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SA 9644 (04/05) Saudi Aramco GI 7.028 Attachment #1

Critical Lift Plan*

(*Each Piece Of Participating Lifting Equipment Shall Have A Separate Critical Lift Plan)
Organization Name: Date of Lift:
Organization Code #: Work Permit Required? YES ✔ NO

Facility Name: Specific Work Location: Contract #:

A) Load Description & Weight (From USER): B) Load Handling Devices (See “Notes” Below):

Load Handling/Boom Stowed Erected N/A Weight:

3,000 Ibs/kgs
kgs Attachments Ibs/kgs
kgs

C) Crane Information (See “Notes” Below): Swing-Away Jib: ✔

1. SA Inspection Sticker YES ✔ NO Other Jibs: ✔

2. Inspection Sticker Expiry Date: 03/22/2015 Hook Block (Main): 420

3. Equipment ID #: 225481 Auxiliary Boom Head:

4. Crane Model: RT-700-E Headache Ball: 120

Lifting/Spreader Beam Needed? YES NO

5. Crane Type: R.T.H

kgs Does Beam Have Current Inspection Sticker? Yes No

6. Crane Rated Capacity: 55000

Slings, Shackles, etc.: 50

7. Crane Operating Code # (if applicable): N.A

Other:
8. Single Line Pull Capacity: 5100 Ibs/kgs
kgs
590
Weight of Load Handling Devices (Section B Above) Ibs/kgs
kgs
9. # of Parts of Line: 4
+ Weight of Load to be Lifted (Section A) 3,000
Ibs/kgs
kgs
10. Total Gross Capacity of Hook Block
as Reeved: 20400 Ibs/kgs
kgs = Total Gross Weight (Sections A + B)
3,590 Ibs/kgs
kgs
D) Crane Configuration (See “Notes” Below): E) Rigging (See “Notes” Below):

1. Required Boom Length: 31.2

mft/m 1. Hitch Arrangement: TWO LEG BRIDLE HITCH

2. Boom Angle:
58.5
degrees 2. Sling Type(s): NYLON WEB SLING
3. Sling Size(s): 4"X 2NOS in/cm
3. Required Counterweight: Ibs/kgs
kgs
6
4. Sling Length(s): ft/m
m
16
4. Operating Radius: mft/m
4000
5. Shackle Size: 1/2 in/cm & Capacity:
in Ibs/kgs
kgs
8000
5. Lift Quadrant (Front, Rear, 360 ): 360 degrees
o 6. Capacity of Above Configuration: Ibs/kgs
kgs

F) Crane Capacity in This Configuration (Derated, if applicable): 9,755

Ibs/kgs
kgs Total Gross Weight ٠
٠ Capacity =
36.80164018452076
%
G) Surface Requirements Needed (Other Than Mandatory Outrigger Pads): Mats? YES ✔ NO Is the Ground Level? YES ✔ NO
Proper Ground Compaction? YES ✔ NO Excavation Hazards Controlled? YES ✔ NO Other Barricated ? YES ✔ NO
H) Wind Speed Shall Not Exceed GI 7.027 Limits for Manbaskets or GI 7.028 Limits/Manufacturer’s Specifications for Loads

I) Energized Power-Lines Within Boom Radius? YES NO Explosive/Fire/High Heat Hazards Within Boom Radius? YES NO

J) Is This a Nighttime Crane Lift? YES NO

NO ✔ IfIfYes,
Yes,Do
DoYou
YouHave
HaveWritten
WrittenApproval
ApprovalFrom
FromFacility
FacilityManager?
Manager? YES
YES NO ✔

***Attention: A Pre-Lift Safety Meeting is Mandatory CAN CRANE MAKE LIFT? YES ✔ NO
Positions: Name (Signature) Badge # Certificate # Approved by: Rigger-I/Rigging Competent Person

Originator: Name (Print):

Rigger: Badge #:

Crane Operator: Certificate #:

USER
Signature:
Supervisor:

Notes: 1. Attach sketch(es) of lift site, noting obstacles to movement of load, boom, or tail swing.
2. All units of weight shall be listed in the same units of measure as Crane Load Chart. PPD Concurrence
3. All units of measure shall be listed in the same units of measure as Crane Range Diagram. (when required by GI 2.702)
4. Attach copy of Crane Load Chart, Range Diagram, and Safety Notes.
5. Certain weights may be deducted from Crane Load Chart capacities based on manufacturer’s specifications.

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