SA 9644 (07/07) Saudi Aramco GI 7.

028 Attachment #1
Critical Lift Plan*
(*Each Piece Of Participating Lifting Equipment Shall Have A Separate Critical Lift Plan)
Organization Name: _______________________ Date of Lift: _______________________
Organization Code #: ______________________ Work Permit Required? YES NO
Facility Name: ___________________________ Specific Work Location: ____________________ Contract #: _______________
A) Load Description & Weight (From USER): B) Load Handling Devices (See “Notes” Below):
_____________________ ________ lbs/kgs Load Handling/Boom Stowed Erected N/A Weight:
Attachments lbs/kgs
C) Crane Information (See “Notes” Below): Swing-Away Jib: ______
1. SA Inspection Sticker YES NO Other Jibs: ______
2. Inspection Sticker Expiry Date: __________ Hook Block (Main): ______
3. Equipment ID #: ____________________ Auxiliary Boom Head: ______
4. Crane Model: ______________________ Headache Ball: ______
5. Crane Type: _______________________ Lifting/Spreader Beam Needed? YES NO ______
Does Beam Have Current Inspection Sticker? YES NO
6. Crane Rated Capacity: ___________ lbs/kgs Slings, Shackles, etc.: ______
7. Crane Operating Code # (if applicable): ____ Other: ________________________________ ______
8. Single Line Pull Capacity: ________ lbs/kgs Weight of Load Handling Devices (Section B Above) ____________ lbs/kgs
9. # of Parts of Line: ______________
+ Weight of Load to be Lifted (Section A) ____________ lbs/kgs
10. Total Gross Capacity Hook Block as Reeved:
_____________________ lbs/kgs
= Total Gross Weight (Sections A + B) ____________ lbs/kgs
D) Crane Configuration (See “Notes” Below): E) Rigging (See “Notes” Below):
1. Required Boom Length: __________ ft/m 1. Hitch Arrangement: _______________________________________
2. Boom Angle: ________________ degrees 2. Sling Type(s): ___________________________________________

3. Required Counterweight: _________ lbs/kgs 3. Sling Size(s): _____________________________________ in/cm

4. Sling Length(s): ___________________________________ ft/m
4. Operating Radius: _______________ ft/m 5. Shackle Size: __________ in/cm & Capacity: __________________ lbs/kgs
5. Lift Quadrant (Front, Rear, 360°): ________ 6. Capacity of Above Configuration: ___________________ lbs/kgs
F) Crane Capacity in This Configuration (De-rated, if applicable): lbs/kgs Total Gross Weight ÷ Capacity = %
G) Surface Requirements Needed (Other Than Mandatory Outrigger Pads): Mats? YES NO Is the Ground Level? YES NO
Proper Ground Compaction? YES NO Excavation Hazards Controlled? YES NO Other _____________? YES NO
H) Wind Speed Shall Not Exceed GI 7.027 Limits for Manbaskets or GI 7.028 Limits/Manufacturer’s Specifications for Loads
I) Energized Power-Lines Within Boom Radius?YES NO Explosion/Fire/High Heat Hazards Within Boom Radius? YES NO
J) Is This a Nighttime Crane Lift? YES NO If Yes, Do You Have Written Approval From Facility Manager? YES NO
***Attention: A Pre-Lift Safety Meeting is Mandatory CAN CRANE MAKE LIFT? YES NO
Positions: Name (Signature) Badge # Certificate # Approved by Rigger-I
Originator: __________________ ___________ ______________
Name (Print):
Rigger: __________________ ___________ ______________
Badge #:
Crane Operator: __________________ ___________ ______________
Certificate #:
USER __________________ ___________ ______________ Signature:
Supervisor:
Notes: 1. Attach sketch(es) of lift site, noting obstacles to movement of load, boom, or tail swing.
2. All units of weight shall be listed in the same units of measure as Crane Load Chart. PDD Concurrence
3. All units of measure shall be listed in the same units of measure as Crane Range Diagram. (when required by GI 2.702)
4. Attach copy of Crane Load Chart, Range Diagram, and Safety Notes.
5. Certain weights may be deducted from Crane Load Chart capacities based on manufacturer’s specifications.