MOBILE CRANE OPERATOR

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1 To qualify to challenge certification in this trade, you must: Have experience performing job tasks listed as per Section E; and Have worked a minimum of 5,400 documented hours of which 1,600 hours must be operating time A Statutory of Work Experience is used to declare work experience for periods during which you were self-employed or a previous employer is unavailable to complete an Employer. Please note that unless your work experience hours were gained through self-employment, Certification Challenge applications will not be accepted if they are only accompanied by a Statutory. n-self-employed applicants must provide an Employer from at least one employer who can verify work experience. For more information, see Instructions for Certification Challenge. The information provided on this form is used to assess and to validate your work experience in this trade. Once your challenge application is approved, you must first pass the ITA Level 1 Standardized Written Examination. You will then be approved to attempt the ITA Level 3 Standardized Written Examination and the Mobile Crane Operator Interprovincial Red Seal Examination. Once all three written examinations are passed, you will be required to pass the ITA Standardized Practical Assessment. For more information on fees and scheduling of the written exam, refer to the Instructions for Certification Challenge. A. Applicant Name B. Supervisor or Self-Employment Contact Information Enter the contact information for the Supervisor at your previous employer who is unavailable to complete an Employer, or for your own business if you are self-employed. Name of Organization/Employer/Business: Supervisor Name: Supervisor s Position/Title: Suite Number: Street Number and Name: City: Province: Postal Code: Telephone Number: ( ) Business Registration Number: (Self-Employment only) Page 1 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017

2 C. Employment or Self-Employment Information of Applicant Enter the dates and number of hours for this period of employment or self-employment. Combine multiple periods of self-employment on one form, but separate periods of employment with different employers on separate forms. Dates of Employment (MM/DD/YYYY): From: To: Total number of hours of Mobile Crane Operator experience accumulated in that period: Company: Location: Total number of hours of Mobile Crane Operator operating time (actual operation of the crane) accumulated in that period: Job Title of Applicant: D. Reason for Statutory Indicate why a Statutory is required for this period of employment: Applicant was self-employed Employer is no longer in business Employer will not complete Employer Employment records are not available Applicants must attempt to contact current or previous employers to request an Employer. If you have been unable to obtain an Employer for any portion of your non-self-employed work experience, indicate the steps you have taken to try to obtain it. If sufficient evidence of steps taken is not provided, the application may not be approved. Page 2 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017

3 E. Statutory of Job Task Performance By checking or in the column, indicate whether or not you have performed the job tasks listed below. Job Tasks E1 must check to a minimum 25 of 35 job tasks in this section SAFETY Comply with regulations, policies, and manufacturers manuals Maintain a safe working environment Follow emergency procedures Be aware of power line hazards Practice effective worksite communications CRANE SYSTEMS AND COMPONENTS Inspect carrier systems, outrigger systems, and turntable assemblies Inspect power plants and drive systems Inspect pneumatic systems, hydraulic systems, and electrical systems Inspect steering systems and braking systems Inspect hoisting systems and attachments Inspect safety components, devices, and aids WIRE ROPE AND RIGGING Use wire rope Follow wire rope installation procedures Inspect wire rope, slings, and rigging hardware Use slings and rigging hardware Use rigging techniques Maintain and store wire rope, slings, and rigging hardware Page 3 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017

4 Job Tasks E1 (continued) must check to a minimum 25 of 35 job tasks in this section CRANE OPERATIONS Interpret operating manuals Perform a pre-operational inspection Perform a pre-operational setup Demonstrate hoisting techniques Leave a crane unattended according to proper procedures TRANSPORTING A CRANE Follow commercial transport regulations Prepare a crane for travel Prepare a crane for transport Assemble and disassemble a crane CRANE MAINTENANCE Use tools for basic crane maintenance Perform basic crane maintenance SPECIALIZED OPERATIONS Operate a crane with a suspended work platform Perform engineered lifts Perform heavy lifts Perform dragline and clamshell operations Perform foundation and shoring operations Perform multiple crane lifts Lift an object into or out of water Page 4 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017

5 Job Tasks E2 must check to all job tasks in this section LIFT PLANNING Follow site assessment procedures Determine load weights Determine crane lifting capacity Determine rigging requirements Conduct a site assessment Use a crane capacity chart Job Tasks E3 must check to a minimum 2 of 6 job tasks in this section TELESCOPING BOOM CRANE OPERATIONS Perform hoisting techniques for a telescoping boom crane Operate a telescoping boom crane, over 20 tonnes, with a slewing upper structure LATTICE BOOM HYDRAULIC CRANE OPERATIONS Perform hoisting techniques for a lattice boom hydraulic crane Operate a lattice boom hydraulic crane LATTICE BOOM FRICTION CRANE OPERATIONS Perform hoisting techniques for a lattice boom friction crane Operate a lattice boom friction crane Page 5 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017

6 F. Confirmation of Prerequisite Credentials or Certificates For some trades, evidence that the applicant has earned prerequisite credentials or certificates is required before the individual is permitted to challenge certification. For those trades, you must prove you have the required prerequisite credentials. There are no prerequisite credentials or certificates for this trade. G. Applicant Signature I certify that the information I have provided is accurate. (te: Collection and protection of personal information on this form is in accordance with the provisions of the Freedom of Information and Protection of Privacy Act.) Applicant Name (please print): Applicant Signature: Date: (MM/DD/YYYY) Page 6 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017

7 H. References References must accompany all Statutory s. Include with your completed Statutory the names and contact information of three individuals who can verify your self-declared work experience in this trade. This may include suppliers (maximum one), former employees (maximum one), contractors, or regular, long-term clients (maximum one). Each individual listed will be contacted by BC Crane Safety or ITA to verify the information provided on your application. 1. Reference Legal Last Name of Reference: Legal First Name of Reference: Organization/Business Name: Position/Title: Business Phone Number: Reference Cell Number: Relationship to Applicant: 2. Reference Legal Last Name of Reference: Legal First Name of Reference: Organization/Business Name: Position/Title: Business Phone Number: Reference Cell Number: Relationship to Applicant: 3. Reference Legal Last Name of Reference: Legal First Name of Reference: Organization/Business Name: Position/Title: Business Phone Number: Reference Cell Number: Relationship to Applicant: Page 7 of 7 The Industry Training Authority is an agency of the Government of British Columbia. June 2017