Megha Engineering & Infrastructures Ltd

Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT

LIFTING PERMIT
Objectives:
Permits must be posted at the lift site until lift is complete. Permits must be reissued if conditions (equipment, weather, and/or
ground) or scope of work has changed. A Critical Lift Plan & Crane Permit including all supporting documents must be submitted
and approved prior to any of the following types of lifts.
Responsibility: - Project Manager, Road & Structure In-charge, Plant and Machinery In-charge, HSE officer, Client Representative

Two or more cranes are used to lift Crane will ‘Walk” with Load
Lifts =/> 100 Kg Load will be upended and weighs >5 Tons

Crane will Lift Personnel Loads =/> 75% of Rated Load Capacity

GENERAL
Originator: Project Manager: Start Date/Time: Finish Date/Time:
Crane Owner: Emergency Phone Number: Crane Lift Location (Area/Building):
Competent Person (Crane Competent Person (Rigging): Contractor Safety Representative:
Operator):
Phone: Phone:
Phone:

LIFT DATA
1a. Describe Load and Enter Total Weight:

Estimated Weight: Tons Actual Weight: Tons

1. Load Weight: 1b. Total load weight as a percentage of total lifting capacity of crane:

TotalLoadWeight
100  % Example Calculation:
Crane Capacity
2a. Main Hoist Block, Auxiliary Boom Head / Third Party Inspection: Yes/ No
Headache Ball: Certificate No.:

Total Block Weight: Tons Separate Certificate attached to this permit

2. Rigging weight 2b. Slings, Shackles, Third Party Inspection: Yes/ No
(net load): Hardware (list all used): Certificate No.:

Total Rigging Weight: Tons Separate Certificate attached to this permit

2c. Jib Weight Allowance: Tons

Check One: Erected (not used): Erected (in use): Jib Stowed (on boom):

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT

3. Total Lift 3a. On Sling: 1 + 2b = Tons

Weight: 3b. On Crane: 1 + 2a + 2b + 2c = Tons
Height of Load to be not greater than Feet

4. Lifting Height: Elevation drawing showing load height relation to crane and any obstructions is attached Is
maximum height of Crane Boom tip within Permit Limits Granted?
Current Permit Height: Yes No

5. Operating Maximum Radius of Load to be not greater than Feet

Radius: Plan view of load location and crane orientation attached As per Load Chart

CRANE DATA

1. Crane Manufacturer: Crane Manufacturer: Size: Model Number:

Verify manufacturer's load chart indicates lifting capacity at stipulated load radius and boom lengths.

Note: If boom length and/or radius is between the stipulated or posted value on the load chart select the next lesser rating
capacity. The next lesser rating capacity may be the next longer or shorter boom length.

3. Attachments: Confirm Crane has an Anti-Two Blocking Device Installed and is operational
4. Counterweight:
Yes Total Weight Tons

Not greater than: Maximum Height of Crane Boom/Extension: ft.

5. Boom Length:
ft.
6. Jib / Extension: Jib Length (as extension): Jib Offset:

7. Main Load Block: Capacity Size: Ton # Sheaves:

8. Auxiliary Boom
Head/Ball: Capacity Size: Ton # Sheaves:

Soil Type is Determined to be Acceptable for Imposed Load

11. Outriggers,
Pads, and Tires : Engineering has reviewed and determined underground utilities and structures are not at risk for
damage.

Outriggers Fully Extended and Set Check One: Track Tires

RIGGING DATA
Diameter: Length: Capacity (per leg):

1. Sling(s) and/or Indicate how slings are to be used: Basket Hook Straight Pick Choker
Shackles:

Size: Capacity (ea.)

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT

2. Provide brief description and sketch of load rigging:

LIFT COMPUTATION
Maximum Boom Angle: Maximum Boom Length: Maximum Lift Radius:

Note: Cranes equipped with computers indicating boom length, angle, and radius are safety devices only and
should not be used in place of the operator's responsibility to actually determine the measurements required
to calculate a safe lift.

Note: Accessories, Crane Capacity, Parts of Line and Rope Capacity, and the working quadrant of the crane
should be considered when calculating Net Crane Capacities.

1. Net Crane Capacity: (Rated Lift Capacity - Block, Rigging, and Accessory Weights) = Tons

2. Load orientation prior to lift: Front Side Rear

3. Swing orientation relative to crane: Front Side Rear

4. Total Lift Weight: Item 3b of LIFT DATA: Tons

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No: 0
Title: LIFTING PERMIT

5. Total weight on slings and shackles: Item 3a of LIFT DATA: Tons

6. Wind Speed: Lifts are not allowed with wind speed in excess of:
15 (miles per hour) MPH or 7 (meters per second )M/s

: Wind Speed at time of lift: MPH or M/s

7. Comments, Notes, and Sketches: if required separate sheet attached

APPROVALS
The Contractor, Rigger, and Crane Operator are the competent persons solely responsible for the safe
execution of the lift(s). Execution of the lift will be in complete accordance with regulations.

Erection In-charge:
Name: Signature: Date:

Structure In-charge:
Name: Signature: Date:

Plant and Machinery In-charge:

Name: Signature: Date:

HSE Officer:
Name: Signature: Date:

Contractor Representative:
Name: Signature: Date:

Crane Operator:
Name: Signature: Date:

Crane Load Rigger:

Name: Signature: Date:

Project Manager:
Name: Signature: Date:

Client Representative:
Name: Signature: Date:

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT

COMPLETE CHECKLIST BELOW TO ENSURE A SAFE LIFT IS PLANNED

Checklist I

CRAWLER CRANE – LIFT PLAN

To be used for all lift up to 10 T, complete each time crane is set-up at new location
Calculation based on minimum planned lift weight and radius at current set-up
SET-UP CHECKLIST
(To be completed by crane operator)

1. Crane set on level ground? YES NO

2. Pick up and drop paths identified? YES NO
3. Rigging Equipment inspected and correctly color coded? YES NO
4. Is the lift area around the crane controlled? YES NO
5. Daily crane checklist complete and safe to commence work? YES No

CALCULATIONS
A = ....................... m
B = ....................... m
C =........................ t
D = 0-2T 2-4T 6-8T 8-10T 10-12T
Total Weight (C+D) = ..............T

MAXIMUM WEIGHT CAPACITY

(At crane set-up)
T
CURRENT % CRANE CAPACITY
%

SIGH-OFF SECTION
Crane Operator …………………………………….. Competent Rigger ……………………………………..
ID Number …………………………………….. ID Number ……………………………………..
Time & Date …………………………………….. Time & Date ……………………………………..
Crane Type …………………………………….. Capacity ……………… License Plate ……………………..

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT
Checklist II: - CHECKLIST FOR LIFTING PLAN
S/N Items Remarks
Lifting team and lifting machine
Has a competent Lifting Team been identified? (Certifications and/or training
1 □ Yes □ No
records)
Is the exact weight of the load (including rigging and all components) specified?
2 □ Yes □ No
Is the crane suitable for the identified lift(s) in terms of correct rated capacity and Safe
3 □ Yes □ No
Working Load (SWL)?
Has the maximum load limits for the lift(s) been specified according to
4 □ Yes □ No
Manufacturer’s recommendation?
Has the load chart been provided to verify boom angle, load radius and lifting
5 □ Yes □ No
capacity for each lift?
6 Is the Lifting Machine (LM) certificate for the crane valid? □ Yes □ No
Drawings / Sketches
7 Are drawings / sketches with standard unit of measurement provided for the following?
(a) Crane position in relation to any nearby streets or structures □ Yes □ No
(b) Location of all nearby utilities both underground and overhead □ Yes □ No
(c) Height of the lift to be accomplished □ Yes □ No
(d) Load radius from center pin of crane to center of the hook at load pick up (start) □ Yes □ No
point
(e) Load radius from center pin of crane to center of the hook at load set (end) point □ Yes □ No

(f) Boom length and angle for the lift(s) □ Yes □ No

Rigging
8 Are the full sling details (include SWL and Factor of Safety) checked? □ Yes □ No
9 Is lifting gear certificate for selected rigging valid? □ Yes □ No
10 Is spreader type, length and SWL suitable for the lift? □ Yes □ No
11 Are shackles size, type and SWL suitable for the lift? □ Yes □ No
12 Sketch of rigging method provided? □ Yes □ No
Operations
13 Are working and collapse zones of the crane within the site boundaries? □ Yes □ No
15 Has the limiting wind speeds for operation been considered? □ Yes □ No
16 Has the proximity to overhead structure(s) been considered? □ Yes □ No
17 Has the access to lifting location been verified to be suitable? □ Yes □ No
18 Are excavations activities near lifting operations been considered? □ Yes □ No
19 Has the effect of wind on crane been considered? □ Yes □ No
20 Has the effect of wind on load been considered? □ Yes □ No
21 Have overall ground conditions been verified? □ Yes □ No
22 Has visibility (such as due to haze) been considered? □ Yes □ No

Structure In-charge: - Erection In-charge: - Project In-charge:-

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT

HSE officer cross checked: -

Sample Drawing or sketch

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 Megha Engineering & Infrastructures Ltd
Hyderabad
Health, Safety and Environment Work Instructions
Project Code & Name: Issue Date:
Location: PTW No:
Title: LIFTING PERMIT

Page 115 of 132