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Mobile Crane – Competency Assessment Form – Editable Word Document

A mobile crane is one of the most complex and high-risk pieces of equipment on any worksite. A single error in load chart interpretation, outrigger placement, or rigging supervision can result in a catastrophic incident. This Mobile Crane Competency Assessment Form gives you a structured, documented way to verify that your operators genuinely understand the machine — not just how to operate the controls, but how to plan a lift, assess site conditions, and respond when something goes wrong.

The form is provided as an editable Microsoft Word document. Tailor the competency criteria, scoring thresholds, and observer fields to match your equipment make and model, site-specific requirements, and applicable provincial OHS regulations.

✅ Use This Form To:
  • Verify operator knowledge of load radius charts and load chart interpretation for various boom configurations
  • Assess understanding of boom extension limits, jib attachments, and their effect on rated capacity
  • Confirm competency in outrigger deployment, ground bearing pressure calculations, and mat/cribbing requirements
  • Evaluate knowledge of anti-two-block (ATB) device function, inspection, and bypass procedures
  • Assess lift plan completion requirements — critical lifts, tandem lifts, and engineered lift plans
  • Verify powerline clearance requirements and safe approach distances under provincial regulations
  • Confirm rigging supervision responsibilities, load weight estimation, and sling angle effects on capacity
  • Evaluate pre-use inspection procedures covering the boom, hook block, wire ropes, hydraulics, outriggers, and safety devices
  • Assess emergency procedures: boom failure, load drop, outrigger sinking, and power contact
Key Features:
  • Fully editable Microsoft Word format — add your company name, logo, and site-specific criteria
  • Covers mobile crane-specific skills: load charts, outrigger setup, rigging supervision, lift planning, and ATB systems
  • Aligns with OHS legislation requirements for competency verification of crane operators
  • Suitable for both written assessment and practical evaluation components
  • Digital or print-ready — use in SiteDocs, as a PDF, or as a printed sign-off form
Who Should Use This Form:

Safety managers, site supervisors, and qualified evaluators responsible for documenting mobile crane operator competency in construction, heavy civil, oil and gas, rigging and hoisting operations, and any worksite where mobile cranes are used regularly. Required as part of a formal Competency Verification Program under most provincial OHS frameworks.

Looking to build a complete competency programme across your equipment fleet? View the Full Competency Program.

Mobile Crane - Competency Assessment Form - Editable

C$6.99Price

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