load cautiously 4 Does the operator know the weight of the load a 5 Did the operator place the forks under the load properly a 6 Did the operator raise and position the load properly a Did the operator strike anything while moving the load a 8 Is the seat belt worn while operating Operator Name Print Examiner Name Print Operator Signature Examiner Signature Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 Page 13 FAIL FAIL EHSP Rev 7 Revised August 2007 CEU D ER Construction Inc Evaluaci n del desempeno del operador de un elevador de horquilla2. Q Guy ropes pendant lines cable clips thimbles and ferrules 3 Counterweight support 4 Job backstops boom stops Remarks Record corrective action s here Operator s signature 22222222 MONLTHY Service and Maintenance Inspection l Examination of hoist cables Remarks Record corrective action s here Operator s signature ANNUAL Service and Maintenance Inspection l Examine all winches and test line pull to manufacturer s specifications 2 Drive transmissions and power equipment ring gear assembly 3 Non destructive test A mast counterweight jib staybacks guy lines and pendant lines outriggers beams and boxes A All load carrying equipment sheaves blocks rings shackles hooks chains and slings Remarks Record corrective action s here Operator s signature NOTE It is intended that the equipment be checked daily and weekly by the operator Any defect must be reported under the space s left for remarks The weekly inspections do not relieve the operator of the responsibility to perform daily inspections and to report any fault immediately Refer to requirements in OSHA Standards 29CFR 1910 180 and 1926 550 Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 23 Revised August 2007 DPR Construction Inc Mobile Crane In
3. 2 A daily inspection as required by OSHA must be performed on all cranes Typically these inspection logs will already be with the cranes A sample inspection form is provided 3 For steel erection activities refer to Steel Erection Appendix for specific guidelines on hoisting and lifting This package is designed to assist you in running a smooth and safe operation while on our projects If you have any questions regarding any information contained within please contact the DPR Project Team Thank you for your assistance in helping us to create an Injury Free Environment DPR Construction Inc Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 16 Revised August 2007 Job Name Contractor Requesting Crane Contractor Providing Crane Crane Pre Lift Checklist Archive Document DO NOT DISCARD Job Number Date Date Crane will be Lifting Date of Crane Arrival You must contact DPR project management at least one 1 day prior to any lift Documentation a a D C Valid crane lift certification with all repairs completed Written verification from crane lift owner that maintenance has been performed pursuant to manufacturer s recommendations Verify operator s certification or obtain written verification of hands on written competency testing with specific make and model of crane lift Verification of rigger s trainin
4. o Aseg rese de que nadie ponga las manos ni ninguna otra parte del cuerpo entre el extremo del sistema de suministro y un objeto fijo Firma del empleado Firma de la persona que efect a la revisi n de verificaci n ANTES DE EMPEZAR EL TRABAJO se debe enviar una copia de este formulario por fax a la oficina regional de DPR Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 30 Revised August 2007
5. Documento de archivo NO DESECHAR Nombre del empleado Fecha del examen Proyecto Equipo Fabricante Modelo Capacidad Inspecci n antes de la puesta en marcha APROBADO DESAPROBADO 1 Chequear que no exista una reparaci n en curso a a 2 Chequear todos los niveles de fluidos a a 3 Chequear ruedas y neum ticos a a 4 filtraciones de aceite a a 5 los frenos a 6 Chequear todas las mangueras a a 7 la bater a a a 8 Chequear luces a a 9 Chequear bocina a a 10 Chequear la alarma de refuerzo a a 11 Chequear el extinguidor de incendios a a 12 Operador conoce la capacidad del elevador de horquilla a a 13 Chequear la operaci n de los controles a a 14 Tabla de capacidades a la vista a a 15 Manual del operador en la cabina a a Evaluaci n de capacidad de operaci n APROBADO DESAPROBADO 1 Maneja el operador a una velocidad prudente a 2 Redujo el operador velocidad en los signos Pare o en las a intersecciones 3 Se acerc el operador con cuidado a la carga a a 4 Conoce el operador el peso de la carga a 5 El operador coloc correctamente las horquillas debajo de la a a carga 6 operador levant y coloc la carga adecuadamente m a 7 mover la carga choc con algo el operador a a 8 Us e
6. EHSP Rev 7 Page 22 Revised August 2007 DPR Construction Inc Mobile Crane Inspection Checklist Archive Document DO NOT DISCARD Month Equipment Note if used by more than one operator each operator is to place their initials in the appropriate box s and sign where indicated or use separate sheet Day of the Month DAILY Service and Maintenance Inspection l Check brakes motors drums gearboxes bearings and drive alignment 2 Inspect ropes cables and hoist spooling 3 Check air hydraulic electrical components for wear and damage 4 Servicing as per manufacturer s recommendations 5 Inspect rigging hooks slings and shackles 6 Test boom angle indicator and other safety devices 7 Check anti two block device 8 Check outriggers and pads 9 Check fluid levels and lubrication as require 10 Check cable rollers track slewing rings and rollers 1l Check structural bolts and pins 12 Check structure for cracks and buckling 13 Check walkways handrails and ladders 14 Check in cab controls cab glass fire extinguisher Remarks Investigate unusual noises or problems record corrective action s here Operator s signature WEEKLY Service and Maintenance Inspection 1 Check structural bolts and pins 2 Check all moving parts O Gears shafts and drives Sheaves bushings and pins A Rollers tracks and slewing rings
7. Tu Work Area Cleaned Up 0 M Tu Cords Rolled Up If you need a work diagram attach it on a separate sheet of paper Ow OThOF Ow OM OTu OWOTh O F EHSP Rev 7 Revised August 2007 DPR Construction Inc PUMP PLAN Please draw a map to detail set up points sequencing of pour protection etc Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 27 Revised August 2007 DPR Construction Inc Concrete Pump Hand Signals START PUMP SPEED UP 1 2 COMIENCE A DESACELERE ACELERAR LA BOMBA LA BOMBA B PLUMA 10 pLuMA 11 PLUMA 13 CIERREO 14 PARELA HACIA HACIA LA HACIA LA PLIEGUE PLUMA ARRIBA IZQUIERDA DERECHA LA PLUMA VARIA Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 28 Revised August 2007 DPR Construction Inc Concrete Pump Truck Training Verification Archive Document DO NOT DISCARD Name Date Jobsite Company Overhead Power Lines o Ifa concrete pump hits touches an overhead power line and becomes energized everything that the pump is touching will also become energized o The minimum safety distance for energized power li
8. or Print on This Form Expiration Date 7 31 07 e Failure To Provide All Requested Information May Delay Processing of Your Notice CURE Aeronautica Stud y Num ber US Department ot Transportation Notice of Proposed Construction or Alteration Binaca 1 Sponsor person company etc proposing this action Attn of Name Address Datum NAD 83 C Other Nearest City State Latitude Longitude City Nearest Public use not private use or Military Airport or H eliport Telephone Distance from 13 to Structure 2 Sponsor s Representative if other than 1 Direction from 13 to Structure Attn of Site Elevation AMSL Name Total Structure Height AGL Address Overall Height 416 417 AMSL Previous FAA Aeronautical Study Number it applicable City i OE Telephone 20 Description of Location Attach a USGS 7 5 minute Quacrangle Map with the precise site marked and any certified survey Notice of New Construction Alteration Existing Duration Permanent Temporary months days Work Schedule Beginning End Type Antenna Tower Crane Building Power Line Water Tank Other Marking Painting and or Lighting Preferred Red Lights and Pai
9. the equipment they will be utilizing and understand the equipment s limitations Utilities have been located and marked prior to start of work critical systems utilities have been pot holed potholing requirements per the DPR EHSP have been reviewed and understood Where applicable the operator should reference blue prints and as builts pertinent to the work area Operator s manual is readily available on the equipment Inspection Perform equipment inspection per operator s manual At a minimum ensure the following are inspected Ensure cab is free of loose materials and debris Ensure operator s manual is in the cab and in legible condition Check tires for cuts bulges chunking and proper inflation Check for proper level of fluids and ensure no leaks are present Check that belts air pressure air filter etc are in place and in good working condition All fittings should be adequately greased Look for broken welds cracks in the paint metal or obvious damage Inspect roll over protection for tightness of bolts quality of welds seat belt is in place and operational Operation When mounting or dismounting maintain three points of contact with the machine at all times Use proper start procedures consult the operator s manual for equipment specific requirements Perform equipment inspection Allow the equipment to warm up prior to operating the machine If applicable the slope angle should be kept to a m
10. time Additionally the following guidelines should be followed e Overhead power lines o Power should be shut off to over head power lines whenever possible and verified dead prior to start o Where units must operator in proximity to energized overhead power lines units should be set up a minimum of 17 feet away e Hose Whipping o No added metal fitting or couplings should be used at the end of the delivery hose o Hoses should not be allowed to become kinked o Personnel should maintain a safe distance from the discharge upon initial startup restart or when air is in the hose The safe distance is equivalent to the length of the discharge hose Rock Concrete Spray o Only trained personnel should be allowed in the area near the hopper barricading or other means of limiting access should be provided to ensure non authorized personnel are kept away e Environmental Hazards Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 9 Revised August 2007 ER DP Construction Inc o All washout activities should be completed in their designated washout area o Concrete activities should be performed so as to contain and or minimize residue or waste water all such wastes should be properly disposed o Refer to the Chemical amp Environmental Appendix for additional environmental protection requirements 14 0 Weather Related Impacts It will be the responsibility of the subcontrac
11. you that it is safe to open the line a plugged line may excessive pressure inside Concrete Pump Tip Over o Outriggers must be setup on firm level ground outrigger pads and cribbing must be used to ensure proper weight distribtion o Upon arrival coordination betwen the pump truck operador and the DPR project team should occur to ensure that all variables of a good setup location have been evaluated i e proximity to work site soil conditions overhead obstructions such as power lines flatness of area etc Environmental Dangers o Concrete should not be discharged onto the ground always ensure a washout area is designated and used Other considerations o The boom of the pump truck should never be used for hoisting or lifting of materials o blind pumping i e the pump operator is not able to see pour provide a suitable means of communication between the pump operator and the crew such as a relay person siganler radios etc o Only the operator should stand under the boom and only when it cannot be avoided and for as little time as possible o Ensure the hose man never walks backwards and never hugs the hose He should hold with both hands to allow the hose to move freely o Ensure the hose man never positions himself between the boom or boom hose and any fixed object like a wall or column o Ensure no one tries to support the tip hose with back or shoulders o Ensure no one positions their hands or any other body par
12. Appendix 4 Cranes amp Material Handling Devices Table of Contents 1 Cranes amp Material Handling Device Requirements 2 Forklift Inspection Form English amp Spanish 3 Forklift Operator Proficiency Evaluation English amp Spanish 4 Forklift Hand Signals 5 Crane Subcontractor Pre Planning Package 6 Crane Hand Signals 7 Notification Worksheet amp Instructions 8 Mobile Crane Inspection Checklist Form 9 Heavy Equipment Inspection Form English amp Spanish 10 Heavy Equipment Training Verification English amp Spanish 11 Concrete Pump Pre Planning Package 12 Concrete Pump Hand Signals 13 Concrete Pump Awareness Training Verification English amp Spanish Copyright 2001 DPR Construction Ine Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 1 Revised August 2007 D ER Cranes amp Material Lifting Devices 1 0 Introduction Proper procedures must be followed to ensure that crane lifts and lifting devices handle loads properly safely and with maximum efficiency All lifting activities should be performed in accordance with manufacturer s specifications Each appropriate subcontractor must review these procedures and provide assurance to the DPR project management that these procedures have been and will be followed Prior to the selection delivery erection use or removal of any crane lift equipment DPR project management will review this section of the DPR EHSP with t
13. Condition of asphalt concrete soil etc where crane lift will be set up amp operating Location of overhead electrical lines e Rated line voltage kv e Distance of lift to lines ft e Lines Energized Yes distance must be greater than 15 unless over 200 then greater than 20 No contact owner and ground lines e Person designated to observe line clearance for operation Distance to neighboring buildings roadways and walkways Q Crane Lift contractor to provide Gross capacity of crane lift to be used Net Capacity of crane lift maximum load weight blocks rigging total weight Maximum Radius Maximum Boom Length Minimum Boom Angle Building height Sling s type Sling s angle Sling s capacity Accessory i e Shackles capacity OOOOOOOO OO Mobilization Continuous throughout Operation D DO D D OO oO LU a Operator and crew complete site safety orientation Determine operator s qualifications and length of experience with specific make and model of crane lift Documentation of Crane Assembly Safety Meeting and Boom Inspection A copy of the manufacturers Operating Manual is on the crane lift A minimum of a 5 BC portable fire extinguisher with current maintenance tag is on the crane lift Conduct a safety meeting covering at least Weather conditions amp related impacts Maximum wind speed per Manufacturer v
14. Inc Heavy Equipment Inspection Inspecion de Equipo Archive Document DO NOT DISCARD Job Name Nombre de Sitio Last Oil Change Untimo Cambio de Acieta Operator Name Olperador Foreman Miodomo Company Compania Current Hours Horas Corriente Model Modelo Equipment Number Equipo de numero Date Feche Initials of person performing inspection Initiales de persona realizar inspeciones Inspection Item Description Ok R A a een Legendario OK checked okay OK esta bien la mequira R Repair needed Backup Alarm Alarma Secundaria Necesitado Steering amp Brakes Volante amp Freno Bucket condition Condicion de Bote Engine Oil or Leaks Aceite de Motor o Escape A Agregar Safety triangles if aplicable R Reparacion Transmission Oil Aceite de Transmission 6 8 9 A Added 713 f any item s are found to be missing or defective the equipment is to be repaired serviced prior to use Defects Reported To Date Equipment Taken Out of Service O Yes No Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 25 Revised August 2007 D a D ER Construction Inc Heavy Equipment Training Verification Form Archive Document DO NOT DISCARD Name Date Jobsite Company Pre planning Operators should be trained in the safe operation of
15. Material Handling Devices Appendix 4 Page 11 EHSP Rev 7 Revised August 2007 CEU D ER Construction Inc Inspecci n previa al uso del elevador de horquilla Documento de archivo NO DESECHAR Modelo Numero del equipo At Medidor de Compania horas Iniciales del inspector Ha sido instruido el operador acerca de la operaci n segura de este tipo de elevador y tiene su certificaci n Art culo inspeccionado y descripci n aprobado desaprobado PRE PUESTA EN MARCHA 1 Estructura del ensamblaje de la horquilla Mastivpluma 2 4 5 7 10 11 12 13 PUESTA EN MARCHA 1 2 Ea 5 6 7 8 ES 10 11 5 Palancas interruptores Luces alarma de refuerzo 7 CHEQUEO DE FUNCIONES 1 Elevador sube baja 2 Telescopio entra sale Inclinaci n dentro fuera Estabilizadores 5 Frenos freno de mano Si se encuentra cualquier art culo faltante o defectuoso el equipo deber ser reparado o recibir servicio de mantenci n antes de su uso Defectos reportados A Fecha Elevador retirado de servicio Si A No Reparaciones hechas Por Fecha Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 12 Revised August 2007 Ud D ER Construction Inc Forklift Operator Proficiency Evaluation Archive Document DO NOT DISCARD Employee Name
16. R Construction Inc Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 3 Revised August 2007 Job Name Contractor Requesting pump truck Contractor Providing pump truck ra DPR Construction Inc Concrete Truck Pre Pump Checklist Archive Document DO NOT DISCARD Job Number Date Date of Pour Location of Pour Documentation a a Valid pump truck certification with all repairs completed Written verification from pump truck owner that maintenance has been performed pursuant to manufacturer s recommendations Written verification of operator s qualifications specific to make and model of pump truck Verification of current valid insurance Complete detailed written pre task planning with operator crew and foreman involved in pour Items to be considered on the pre task plan o Start amp finish times for all pours o Protective measures for workers the environment and the public o Pump truck set up locations with swing path travel plan and distance o Communication plan o Weather considerations Pre Mobilization a Copyright O 2001 DPR Construction Inc DPR Superintendent and requesting pump truck contractor perform site walk Review at minimum o Condition of asphalt concrete soil etc where pump truck will be set up amp operating o Location of overhead electrical lines e Rated lin
17. When it is determined that the bearing pressure exceeds soil stability the bearing area of the crane lift must be increased by the use of cribbing It is important that cribbing be strong enough to withstand the weight of the crane lift without major deflection thus actually increasing the bearing surface Cribbing also must be bolted or secured together to prevent slippage and collapsing and be in complete contact with the soil without any voids or insupportable areas Bearing Pressure The bearing pressure on the corner outrigger is a greater percentage of the total imposed load on that outrigger when the load is moving over that cover outrigger The load percentage on each corner will vary depending on the type of crane lift and operating radius A good rule to follow is to assume each corner is carrying 85 percent of the total load Thus an example calculation would be e Crane and load 150 Tons One 2 ft X 2 ft Float 4 SF e Assume 85 of load at corner e Corner Bearing Pressure 31 8 Tons SF e 150T ASF x 85 31 8T SF Soil Stability The bearing pressure described above must be compared to the load bearing qualities of the soil For descriptive purposes it is convenient to distinguish between three broad groups of soil e Granular soils including sand and gravel e Fine grained soils including silts and clays e Organic soils including peat Different soil types give different load bearing pressure When setting up a ma
18. a different type vehicle o conditions in the workplace change that could affect safe operation 11 0 Heavy Equipment Heavy equipment should be operated in accordance with manufacturer s recommendations and limitations and operators should be trained in the safe operation of the equipment they will be utilizing Heavy equipment should be inspected each day prior to use to determine that they are in safe working condition An operator training verification and daily inspection form is located at the end of this Appendix These forms are provided as a tool for use on the project and may become mandatory at the discretion of the DPR project team 12 0 Helicopters Helicopter operations are not to be used unless all other methods have been considered and determined to be infeasible and approval has been granted in writing from the DPR Corporate EHS Director 13 0 Concrete Pump Trucks Concrete pump trucks should be inspected each day prior to use to determine that they are in safe working condition refer to Concrete Pump Truck Inspection form at the end of this Appendix or use manufacturer s inspection guidelines Concrete pump trucks should be operated in accordance with manufacturer s recommendations and limitations Coordination between the DPR project team and concrete pump truck operators should occur to ensure proper conditions are maintained during setup use breakdown of equipment The boom of the pump should not be used for hoisting at any
19. abilizadores y asientos para asegurar una distribuci n apropiada del peso o Despu s de la llegada debe haber una coordinaci n entre el operador del cami n de la bomba y el equipo del proyecto DPR para asegurarse de que se hayan evaluado todas las variables de un buen lugar de configuraci n es decir proximidad a la obra condiciones del suelo obstrucciones superiores como tendido el ctrico planeidad del rea etc Peligros medioambientales o Elhormig n no debe descargarse sobre el terreno aseg rese siempre de designar y usar un area de lavado Otras consideraciones o La pluma del cami n de la bomba no debe usarse nunca para elevar o levantar materiales o Sise bombea a ciegas es decir el operador de la bomba no puede ver la colada proporcione un medio adecuado de comunicaci n entre el operador de la bomba y la cuadrilla como una persona mensajera un sefalizador radios etc o Solamente el operador debe estar debajo de la pluma y s lo cuando no se pueda evitar y durante un tiempo m nimo posible o Aseg rese de que la persona con la manguera no camine nunca hacia atr s ni abrace la manguera Debe sujetarla con las dos manos para permitir que la manguera se mueva libremente o Aseg rese de que la persona de la manguera no se coloque nunca entre la pluma o la manguera de la pluma y cualquier objeto fijo como una pared o columna o Aseg rese de que nadie trate de sujetar la punta de la manguera con la espalda o los hombros
20. avemente del piso verifique que la m quina se encuentre nivelada si corresponde Verifique que el rea de trabajo se encuentre TOTALMENTE despejada de personas y equipos y est alerta frente a las dem s personas y equipos Fije la velocidad de acuerdo con las condiciones del terreno No acepte pasajeros en la m quina Mantenga la cubeta baja para mayor estabilidad y visibilidad si corresponde Firma del empleado Firma de la persona encargada de la verificaci n Enviar por fax una copia de este formulario a la oficina regional de DPR ANTES DE INICIAR EL TRABAJO Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 2 Revised August 2007 ra D ER Construction Inc Concrete Pump Subcontractor Pre Planning Package Date Dear Subcontractor The following package is provided to assist you and your workers in maintaining an Injury Free Environment As you know concrete pump truck operations are potentially hazardous and there are many steps necessary that need to be planned prior to your arrival on the project Though concrete pump truck accidents rarely occur when they do they are potentially serious Please review and complete the following documentation This package should be filled out as completely as possible and submitted to DPR prior to mobilizing Required documentation 1 Concrete Truck Pre Pump Checklist fill in as completely as possible 2 Pr
21. bove ground level or water For buildings include site orientation coordinates of each corner dimensions and construction materials For alterations explain the alteration thoroughly For existing structures thoroughly explain the reason for notifying the FAA e g corrections no record or previous study etc Filing this information with the FAA does not relieve the sponsor of this construction or alteration from complying with any other federal state or local rules or regulations If you are not sure what other rules or regulations apply to your proposal contact local state aviations and zoning authorities Paperwork Reduction Work Act Statement This information is collected to evaluate the effect of proposed construction or alteration on air navigation and is not confidential Providing this information is mandatory for anyone proposing construction or alteration that meets or exceeds the criteria contained in 14 CFR part 77 We estimate that the burden of this collection is an average 19 minutes per response An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number The OMB control number for this collection is 2120 0001 FAA Form 7460 1 2 99 Superseded Previous Edition Electronic Version Abode NSN 0052 00 012 0009 Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4
22. chine the operator should be able to distinguish between the three groups of soil the approximate mixture of each their moisture content and their depth Factors such as water tables and distance to excavation which affect the soil s ability to withstand the pressure without collapsing must also be considered by the operator Tables are available listing the relative load bearing capabilities of the soil types under static loads Local building code requirements and the project soil boring logs should be considered by the operator in evaluating the soil bearing capacity prior to erection of a crane lift Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 6 Revised August 2007 D ER 6 0 Critical Lift A critical lift plan must be submitted a minimum of 72 hours in advance of the anticipated lift to DPR project management for review Critical lifts are defined as any lift that o any pick which puts personnel equipment or structures at risk gross load weight exceeds 7596 of crane s rated capacity any lift which requires unusual rigging or procedures any lift where the crane is supported on a structure crane suspended personnel platform lift tandem picks net weight of load exceeds 25 tons replace time for damaged load exceeds four months any lift with energized power lines within 20 6 1 Critical Lift Procedures In addition to completing the Pre Lift Che
23. cklist and Crane Pre task Plan refer to documents at the end of this Appendix the following requirements apply o All lift activities will be conducted under the direction of a qualified person Where applicable subcontractor s qualified person will be approved in advance by DPR project management The qualified person will have no other duties other than directing the lift and will be on site during all lifting activities o Coordination meeting to include a pre job walk should be conducted with DPR project management no more than 24 hour prior to lift 7 0 Crane amp Hoisting Equipment Operator Qualifications It is DPR s intent that all cranes and hoisting equipment on our projects are operated by a certified operator In lieu of certification operators must have demonstrated competency for the specific piece of equipment being operated through hands on and written testing It is the responsibility of the subcontractor to provide an operator meeting these requirements and to ensure safe operating practices are followed at all times 7 1 Operating Procedures e The operator should not engage in any practice that may divert attention while engaged in crane lift operations operate the crane lift if physically or mentally unfit taking prescription drugs that may affect judgment and should not respond to any signal which is unclear or is given by anyone other than appointed signal men Exception the operator should respond to a stop signal g
24. e voltage kv e Distance of lift to lines ft must be gt 17 e Lines Energized Yes No If yes contact DPR EHS If no contact owner and ground lines e Person designated to observe line clearance for operation o Distance to neighboring buildings roadways walkways trenches variations in soil stability etc Pump truck contractor to provide o Gross capacity of pump truck amp verification of concrete mix design to be used Maximum Radius Maximum Boom Length Minimum Boom Angle Building height Location of washout Additional supply of hoses present on job as applicable Mobilization Continuous throughout Operation a a a a O D OO Site specific safety orientation completed for pump operator and or pump crew Documentation of pump truck Pre task plan and Boom Inspection A copy of the manufacturers Operating Manual is on the pump truck Conduct a safety meeting covering at least o Pre task plan Weather Conditions Evacuation Plan Priming Procedures Verify amp review means of communication Safety precautions working around the pump truck amp hose operations o Location of emergency stop switch on pump truck o Public Protection Outriggers must be fully extended pads level on solid bearing and pinned Retracting outriggers without a signal man is prohibited Barricading in place to prevent access to hopper area of pump truck Should lifting o
25. ered as part of the total load weight The operator should obtain a copy of the Bill of Lading with the item weight clearly legible and o this information will be used to determine total load weight o each delivery received at the site should be accompanied by a Bill of Lading with the item weight clearly indicated Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 5 Revised August 2007 D ER o items received at the site without a legible item weight should be refused and the responsible subcontractor held accountable for any additional expense incurred and or delays 5 4 Ground Stability One of the critical factors of proper crane lift setup is a firm supporting surface For maximum capacity the crane lift must be level To maintain a level condition however the ground surface must be adequate to support the dynamic load of a working crane lift The operator should consider the following four basic elements Total Imposed Load The load on the tires outrider wheels or tracks is derived from the sum of the gross weight of the crane lift and the suspended load Shock or dynamic movement loads as a result of fast hoisting lowering swinging or wind forces can exert additional loading This total load must also be considered Supporting Surface Area The amount of area in contact with the ground will determine the bearing pressure the crane lift and load exerts on the soil
26. erified Evacuation plan Rigging procedures Verify amp review means of communication Safety precautions working around the crane Public protection Outriggers must be fully extended pads level on solid bearing and pinned Retracting outriggers without a signal man is prohibited Barricading in place to protect the swing of crane and for traffic control Rigging is in good condition amp additional rigging is available Signal Man Ensure these are in place Hard hats 0 PPE safety glasses gloves vests etc 0 Fall Protection harnesses lanyards etc Taglines There is no work under the load or pinch points OOOOOOO Signatures DPR Superintendent or EHS Crane Contractor Supervisor Lift Requesting Contractor Supervisor Cranes amp Material Handling Devices Appendix 4 Page 17 Qualified Person for Critical Lift EHSP Rev 7 Revised August 2007 DPR Construction Inc Crane amp Material Lifting Pre Task Plan Archive Document DO NOT DISCARD Date Job Name Company Specific Location of Work Answer the following when evaluating your work circle YES NO or N A Are any of the Following Required Have you walked your work area to identify live systems overhead lines utilities underground YES NO N A Personal Protective Equipment conditions public exposures lighting etc 2 2 any hazards created by any other workers in your area or does y
27. evated Work Appendix for requirements for Aerial and Scissor Lift operations 10 0 Forklifts Forklifts should be inspected each day prior to use to determine that they are in safe working condition refer to Forklift Inspection form at the end of this Appendix or use manufacturer s inspection amp uidelines Forklifts should be operated in accordance with manufacturer s recommendations and limitations 10 1 Forklift Training Requirements e Employees operating forklifts must be trained by a person qualified to recognize the hazards associated with aerial lifts and to understand the procedures to control or minimize those hazards e The training must be in compliance with OSHA guidelines Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 8 Revised August 2007 D ER e Operators must be trained on the equipment they will be operating or competency verified by a qualified person prior to vehicle operation refer to Forklift Operator Proficiency Evaluation form at the end of this Appendix e Current certification must be maintained and presented to DPR project management upon request e Certification will be revoked and refresher training provided and or operator proficiency verified before commencement of operation when o the operator is observed to operate the vehicle in an unsafe manner o the operator is involved in an accident or near miss incident o the operator is assigned to drive
28. feet rounded to the next highest foot e g 173 rounds to 18 The total structure height shall include anything mounted on top of the structure such as antennas obstruction lights lightning rods etc ITEM 18 Enter the overall height above mean sea level and expressed in whole feet This will be the total of ITEM 16 ITEM 17 ITEM 19 If an FAA aeronautical study was previously conducted enter the previous study number ITEM 20 Enter the relationship of the structure to roads airports prominent terrain existing structures etc Attach an 8 1 2 x 11 non reduced copy of the appropriate 7 5 minute U S Geological Survey USGS Quadrangle Map MARKED WITH A PRECISE INDICATION OF THE SITE LOCATION To obtain maps contact USGC at 1 800 435 7627 or via internet at http mapping usgs gov If available attach a copy of a documented site survey with the surveyor s certification stating the amount of vertical and horizontal accuracy in feet ITEM 21 For transmitting stations include maximum effective radiated power ERP and all frequencies For antennas include the type of antenna and center of radiation Attach the antenna pattern if available For microwave include azimuth relative to true north For overhead wires or transmission lines include size and configuration of wires and their supporting structures Attach depiction For each pole support include coordinates site elevation and structure height a
29. fts higher than 2 feet o hooks used for lifts in excess of 2 feet should have hook safety latches or be safety wired to prevent slings from jumping off the hook e The operator should not suddenly accelerate or decelerate a moving load e At no time should any part of the crane or any part of the load contact any obstructions e The operator must not swing loads over personnel e The operator must not permit side loading of booms e Lifts should be limited to freely suspended loads e Cranes and lifting devices should not be used to drag loads sideways 8 0 Personnel Platform Lifting Crane or derrick suspended personnel platforms may not be used unless the erection use and dismantling of conventional means of reaching the worksite is not possible or would be more hazardous In addition to completing the Crane Pre Lift Checklist and the crane Pre Task Planning form documentation that all individuals who are to be lifted must be obtained stating that they have been trained in personnel platform lifting protocols per OSHA state and or local requirements Also the jobsite must perform a proof test prior to hoisting employees The platform and rigging should be proof tested to 12596 of the platform s posted rated capacity Inspect the crane lift rigging and the personnel platform after the test Refer to Fed OSHA regulations for additional procedures to be followed when using a personnel platform lift 9 0 Aerial and Scissor Lifts Refer to the El
30. g Subcontractor to submit copies of load charts pertinent to specific boom configuration to be used Obtain a copy of the crane lift contractor s certificate of insurance with additional insured endorsement Verify limits are within terms and conditions per DPR contract Verification of meeting FAA requirements as required Prior to approval of multi loading documentation verifying safety protocols being taken must be received and approved by DPR Complete detailed written pre task planning with operator oiler and crew and foreman involvement Contractor to submit a written plan 24 hours prior to crane lift arrival 72 hours for critical lifts to include A An Erection Plan for steel erection activities Start amp finish times for all lifts A detailed fall protection plan A detailed list of protective measures for workers the environment and the public Crane set up locations with swing path travel plan and load positions Hoisting Rigging Plan single pick preferred maximum 3 members w approved multi rigging assembly Communication Plan Cut sheets on all units to be lifted including weights and dimensions or documentation stating the same as well as the anticipated load calculations Pre Mobilization a a Copyright O 2001 DPR Construction Inc DPR Superintendent and Requesting Crane Lift Contractor perform site walk Review at minimum Integrated anti two block system a
31. g day YES NO N A O Other Any safety item identified in the above question list must be addressed on the back page C Hazards D Steps Taken to Address Hazards If you need more space attach another PRE TASK PLAN SHEET If you need a work diagram attach it on a separate sheet of paper Work Planner your name Foreman Name Safety Coordinator Crew Members Pretask Plan Audited O M O Tu OW O Th O F Work Area Cleaned Up C MO TuO W OTh O Cords Rolled Up OM OWOTh O Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 18 Revised August 2007 mo DPR Construction Inc LIFT PLAN Please draw a map to detail set up points sequencing of picks protection etc Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 19 Revised August 2007 Crane Hand Signals 2 Banc 1 Au l ARM EMERGENCY STOP TELESCOPIC ARM TELESCOPIC ARM mu Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 20 Revised August 2007 DER Construction Inc Form Approved OMB No 2420 0004 Please Type
32. he nearest airport or heliport e http jan ucc nau edu cvm latlongdist html for calculating distances based on latitude and longitude For more assistance in the FAA requirements or in determining the need for notification contact your regional FAA office or see DPR Toolbox ADDRESSES OF THE REGIONAL OFFICES Eastern Region DC DE MD NJ NY PA VA WV Eastern Regional Office Air Traffic Division AEA 520 JFK International Airport Fitzgerald Federal Building Jamaica NY 11430 Tel 718 553 2616 Southern Region AL FL GA KY MS NC PR SC IN VI Southern Regional Office Air Traffic Division ASO 520 1701 Columbia Avenue College Park GA 30337 Tel 404 305 5685 Southwest Region AR LA NM OK TX Southwest Regional Office Air Traffic Division ASW 520 2601 Meacham Boulevard Fort Worth TX 76137 0520 Tel 817 222 5531 Western Pacific Region HI CA NV AZ GU Western Pacific Regional Office Air Traffic Division AWP 520 15000 Aviation Boulevard Hawthorne CA 90260 Tel 310 725 6557 5 3 Load Ratings The operator will be responsible for making the following determinations e The weight of all auxiliary handling devices such as hoist blocks headache balls hooks and rigging should be considered by the operator as part of the total load e Additionally the weight of all items added to the load at the site must be determined and added to the total weight NOTE Some manufacturers require that the load cable also be consid
33. he subcontractors project management to ensure and enforce their compliance Inspection reports must be provided for crane lifts and lifting devices shovels derricks tractors and pans as verification that items have been inspected by a competent authorized person Rated load capacities operating instructions and special hazard warnings should be conspicuously posted on all equipment and should be visible to the operator while at the control station An illustration of the hand signals to crane lift operators should be posted at the job site DPR EHS must be notified with proper documentation provided prior to on site arrival of any crane lift Notification to DPR must be 24 hours prior to first lift or 72 hours for critical lifts 1 1 Pre Task Planning All hoisting and rigging activities as well as material handling are activities defined by DPR to be High Hazard and therefore require detailed written pre task planning Refer to the Pre Task Planning Appendix for additional guidelines and PTP form 2 0 Inspection Daily and annual inspections must be performed in accordance with the manufacturer s recommendations and as mandated by OSHA standards as well as the DPR EHSP Annual inspections performed by a competent person must be performed on all material lifting devices Annual inspections must be received and reviewed by DPR project management prior to the arrival of equipment Daily documented inspections must be performed pr
34. inimum If applicable set stabilizers and raise the machine slightly off the ground ensure the machine is level Make sure ALL personnel and other equipment are clear of the work area and be alert to other people amp equipment Match ground speed with conditions of terrain Allow no riders If applicable keep the bucket low for stability and visibility Signature of employee Signature of person conducting verification review A copy of this form should be faxed to the DPR regional office PRIOR TO START OF WORK Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 1 Revised August 2007 mn DPR Construction Inc Formulario de Verificaci n de Equipos Pesados Documento para archivo NO DESECHAR Nombre Fecha Sitio Compa a Planificaci n previa Los operadores deben recibir capacitaci n sobre el funcionamiento seguro del equipo que utilizar n y entender las limitaciones de los equipos Se deben ubicar y marcar los servicios p blicos antes de comenzar el trabajo y hacer los pozos necesarios en los sistemas servicios p blicos de primera necesidad se deben revisar y entender los requisitos para hacer pozos de acuerdo con la pol tica EHSP de DPR El operador debe consultar los planos y los dibujos pertenecientes al rea de trabajo si corresponde El manual del operador debe estar disponible en el equipo Inspecci n Inspeccione el eq
35. ior to lifting each day with documentation maintained on the unit Additionally crane lifts and lifting devices must be inspected after set up and prior to initial lift before each shift and after every malfunction or incident 2 1 Daily Annual Inspections Daily annual inspections must be performed to include at a minimum the following items e All control mechanisms for maladjustment interfering with proper operation e All control mechanisms for excessive wear of components and contamination by lubricants or other foreign matter e All safety devices for malfunction or defect e Deterioration or leakage in air or hydraulic systems e Crane hooks with deformation or cracks e Sling and choker for broken strands fraying or kinking e Electrical apparatus for malfunction defect signs of excessive wear dirt and moisture accumulation Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 2 Revised August 2007 D ER 2 2 Rigging Lifting Devices e Nochain slings are permitted on site e Daily visual inspections are required e Monthly documented inspections required e All defective rigging lifting devices should be immediately destroyed and removed from service e Job or shop hooks and links or makeshift fasteners formed from bolts rods or other such attachments will not be used e When U bolts are used for eye splices the U bolt will be applied so the U section is in contac
36. iven by anyone e The operator should not permit trainees to make initial lifts The operator should perform the first lift to determine lift stability crane lift function and safety in general e The operator should have final responsibility and control over crane lift operations e Whenever there is any doubt as to safety the operator should have the authority to stop and refuse to handle loads until safety has been assured e The operator should be familiar with the crane lift and its care the operators manual and load charts e The operator should be responsible for notifying their supervisor of any needed adjustments or repairs and for logging their findings in the crane lift log Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 7 Revised August 2007 D ER e Upon request the operator should demonstrate their ability to determine total load weight and its relationship to the crane lift load charts e Nocrane lift should be loaded beyond its rated capacity except for test purposes under controlled circumstances e When loads to be handled are limited by structural competence rather than by stability the operator and supervisor should determine concurrently that the weight of the load is known within plus or minus 5 percent before the load is lifted e Loads should be attached to the hook by means of slings or other approved devices and o open hooks should be used for li
37. ks and slewing rings C Guy ropes pendant lines cable clips thimbles and ferrules 7 Counterweight support 8 Job backstops boom stops Remarks Record corrective action s here Operator s signature MONTHLY Service and Maintenance Inspection 2 Examination of hoist cables Remarks Record corrective action s here Operator s signature ANNUAL Service and Maintenance Inspection 4 Examine all winches and test line pull to manufacturer s specifications 5 Drive transmissions and power equipment ring gear assembly 6 Non destructive test A mast counterweight jib staybacks guy lines and pendant lines outriggers beams and boxes A load carrying equipment sheaves blocks rings shackles hooks chains and slings Remarks Record corrective action s here Operator s signature NOTE It is intended that the equipment be checked daily and weekly by the operator Any defect must be reported under the space s left for remarks The weekly inspections do not relieve the operator of the responsibility to perform daily inspections and to report any fault immediately Refer to requirements in OSHA Standards 29CFR 1910 180 and 1926 550 Copyright 2001 DPR Construction Inc Page 24 Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Revised August 2007 DPR Construction
38. l cinto de seguridad durante la operaci n a a Nombre del operador letra de imprenta Nombre del evaluador letra de imprenta Firma del operador Firma del evaluador Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 14 Revised August 2007 Forklift Hand Signals 3 Lower load A 6 Tilt forks up F 8 Move load forward 2 Raise load 5 Tilt forks left p 4 Tilt forks right 7 Tilt forks down 8 Move load backward Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 15 Revised August 2007 D ER Crane Subcontractor Pre Planning Package Date Dear Subcontractor The following package is provided to you to assist you and your workers in maintaining an Injury Free Environment As you know crane operations are very hazardous and there are many steps necessary prior to a crane arriving on the project Though crane accidents rarely occur when they do there are usually serious consequences such as loss of life property or otherwise Please review and complete the following documentation These should be filled out as completely as possible and submitted to DPR at least 24 hours prior to first pick 72 hours for critical lifts Required documentation 1 Please complete the Pre Lift Checklist as completely as possible 2 Provide copies of annual crane certification a Certifica
39. nes is 17 feet even if it is a wrapped or insulated line if working closer than 17 feet power lines must be de energized and verified dead prior to set up o Power lines have the potential to stretch up to 7 feet in very warm weather the distance a powerline is relation to the truck may change throughout the day and lines could come into contact with a pump crane boom as temperatures rise o Power lines can create a magnetic field when moisture is present in the atmosphere and can arc and jump several feet Hose Whippings o Keep personnel away from the end of the discharge hose when first starting restarting or anytime there is air in the delivery line Never kink a hose as the pump may straighten the hose by force causing it to whip Devices like the S Bend or metal fittings at the end of the hose are heavy and can become dangerous weapons if a pump hose whips all hose ends should be free of any steel fittings etc Concrete Rock Spray Dangers o Stay clear of the rear end of the concrete pump especially the hopper during a concrete pour blow back can occur if the concrete pump sucks air causing material to be discharged from the hopper with great force o Set flagging at rear of pump by the hopper in such a way that concrete trucks can get to the hopper of the pump but keep unauthorized personal away from the hopper o Prior to opening or modifying any line always wait until the operator reverses the pump and tells
40. nt Dual Red and Medium Intensity White White Medium Intensity Dual Red and high Intensity White White High Intensity Other 8 FCC Antenna Structure Registration Number if applicable 21 Complete Description of Proposal Frequency Power IAN Notice is required by 14 Code of Federal Regulations part 77 pursuant to 49 U S C Section 44718 Persons who knowingly and willingly violate the notice requirements of part 77 are subject to a civil penalty of 1 000 per day until the notice is received pursuant to 49 U S C Section 46301 a hereby certify that all of the above statements made by me are true complete and correct to the best of my knowledge In addition agree to mark and or light the structure in accordance with established marking amp lighting standards as necessary Typed or Printed Name and Title of Person F iling Notice FAA Form 7460 1 2 99 Supersedes Previous Edition Electronic Version Adobe NSN 0052 00 012 0009 Copyright 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 21 Revised August 2007 DER Construction Inc INSTRUCTIONS FOR COMPLETING FAA FORM 7460 1 PLEASE TYPE or PRINT ITEM 1 Please include the name address and phone number of a personal contact point as well as the company name ITEM 2 Please include the name address and phone number of a personal contact point as well as the compan
41. number here ITEM 9 and 10 Latitude and longitude must be geographic coordinates accurate to within the nearest second or to the nearest hundredth of a second if known Latitude and longitude derived solely from a hand held GPS instrument is NOT acceptable A hand held GPS is only accurate to within 100 meters 328 feet 95 percent of the time This data when plotted should match the site depiction submitted under ITEM 20 ITEM 11 NAD 83 is preferred however latitude and longitude may be submitted in NAD 27 Also in some geographic areas where NAD 27 NAD 83 not available other datums may be used It is important to know which datum is used ITEM 12 Enter the name of the nearest city and state to the site If the structure is or will be in a city enter the name of that city and state ITEM 13 Enter the full name of the nearest public use not private use airport or heliport or military airport or heliport to the site ITEM 14 Enter the distance from the airport or heliport listed in 13 to the structure ITEM 15 Enter the direction from the airport or heliport listed in 13 to the structure ITEM 16 Enter the site elevation above mean sea level and expressed in whole feet rounded to the nearest foot e g 173 rounds to 17 176 rounds to 18 This data should match the ground contour elevations for site depiction submitted under ITEM 20 ITEM 17 Enter the total structure height above ground level in whole
42. o mobilization Once the appropriate crane lift has been selected the operator should be responsible for obtaining the proper permits to transport the equipment to the site The delivery of the crane lift should be scheduled by the operator with DPR project management and local agencies with jurisdiction over routes of transportation and any utilities that may need to be cleared 5 1 Crane Operator Responsibilities At the site the operator will be responsible for the following e The proper placement of the crane lift in relationship to the load to be handled and the landing area So as to obtain the best rated lift capacity e leveling the crane lift to within 1 degree of level and reassuring the level a minimum of three times during each 8 hour work shift e The proper placement and use of outriggers for all lifts except where the manufacturer permits otherwise for assembly of boom only e The determination of stable or unstable ground or footing e Should additional floats cribbing timbers or other structural members be needed they should be of proper design and sufficient to uniformly distribute the load e The installation and maintenance of crane lift swing radius protection e Completion of daily monthly inspections 5 2 FAA Notification Construction equipment or other temporary structures such as cranes derricks stockpiles of equipment and earth moving equipment are examples of structures that require notice to the FAA when the f
43. ollowing conditions apply e When they are greater than 200 feet above the ground level at their location e When they are near an airport or heliport Near is defined by the FAA as o Within 20 000 feet of a major airport and the height of the object exceeds the slope of 100 1 horizontally e g a structure located at 10 000 feet will require notice when it exceeds 100 feet in height o Within 10 000 feet of a minor airport and the height of the object exceeds the slope of 50 1 horizontally o Within 5 000 feet of a heliport and the height of the object exceeds the slope of 25 1horizontally e When they are located on an airport or heliport e When requested by the FAA Notice to the FAA should be submitted at least 30 days before the date the proposed construction or alteration is to begin Notice will be made on FAA Form 7460 1 Notice of Proposed Construction or Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 4 Revised August 2007 D ER Alteration found at the end of this Appendix Maps and or charts may also be required that accurately depict the precise location of the proposed construction or alteration relative to the affected airport or heliport To assist in the planning and development of maps and in calculating distance the following websites may help e topozone com for latitude and longitude coordinates of the proposed construction or alteration and the edge of t
44. our work create hazards for YES NO N A L Hard Hat 3 Have all rigging equipment and tools been inspected prior to use YES NO N A L Fall Protection 4 Are materials tools and manpower adequate to perform the job safely YES NO N A O Eye Face PPE Have weights of all loads been verified YES NO N A L Hand Arm PPE d d 9 D Is this a critical lift i e load exceeds 75 of crane capacity or puts personnel equipment or YES NO N A O Hearing PPE structures at risk etc Does this task require any additional permits or procedures FAA Notification OSHA Permit etc YES NO N A L Foot PPE Have you addressed any barricading warning system or signage requirements appropriate to the task YES NO N A Ol Respirator Have you established a communication system for signaling YES NO N A Locate Are outriggers fully extended with adequate pads YES NO N A Emergency Telephones Have all riggers been trained in safe rigging practices YES NO N A Ol Fire Extinguisher 12 Will this task require any lifting bending or twisting Have you completed Stretch amp Flex today YES NO N A Emergency Exit Routes Are enough people assigned to safely complete the task lifting spotting guiding w taglines etc YES NO N A Ol First Aid Equipment 14 Is there a new hire or new team member on the project who will need support YES NO N A Other 15 Do you have an injury to report or were you injured the prior workin
45. ovide copies of the annual boom certification o Certification must match the pump truck that shows up on site o Certification must be current o Pump truck must have passed certification including verification of completed repairs identified at time of certification Provide copy of valid current insurance Written verification of operator s qualifications specific to make and model of pump truck Written verification from pump truck owner that maintenance has been performed pursuant to manufacturer s recommendations 6 Complete a pre task pre lift plan detailing likely sequencing and what safety precautions will be taken to address any potential hazards A pre task plan checklist and worksheet have been provided Safety items to consider EIS o Fall protection o Guarding o Public and worker protection o Concrete Pump truck set up o Weather o Communication o Control of pinch points Additionally 1 Asafety meeting will be held prior to pour with operator and applicable crew members to review all of the above listed items 2 A daily documented inspection must be performed on all pump trucks prior to operation A sample inspection form is provided This package is designed to assist you in running a smooth and safe operation while on our projects If you have any questions regarding any information contained within please contact the DPR Project Team Thank you for your assistance in helping us to create an Injury Free Environment DP
46. prior to the first crane pick on site include e Crane lift annual certification e Crane lift contractor s certificate of insurance e Operator s certification or written verification of hands on written competency testing with specific make and model of crane lift e Copy of load charts pertinent to specific boom configuration to be used e Written verification from crane lift owner that maintenance has been performed pursuant to manufacturer s recommendations e Written verification of rigger s training Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 3 Revised August 2007 D ER 5 0 Crane Selection and Set Up The operator is responsible for selecting a crane lift of sufficient capacity and with appropriate design features to be suitable for the intended lift The operator should comply with the manufacturers specifications and limitations applicable to the operation of any and all crane lifts and lifting devices and derricks Where manufacturer s specifications are not available the limitations assigned to the equipment should be based on the determinations of a qualified engineer competent in this field Such determinations should be appropriately documented and recorded and available at the job site All cranes will be equipped with an integrated anti two block system Any crane not equipped with an integrated anti two block system must be approved by DPR project management prior t
47. r hoisting of material s will be needed additional equipoment must be available the boom of the pump cannot be used for hoisting materials Traffic control measure in place as applicable Hoses are in good condition amp additional hose is available specific to pour requirements Signal Man 00000 as applicable Ensure these are in place Hard hats PPE safety glasses gloves vests protective boots face shields knee pads etc as applicable for scope of work Fall Protection harnesses lanyards as applicable Signatures DPR Superintendent or EHS Contractor Supervisor Cranes amp Material Handling Devices Appendix 4 Page 4 Pump Truck Operator EHSP Rev 7 Revised August 2007 DPR Construction Inc Concrete Pump Truck Pre Task Plan Archive Document DO NOT DISCARD Date Job Name Company Specific Location of Work Answer the following when evaluating your work circle YES NO or N A Have you walked your work area to identify live systems overhead lines utilities underground conditions public exposures lighting etc If overhead powerlines are energized is the rig set up a minimum of 17 feet away Are there any hazards created by any other workers in your area or does your work create hazards for others Have all equipment and tools been inspected prior to use No steel hose ends 5 device on hose etc Are materials tool
48. s and manpower adequate to perform the job safely Have you addressed any barricading warning system or signage requirements appropriate to the task Have you established a communication system for signaling and or communication Are outriggers fully extended with adequate pads Have you addressed lifting bending twisting or pinch point hazards Have you completed Stretch amp Flex today Are enough people assigned to safely complete the task lifting spotting etc Is there a new hire or new team member on the project who will need support Do you have an injury to report or were you injured the prior working day YES NO Are any of the Following Required Personal Protective Equipment N A Any safety item identified in the above question list must be addressed on the back page Hard Hat Fall Protection Eye Face PPE Hand Arm PPE Hearing PPE Foot PPE LI Emergency Telephones Exputo 1 Fire Extinguisher L Emergency Exit Routes First Aid Equipment L Washout Location B Hazards If you need more space attach another PRE TASK PLAN SHEET Foreman Name Work Planner your name Crew Members Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 Page 2 C Steps Taken to Address Hazards Safety Coordinator Pretask Plan Audited O M
49. spection Checklist Archive Document DO Month Note if used by more than one operator each operator is to place their initials in the appropriate box s and sign where indicated or use separate sheet Day of the Month DAILY Service and Maintenance Inspection 16 17 Equipment NOT DISCARD 18 19 20 21 22 23 24 25 26 27 28 29 30 31 15 Check brakes motors drums gearboxes bearings and drive alignment 16 Inspect ropes cables and hoist spooling 17 Check air hydraulic electrical components for wear and damage 18 Servicing as per manufacturer s recommendations 19 Inspect rigging hooks slings and shackles 20 Test boom angle indicator and other safety devices 2 Check anti two block device 22 Check outriggers and pads 23 Check fluid levels and lubrication as require 24 Check cable rollers track slewing rings and rollers 25 Check structural bolts and pins 26 Check structure for cracks and buckling 27 Check walkways handrails and ladders 28 Check in cab controls cab glass fire extinguisher Remarks Investigate unusual noises or problems record corrective action s here Operator s signature WEEKLY Service and Maintenance Inspection 5 Check structural bolts and pins 6 Check all moving parts Gears shafts and drives Sheaves bushings and pins A Rollers trac
50. t between the end of the delivery system and a fixed object Signature of employee Signature of person conducting verification review A copy of this form should be faxed to the DPR regional office PRIOR TO START OF WORK Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 29 Revised August 2007 DPR Construction Inc Verificaci n de capacitaci n de camiones de bombeo de hormig n Documento de archivo NO LO DESECHE Nombre Fecha Obra Compania Tendido el ctrico o Siun cami n de hormig n golpea o hace contacto con una l nea de tendido el ctrico y se conecta a la energ a el ctrica todo lo que est en contacto con la bomba tambi n se conecta o La distancia de seguridad m nima para una l nea el ctrica conectada es de 17 pies incluso si se trata de una l nea envuelta aislada si trabaja a menos de 17 pies las l neas el ctricas deben desconectarse y verificar que est n desconectadas antes de la preparaci n o Las l neas el ctricas tienen el potencial de dilatarse hasta 7 pies en tiempo muy c lido la distancia de una l nea el ctrica en relaci n con el cami n puede cambiar durante el d a y las l neas pueden entrar en contacto con una bomba pluma de grua a medida que suben las temperaturas o Las l neas el ctricas pueden crear un campo magn tico cuando haya humedad presente en la atm sfera y pueda formarse un arco
51. t with dead end of rope 2 3 General Hoisting amp Rigging Guidelines Bundles of decking should only be single picked nylon chokers should not be used for picking bundles of decking e A qualified rigger should inspect the rigging at minimum daily e Safety latches on hooks should not be de activated or made inoperable e All Suspended loads should be pre planned to ensure that no employees are working below except for those involved in landing and connecting loads e All loads should be rigged by a qualified rigger e Tag lines or other suitable means of controlling a load are to be used at all times 3 0 Steel Erection Activities Refer to the Steel Erection Appendix for specific guidelines on activities associated with steel erection and miscellaneous metals placement 4 0 Record Keeping In addition to documented daily monthly and annual inspection records all records pertaining to crane lift inspections should be kept with the crane lift or in the subcontractor s site field office Valid certificates of insurance should be retained on file for each crane on site If during any safety inspection the operator or Supervisor cannot produce the required crane lift inspection sheets the crane lift should be shut down as soon as possible and must be inspected Copies of daily monthly inspections must be submitted to DPR project management on a weekly basis originals will be kept on unit Documents required to be provided to DPR
52. tion must match the crane that shows up on site b Certification must be current c Crane must have passed certification including verification of completed repairs identified at time of certification 3 Provide copies of insurance a Insurance must include general liability b As needed insurance must include excess liability insurance c If the equipment or material to be lifted is in excess of 50K in value then additional riggers or hook liability insurance will be needed d DPR and the owner must be named additional insured e Insurance must be valid i e not expired 4 Operator s certification or written verification of hands on written competency testing with specific make and model of crane lift 5 Copy of load charts pertinent to specific boom configuration to be used 6 Written verification from crane lift owner that maintenance has been performed pursuant to manufacturer s recommendations T Written verification of rigger s training 8 Complete a pre task pre lift plan detailing likely sequencing and what safety precautions will be taken to address any potential hazards A pre task plan checklist and worksheet have been provided Safety items to consider a Fall Protection e Guarding b Public and worker exposure f Crane Set up c Weather g Rigging d Communication h Control of Load Pinch points Additionally 1 A safety meeting will be held before the lift with the crew to review all of the above listed items
53. tor to ensure all lifting activities are safely performed within the parameters and limitations specified in manufacturer s operating manual Special consideration should be given to adverse weather conditions DPR project management reserves the right to cease any activity should weather conditions change to affect work performance Copyright O 2001 DPR Construction Inc Cranes amp Material Handling Devices Appendix 4 EHSP Rev 7 Page 10 Revised August 2007 Um D ER Construction Inc Forklift Pre Use Inspection Archive Document DO NOT DISCARD Equipment Model Number Company Hour Meter Initials of person performing inspection P F and are they certified Inspection Item amp Description Pass Fail PRESTART MasyBoom Hydraulic Lines Has the operator been instructed in Y N Y N the safe operation of this type of lift P F O1 Y 0 2 START UP Seat Belt All Gauges Warning Signs Placards Steering loose levers Switches Lights Backup Alarm FUNCTION CHECK p 5 1 w 1 9 3 EA 8 9 6 EA 3 5 If any item s are found to be missing or defective the equipment is to be repaired serviced prior to use Defects Reported To Date Lift Taken Out of Service Yes No Repairs Made By Date Copyright 2001 DPR Construction Inc Cranes amp
54. uipo seg n el manual del operador Debe inspeccionar como m nimo lo siguiente o Verifique que no haya materiales sueltos ni escombros la cabina o Verifique que el manual del operador se encuentre en la cabina y que se pueda leer bien o Revise los neum ticos para ver si est n combados si tienen cortes si emiten ruidos y si tienen el nivel de inflado apropiado o Revise que el nivel de fluidos sea el correcto y que no haya ninguna p rdida o Verifique que los cinturones de seguridad la presi n de aire el filtro de aire etc est n en su lugar correcto y en buenas condiciones o Todos los accesorios deben estar adecuadamente engrasados Verifique que no hayan soldaduras rotas grietas en la pintura metal o da os visibles o Para inspeccionar la protecci n contra vuelcos verifique que los pernos est n ajustados correctamente revise la calidad de las soldaduras y que los cinturones de seguridad est n en su lugar y en buen funcionamiento Operaci n Cuando deba subirse o bajarse de una m quina mantenga tres puntos de contacto con la m quina en todo momento Inicie la puesta en marcha del equipo de la manera correcta consultando los requisitos espec ficos de los equipos en el manual del operador Realice una inspecci n de los equipos Deje que el equipo se caliente antes de operar la m quina EI ngulo de inclinaci n debe mantenerse al m nimo si corresponde Fije los estabilizadores y eleve la m quina su
55. y name ITEM 3 New Construction would be a structure that has not yet been built Alteration is a change to an existing structure such as the addition of a side mounted antenna a change to the marking and lighting a change to power and or frequency or a change to the height The nature of the alteration shall be included in ITEM 21 Complete Description of Proposal Existing would be a correction to the latitude and or longitude a correction to the height or if filing on an existing structure which has never been studied by the FAA The reason for the notice shall be included in ITEM 21 Complete Description of Proposal ITEM 4 If Permanent so indicate If Temporary such as a crane or drilling derrick enter the estimated length of time the temporary Structure will be up ITEM 5 Enter the date that construction is expected to start and the date that construction should be completed ITEM 6 Please indicate the type of structure DO NOT LEAVE BLANK ITEM 7 In the event that obstruction marking and lighting is required please indicate type desired If no preference check other and indicate no preference DO NOT LEAVE BLANK NOTE High Intensity lighting shall be used only for structures over 500 AGL In the absence of high intensity lighting for structures over 500 AGL marking is also required ITEM 8 Ifthis is an existing tower that has been registered with the FCC enter the FCC Antenna Structure Registration
56. y saltar una distancia de varios pies Latigazos de las mangueras o Mantenga al personal apartado del extremo de la manguera de descarga cuando inicie o vuelva a iniciar el bombeo o en cualquier momento en que haya aire en la l nea de suministro o Noretuerza nunca una manguera ya que la bomba puede enderezar la manguera a la fuerza y dar latigazos o Los dispositivos como codos o conexiones de metal en el extremo de la manguera son pesados y pueden ser armas peligrosas si la manguera de una bomba empieza a dar latigazos ning n extremo de manguera debe tener conexiones de acero etc Peli ros de rociado de hormig n rocas o se acerque al extremo trasero de la bomba de hormig n especialmente la tolva durante una colada de hormig n se puede producir un retroceso si la bomba de hormig n aspira aire haciendo que el material se descargue de la tolva con gran fuerza o Fijelos indicadores en la parte trasera de la bomba junto a la tolva de manera que los camiones de hormig n puedan llegar a la tolva de la bomba pero mantengan al personal no autorizado lejos de la tolva o Antes de abrir o modificar cualquier l nea espere siempre a que el operador invierta el sentido de la bomba y le indique que es seguro abrir la l nea una l nea obstruida puede causar una presi n excesiva en el interior Vuelco de la bomba de hormig n o Sedeben configurar estabilizadores sobre un terreno firme horizontal se deben usar apoyos de est
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