Work Experience Form Mobile Crane Operator

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2013 - National Occupational Analysis (NOA) Work Experience Form Mobile Crane Operator 1-877-978-7233 www.manitoba.ca/tradecareers Personal Information (please print) Legal First Name Middle Initial Legal Last Name Birth Date (yy/mm/dd) Address City/Town Postal Code Home or Cell Phone Business Phone E-mail address Fax # Eligibility Requirements In order for Trades Qualifi ers (TQ) to be approved to challenge the certifi cation exam in this compulsory trade, you must have worked both a minimum of 4.5 years and accumulated 7,650 hours, as well as acquired at least 70% scope of the trade. Check the box you are applying for Trades Qualifi er (Experienced tradesperson being assessed to challenge the certifi cation exam) Designated Trainer (Experienced tradesperson being assessed to register apprentices) * We encourage all Designated Trainers interested in receiving a Certifi cate of Qualifi cation (trade ticket) to apply to challenge the exam through the Trades Qualifi cation process. The application can be found at: http://www.gov.mb.ca/wdis/apprenticeship/generalinfo/forms.html. Instructions You are about to complete the Work Experience Form (WEF) which is based on the sub-tasks outlined in the National Occupational Analysis (NOA). The NOA provides detailed information that will assist you when completing the WEF and is your best source for identifying any training gaps. If you have diffi culty understanding the detailed break-down of the subtasks, go to the Red Seal website at: www.red-seal.ca. Under the Resource Centre drop-down menu, select National Occupational Analyses, then click on Consult a Trade s NOA. Select your trade from the list, then click on the PDF. If more than one NOA is listed for your trade, choose the NOA that the exam is based on and download that version. Rate your experience for each sub-task based on the scale below. The number of questions in each section of the certifi cation exam is identifi ed next to each Block title. How you assess yourself is an important step to prepare for the certifi cation exam. Circle #0 if I have no experience doing this. Circle #1 if I have a little experience doing this. Circle #2 if I have some experience doing this with help. Circle #3 if I have some experience doing this alone and unaided. Circle #4 if I have frequently done this. Circle #5 if I have extensive experience doing this. Sign and date the completed Work Experience Form and return it to Apprenticeship Manitoba with either the Trades Qualification or Designated Trainer application form and related documents. Keep one copy of the Work Experience Form for your records. Rev. 09/16 Brandon Thompson Winnipeg 340-9th St. 118-3 Station Rd. 100-111 Lombard Ave. R7A 6C2 R8N 0N3 R3B 0T4 204-726-6365 204-677 -6346 204-945-3337 Fax 204-726-6912 Fax 204-677-6689 Fax 204-948-2346

Block A Common Occupational Skills (7 Questions) 1. Performs safety-related functions. 1.01 Maintains a safe work environment. 1.02 Uses personal protective equipment (PPE) and safety equipment. 2. Organizes work. 2.01 Communicates with others. 2.02 Uses documentation. Block B Hoisting Calculations (24 Questions) 3. Determines load weights. 3.01 Identifi es the weight. 3.02 Calculates weight. 4. Calculates crane capacity. 4.01 Determines radius and crane confi guration. 4.02 Interprets load charts. 5. Performs rigging calculations. 5.01 Performs sling angle calculations. 5.02 Performs working load limit (WLL) calculations. 2

Block C Crane Inspection and Maintenance (11 Questions) 6. Performs pre-operational checks and regular inspections. 6.01 Inspects engine systems. 6.02 Inspects air systems. 6.03 Inspects electrical systems. 6.04 Inspects hydraulic systems. 6.05 Inspects chassis/car body and running gear components. 6.06 Inspects outriggers and counterweights. 6.07 Inspects boom components and attachments. 6.08 Inspects hoisting systems. 7. Performs operational and continual checks. 7.01 Checks operating controls. 7.02 Inspects monitoring and warning systems. 7.03 Monitors running lines, hoist lines and standing ropes. 7.04 Monitors gauges and warning systems. 8. Performs minor crane maintenance. 8.01 Changes oil and fi lter. 8.02 Greases crane. 8.03 Lubricates wire ropes. 8.04 Makes minor adjustments and replacements. 3

Block D Rigging (15 Questions) 9. Inspects, maintains and stores slings and hardware. 9.01 Lubricates slings and hardware. 9.02 Identifi es defi ciencies in slings and hardware. 9.03 Disposes of damaged slings and hardware. 9.04 Stores slings and hardware. 10. Follows rigging procedures. 10.01 Selects required rigging. 10.02 Rigs loads. 10.03 Monitors rigging. Block E Lift Planning, Site Preparation and Crane Setup (18 Questions) 11. Performs pre-lift planning. 11.01 Participates in routine, engineered and specialty lift planning. 11.02 Assesses risks and hazards. 12. Sets up crane. 12.01 Performs fi nal site inspections. 12.02 Positions crane. 12.03 Completes setup. 4

Block F Crane Assembly, Disassembly and Transport (14 Questions) 13. Loads and unloads components for transport. 13.01 Loads crane and components. 13.02 Unloads crane and components. 14. Drives cranes on public roadways. 14.01 Performs pre-trip planning. 14.02 Prepares crane for transport. 14.03 Drives cranes. 15. Assembles and disassembles lattice boom cranes. 15.01 Installs tracks on car body (lattice boom). 15.02 Installs house (lattice boom). 15.03 Installs outrigger boxes (lattice boom). 15.04 Installs boom base (lattice boom). 15.05 Assembles boom and jib (lattice boom). 15.06 Installs counterweights (lattice boom). 15.07 Installs hoist lines, hook blocks and overhaul ball (lattice boom). 15.08 Removes hoist lines, hook blocks and overhaul ball (lattice boom). 15.09 Disassembles boom and jib (lattice boom). 15.10 Removes counterweights (lattice boom). 15.11 Removes boom base (lattice boom). 15.12 Removes house (lattice boom). 15.13 Removes tracks from car body (lattice boom). 5

15.14 Removes outrigger boxes (lattice boom). 16. Assembles and disassembles telescopic boom cranes. 16.01 Installs outrigger boxes (telescopic boom). 16.02 Installs main boom (telescopic boom). 16.03 Installs hoist lines, hook blocks and overhaul ball (telescopic boom). 16.04 Installs counterweights (telescopic boom). 16.05 Installs swing-away jibs and inserts (telescopic boom). 16.06 Removes swing-away jibs and inserts (telescopic boom). 16.07 Removes counterweights (telescopic boom). 16.08 Removes hoist lines, hook blocks and overhaul ball (telescopic boom). 16.09 Removes main boom (telescopic boom). 16.10 Removes outrigger boxes (telescopic boom). 17. Assembles and disassembles specialty equipment and attachments. 17.01 Installs counterweights on RT cranes. 17.02 Installs swing-away jib and jib on RT cranes. 17.03 Removes counterweights from RT cranes. 17.04 Removes swing-away, jib and jib from RT cranes. 6

Block G Crane Operation (21 Questions) 18. Performs common craning operations. 18.01 Configures load moment indicator (LMI). 18.02 Mobilizes crane on jobsite. 19. Operates friction drive lattice boom cranes. 19.01 Operates friction drive crawler-mounted lattice boom cranes. 19.02 Operates hydraulic drive truck-mounted lattice boom cranes. 20. Operates hydraulic drive lattice boom cranes. 20.01 Operates hydraulic drive crawler-mounted lattice boom cranes. 20.02 Operates hydraulic drive truck-mounted lattice boom cranes. 21. Operates telescopic boom cranes. 21.01 Operates crawler-mounted telescopic cranes. 21.02 Operates rubber-mounted telescopic cranes. 22. Performs specialty craning operations. 22.01 Operates piledriver. 22.02 Performs duty cycle operations. 22.03 Operates cranes on barges. 22.04 Performs multi-crane lifts. 22.05 Uses personnel hoisting equipment. 7

23. Secures crane. 23.01 Secures crane for short-term. 23.02 Secures crane for long-term. Name (please print) Signature Date: Apprenticeship Manitoba 100-111 Lombard Ave. Winnipeg, MB, R3B 0T4 (204) 945-3337 (Phone) 1-877-978-7233 (Toll Free in Manitoba) (204) 948-2346 (Fax) 8