ROUTINE LIFTING PLAN

General Information
Lift Plan No.: Date: / NOV / 2023
Location: MOD \ WTP Contractor/Sub-Contractor IGC / IGCS
Permit-To-Work No: Risk Assessment No:
Description of lifting operation: Loading, offloading a caravan by using a mobile crane

N. ASSESSMENT OF THE LIFTING OPERATION YES NO

1. Has the lifting operation being performed before? ✓
2. Are you experience with this type of load and lifting equipment to be used? ✓
3. Has the load being checked and made ready for lifting (e.g. seafasting or lashing removed)? ✓
4. Is the weight and the CoG clearly known/identified and taken from a reliable source? ✓
5. Is the operation clear from risk of SIMOPS or inteference with other activities? ✓
6. Is the load involving only one lifting appliance? ✓
7. Does the lifting operation require basic slinging practices (including certified lifting points)? ✓
8. Is the crane operator visibility and communication with banksman ensured at all times? ✓
9. Is the equipment to be used certified, appropriate for intended use and correctly colour-coded? ✓
10. Is the lifting operation taking place over non-sensitive areas and easy to reach? ✓
11. Is the route clear from any overhead powerlines? ✓
12. Is the operation to be performed under favourable weather conditions (e.g.Wind, Rain)? ✓
If all the answers are "YES", the lift is ROUTINE so proceed to fill the document, otherwise seek assistance from your immediate supervisor.
If the supervisor can provide assistance to implement necessary actions, proceed with the lift otherwise it shall be reclassified as NON-ROUTINE!

Details of the Lifting Appliance

Type of Lift. Appliance: Mobile crane Model: STC500 Capacity [t]: 50
Appliance Certificate: ST-5020-01 Date of last Certification: 15/MAY/2023 Appliance Serial #: LFCNNF5P2C20
01693

Boom length [m] 27 Max Operative radius [m] 12 SWL@max radius [t] 9

Details of the Load/s

Check CoG Weight of Unity
ID Description of the load Dimension(LxHxW) [m]
position Load [t] Check [%]:

caravan (12 × 2.5 × 03) Centre 5 55 %

For a given lift, whenever the crane unity check (UC) exceeds 75% of the certified load-radius curve,
the lifting operation shall be classified as NON-ROUTINE!

Details of the Lifting Accessories

Types of Lifting accessory: Slings / webbing / chains / shackles / spreader beam
Quantity Weight
Type [Kg] Identification Number Certificate # Expiry Date SWL [t]
Shackles 8 25 F88,K67,R823,R893,F2 AEC-231142296 11/5/24 25
710,K823,K863,F80
spreader beam 4.2 – 5.6m 1 360Kg ASLB-01 AEC-231142294 11/05/24 40

Webbing sling 6m
Webbing sling 6m
Webbing sling 6m
Webbing sling 8m
Hook block
Total weight of Lifting accessories [t] Colour Code: green
ENSURE THAT ALL LIFTING EQUIPMENT HAVE BEEN CHECKED AND DEEMED SUITABLE AND SAFE
 Lifting Sketch – As required
Sketch of the General Arrangement / Rigging:
[crane position / lifted item / obs tacles and any additional details, as required]

Caravan :3 Ton (L-12 ×H- 2.5 × W-03)

 Shackle

Webbing Sling

Use A protection between a

Webbing sling and the edge of the
Caravan to protect Webbing sling
from sharp edge

Connection method with Lifting Accessories

Offloading the Caravan

loading the Caravan from his position

Load chart to be used
 Physical and environmental consideration
Condition Verification Check
Is the ground made safe (e.g. Placing steel plate or wooden matts) ✓

Ground Conditions Are the outriggers evenly /adequately extended? ✓

Is lay down / landing area(s) adequate in both size and load bearing capacity? ✓

Obstacles Has route to be travelled been selected and cleared of obstructions? ✓

Lighting Is the lighting condition adequate to perform the operations safely? ✓

Demarcation Have barriers been positioned to prevent access to unauthorised personnel? ✓

Environment Are the weather conditions within limits to avoid their effects on the safety of the lifting operation? ✓
IF ALL CONTROLS ARE NOT IN PLACE, THE OPERATION SHALL NOT
START!

What are the means of communication between the lifting team?

Communication
✓Verbal □ Radio ✓ Standard hand □ Others: ..............................
signals

Personnel involved
Position Name Certificate / Qualification Expiry Date
Lift. Appliance Operator
Banksman / Signalman
Rigger
Rigger
Lifting Supervisor
Any person involved with the job can call “ALL STOP!” at any time if something wrong is
observed

Review and Approval

Prepared by: Signature: Date:

Reviewed by: Signature: Date:

Approved by: Signature: Date: