GENERAL SAFETY

GC16 Site crane permit to lift (Part 1)

Company name Patented Housing Limited Project title Wragby

Location Plot 26 Contract no. 1
Task/method statement no. (if applicable) n/a
Appointed person (lift planner) Daniel Cryer
Employed by Patented Housing Limited
Date of visit 30/05/22 Time of visit 08:00
Choose type of lift (tick one lift only)

Standard lift ✔ Contract lift Complex lift

Choose position (tick one option below)

Single crane position (complete Part 1 only) ✔ Multiple crane positions (complete Parts 1 and 2)

Description of works

Lifting of multiple wall units from transport vehicle to final position on site foundations. fix
and secure all walls and brackets to engineers specifications line and level.

Load details
Maximum Maximum size
weight
8t of load 8.4m x 2.95m x 0.3m
Maximum Maximum lift
radius 16m height 8m
Other (e.g. unusual centre of gravity, lifting points, etc.)
lifting eyes cast in to walls and swivel rings used for connections

Crane details
Capacity and
type
Grove GMK3050 50ton crane
Maximum Maximum
available boom
38.1m boom length to
20.4
length be used for lift
Counterweight Hook block
required
10.5t reeving
12t @180kg
(no. of falls)
Outrigger Outrigger pad
spread (centre 6.625 m x 6.200 m size (without
335
to centre) mats)
Maximum
outrigger load 37.5 ton m.p.l with 4.5t/m2 resulting load
Site surface conditions
Access for Access for
hard standing temporary road surface with heavy duty hdpe mats hard standing temporary road surface with heavy duty hdpe mats
crane transport
Lifting position see drawing Laydown area see drawing
Safe ground Assessed by
bearing 15t/m2 Daniel Cryer
capacity under
outrigger
Proximity hazards: provide details and attach sketch (overhead lines, public roads, drains, ground conditions, etc.).
A temporary works design for the lifting platform must be in place and signed off prior to setting up/commencing lifting
operations. (Permit Part 2 shall be completed for all crane positions/repositions of the crane.)

© Construction Industry Training Board 2019 Construction site safety (GE700) publication
GENERAL SAFETY
GC16 Site crane permit to lift (Part 1) continued

Crane accessories required (state type and rated capacity (safe working load))

Wire ropes n/a Chains 1x 11t 7m 2 leg chains

Web slings n/a Shackles n/a
Outrigger mats
Beams n/a (state size) 3.0m x 2.8m x 40mm
Others (including specialist equipment)

1 x 10t 360 Manual chain block, 2 x 6t double swivel ring. (see accessories list )

Operational requirements (such as road closures/possessions/site clearance)

N/a

Permit valid from 30/05/22 to 30/05/22

Crane team

Name CPCS card Signature Date

Number Expires
Appointed person
(lift planner) Daniel Cryer 40892044 2024 30/05/22
Crane supervisor
Daniel Cryer 30/05/22
Crane operator
Shane Metcalf 01921958 30/05/22
Signaller/slinger
Daniel Cryer 30/05/22
Where contractors are required to complete this form, assistance shall be given by the site management authorised
person who shall agree the details entered on the form and sign below.
Lifting operations must not commence until this form has been signed by the site management authorised person.

Name Daniel Cryer Position Site Manager Signature Date 30/05/22

Distribution
Appointed person
Site file ✔ ✔ Crane supervisor ✔ Crane operator ✔
(lift planner)

If for any reason the details contained within this permit cannot be adhered to, the lifting operation must not continue and the
appointed person (lift planner) must be notified immediately.

© Construction Industry Training Board 2019 Construction site safety (GE700) publication