STANDARD TOWER CRANE (FOR CRANE OPERATORS)
“START OF SHIFT INSPECTION”

Operator:                                                                                        Week of:                                         Year:                              

Project:                                                                                           Crane Owner:                                                                        

Site Address:                                                                                                                                                                                 

Crane Make:                                                           Model:                                Serial #:                                                              

Remarks:                                                                                                                                                  

Weekly Supervisor and Operator signatures indicating inspections have been completed.

Operator’s Signature:                                                     Operator’s Name:                                              Certificate No.             

Supervisor’s Signature:                                                             Supervisor’s Name:                                                                  

Please note: This is a sample checklist that employers may use; manufacturer/supplier may have additional requirements.