LIFTING PLAN WORKSHEET

Critical Lift Date of lift :

Heavy Lift Work Location:

Regular Lift

LOAD DESCRIPTION

& WEIGHT kg

CRANE INFORMATION LOAD HANDLING DEVICES

Crane Rated Capacity Ton hook Block Main kg
Single line Pull capacity kg Lifting Spreader Bar kg
Number of Parts Line Sligns, Shackles , etc kg
Total Gross Capacity Hook Block Kg Others kg
Weight of Load Handling Devices kg
Total Gross Weight to be Lifted: kg

CRANE CONFIGURATION RIGGING DEVICES INFORMATION

Required Boom Length Sling type
Boom Angle Sling type / capacity ton
Required Counter Weight Sling Lnght m
Operating Radius Shackle Capacity ton
Crane Capacity in this Configuration TOTAL GROSS WEIGHT / CAPACITY %

SURFACE REQUIRMENTS

Is ground leveled ? Yes No

Is th ground compacted ? Yes No
Excavation hazards controled ? Yes No

Name Siganature date

Rigger :
Operator:
Supervisor:

Unrestricted