LIFTING PLAN CHECKLIST AND METHOD STATEMENT

(MOBILE CRANES)

FOR

UPLIFTING AND REMOVAL OF 4 X 23000 LITER AND

1 X46000 LITER TANKS
Site or Contract: Managed or Contract lift:

Task description: Installation of 4x 23000-liter and 1x 46000-liter tanks

Date planned for lift:

SECTION A: PRE-PLANNING

1. The load to be lifted. 3x 46000 liter Underground Storage Tank

Size 1x 23000 liter Underground Storage Tank
Shape All tanks have lifting hooks.
Lifting eyes, lifting points The tanks are cylindrical in shape with a manhole
Centre of gravity and stability located in the center of the tank, and no shift in the
center of gravity is expected during the lifting operation
Location.

2. Access route for crane and space
available at planned operating
position.
3. Crane position before, during and
after the lift.
4. Maximum load to be lifted in tons.
The crane shall be parked inside the redzone at the
stockpile area
(See sketch plan on the following page)
5 Tons

5. Lifting accessories and attachments. Crane Hook and Lifting chains/slings all weigh 0,2 tons
Specify their weight if not included
above.
6. Expected operating radius in meters. 16m maximum operating radius

7. Lift height required, in meters. 8m maximum lifting height

8. Presence of overhead cables and None

other hazards that could affect the
lifting operation.
9. Ground conditions - foundations, The ground has a high water table which has, overtime,
made-up ground, impact loading, affected the stability of the soil
etc.
10. Crane configuration and (See sketch plan on the following page)
arrangements for erection and
dismantling
11. Crane to be used and configuration A Tadano Faun 70 ton mobile crane shall be used to
execute the lifting.

12. Maximum permissible motion

speeds, acceleration, and N/A
deceleration
13. Other factors considered. Coordination of loading times to be firmed up with
McDonalds.

14. Exclusion Zone The Tank farm will be barricaded and treated as an
exclusion zone during the lifting operation. And only the
certified riggers and operators will have access.

Sketch plan.

Site access for trucks and position of crane before, during the lifting operation.

Completed by: on date

 SECTION B: CRANE ON SITE
To be completed by the appointed person in control of the lifting operation before the lift begins.

Crane Details

Make and Model: Tadano Faun ATS70 -4 Size: 70 ton

Identification No: TBA

Hire Company:

SWL Indicator Functional?

Weekly Inspection Book in Cab?

Is the crane of the correct size and type?
Driver, Operator Details
Certificate no:
Crane Position
Adequate and suitable base? All outriggers fully extended?
Adequate packing under
Position of outriggers satisfactory?
outriggers?
Lifting Gear
Endless Round Sling -
Type Shackles - Identification No
Crane Hook -
SWL 11,52 tons Test Certificate in place No
Visual Check
(i.e., general condition)
Can the lift proceed in safety?
Comments;

Completed by on-
 SECTION C: METHOD STATEMENT & AUTHORISATION OF LIFTING
OPERATION

Task to be carried out. Installation of underground storage tanks

Where the work is expected to take
more than a day specify the
N/A
configuration of the crane at the end
of each day’s work.

Explain the control measures

required to eliminate or minimize Refer to the Attached scope of Work and Excavation Plan
risk to those involved.

Explain the steps required to

eliminate risk to other people e.g., Refer to the attached Traffic Control Plan
road closures and segregation zones.

Crane – Competencies, Load Certificates, Outriggers

operational, Disk is current, no oil leaks on the vehicle.
Site - Ensure sufficient space for parking, lifting, and
loading. No overhead services or structures. No
Pre work checks of crane, site, and
underground services that are affected by the plant.
load.
Load – Check that lifting hooks are sound. Ensure that the
tanks are empty of all product/liquid. Ensure that measures
to control fumes are in place.

Task allocation to named people;

 Appointed person in control
of lifting operation.
 Crane supervisor.
 Crane operator.
 Slingers – signalers.
 Others
Confirmation of load details; weight,
5,5m x 2.55m; 5 tons
dimensions, CoG.
Lifting points and lifting method - Lifting Points are the tank hooks.
including accessories to be used and - Mobile crane shall be used for lifting the tanks.
their configuration. - Accessories to be used for the lifting are shackles,
slings and crane hooks.
The tanks are supplied with tank hooks, Tanks are fitted
Pickup and landing points
with speed frames as landing points.
Height and radius of lift 8m, 16m
Model and configuration of crane.
Configuration of outriggers and
ground supports
Overhead and underground hazards
Sequence of lifting operations
Control measures to eliminate or
minimize risk.
Environmental limitations – wind
speed, sea state etc.
Access to attach and remove slings
and lifting accessories.
Measures to ensure that the load
remains stable once slings and
attachments have been removed.
Arrangements for working at height
and rescue plans – if applicable.
Method of communication e.g., hand Radio and Hand Signals shall be used for communication
signals, radio, etc.
PROVISION OF AUTHORITY -
Authorisation commences
Authorisation issued by
Name
Tadano Faun ATS70 -4
The crane is supplied with 4 outriggers, 2 in the front and 2
in the back.
None Identified
 Establish site (Deliver Crane and all components).
 Park the delivery truck in the lifting zone.
 Ensure that all pre-lifting checks (Safety and
technical are performed).
 Install correct sling, tackles and hooks as required.
 Connect the hooks to the lifting eyes of the tank.
 Ensure clear communication between the rigging
team and the crane operator.
 Issue instruction to lift.
 Lift tank off delivery truck and set it in the
appropriate position in the tank pit.
Permit and Work Clearance form will be prepared on the
day of the lift.
The lift will take place in the month of Sept. The lifting
operation shall consider the effect of wind during the lift.
Steps shall be built into the excavation to allow for safe
access into the excavation by personnel.
- Ensure that that tanks are emptied of all water,
- Ensure that all chains/slings are of equal length.
- Ensure that all chains/slings are equal strength.
- Ensure that all necessary load certificates are in
place.
- Operators and riggers shall consider the wind speed
and direction when lifting.
Work in the excavation shall be treated as working at
heights. Riggers shall have working at heights training and
fall arrest systems shall be used while working in the
excavation.
between the riggers and crane operators.
Signature

The person giving this authorisation confirms that the operator, slingers, signalers, supervisors and
others involved in this lifting operation have taken part in a team briefing at which this method
statement was explained and they were given all necessary information and made aware of
specific hazards i.e. position of load, loads to be lifted, any excavation, soft ground, overhead
cables, etc.

Accepted by Crane Driver

Name

Signature

THIS AUTHORISATION IS VALID UNTIL -