Safety Forms
Mobile Crane - Competency Assessment Form - Editable
A 14-point mobile crane operator competency assessment - ticket verification and load chart review through a full demonstration of a lift - scored item by item and delivered as a real fillable PDF, so a Pass reflects a lift that was actually watched.
- Fillable PDF — type into it on any device, or print it blank
- Single page, 8.5" x 11" (Letter)
- Add your company logo at checkout — no extra charge
- Written by Canadian safety professionals to provincial OHS standards
- Instant download after purchase
Written by certified COR auditors · Trusted by Canadian contractors for 17+ years · Secure Stripe checkout · Instant delivery + re-download any time from your purchases page
Pairs with online training
Certificates issue instantly through our online training portal.
THE TICKET SAYS THEY'RE CERTIFIED - THIS SAYS THEY REVIEWED TODAY'S LOAD CHART
What you get
- A fillable PDF - check each item Yes or No, add a comment, and record the final competency level right on the form
- Assessment Trigger and Prerequisites Verified checkboxes documenting why the assessment happened and what was confirmed first
- 14 scored items in two sections - certification and load chart review, then a demonstrated lift from function test through set-down, stowing, and logging the lift
- The same 0-3 Competency Level key and Pass / Needs Additional Coaching decision box used across On-Track's whole competency assessment line
- Reassessment due date and an evidence-attached note
- Assessed employee and assessor name and signature lines
- Your company logo added to the form, at no extra charge
How to fill it out and keep it. Open it in Adobe Acrobat Reader (free) or a desktop browser like Chrome or Edge, then use that program's own Save or Download button, not just closing the tab, so your entries are kept in the saved copy. On a phone, most PDF apps will let you view the form but not type into it - fill it out on a computer, or print it and use a pen.
Specifications
- Size
- 8.5" x 11" (Letter)
- Format
- Fillable PDF - type into it on any device, or print it blank
- Company logo
- Included - upload at checkout, or we print your company name instead
- Delivery
- Instant download after purchase
Why crews use it
- Load chart review and lift plan sign-off are scored BEFORE the boom moves, not assumed because the operator has run this crane before
- Signal person communication, swing radius control, and taglines are each their own scored line, so a Pass reflects the whole lift, not just a clean pick
- Set-down accuracy and shock loading avoidance are assessed as their own item, catching the part of the lift where a rushed finish causes damage or injury
- One standard form covers initial sign-off, green-hand 30-day checks, annual and 3-year reassessments, and post-incident re-evaluation on the same layout
- Supports mobile crane operator competency verification under provincial OHS legislation and COR/SECOR training-and-competency evidence requirements
Built for
- Supervisors and trainers confirming a certified crane operator actually planned and executed today's lift correctly, not just that their ticket is valid
- Companies standardising green-hand, annual, and post-incident mobile crane reassessments on one form
- Safety coordinators building COR/SECOR audit evidence for crane operator competency rather than relying on a certification card alone
Why it matters
A crane ticket confirms someone passed a certification exam, possibly years ago, on a different machine. It doesn't confirm they reviewed today's load chart against today's radius and configuration, or that they controlled the load with taglines instead of letting it swing. This assessment scores the lift that actually happened, not the credential in their wallet.
Try it right here
Click a box. Type a line. See how it feels before you buy.
This is the real form layout - what you type here isn't saved or sent anywhere, it's just so you can see the fields work before you pay.

Common questions
Before you buy
What people ask us about the Mobile Crane - Competency Assessment Form - Editable.
What is the Mobile Crane - Competency Assessment Form - Editable used for?
Editable Mobile Crane Competency Assessment – verify operator skills, document evaluations, and meet OHS and legislative compliance requirements. It is written for Canadian workplaces and formatted so it can go straight into your safety program.
Is it editable, or print-ready only?
It is supplied in an editable format, so you can add your company name, adjust the wording to match how your crews actually work, and issue it under your own program.
Does using this form make us compliant?
No single form makes a company compliant. A form is the evidence half of a safety program - it records that something was checked and by whom. It carries weight at audit time when the written program behind it says the check is required and how often. If that program does not exist yet, that is the part we write.
What format is it, and when do I get it?
It is a digital download available immediately after checkout, and you can print as many copies as your own crews need.
From the team that wrote it
These forms come from a bigger program.
Inspection and competency forms are the evidence half of a safety program. If the program they belong to does not exist yet, or has not been updated in a few years, that is the part we write.




