Lifting Plan [PDF]

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Lifting Plan Date Lift Date Heavy Equipment ID No. :



Company Prepared By



1 - Location, Scope and Sequence of Work (brief description) Location of work:



Description of work:



2 - Lifting Plan Crane Standard (75% criteria of lifting capacity on the load chart) Crane Model & Capacity



Lifting Condition



( Ton)



Outrigger Length



Remark



Working Radius



m



Lifting Height



m



Type of Load



Main Block / Axillary Hook Capacity (SWL)



Ton



(Tick one)



* Counterweights



Ton



Max. Length of Main Boom at Lifting



m



Maximum Lifting Capacity of Crane



Ton



Shape



Load Dimensions



L: ( H: (



m) x m)



W=



Load Weight



m



Ton



Hook/Rope Weight Total Rated Load



Ton Ton



NO



3 - Load confirmation of Lifting Gear Section Type of Lifting Gear



Content and calculation formula Wire



Web Belt



Breaking Load



Ton



Chain Sling



Etc.



Number of Lifting Gear



EA



Lifting Gear Dimension



Safety Factor 6



ᶲ(



)mm X L (



Angle )m







Breaking Load X Lifting Gear Number



X



= 6 (Safety Factor) X Tension Multiple Ton



1,2,3,4 EA



Tension Multiple



Safe load calculation formula Lifting Gear Safe Load



Remark



Total Rated Load



= 6



X Ton



Ton



Lifting Plan 5. Lift Plan Sign-Off Crane Operator: I have been briefed of the contents of this lift plan and accept the duty of ensuring the lift is carried out to the agreed procedure, to the limits of my responsibilities. (If the lift continues through a shift change, the new operator shall review and sign above the original name.)



Name



Signature



Date



Lifting Rigger: I have been briefed of the contents of this lift plan and accept the duty of ensuring the lift is carried out to the agreed procedure, to the limits of my responsibilities.



Name



Signature



Date



Lifting Supervisor: I have been briefed of the contents of this lift plan and accept the duty of ensuring the lift is carried out to the agreed procedure.



Name



Signature



Date



6. Approval Reviewed by (HSE Manager)



Approved By (Contractor Site Manager)



Name & Sign



Name & Sign



Date



Date



Approved By (SCT Lifting Supervisor)



Approved By (SCT HSE Manager)



Name & Sign



Name & Sign



Date



Date Lifting Plan form rev#4