Company Name Company Logo Basic Lifting Plan

Document: ??? Issue: 1 (Apr 07) Version: 1 (Apr 07)

Name of person conducting the lift: ..... Name of Slinger (if different from above):.. Date lift is being conducted:..

What is to be lifted?

What is the Weight of the load to be lifted? .

What Lifting Equipment is being used and what is the Safe Working Load (SWL)? Fixed Davit Portable Gantry Overhead Crane Kg/tonne Kg/tonne Kg/tonne Portable Davit Kg/tonne Electric Hoist Kg/tonne

other (state)

What ancillary lifting equipment is being used and what is its SWL? Chain Block Flat Sling Chain Sling Pump Chain Kg/tonne Kg/tonne Kg/tonne Kg/tonne Yes Yes Yes Yes Girder Clamp Round Sling (1 Leg 2 Leg Kg/tonne Kg/tonne 3 Leg 4 Leg )

Other (state) . No No No No (if No do not carry out the lift) (if No do not carry out the lift) (if Yes ensure they are used)

Is all equipment to be used in date for inspection? Has the slinger received basic slinging training? Are Tag-Lines required to steady/control the load? Is there a clear pathway for the movement of the load?

If No what are the obstructions? And can they be moved (detail) . Has Set down point been prepared? Is the set down point able to take the load? What is the set down point? Yes Yes No No

Name of person authorising the lift:.. Date:

Ensure that all lifting equipment are returned to the correct location on completion of the lift.