LIFTING PLAN

Date

Crane type

Time

Location

Capacity

Crane operator

Description of work

Before work starts Rigging area clear of personnel and vehicles

During work operations Secure work area and control site workers

Lift details based on load chart

Description of load to be lifted units

Maximum weight of load as advised T
Radius at which load is to be placed M
Boom length to be used M
Safe working load capacity at given radius T
Weight of hook block (s) lifting equipment’s T
maximum available lifting capacity for load to T
be lifted

ASSESMENT
LIFTING PLAN

NO CHECKLIST ITEMS YE NO REMARKS

S
1 APPROVED RISK ASSESSMENT AVAILABLE ON SITE?
2 GROUND CONDITIONS ADEQUATE/REINFORCED
3 ARE THERE ANY GROUND ACCESS OBSTRUCTION FOR
CRANE MOVEMENT?
4 ARE THERE ANY OVERHEAD/SWING RADIUS
OBSTRUCTION?
5 OUTRIGGERS FULLY EXTENDED AND PADDED
SUFFICIENTLY?

6 IS THE CRANE LEVEL?

7 IS THE CRANE INSPECTED AND APPROVED?
8 DOES THE CRANE OPERATOR HAVE A VALID COMPETENCE
CERTIFICATE
9 IS THE CRANE CERTIFICATE VALID?
10 DOES THE OPERATOR HAVE A CLEAR VIEW OF THE WORK
AREA FROM THE CABIN?
11 HAVE ALL RIGGING GEAR COMPONENTS SUCH AS
SHACKLES, HOOKS, CHAIN BLOCK, WIRE ROPES, SLINGS
BEEN INSPECTED FOR SIGNS OF DAMAGED AND
ACCEPTANCE CONDITION?
12 VISIBLE DEFECTS
13 MAXIMUM SAFE WORKING LOAD
14 DATE OF LAST TEST
15 SIGNAL MAN WITH ALL REQUIRED PPE
16 CRANE SIGNALS CONFIRMED? HAND? WHISTLE? RADIO?
17 HAS THE LIFT PLAN BEEN REVIEWED WITH THE CRANE
OPERATOR?
18 HAS A SAFETY BRIEF BEEN DONE TO LIFTING CREW?
19 ARE WEATHER CONDITIONS PERMISSIBLE FOR LIFTING?
20 IS TAGLINE BEING USED TO GUIDE THE LOAD?
21 IS THE LIFTING AREA BARRICADED AND WARNING SIGNS
IN PLACE?
22 IS THERE A TRAINED RIGGER FOR THIS ACTIVITY?
23 HAS EMERGENCY PROCEDURES BEEN DETERMINED IN
PLACE AND COMMUNICATED?
24 ACCESS AND EGRESS FOR LOADING AND OFFLOADING IN
PLACE?
25 SPILL CONTAINMENT IN PLACE?
COMMENTS:

INSPECTED BY REVIEWED BY
ACKNOWLEDGED BY
SUPERVISOR CRANE OPERATOR HSE
DEPARTMENT