Document RJ0yEvaoMggzM86Vka5mBy8Zn

RIG BASKET CHECKLIST INSPECTED BY ___________________________________ AREA OR BLOCK RIG OPERATOR BASKET NUMBER CAPACITY DATE 1. RIG LEVEL, OUTRIGGERS FULLY EXTENDED, SOLID FOOTING YES ____ NO ___ 2. HYDRAULIC LEAKS-VISUAL WALK AROUND ____ ___ 3. CABLE DRUM-EVEN, SMOOTH CABLE WRAPS ____ ___ 4. CABLE PATH-UNOBSTRUCTED/ANTI-TWO BLOCK EQUIPPED ____ 5. CABLE-VISUAL INSPECTION FOR KINKS OR DETERIORATION ____ ___ 6. SAFETY LATCH-HEADACHE BALL ____ ___ 7. HEADACHE BALL-"HOOK PIN"-COTTER PIN-NUT ____ ___ 8. HEADACHE BALL-"MAIN PIN"-COTTER PIN-NUT ____ __ 9. CABLE CLAMP-TIGHTEN _ 10. MANLIFT BASKET INSPECTION TAG ____ __ 11. BASKET CABLES-GOOD CONDITION-CHECK UNDER BASKET ____ __ 12. BASKET CABLE CLAMPS-GOOD CONDITION, TIGHT ____ __ 13. BASKET GRATING-TOEPLATE GOOD CONDITION _ 14. SAFETY CHOKER-HOOKED ABOVE HEADACHE BALL _ 15. FALL RESTRAINT DEVICE-ONE FOR EACH PASSENGER ____ __ 16. BREATHING AIR-5 MIN. ESCAPE PAK, ONE EACH PASSENGER ____ _ 17. BREATHING AIR-OPERATOR, TAGLINE MAN 5 MIN.ESCAPE PAK _______ _ 18. MANBASKET TAGLINE _ 19. EXPERIENCED FLAG PERSON _ 20. CERTIFIED MANBASKET OPERATOR _ 21. MANBASKET DRY RUN-EMPTY _ 22. SAFE WORK MULTI-PERMIT-SAFETY STANDARD S-212REVIEWED _____ WITH ALL INVOLVED. _ COMMENTS: DO A 055706 CONFIDENTIAL