ADNOC Offshore Forklift Lift Plan Inspection

Equipment No: FORK-LIFT -

Check List
Project No.: Date: Till:
LIFTING PLAN (NON-CRANE) YES NO Comments
Location of Lifting and movements identified
including traffic route and road crossing?
Who prepares and monitors the Plans

Brief description of materials and equipment’s

movements authorized by this plan

Equipment identified in the plan, including valid

certification
Lifting Capacity(Tons) & Load distance (meter)
Make and Model of equipment in the plan
Attachments to be used, including valid
certification
Maximum Load
Maximum Dimensions and location of Centre of
gravity
Competence of operator
Limiting conditions , when this plan is not valid
Typical Hazards included in a Lift Plan YES NO Comments
Fall prevention
Overhead electric lines
Other overhead obstacles
Excavations
Unstable/Soft ground
Hazardous substance
Man –machine interface
Traffic / Road
Other vehicle
Restricted access
Potential loss / Fall of load
Potential overturning of equipment
Collision / impact- Vehicle, Plant, Pedestrians,
Building
Stability of load
Any others identified