Bollmeier Crane Rental: Rough Terrain Cranes, Hydraulic Truck Cranes, Deck Cranes

Submit Your Hoisting Requirements

Job Name:

Estimated Start Date:

Estimated Duration:

Contact Information

Contact*: A value is required.	Company Name:	Phone Number*: A value is required.
Company Address:	Fax Number:	Email Address:

Load

Load Description:

Width: (in feet)
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Length: (in feet)
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Height: (in feet)
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Net Weight of Load: (lbs)
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Does the value of the load exceed $1,000,000?

Yes

Jobsite

Jobsite Address:	Job Site Directions:
Use the map below to pinpoint the Job location.
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Please express all distances in feet.
Distance from Rear of crane to Structure: Invalid format.	Distance from structure edge to Load's center of gravity: Invalid format.	Height of Structure: Invalid format.
Radius from the rear of the crane: We will add for the distance to the crane centerline.

Does this work involve working on asphalt or concrete parking lots?
Yes	No

Does this work involve working in/around an excavation?
Yes	No

Special Operational Hazards or Requirements

Are there power lines in the proximity of the work? (See OSHA Clearances)
Yes	No

Who has power authority over these lines?

Is there sufficient room for crane assembly?
Yes	No

Is there sufficient room for delivery of the load?
Yes	No

Is the load path clear of obstructions?
Yes	No

Does the work area contain any above-ground utilities, pipe lines, or obstructions?
Yes	No

Does the work area contain any special overhead, width, length or working space limitations?
Yes	No

Does the work area contain any undeground utilities?
Yes	No

Does the work area contain any sidewalks or parking lots?
Yes	No

Does the work area require any special access permits?
Yes	No

Does the work area require any FAA permits?
Yes	No

Please make a selection.

Does the work area require any site training?
Yes	No

Are there any other hazards involved in this job?

Rigging

Do you require Bollmeier to furnish rigging (such as slings and/or shackles)?
Yes	No

Do you require Bollmeier to furnish certified spreader beams?
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