Crane Capacity Verification Form
Verify crane lifting capacity and safety compliance before performing a lift. Please complete all required fields to ensure the lift is within safe operational limits.
Project or Site Name
*
Crane Model or Identification Number
*
Lift Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Load Weight to be Lifted (kg or lbs)
*
Crane Rated Capacity at Planned Lift Radius (kg or lbs)
*
Planned Lift Radius (meters or feet)
*
Rigging Details (type of slings, shackles, etc.)
*
Ground Conditions at Crane Setup Area
*
Firm and Level
Compacted Fill
Soft/Unstable
Other
Lift Supervisor or Operator Name
*
First Name
Last Name
I confirm that the above details are accurate and the planned lift is within the crane's safe operating limits.
*
Yes, I confirm
Submit Verification
Should be Empty: