Medical Verification Policy

Physical requirements are taken from the ASME B30.5-3.1.2 (a) and are the physical requirements all candidates must meet in order to be certified by Crane Institute Certification. All candidates must indicate their compliance with the Medical Verification Form unless it can be shown that failure to meet the qualifications will not affect the operation of the crane.  In such cases, specialized clinical or medical judgments and tests may be required and supporting documentation, with the Physicians Medical Verification form, must be provided to CIC for determination of whether the requirement is met.  

Medical Verification Form

Carefully read the ASME B30.5-3.1.2 (a) physical requirements listed below. 

  1. I have a vision of at least 20/30 Snellen in one eye and 20/50 in the other, with or without corrective lenses.
  2. I have the ability to distinguish colors, regardless of position, if color differentiation is required.
  3. I have adequate hearing to meet operational demands, with or without a hearing aid.
  4. I have sufficient strength, endurance, agility, coordination, and speed of reaction to meet crane operation demands.
  5. I have normal depth perception, field of vision, reaction time, manual dexterity, coordination, and no tendencies to dizziness or similar undesirable characteristics.
  6. I have a negative results for a substance abuse test. The level of testing determined by the standard practice for the industry where the crane is employed and confirmed by a recognized laboratory service.
  7. I have no physical defects or emotional instability that could render a hazard to myself or others, or which, in the opinion of the examiner, could interfere with the operator’s performance. 
  8. I am not subject to seizures or loss of physical control.

If you do NOT meet one or more of the eight (8) requirements listed above, but believe that failure to meet the qualification will not affect your ability to operate cranes:

  • Select “B” below
  • Get a copy of the Physicians Medical Verification Form from CIC
  • Have it completed by the appropriate physician and returned to CIC

Check A OR B.

A. Passed Physical - By checking this box and signing below, I state that I have passed a physical exam by a licensed physician within the last three (3) years that affirms my compliance with the ASME B30.5-3.1.2 (a) medical requirements, and confirm that the above eight (8) statements are true at this time. Furthermore, I swear that I will have a physical at least every three (3) years during the period of my CIC certification and if I do not meet any of the ASME B30.5-3.1.2 requirements that I will stop operating cranes and notify CIC immediately.

OR

B. Did Not Pass Physical - By checking this box and signing below, I state that I have not met the ASME B30.5-3.1.2 (a) medical requirements. I am aware that I must provide a Physicians Medical Verification form in order to be considered for Crane Operator Certification. I am also aware that providing a Physicians Medical Verification form does not guarantee that I will meet Medical Verification Policy requirements for certification.

Signature: ________________________________ Date: _______ Candidate ID _______________