Crane Operator Skills Test/Performance Evaluation (Hydraulic)

/ Form 000.653.F0297
Crane Operator Skills Test/Performance Evaluation (Hydraulic)
Name: / SSN/ID No.: / Date of Test:
Project Name: / Project No./Contract No.:
Manufacturer: / Model: / Serial No.: / Capacity:
Boom Length: / Crane Type (check one): / Was Operator Licensed? / Yes / No
Main: JIB: / Crawler Truck Self-Propelled / (If no, state reason on back of form)
Operator’s Signature: / Licensor’s Signature:
Comments:
Caution: Ensure that test equipment is in safe , operable condition when furnished to an applicant for testing.
Pre-Start Inspection / Pass / Fail / Operational / Pass / Fail
1. / Locate, check, and identify the following: / 5. / From the crane load charts using a 20foot radius with outriggers extended), select:
a.Engine oil level
b.Coolant level / a.Maximum capacity of the machine
c.Hydraulic oil level / b.Correct boom length
d.Brake fluid level / N/A / c.Correct boom angle
e.Battery condition / d.Determination of net load weight
f.Fuel level / 6. / Program load moment indicator for crane configuration Note: Operator explains procedure
g.Fluid leaks (oil, water)
h.Safety equipment: / 7. / Raise boom to a 45degree angle
Operator’s manual; posted load chart / 8. / Lower load block by proper hand signal
Note: Use ball if machine is not equipped with
load block
Fire extinguisher (charged, mounted)
Warning signs
Mirrors / 9. / Extend boom and hold block 5feet from ground on proper hand signal (until boom is fully extended)
Seat belt (cuts, worn)
Glass condition (dirty, cracked, missing) / 10. / Swing boom 90degrees on proper hand signal
Note: The operator should be rated on accuracy of smoothness of swing and drift of ball or block
i.Tires (cuts, low, general condition) / N/A
j.Tracks and adjustment / N/A
k.Wire rope and connections, proper spool of
wire rope on drum / 11. / With ball or block swinging perpendicular to plane of boom, operator stabilizes ball or block with no more than 4swing movements of boom
l.Belts (fan, air compressor, pumps)
m.Air cleaner indicator/dust ejector / 12. / Swing boom 180degrees and place hook in a 5foot diameter circle at a 30foot radius. (For machines with boom lengths less than 30feet, use a radius of 2/3maximum radius) Note: Verbal instructions
Note: Hook is maintained at a 10foot height during swing and boom angle adjustment; after hook has been lowered, no swing or boom angle adjustments may be made
n.Brakes:
Parking
Swing
o.House swing lock
p.Transmission and controls (in neutral position)
q.Emergency engine shutdown
Post-Start Inspection
2. / a.Start engine / 13. / Prepare machine for travel
b.Check all gauges for proper operation / Note: Verbal instructions
Note: The operator should be rated on boom retraction, boom placed over front of machine, jacks and outrigger beams retracted, and swing lock applied
c.Allow engine and hydraulic oil to warm up to
operating temperature and check for air/oil leaks
d.Check control functions
e.Check anti two-block activation / 14. / Travel machine a minimum of 100ft. over existing project roads, turn crane around and return to starting point
Note: Operator should demonstrate ability to use rearwheel steering
Note: The operator should be rated on application, coordination and smoothness of throttle, brakes, and accuracy of steering
f.Check operation of, or set up load moment
indicator system
3. / Check
a.Signal horn/backup alarms
b.Windshield wipers
c.Defrost fan
d.All lights/warning beacon
e.Brakes / Return, Shut Down, and Secure
f.Steering / 15. / Return all controls to neutral position
g.Mirrors for adjustments / 16. / Set:
4. / Extend outrigger beams and level machine
Note: Tires should clear ground
(excluding crawler cranes) / a. Parking brakes
b. Swing brake
c. House lock
17. / Idle engine for 5minutes and shut down engine
18. / Drain air tanks / N/A

Distribution: Original — Retained at project/site; Copy —Corporate HSE Training Department

Copyright © 2009, P2S. All Rights Reserved.
Form Date: 01May2009 / Page 1 of 1 / Health, Safety, and Environmental
/ Form 000.653.F0297
Crane Operator Skills Test/Performance Evaluation (Hydraulic)

Note:This form is referenced in Practice000.653.3201