SAFETY INSTRUCTIONS EXECUTION DATE

ACCIDENT DURING
LIFTING MANOEUVRES EXECUTION TIME
Within the Scope (Global): The scope of the risk includes all lifting and crane COMPANY
operations, with fixed and mobile cranes according to the requirements
of the asset, project or exploration, including among others: telehandler,
winches, towers, davit trucks, vehicle loading cranes, hook and sling attached
to earthmoving equipment for lifting, pettibone, mobile and fixed cranes, AREA
bridge cranes, monorail, chain loaders, forklift and wheel loader with boom
attachment, crane accessories (rigging equipment), use of hand tools for lifting.
WORK TO BE EXECUTED
Outside the Scope (Global): The scope of the risk excludes the following
according to the requirements of the asset, project or exploration: objects
thrown by a person, structural failure resulting in an object falling to a lower
level, people falling from one level to another, lifting, forklifts (without
boom attachment) and industrial forklifts, earthmoving equipment, use of
articulated arms installed on modified vehicles, tyre handlers, suspended or
hoist scaffolding, work with external loads (helicopter, activities in work box/
lift man with people inside), transporters, lever winches or the use of hand
tools for pulling and hauling activities, lifts, basket lifts, goods lifts, hook and
sling attached to all equipment for pulling or towing.

Do the rigger and operator have current

If the answer to ANY question is “NO”,
certification and are they accredited to Yes No
do NOT start to work and contact your supervisor.
operate the lifting equipment?

CRITICAL
Integrity of the lifting equipment and accessories and cranes Yes No Comments
CONTROL 1
• Did the rigger and operator select the accessories to be used in the lifting
manoeuvre in accordance with the lifting plan? (Includes protection of sharp
edges).
• Do the lifting elements (originals and those sent to be made) have current
certification and are free from damage such as cuts, cracks, fraying, knocks,
corrosion, wear and tear or any other damage that impairs their capacity?
• Are the lifting elements free of contamination with hydrocarbons? (More than
50% of the element contaminated).
• Have the rigger and operator carried out the equipment checklist and verified
that all the elements on the list and security systems are operational, with all their
components in good condition?

• Is the lifting equipment’s maintenance or log up-to-date?

• Does the mobile lifting equipment have certification from the organisation
defined by the company?

CRITICAL
Segregation and stabilisation of lifting areas Yes No Comments
CONTROL 2
• Is the lifting area, including that over which the load will pass, totally segregated/
delimited and signalled at the upper and lower levels?
• Have the personnel who will participate in the lifting manoeuvre been informed
that they must not enter the segregated/delimited area? (Only specialist
personnel authorised by the owner of the area segregated for the manoeuvre can
be in this area).
• Have you verified that weather conditions comply with those defined in the
lifting plan?
• Is there a document accrediting evaluation of the ground, according to the
standards of the site, as regards the maximum load and weight of the crane?
• Is the mobile crane totally stabilised and are the stabilisers
fully supported on the pillows and extended according to Does not apply
the lifting plan?
• Is there a system of communication by radio, video camera and/or sign
instructions that are effective for the operation being implemented?
• Do you understand the communications procedure or protocol to be used in the
activity?
• Do you understand that you are in a security zone and that instructions must be
effective through confirmation with the crane operator?

• Is the battery of the equipment to be used charged?

VERSION 7.0 - September 2020 Page 1 of 2

 CRITICAL
Planning of lifting manoeuvre Yes No Comments
CONTROL 3
• Did the rigger and operator participate in the lifting plan?

• Does the rigger have current certification for the activity?

• Does the lifting plan have approval from the person responsible for the
manoeuvre or the qualified supervisor?

• Have you identified the load’s centre of gravity and verified whether it is
completely free of anchoring or fixed to other structures?

• Was the final destination of the load evaluated to receive it? (Support/
displacement/stowage)

CRITICAL
Fit-for-purpose resources and emergency response teams Yes No Comments
CONTROL 4
• Is there an emergency communications process and are the channels of
communications operational? (For example, radio, call to team, alarm monitoring,
external).

IMPORTANT: If any of the conditions changes, it should evaluate again the implementation of critical controls.

FULL NAME ID SIGNATURE

1.

2.

3.

4.

5.

6.

7.

This section must be completed by the verifier before and during the task.

CRITICAL CONTROL CHECKED COMMENTS

1. Integrity of the lifting equipment and accessories and cranes.

2. Segregation and stabilisation of lifting areas.

3. Planning of lifting manoeuvre.

4. Fit-for purpose resources and emergency response teams.

EXECUTION DATE EXECUTION TIME

NAME AND SIGNATURE OF VERIFIER

VERSION 7.0 - September 2020 Page 2 of 2