Step 2 Samsung Permit Coordinator

LIFTING WORK Permit No:

PERMIT Date: 06.01,2024

Page Rev: 1.1

Step 1 By(Sub) Contractor Crane Check List

The following must be available prior to submission of this method statement.
Yes No N/A
Copies of the documents listed below shall be attached to this method statement.
Permit to operate a mobile crane □ □ □
Survey of underground services □ □ □
Crane certificates of inspection □ □ □
Lifting equipment certificates of inspection □ □ □
Crane Insurance certificates □ □ □
Crane registration □ □ □
Crane operators licence (crane driver) □ □ □
Attanded Rigger Training □ □ □
NAME OF THE SAFETY SUPERVISOR PRESENT DURING THE LIFTING WORK:

NAME OF THE CONSTRUCTION SUPERVISOR PRESENT DURING LIFTING WORK : OMAR BELKHCHINE

DAILY REVALIDATION
SCT Construction Team Check
DATE START TIME SIGNATURE FINISH TIME SIGNATURE
(Name / Signature)
1/6/2024

1/7/2024

1/8/2024

1/9/2024

1/10/2024

1/11/2024

1/12/2024

Category Work Step Hold Point (Check Point) S S M T W T F

)‫ وزن الحمولة (هل تم تسليم مخطط الرفع أم ال‬،‫ تفقد مخطط الرفع‬-1
‫الرفع برافعة متنقلة‬. ‫ تفقد جهاز منع الحمولة الزائدة و كذلك تفقد عدم تجاوز رفع الحد األقصى‬-2 F/M
(‫)قبل العمل‬. )‫حظر منطقة الرفع‬/ ‫ تحقق من أن الدخول لمنطقة الرفع محدود (تعيين موجه عملية الرفع‬-3 inchar
ge

SCT
1. Check equipment load chart, and load weight Const
- Mobile crane (whether lifting plan was delivered or not)
lifting 2. Check operation of overload prevention device and see if limit is
(Before work) lifted SCT
3. Confirm access to work area is restricted (Assignment of HSE
‫أعمال الرفع‬. signalman and banksman, and zoning)
2. Lifting
Work ‫ الخ‬،‫ البكرة‬،‫ الحبال السلكية‬،‫ أصفاد الرفع‬،‫ تفقد مخطط الرفع و حالة حبال الرفع‬1
- ‫عملية ربط الحبال‬
‫ تفقد درجة تحمل المعالق‬-2 F/M
(‫ و معدات‬،‫ سلسلة‬،‫بكرة‬ inchar
‫ وكذلك‬،‫تفقد الموجه أو المشرف المعين للتحكم في األعمال المتزامنة في مستويات عليا وسفلى‬-3' ge
‫)رفع أخري‬.
.‫حظر منطقة الرفع‬

Rigging work SCT

(Sling, shackle, 1. Check load chart and condition of sling, shackle, wire rope, winch Const
winch, and other lifting gear
chain block, and 2. Check hook support point
other lifting gear) 3. Check banksman/signalman or supervisor is assigned to control SCT
simultaneous works at upper and lower levels and access to lifting HSE
work area

Remarks
 LIFTING PLAN (Below 20Tons)
Project NAAMA CCPP Date 14 / 01 / 2024
Subcontractor CERI Date of lifting 14 / 01 / 2024
Supervisor on site OMAR BELKHCHINE
Description of Lifting Activity LIFTING OF THE INLECT DUCT ROOF PLATE

Details of Load Load Position 1 Load Position 2 Load Position 3

Weight of load 1 Ton
Dimensions (m x m x m) 1,3 * 7 * 0,01
Max. height of lift from ground(m) 20
Weight of Hook Block(Ton) 0.5 Ton
Weight of lifting tackle (Ton) 0.1 Ton
Calculation Chart 1st 2nd 3rd
Total weight 1.6 Ton
Max crane capacity at radius 5.0 Ton
Capacity Ratio (%) - Max 90% 32.0%
Details of Crane Load Position 1 Load Position 2 Load Position 3
Maker & Model (Model No.) TEREX
Capacity (Ton) 45 T
Max. boom length for Lifting 37,4 m
Max. Working radius from center
10 m
of crane (m)
Jib Length (m) and offset Angle
/
(if needed)
Counter Weight (Ton) 5,5 T
Outrigger Span (fully) 5,8 m
Mat Size (M X M) 0,5* 0,5
LOAD LINE
a) Hook Block Capacity 10 T b) Size of Cable (mm) 15 mm
d) Cable Capacity
c) Number of Line Pull 4 4.5 Ton
per chart
e) Maximum Capacity of Load Line ( c x d) 18.00 Ton
Lifting tackle (Spreader Bar, Sling, Schakle)
1. Spreader Bar (If need)
a) Capacity Ton b) Weight Ton
2. Sling
a) Capacity 6T b) Q'ty 2
c) Capacity (At angle used) 4 Ton d) Total Weight of Slings 0.1 Ton
f) Total Rigging capacity (2b x 2c) 16 Ton
3. Schakle
b) Total Weight of
a) Schakle Capacity and Q'ty 12 Ton/ 2 Set Ton
Schakles
Position Name Position Name
Supervisor Omar, B / Monir, B Rigger Omar, B / Monir, B
Crane Operator ZAKNOUNE , AHMED Rigger Omar, B / Monir, B
Ground Conditions
Have assurances been obtained that the ground can withstand the load? Yes / No
Prepared (In charge person) Name/Signature OMAR , BELKHCHINE 1/14/2024
Approved (Consturction Manager) Name/Signature 1/14/2024
Obligatory of Attachment #1 Crane position, Weight position, Swing of boom, Working radius, Length of boom, Angle
- Drawings Including; of sling when lifting, Location of lifting lugs, Foundation
Obligatory of Attachment #2
Load Chart
- Crane Load Chart
 CRITICAL LIFTING PLAN (20Tons AND OVER,50M and Higher)
Project NAAMA CCPP Date / / 20
Subcontractor Date of lifting / / 20
Supervisor on site
Description of Lifting Activity

Details of Load Load Position 1 Load Position 2 Load Position 3

Weight of load Ton Ton Ton
Dimensions (m x m x m)
Max. height of lift from ground(m)
Weight of Hook Block(Ton) 0.0 Ton 0.0 Ton 0.0 Ton
Weight of lifting tackle (Ton) 0.0 Ton 0.0 Ton 0.0 Ton

Calculation Chart 1st 2nd 3rd

Total weight .2 Ton Ton 0.0 Ton
Max crane capacity at radius .2 Ton Ton 0.0 Ton
Capacity Ratio (%) - Max 90% 100.0% 0.0% 0.0%

Details of Crane Load Position 1 Load Position 2 Load Position 3

Maker & Model (Model No.)
Capacity (Ton)
Max. boom length for Lifting
Max. Working radius from center
of crane (m)
Jib Length (m) and offset Angle
(if needed)
Counter Weight (Ton)
Outrigger Span (fully)
Mat Size (M X M)

LOAD LINE
a) Hook Block Capacity Ton b) Size of Cable (mm) 0
d) Cable Capacity
c) Number of Line Pull Ton
per chart
e) Maximum Capacity of Load Line ( c x d) .00 Ton

Lifting tackle (Spreader Bar, Sling, Schakle)

1. Spreader Bar (If need)
a) Capacity Ton b) Weight Ton
2. Sling
a) Capacity b) Q'ty
c) Capacity (At angle used) Ton d) Total Weight of Slings 0.0 Ton
f) Total Rigging capacity (2b x 2c) Ton
3. Schakle
b) Total Weight of
a) Schakle Capacity and Q'ty Ton/ Set Ton
Schakles

3/12
 CRITICAL LIFTING PLAN (20Tons AND OVER,50M and Higher)
Position Name Position Name
Supervisor Rigger
Crane Operator Rigger

Ground Conditions
Have assurances been obtained that the ground can withstand the load? Yes / No

Prepared (In charge person)

Name/Signature Date / / 20

Reviewed(HSE Manager)
Name/Signature Date / / 20

Approved (Consturction Manager)

Name/Signature Date / / 20

Attachment obligatory
Attachment #1 Crane position, Weight position, Swing of boom, Working radius, Length of
- Drawings Including; boom, Angle of sling when lifting, Location of lifting lugs, Foundation
Attachment #2
Load Chart
- Crane Load Chart

4/12
 CRITICAL LIFTING PLAN (Tandem Lifting)
Project NAAMA CCPP Date / / 20
Subcontractor Date of lifting / / 20
Supervisor on site
Description of Lifting Activity
Note : Tandom lifing should be below 75% for Crane Capacity
1. Main Crane / 1st Crane
Details of Load Load Position 1 Load Position 2 Load Position 3
Weight of load Ton Ton Ton
Dimensions (m x m x m)
Max. height of lift from ground(m)
Weight of Hook Block(Ton) 0.0 Ton 0.0 Ton 0.0 Ton
Weight of lifting tackle (Ton) 0.0 Ton 0.0 Ton 0.0 Ton

Calculation Chart 1st 2nd 3rd

Total weight Ton Ton 0.0 Ton
Max crane capacity at radius 1.2 Ton 1.2 Ton 1.2 Ton
Capacity Ratio (%) - Max 75% 0.0% 0.0% 0.0%

Details of Crane Load Position 1 Load Position 2 Load Position 3

Maker & Model (Model No.)
Capacity (Ton)
Max. boom length for Lifting
Max. Working radius from center
of crane (m)
Jib Length (m) and offset Angle
(if needed)
Counter Weight (Ton)
Outrigger Span (fully)
Mat Size (M X M)

LOAD LINE
a) Hook Block Capacity 10 Ton b) Size of Cable (mm)
d) Cable Capacity
c) Number of Line Pull Ton
per chart
e) Maximum Capacity of Load Line ( c x d) .00 Ton

Lifting tackle (Spreader Bar, Sling, Schakle)

1. Spreader Bar (If need)
a) Capacity Ton b) Weight Ton
2. Sling
a) Capacity b) Q'ty
c) Capacity (At angle used) d) Total Weight of Slings 0.0 Ton
f) Total Rigging capacity (2b x 2c) Ton
3. Schakle
b) Total Weight of
a) Schakle Capacity and Q'ty Ton/ Set Ton
Schakles

5/12
 CRITICAL LIFTING PLAN (Tandem Lifting)
2. Tailing Crane / 2nd Crane
Details of Load Load Position 1 Load Position 2 Load Position 3
Weight of load Ton Ton Ton
Dimensions (m x m x m)
Max. height of lift from ground(m)
Weight of Hook Block(Ton) 0.0 Ton 0.0 Ton 0.0 Ton
Weight of lifting tackle (Ton) Ton Ton Ton

Calculation Chart 1st 2nd 3rd

Total weight Ton Ton 0.0 Ton
Max crane capacity at radius Ton Ton 0.0 Ton
Capacity Ratio (%) 0.0% 0.0% 0.0%

Details of Crane Load Position 1 Load Position 2 Load Position 3

Maker & Model (Model No.)
Capacity (Ton)
Max. boom length for Lifting
Max. Working radius from center
of crane (m)
Jib Length (m) and offset Angle
(if needed)
Counter Weight (Ton)
Outrigger Span (fully)
Mat Size (M X M)

LOAD LINE
a) Hook Block Capacity Ton b) Size of Cable (mm) 0
d) Cable Capacity
c) Number of Line Pull Ton
per chart
e) Maximum Capacity of Load Line ( c x d) .00 Ton

Lifting tackle (Spreader Bar, Sling, Schakle)

1. Spreader Bar (If need)
a) Capacity Ton b) Weight Ton
2. Sling
a) Capacity b) Q'ty
c) Capacity (At angle used) Ton d) Total Weight of Slings 0.0 Ton
f) Total Rigging capacity (2b x 2c) Ton
3. Schakle
b) Total Weight of
a) Schakle Capacity and Q'ty Ton/ Set Ton
Schakles

6/12
 CRITICAL LIFTING PLAN (Tandem Lifting)
Position Name Position Name
Supervisor Rigger
Crane Operator Rigger

Ground Conditions
Have assurances been obtained that the ground can withstand the load? Yes / No

Prepared (In charge person)

Name/Signature Date / / 20

Reviewed(HSE Manager)
Name/Signature Date / / 20

Approved (Consturction Manager)

Name/Signature Date / / 20

Attachment obligatory
Attachment #1 Crane position, Weight position, Swing of boom, Working radius, Length of
- Drawings Including; boom, Angle of sling when lifting, Location of lifting lugs, Foundation
Attachment #2
Load Chart
- Crane Load Chart

7/12
 LIFTING PLAN (Additional Lifting work)
Project NAAMA CCPP Date / / 20
Subcontractor Date of lifting / / 20
Supervisor on site
Description of Lifting Activity
Details of Load Load Position 1 Load Position 2 Load Position 3
Weight of load 1 Ton 1 Ton 1 Ton
Dimensions (m x m x m) 100*100*100
Max. height of lift from ground(m) 3 3 3
Weight of Hook Block(Ton) 1.0 Ton 0.0 Ton 0.0 Ton
Weight of lifting tackle (Ton) 2.0 Ton 0.0 Ton 0.0 Ton
Calculation Chart 1st 2nd 3rd
Total weight 4 Ton 1 Ton 1.0 Ton
Max crane capacity at radius 0.0 Ton 0.0 Ton 0.0 Ton
Capacity Ratio (%) - Max 90% 0.0% 0.0% 0.0%
Details of Crane Load Position 1 Load Position 2 Load Position 3
Maker & Model (Model No.)
Capacity (Ton)
Max. boom length for Lifting
Max. Working radius from center of
crane (m)
Jib Length (m) and offset Angle
(if needed)
Counter Weight (Ton)
Outrigger Span (fully)
Mat Size (M X M)
LOAD LINE
a) Hook Block Capacity Ton b) Size of Cable (mm) 0
d) Cable Capacity
c) Number of Line Pull Ton
per chart
e) Maximum Capacity of Load Line ( c x d) .00 Ton
Lifting tackle (Spreader Bar, Sling, Schakle)
1. Spreader Bar (If need)
a) Capacity Ton b) Weight Ton
2. Sling
a) Capacity b) Q'ty
c) Capacity (At angle used) Ton d) Total Weight of Slings 0.0 Ton
f) Total Rigging capacity (2b x 2c) Ton
3. Schakle
b) Total Weight of
a) Schakle Capacity and Q'ty Ton/ Set Ton
Schakles
Position Name Position Name
Supervisor Rigger
Crane Operator Rigger
Ground Conditions
Have assurances been obtained that the ground can withstand the load? Yes / No
Prepared (In charge person) Name/Signature / / 201
Approved ((SUB)-Cons't Manager) Name/Signature / / 201
Review (SCT CONS'T Team) Name/Signature / / 201
Approved (SCT PTW Coordinator) Name/Signature / / 201
Obligatory of Attachment #1 Crane position, Weight position, Swing of boom, Working radius, Length of boom,
- Drawings Including; Angle of sling when lifting, Location of lifting lugs, Foundation
Obligatory of Attachment #2
Load Chart
- Crane Load Chart
SLING AND SCHAKLE CALCULATION

1. 2 Points Lifting

Lifting Weight 6.3 Ton

L (Length of Sling) 10 m

D (Distance of Lifting Points) 5m

Calculation of Degree 1.3181160716528 RAD

W.L.L FOR EACH SLING/SCHAKLE 3.3 Ton

W.L.L FOR SLING (If Choke) 4.1 Ton

1. 4 Points Lifting

Lifting Weight 6.3 Ton

L (Length of Sling) 10 m

A (Distance of Lifting Points) 5m

B (Width of Lifting Points) 5m

D (Diagonal) 7.0710678118655 m

Calculation of Degree 1.2094292028882 RAD 69.295188945365

W.L.L FOR EACH SLING/SCHAKLE 2.2 Ton

W.L.L FOR SLING (If Choke) 2.8 Ton

 H

D B

P
 LIFTING PLAN (Below 20Tons)
Project NAAMA CCPP Date 04 Jan 2018
Subcontractor SAMSUNG Date of lifting 10 Jan 2018
Supervisor on site Jockey Lee
Description of Lifting Activity GT Acoustic Barrier Wall panel Material Transportation

Details of Load Load Position 1 Load Position 2 Load Position 3

Weight of load 6.3 Ton 6.3 Ton
Dimensions (m x m x m) 8.5 x 2.6 x 4
Max. height of lift from ground(m) 3 2
Weight of Hook Block(Ton) 0.5 Ton 0.5 Ton 0.0 Ton
Weight of lifting tackle (Ton) 0.0 Ton 0.0 Ton 0.0 Ton

Calculation Chart 1st 2nd 3rd

Total weight 6.8 Ton 6.8 Ton 0.0 Ton
Max crane capacity at radius 25.2 Ton 20.1 Ton 0.0 Ton
Capacity Ratio (%) 27.0% 33.8% 0.0%

Details of Crane Load Position 1 Load Position 2 Load Position 3

Maker & Model (Model No.) LTM 1090-4.1
Capacity (Ton) 90 90
Max. boom length for Lifting 21.9 21.9
Max. Working radius from center
10 12
of crane (m)
Jib Length (m) and offset Angle
N/A N/A
(if needed)
Counter Weight (Ton) 21 21
Outrigger Span (fully) 7009 MM 7009 MM
Mat Size (M X M) 1X1

LOAD LINE
a) Hook Block Capacity 58.4 Ton b) Size of Cable (mm) 17
d) Cable Capacity
c) Number of Line Pull 3 5.816 Ton
per chart
e) Maximum Capacity of Load Line ( c x d) 17.45 Ton

Lifting tackle (Spreader Bar, Sling, Schakle)

1. Spreader Bar (If need)
a) Capacity Ton b) Weight Ton
2. Sling
a) Capacity 10 b) Q'ty 2
c) Capacity (At angle used) 8.66 Ton d) Total Weight of Slings 0.2 Ton
f) Total Rigging capacity (2b x 2c) 17.32 Ton
3. Schakle
b) Total Weight of
a) Schakle Capacity and Q'ty Ton/ Set Ton
Schakles

11/12
 LIFTING PLAN (Below 20Tons)
Position Name Position Name
Supervisor Rigger
Crane Operator Rigger

Ground Conditions
Have assurances been obtained that the ground can withstand the load? Yes / No

Prepared
Name/Signature Date / / 201

Reviewed
Name/Signature Date / / 201

Approved
Name/Signature Date / / 201

Attachment obligatory
Attachment #1 Crane position, Weight position, Swing of boom, Working radius, Length
- Drawings Including; of boom, Angle of sling when lifting, Location of lifting lugs, Foundation
Attachment #2
Load Chart
- Crane Load Chart

12/12