LIFTING PERMIT

Work should not commence until stages 1 to 5 are duly completed

PART 1: APPLICATION Permit No.

Work performed by Date / Time Location

Name of Lifting Supervisor In-charge Name of Rigger Name of Signaler

Description of work:

PART 2: ENDORSEMENT BY H.S.E. DEPT Safety Measures to be Taken Tick

1. I have evaluated the hazards and risks associated
with the job.
2. I have instructed the construction dept / sub-
contractor to ensure the hazards and risks are
eliminated or critically reduce and all recommended
safety measures are in place.
3. All lifting operation personnel are trained /
appointed.
4. There are no Incompatible work processes being
carried out.
5. This above work is:
 APPROVED
 NOT APPROVED
1.Crane operator’s checks complete
2. Lifting supervisor’s checks complete
3. Crane set up on firm ground
4. Crane safe distance from excavations
5. Check for over head dangers (power line)
6. Public Lifting
6.1 Warning signs and cones positioned
6.2 Traffic signal men in position
6.3 Warning lights displayed
6.4 All possible flying objects effectively contained
7. Others:
7.1 ‘Swing’ area is barricaded and a signboard is
displayed
7.2 Qualified Lifting Supervisor
7.3 Qualified / Registered Crane Operator

________________________________________ 7.4 Qualified Rigger / Signaler

Signature & Date

PART 3: COUNTER-CHECK BY LIFTING PART 4: ACCEPT BY CONSTR DEPT OR SUB-CON

OPERATION ENGINEER

Lifting Engineer’s Instructions: 1. I understand the nature of work and all safety measures
instructed have been taken
.
2. I have BRIEFED the workmen on the ‘Part 5’ Safety
Briefing

3. I agreed and accepted the conditions and shall stop

work immediately should any of the condition changes

________________________________________ ________________________________________
Signature & Date Signature & Date

 This permit is considered null and void upon expiration of the validity date
 This permit to be returned to Safety Department for day ceased.

Form No : P224-6 Rev0 Page 1 of 2

PART 5: SAFETY BRIEFING ON LIFTING SAFE WORK PRACTICES

1. No lifting operations shall be performed when load (stationary or otherwise) exceeds the safe working load
certified for all lifting machinery, gears and appliances and the date of last inspection shall be exceed one year.
2. Lifting plan and procedure (with detail calculations, drawings and safety measures) must be submitted to the lifting
engineer for acknowledgement and agreement before any lifting works are commenced (except routine works).
3. All loads intended to be lifted shall have their exact weight clearly identified.
4. The lifting supervisor must verify that the strength of the lifting gears and equipment are adequate and their
certified safe working loads are in line with the load they bear.
5. The lifting operation area must be cordoned off to prevent access to all unauthorised personnel. Only authorised
persons and personnel involved in the lifting operation are allowed in the lifting operation area.
6. All ‘swing’ areas of lifting machinery shall be barricaded to prevent ‘caught in between’ and ‘knock against’
hazards. Signboards ‘DANGER! MACHINERY IN OPERATION!’ shall be displayed at prominent areas to warn
surrounding people.
7. Safety measures shall be taken to address any potential hazards and or dangers that may arise out of the lifting
operation
8. Weather forecasts shall be monitored before and during lifting work.
9. The operator shall be able to monitor the load continually during lifting, if this is not possible, a trained and
competent signaler able to give clear signals shall be deployed to assist the crane operator.
10.All loads shall be raised vertically to avoid swinging during lifting.
11.All loads shall be controlled by means of tag lines.
12.Hoisting or lowering of loose materials such as stones, bricks, tiles, slates, bolts and nuts, etc shall be done in
lifting containers or receptacles or shall be enclosed in safety nets whenever appropriate. All loose materials that
are attached to the load shall be removed before hoisting is allowed.
13.All lifting gears shall be checked before and after use.
14.Lifting beam or spreader-bar shall be used for hoisting long materials to space the sling legs for proper balance.
15.Hoisting of personnel to height by crane is strictly prohibited unless with the use of lifting cage with all safety
provisions in place and where the lifting cage is designed and had been tested by an approved person.
16.No crane shall operate in such a position and or location that any part of the crane, its load in any position, the jib
or boom or its swing comes within 3 metres of a live power line unless the power line is de-energized.
17.Crane crossing or working at location where underground cables and or pipelines are located, adequate protection
such as steel plates shall be used to prevent damage.
18.Signaler must be deployed to guide traveling crane / machinery.
19.No person including signaler, lifting supervisors and riggers are allowed to stand onto any load during lifting.
20.Free falling of lifting blocks with or without load is not allowed for all lifting operations.
21.For poor ground foundations where lifting operations are to be carried out, the lifting engineer should ensure that
steel plates with sufficient cross section area and thickness are deployed for the sitting and working stability of the
lifting machinery.

ATTENDENCE RECORD
No. Name / I.D. Signature No. Name / I.D. Signature
1 8

2 9

3 10

4 11

5 12

6 13

7 14

Form No : P224-6 Rev0 Page 2 of 2