CRANE LIFT PLAN

This lift plan is specific to the lifting operations described in the scope of works. It is not and should never be
considered generic. Safe Work Method Statement (SWMS) and Critical Crane Lift Permit MUST be in Place prior to
lift commencing.

COMPANY NAME PROJECT:

Location CLIENT
Date of lifting operation
Lift plan reference or activity
Person preparing this lift Signature:
plan
Lift supervisor Signature:

Plan reviewed and approved Signature:

by:

PURPOSE
The purpose of this lifting plan is to identify the control measures necessary to negate the primary hazards of the:
 Crane overturning
 Load falling from the crane
 Load or machine striking someone or any other identified hazard.
SCOPE OF WORKS

CRANE AND CREW DETAILS

Crane Type: Capacity (SWL):
Crane Operator Name:
High Risk Work Ticket/Certificate of Competency/Licence #:
Dogman/ Riggers name:
Rigger’s Certification – Validation of Competency (VOC) current? YES NO
Note: You will not be allowed to start any High Risk Task without a relevant Ticket/License

CRANE DETAILS
Maximum lifting load Rated Power:
Height (ground – jib head) Radius:
Actual working load Outrigger spread:
Counterbalance weight
Ground conditions, temporary Crane operator and dog man to inspect and confirm ground stability. Any
works design in place and identified hazards are to be discussed with the construction manager/site
checked off (where appropriate) supervisor and MUST be controlled so far as is reasonably practicable
Spread mat requirement YES NO

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LIFT EVALUATION

A. WEIGHT B. LIFT
1. Weight of equipment Kg 1. Type of Crane
2. Weight for Contingency Kg 2. Rated Capacity tons
3. Weight of Aux Block Kg 3. Lifting Arrangement: m
4. Weight of Main Block Kg a. Max distance, centre of load to centre pin
of crane m
5. Weight of lifting bar Kg b. Vertical Height of lift m
6. Weight of chains / Slings Kg c. Minimum number of parts of crane hoist
line required to lift the load parts
7. Weight of Lines Kg d. Length of Boom m
Total weight e. Counterweight (integral to GR500) tons
C. LIFT CLASSIFICATION f. Angle of Boom at pickup degrees
Is this Lift Critical (Note 1) YES NO g. Angle of Boom at set degrees
Note1. Critical Lifts shall be reviewed by a lift h. Capacity of Crane at maximum radius
specialist. Critical lifts are one of the during the lift tons
following: i. Percent of Carne Capacity (Note 2) at
- Lifts over/near live equipment maximum radius (= total weight capacity
- Lifts over occupied buildings of carne at max radius) %
- Use of nonstandard Crane configurations j. Maximum outrigger loading on mats (or
or specialist equipment (e.g. Gin Poles) crawl tracks) KPa
- Loads greater than 50 tons k. Maximum allowable Ground lading taking KPa
- Loads > 90% of Crane capacity into account all subsurface conditions –
- Loads > 80% of Crane capacity and > 20 Compacted Hard fill
tons
- Lifts using 2 cranes
Note 2. Maximum utilized percentage of
Crane capacity shall not exceed that allowed
by local regulations

Note: Also need to show evaluation with

drawings for lift.

GEAR AND ATTACHMENTS

Number of components Item Weight of item in Total
used Kilograms

TOTAL WEIGHT OF ALL GEAR AND ATTACHMENTS

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 LOAD DETAILS
Maximum weight: Maximum size of load:
Other details (centre of gravity, lifting points, packaging, pallets and so on). Please provide sketch of slinging
method below.

LIFTING CALCULATIONS
In the space below please provide the lift calculations used to arrive at the final weight of the load and its percentage
(%) capacity of the overall load of the crane performing the lift.

STRENGTH AND STABILITY OF GROUND

Ground conditions must be suitable and sufficient and remain so during crane lifts to take the anticipated loads.
Include details of the ground conditions and any additional works required to the ground, including spreader mats
specification
1. Crane securely positioned away from trenches YES NO
2. Outriggers supported with mats/timbers (where Timber Packing is utilised, it
YES NO
should be in ‘pig-sty’ packing arrangement).
3. Ground surface inspected by crane operator YES NO
4. Adequate room for rigging and erection of the mobile crane YES NO
ACCESS
Include any special travelling routes, road closures notifications, and access problems.

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 SIGNALLING
Indicate whether hand signals or radios are to be use
frequency/channel. This section can also include any unique
colour helmet/hi-vis) if required.

SITE CONDITIONS AND HAZARD CHECK

Excavations YES NO Culve
Plant and equipment YES NO Railw
Lifting lags and equipment YES NO Drain
Embankments YES NO Perso
Roads YES NO Manh
Overhead and underground services YES NO
or obstructions
Buildings, stationary objects YES NO Othe
Environmental considerations. YES NO
Scaffolding YES NO

CRANE LAYOUT PLAN

Provide a plan of the proposed lift site showing crane position, load pick up and set down points, slew pathways,
crane controller/spotter locations tag line controllers, other work locations in vicinity of lift, other operating
equipment within the potential lift area and exclusion zones “DROP ZONE” of lift area. Indicate measurements of
distances of working radius and travel, lay-down/rigging area, position of delivery vehicles, landing points, ground
and overhead hazards. If required use elevation drawings .

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 OTHER INFORMATION RELEVANT TO LIFT
Please include any other information that is relevant to the lift in the space below.

This Lift Plan has been developed in accordance with applicable site procedures, including necessary contingency
plans where necessary. The equipment and the plan are suitable for the load(s) concerned.

Prepared By: …………………………………………………………………. Signature: ……………………………………… Date: …………………….

Reviewed by: ………………………………………………………………… Signature: ……………………………………… Date: …………………….

Approved By: ………………………………………………………………… Signature: ……………………………………… Date: ……………………

NOTE:
Attach any additional copies of layout drawings, crane load rating charts load dimensions, SWMS, Permits and other
relevant information for the proposed lift.

WORK CREW NAME:

Name Position Signature Date

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