Non-Routine Lifting Plan

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Non-Routine Lifting Plan


Document Number: Rev:

Document Tittle:

Project Description:

Contractor:

Project Code:

Information Table Name & Signature Date

1- Accepted with No Comments. Please reissue


accepted for Construction

2 – Carry on working, comments must be


incorporated.

3- Rejected, Revise and Resubmit. Work may


not proceed.

4- Accepted for Information only. Document


does not require review

Remarks:

Doc No. BK9A-GEN-000-HSE-PCD-0011 Rev.C


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Non-Routine Lifting Plan

Lifting Plan for Construction of

XXXXX
XXXX

Approve table from the Company LTA

Status
A B C
Name:

Tittle:

Date:

Signature:

Note: A: Approved B: Approved and note C: Rejected, Comments

Doc No. BK9A-GEN-000-HSE-PCD-0011 Rev.C


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Non-Routine Lifting Plan

Rev Description PREP’D CHEK’D APPR’D DATE

Signature

Project: Date:

Site / Location

Contractor Construction Manager: Phone:

Appointed Person carrying out the


plan: (PIC/ Lifting supervisor) Phone:

Contractor Site HSE Supervisor: Phone:

Contractor Banksman: Phone:

Contractor Rigger: Phone:

Lifting Plan Description:

Side View

Top View

Rigging Study

Lifting Gears Information QNT’Y 3rd Party Certificate Number Certificate Due Date

Doc No. BK9A-GEN-000-HSE-PCD-0011 Rev.C


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Non-Routine Lifting Plan

Doc No. BK9A-GEN-000-HSE-PCD-0011 Rev.C

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