Professional Documents
Culture Documents
Attachment A GI 7.028
Critical Lift Plan*
(*Each Piece of Participating Lifting Equipment Shall Have Separate Lift Plan)
A) Load Description:
_________________________________
Load Handling/Boom
Attachments
Swing-Away Jib:
Other Jibs:
Stowed
Erected
N/A
Weight:
Lbs/Kgs
______
______
______
______
______
______
3. Equipment ID #: ____________________
______
______
Headache Ball:
______
______
______
No
______
______
____________ Lbs/Kgs
____________ 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
Name (Signature)
Badge #
Crane Operator:
_________________
___________
______________
Rigger:
__________________
___________
______________
Supervisor:
__________________
___________
______________
Originator:
__________________
___________
______________
Notes : 1.
2.
3.
4.
5.
YES
NO
NO
_____________________
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