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PROVEN

BINDER FORM

FRM-043

CSA Z248 COMPLIANCE RECORD

How this serial meets CSA Z248-2004 as 14.2(6) requires. A brochure is not a declaration.

DOCUMENT
GOSPEL-FRM-043
REVISION
01 CURRENT
EFFECTIVE
2026-09-01
OWNER
GOSPEL Safety
APPROVED BY
GOSPEL
REVIEW
2027-09-01

FILL THIS FORM →

WHEN

Before the crane is placed in service on this site.

CAPTURE

  • Crane serial, year, manufacturer
  • Document relied on (manufacturer declaration, engineer letter, certificate)
  • Who holds the original
  • Configuration this document covers
  • Gaps and how they are closed

ROUTING

Owner / supplier provides. Crane user confirms it matches this machine. Binder copy.

PROVENsin(). Current version on this site.