Saudi Aramco 10/02

Attachment A GI 7.028
Critical Lift Plan*
(*Each Piece of Participating Lifting Equipment Shall Have Separate Lift Plan)

Organization Name: _______________________

Organization Code #: ______________________

Date of Lift: _______________________

Work Permit Required? YES
NO

Facility Name: _______________________

Specific Work Location: _________________ Contract #: ___________

A) Load Description:

B) Weights (See Notes Below):

_________________________________

Load Handling/Boom
Attachments
Swing-Away Jib:
Other Jibs:

Stowed

Erected

N/A

Weight:
Lbs/Kgs
______
______

2. Inspection Sticker Expiry Date: __________

Hook Block (Main):

______

______

______

______

3. Equipment ID #: ____________________

Auxiliary Boom Head:

______

______

4. Crane Model: ______________________

Headache Ball:

______

______

5. Crane Type: _______________________

Lifting/Spreader Beam Needed? Yes

C) Crane Information (See Notes Below) :

1. Current Insp. Sticker
Yes
No

Current Inspection Sticker for Beam? Yes

6. Cranes Rated Capacity: ________________

7. Hoisting Cable Diameter: _____________
8. Single Line Pull Capacity: ____________
9. # of Parts of Line: ______________
10. Total Gross Capacity of Reeved Hook
Block: _____________________ Lbs/Kgs
D) Crane Configuration (See Notes Below):
1. Required Boom Length: __________ ft/m

______
No

Slings, Shackles, etc.:

_____________
Other: ________________________________

______
______

Total Weight of Load Handling Devices +

____________ Lbs/Kgs

Net Weight of Load to be Lifted

____________ Lbs/Kgs

Total Weight of Load to be Lifted = ____________ Lbs/Kgs

E) Rigging (See Notes Below):

1. Hitch Arrangement: _______________________________________

2. Boom Angle: _________ degrees

2. Sling Type(s): ___________________________________________

3. Required Counterweight: _________tons

3. Sling Size(s) [in/cm]: _____________________________________

4. Operating Radius: _______________ ft/m

4. Sling Length(s) [ft/m]: ____________________________________

5. Lift Quadrant-Front, Rear, 360, Side, etc.:

5. Shackle Size & Capacity (in/cm & lbs/kgs):

_________________________________________
6. Capacity of Above Configuration (lbs/kgs): ___________________

_________________________________

F) Maximum Crane Capacity in Above Configuration Per Load Chart: _______________ % of Load Chart Capacity: ______
G) Other Surface Requirements Needed? (Other Than Mandatory Outrigger Pads) Is the Ground Level? YES
NO
100% Ground Compaction? YES
NO
Mats? YES
NO
Other? ______________________________
H) Wind Speed: ________kph/mph/knots (Shall not exceed 32 kph/20 mph/17.4 knots or manufacturers specifications)
I) Electrical Power Lines Within Boom Radius? YES

NO

***Attention: A Pre-Lift Safety Meeting is Mandatory

Positions:

Name (Signature)

Badge #

Explosive Hazards Within Boom Radius? YES

CAN CRANE MAKE LIFT?

Certificate #

Crane Operator:

_________________

___________

______________

Rigger:

__________________

___________

______________

Supervisor:

__________________

___________

______________

Originator:

__________________

___________

______________

Notes : 1.
2.
3.
4.
5.

YES

NO

NO

Approved by: Rigger I/ Rigging Competent Person

Name:

_____________________

Badge #

_____________________

Cert. #

_____________________

Signature

_____________________

Attach sketch(es) of lift site, noting obstacles to movement of load, boom or tail swing.
________________________
All units of weight shall be listed in the same units of measure as Crane Load Chart.
PDD Concurrence
All units of measure shall be listed in the same units of measure as Crane Range Diagram.
(when required Per GI 2.702)
Attach copy of Crane Load Chart, Range Diagram and Safety Notes.
Certain weights may be deducted from Load Chart capacities based on manufacturers specifications