Site Material Lifting Plan

Related Work permit details: PTW no._________________________ Date ____________________

Site details & Authorized Personnel

Site ID Site Type – GBT/RTT/RTP/GBM / Other Height - ______
Contractor - Signature Date & Time
Supervisor /Team leader

Riggers

Haulers

Characteristics of the Load(s)

This Lifting plan covers the load details and the duration
Lifting height ____________ Mtrs

Single load only Multiple items along with the primary load

Load weights GSM Antenna_____ kg, MW antenna______ kg, RRU______ kg,

(in Kg)
RF Cable_____ kg, IF Cable______ kg, Accessories_____ kg; Others_____ Kg

Pulley system to be used (tick on any one applicable)

**It is preferable to avoid assembly of multiple loads during a lifting. A competent person like the Team Leader/Supervisor should assemble loads if separate
lifting is not feasible. Lifting activity must have atleast 02 technicians/riggers plus one Supervisor and for loads above 40Kgs there must be atleast 02 hauler
/rigger, to support lifting and monitoring activities. The center of gravity considered during the load tie-off and slinging phase.
# only low stretch kernmantle ropes must be used for lifting

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 Sketch/Layout of the Site

Lifting preparations
 Drop /Exclusion zone marked : ______________ Mtrs (at least 1/7 th of lifting height)
 Expected duration of the lifting activity (in Hours) From: _________Hrs. to _________Hrs.
 No. attachment points for the load to maintain stability & center of gravity 01 02 03
 Communication methodology between team Verbal Hand signal Combination
 Is there a secure anchorage point Yes No,
 Appropriate PPE & Rope, Pulley (one extra harness for rescue, if required)

Hard hat Kernmantle rope & Pulley

Full body harness & lanyards Gloves & Shoes

Safety goggles High visibility vest

Emergency Preparedness
Are cellular phones functional? ( i.e., charged, working signal) Yes No
If cellular phones are not functional, are other means of communication available?

Local Phone booths Other ______________

Emergency / Rescue phone numbers) Ambulance _________________ Hospital ________________

Police ______________
I certify that the entire lifting job will be done according to standard procedures.
Team leader signature: Date

Lifting Plan 2 of 2