Payload Name: Lift Description: Project: Units: U.S. (ft-lb) Crane Details Manufacturer: Model No. Configuration: Base Mount Type: Track/outrigger c/s: ft Boom Type: Boom Length Used: ft Boom/jib angle: deg Jib Type: Jib Length Used: ft Tail swing: ft Machine ballast: lb Aux counterweight: lb Block Cap'y: ton Line Size: in. Single hoist line pull: lb Parts Line Used: Reeved capacity: lb Heavy Lift Attachmts: SL radius ft Superlift wt ton Load Details Quantity Wt./each Weight Totals Basic weight of item lb lb lb lb lb Total weight of item to be lifted lb Rigging Data (size, type, and capacity) lb lb lb lb lb lb lb Total Rigging Weight lb Additional Weight Items Main Hook lb Wire Rope lb Other Suspended Hooks lb Aux Boom Sheaves lb Jib lb Other lb Other lb Total Additional Weight: lb GROSS LOAD (sum of all items above) lb Crane capacities Total load to crane: lb lb lb Planned Radius: ft ft ft Chart Radius Used: ft ft ft Chart Capacity: lb lb lb % of chart capacity: THE MAXIMUM PERCENTAGE OF CHART CAPACITY PLANNED TO BE USED IS % Total suspended load (main): lb Reeved capacity: lb THE MAXIMUM PERCENTAGE OF REEVED CAPACITY PLANNED TO BE USED IS % Document Attachments Crane layout Plan Categorization GBP source/calcs Rigging hookup arrangement JHA/JSA/AHA Project Scope Crane chart extract Risk Evaluation Load Weight/CG Source info Foundation details/calcs Wind/Weather Forecast Load/Crane Clearances Crane cribbing arrangement Drawing of load Notes Ground Bearing Pressure: Allowable: Actual: Max. allowable wind speed: Allowable:
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