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Company: Employee: I.D. No.: is authorized to operate the following equipment: Company: Employee: I.D. No.: is authorized to operate the following equipment: Company: Employee: I.D. No.: is authorized to operate the following equipment: Company: Employee: I.D. No.: is authorized to operate the following equipment: Employee: Number: Shift: Date Tested: Date Permit Issued: Expiration Date: Operator Restrictions: Employee: Number: Shift: Date Tested: Date Permit Issued: Expiration Date: Operator Restrictions: Employee: Number: Shift: Date Tested: Date Permit Issued: Expiration Date: Operator Restrictions: Employee: Number: Shift: Date Tested: Date Permit Issued: Expiration Date: Operator Restrictions: Top Running Overhead Gantry Single Multiple Girder Cranes Other Top Running Overhead Gantry Single Multiple Girder Cranes Other Top Running Overhead Gantry Single Multiple Girder Cranes Other Top Running Overhead Gantry Single Multiple Girder Cranes Other General Industry Part 18 Overhead and Gantry Cranes General Industry Part 18 Overhead and Gantry Cranes General Industry Part 18 Overhead and Gantry Cranes General Industry Part 18 Overhead and Gantry Cranes Operator Restrictions: Date Issued: Date Expires: Name of Issuing Authority: Operator Restrictions: Date Issued: Date Expires: Name of Issuing Authority: Operator Restrictions: Date Issued: Date Expires: Name of Issuing Authority: Operator Restrictions: Date Issued: Date Expires: Name of Issuing Authority: DETACH DETACH DETACH DETACH EMPLOYER FILE EMPLOYER FILE EMPLOYER FILE EMPLOYER FILE Crane Operator Permit Crane Operator Permit Crane Operator Permit Crane Operator Permit MIOSHA/CET #0151B (Rev. 10/15) MIOSHA/CET #0151B (Rev. 10/15) MIOSHA/CET #0151B (Rev. 10/15) MIOSHA/CET #0151B (Rev. 10/15) Michigan Department of Licensing & Regulatory Affairs MIOSHA • Consultation Education & Training Division www.michigan.gov • (517) 284-7720 Michigan Department of Licensing & Regulatory Affairs MIOSHA • Consultation Education & Training Division www.michigan.gov • (517) 284-7720 Michigan Department of Licensing & Regulatory Affairs MIOSHA • Consultation Education & Training Division www.michigan.gov • (517) 284-7720 Michigan Department of Licensing & Regulatory Affairs MIOSHA • Consultation Education & Training Division www.michigan.gov • (517) 284-7720

Crane Operator Permit

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Page 1: Crane Operator Permit

Company:

Employee: I.D. No.:

is authorized to operate the following equipment:

Company:

Employee: I.D. No.:

is authorized to operate the following equipment:

Company:

Employee: I.D. No.:

is authorized to operate the following equipment:

Company:

Employee: I.D. No.:

is authorized to operate the following equipment:

Employee:

Number: Shift:

Date Tested:

Date Permit Issued:

Expiration Date:

Operator Restrictions:

MIOSHA CET #0151B (Rev. 01-05)

Employee:

Number: Shift:

Date Tested:

Date Permit Issued:

Expiration Date:

Operator Restrictions:

MIOSHA CET #0151B (Rev. 01-05)

Employee:

Number: Shift:

Date Tested:

Date Permit Issued:

Expiration Date:

Operator Restrictions:

MIOSHA CET #0151B (Rev. 01-05)

Employee:

Number: Shift:

Date Tested:

Date Permit Issued:

Expiration Date:

Operator Restrictions:

MIOSHA CET #0151B (Rev. 01-05)

Top Running OverheadGantry SingleMultiple Girder CranesOther

Top Running OverheadGantry SingleMultiple Girder CranesOther

Top Running OverheadGantry SingleMultiple Girder CranesOther

Top Running OverheadGantry SingleMultiple Girder CranesOther

General IndustryPart 18 Overhead and Gantry Cranes

General IndustryPart 18 Overhead and Gantry Cranes

General IndustryPart 18 Overhead and Gantry Cranes

General IndustryPart 18 Overhead and Gantry Cranes

Operator Restrictions:

Date Issued: Date Expires:

Name of Issuing Authority:

Operator Restrictions:

Date Issued: Date Expires:

Name of Issuing Authority:

Operator Restrictions:

Date Issued: Date Expires:

Name of Issuing Authority:

Operator Restrictions:

Date Issued: Date Expires:

Name of Issuing Authority:

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Crane Operator Permit

Crane Operator Permit

Crane Operator Permit

Crane Operator Permit

MIOSHA/CET #0151B (Rev. 10/15)

MIOSHA/CET #0151B (Rev. 10/15)

MIOSHA/CET #0151B (Rev. 10/15)

MIOSHA/CET #0151B (Rev. 10/15)

Michigan Department of Licensing & Regulatory AffairsMIOSHA • Consultation Education & Training Divisionwww.michigan.gov • (517) 284-7720

Michigan Department of Licensing & Regulatory AffairsMIOSHA • Consultation Education & Training Divisionwww.michigan.gov • (517) 284-7720

Michigan Department of Licensing & Regulatory AffairsMIOSHA • Consultation Education & Training Divisionwww.michigan.gov • (517) 284-7720

Michigan Department of Licensing & Regulatory AffairsMIOSHA • Consultation Education & Training Divisionwww.michigan.gov • (517) 284-7720

Page 2: Crane Operator Permit

Note To Employer:Equipment listed on this permit / training certification card require operator selection, training, and testing prior to issuance. Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements.

This permit to operate a crane is valid only with the employer who issued the permit, and the permit shall be issued for a period of not more then 3 years.

Note To Employer:Equipment listed on this permit / training certification card require operator selection, training, and testing prior to issuance. Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements.

This permit to operate a crane is valid only with the employer who issued the permit, and the permit shall be issued for a period of not more then 3 years.

Note To Employer:Equipment listed on this permit / training certification card require operator selection, training, and testing prior to issuance. Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements.

This permit to operate a crane is valid only with the employer who issued the permit, and the permit shall be issued for a period of not more then 3 years.

Note To Employer:Equipment listed on this permit / training certification card require operator selection, training, and testing prior to issuance. Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements.

This permit to operate a crane is valid only with the employer who issued the permit, and the permit shall be issued for a period of not more then 3 years.

Employee Requirements:Equipment listed on this permit require a safety inspection at the start of each shift. This permit shall be carried by an operator or be available upon request of a department representative at all times during working hours.

Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements. Report any defects immediately to Supervisor.

Employee Requirements:Equipment listed on this permit require a safety inspection at the start of each shift. This permit shall be carried by an operator or be available upon request of a department representative at all times during working hours.

Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements. Report any defects immediately to Supervisor.

Employee Requirements:Equipment listed on this permit require a safety inspection at the start of each shift. This permit shall be carried by an operator or be available upon request of a department representative at all times during working hours.

Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements. Report any defects immediately to Supervisor.

Employee Requirements:Equipment listed on this permit require a safety inspection at the start of each shift. This permit shall be carried by an operator or be available upon request of a department representative at all times during working hours.

Consult MIOSHA General Industry Standard Part 18 Overhead and Gantry Cranes for specific requirements. Report any defects immediately to Supervisor.

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.