Lifting Plan

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LIFTING PLAN

LOCATION: DEPARTMENT: DATE OF LIFT:

LOAD DESCRIPTION:

LIFT DESCRIPTION:

A. TOTAL LOAD: -
I. Load Weight LBS
II. Wt. of Aux. BLOCK LBS
III. Wt. Of Main BLOCK LBS
IV. Wt. OF LIFTING BEAM LBS
V. Wt. OF SLING /SHACKELS LBS
VI. Wt. OF JIB/EXT (erected /stowed) LBS
VII. Wt. OF HOIST ROPE LBS

TOTAL WEIGHT

B. CRANE: -
I. TYPE OF CRANE
II. MAXIMUM CRANE CAPACITY LBS
III. RADIUS (Maximum) FT
IV. RADIUS (MINIMUM) FT
V. BOOM LENGTH (Maximum) FT
VI. BOOM LENGTH (MINIMUM) FT
VII. CRANE CAPACITY (Maximum Radius) LBS
VIII. CRANE CAPACITY (MINIMUM Radius) LBS
IX. BOOM ANGLE(Maximum) DEG
X. BOOM ANGLE (MINIMUM) DEG
XI. GROSS LOAD OF CRANE LBS
XII. LIFT IS …………………. % OF THE CRANE RATED CAPACITY

C. HOIST ROPE: -
MAIN AUX 1 AUX 2
# of parts
Rope diameter
Capacity

D. RIGGING: -
I. HITCH TYPES:
II. NO. OF SLINGS: SIZE
III. SLING TYPE:
IV. SLING ASSEMBLY CXAPACITY: LBS
V. SHACKLES SIZE(s):
VI. SHACKEL RATED CAPACITY(s): LBS

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E. CRANE PLACEMENT: -
I. MAXIMUM BEARING PRESSURE :
II. GROUND CONDITION SUITABLE FOR LOAD? YES / NO
III. HIGH VOLTAGE OR ELECTRICAL HAZARDS? YES / NO
IV. OBSTRUCTION TO LIFT OR SWING? YES / NO
V. TRAVEL WITH LOAD REQUIRED? YES / NO

F. PRE – LIFT CHECKLIST: -


ITEMS YES N/A (NO)
CRANE INSPECTED
RIGGING INSPECTED
CRANE SET-UP
OVER HEAD HAZARD CHECK
SWING CHECK
COUNTER WEIGHT CHECK
OPERATOR QUALIFICATIONS
SINGNAL PERSON QUALIFICATION
RIGGER QUALIFICATION
LOAD CHART IN CRANE
LOAD TEST
TAG LINES
WIND CONDITIONS
TRAFFIC HAZARD CHECK
SITE CONTROL
SIGNATURES

H. SIGNATURES: -
I. CRANE OPETATOR ………………………….
II. RIGGER ………………………….
III. SIGNAL PERSON ………………………….
IV. LIFT SUPERVISOR ………………………….

PREPARED BY: CHECKED BY: APPROVED BY:

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