Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

CHC CONSTRUCTION PTE LTD

Factory No.
LIFTING PLAN
Date of Lifting Operation
Location Of Lifting Operation
Lifting Plan No.
Risk Assessment Briefed
SWP/ MOS Briefed

Description of lifting operation

Type of lifting operation Routine Lift Non- Routine Lift


Weight of load Kg Known Weight Estimated Weight
Centre of Gravity Obvious Estimated Determined by Drawing

List of personnel involved in the lifting operation


Position Name / Signature
Lifting Supervisor
Rigger
Signalman
Crane / Excavator/ Lifting Machine Operator
Others (Please state)

Type of Lifting Machine


SWL Certified in LM cert Date of Inspection
Max Boom / Jib length M Fly Jib / Offset
Type of lifting Gear Sling / Webbing / Chain / Shackles
Has the lifting operation considered items are listed in the pre lifting operation checklist? Y/N

Prepared By: (Engr/LS) Signature

Reviewed By:(WSHO/WSHC/WSHS) Signature

Approved By: Project Manager Signature


CHC CONSTRUCTION PTE LTD Permit No.
LIFTING PERMIT
Project Title: PTW /
This permit is valid for 0800hrs to 1700hrs. One copy of the Permit must be displayed at site. Sketch (Work Zone) to be attached
Part 1: Application
Contractor: LM Number/ Exp Date
Location:
No. of Workers: Date & Time
Description of Work:
Safety requirement to be complied with Prior Application of PTW
YES NO N/A
1 Risk assessment carried out
2 Workers are briefed on the hazards & corresponding control measures
3 Competent lifting supervisor appointed & present during lifting operation
4 Competent Rigger/Signalman appointed & present during lifting operation
5 Qualified crane operator
6 Supervisors are clearly identified
7 Safety barriers & warning sign erected
8 LM/LG/LA Certificate valid & available
9 Safe crane/machine access provided & inspected
10 Sufficient taglines provided
11 Do not standing below the moving load
12 Sufficient light provided during night work

Part 2: Endorse: Person-In-Charge


Aware of the work to be done and ensure that all safe work procedures to be complied with. Environmental aspects
eliminated.

Apply By: Lifting Supervisor (Full time)


Name/Signature Date/Time

Assessed by: Lifting Engineer/ Lifting


Supervisor Name/Signature Date/Time

Acknowledge by: (Operator)


Date/Time
Name/Signature
Verified by WSH Department
Date/Time
Name/Signature (Main Con )
Part 3: Approval-Overall-In-Charge (PM)
I am satisfied that all reasonably practical measures have been implemented and enforce, and the working personnel are
informed of the safety hazards & environmental impacts and protection counter measures to be taken

Name/Signature of Project Manager Date/Time

Part 4: Notification of Completion of work:


a) Work Completed b) housekeeping has been carried out c) work area is safe for other personnel
Name/Signature of Site Supervisor Date/Time

You might also like