PLANNING LIFTING & HOISTING OPERATIONS Page 1 of 2

PERMIT TO WORK NUMBER:

LOCATION:
MAX WIND SPEED FORECAST:

BRIEF DESCRIPTION OF THE LIFTING & HOISTING OPERATION:

CATEGORISATION OF LIFTING AND HOISTING OPERATION (UNDERLINED: HSSE CF CATEGORIES; free format in “Other”):

Routine Non Routine Simple Non-Routine Complicated Non-Routine Complex

Drawing Number: Drawing Number:

BRIEF DESCRIPTION OF THE LIFTING & HOISTING EQUIPMENT TO BE USED (E.G. TYPE, WLL, SWL, ETC and including rigging weight total)

CURRENT
COLOUR CODE

BRIEF INFORMATION OF THE LOAD(S) (including base weight/s):

LOAD WEIGHT CALCULATION (including weight contingency + any other factors such as DAF) Note: Utilization > 75% = Non-Routine, Complex

MAXIMUM
UTILIZATION %

ALL L&H OPERATIONS REQUIRE THE FOLLOWING - AS A MINIMUM - TO BE CONSIDERED

THIS INFORMATION IS TO BE CAPTURED IN A SEPARATE DOCUMENT (E.G. JHA/TRiC)
1. Relevant Life Saving Rules 14. Conflicting tasks in area
2. 10 Questions for safe Lifting & Hoisting 15. Working under suspended loads
3. Toolbox or Pre-Job meeting 16. Overturning, load integrity, need for tag lines
4. Weight, size, shape and centre of gravity load 17. Environmental conditions incl. weather, sea state
5. Method of slinging, attaching, detaching the load 18. Experience, competence & training of personnel
6. Availability of approved hoisting points on the load 19. Number & names of personnel required for task
7. Maximum radius of hoisting the load 20. Communication requirements
8. Verified details of ground conditions/capacity 21. Lighting in the pick-up and lay down area
9. Area for setting up with outriggers fully extended 22. Initial and final load positions & how it gets there
10. Access and emergency escape routes 23. Proximity hazards, obstructions, path of load
11. Number and duration of lifts, hoists 24. Suitability and condition of equipment
12. Visibility of load (blind lifts = Non-Routine Complex) 25. Pre-use inspection of certified equipment only
13. Hoisting over live equipment 26. Max dynamic calculated load is within capacity
METHOD (S) OF COMMUNICATION TO BE USED:

Radio: Verbal: Hand Signals :

PRE-TASK PREPARATION (as a minimum – not exhaustive)

1. All personnel associated with the lifting operation to review the lifting plan and risk assessment and complete toolbox
talk
2. Crane operator to inspect the load/s and ensure the actual weight/s of the cargo measured by the crane matches the
lifting plan
3. Crane operator and PICWS to inspect work area and ensure load bearing surface is safe/adequate for maximum loads
imposed by this operation, crane must be level within tolerance.
4. Crane operator to carry out pre-check/inspection of the crane and test all safety devices
5. PICWS to ascertain that the environmental conditions are within crane parameters as stated in Lifting Plan
6. PICWS to ensure area barricaded, no conflicting activities ongoing in surrounded/landing areas and load path is clear of
obstructions
7. PICWS to ensure suitable access for Rigger/s to safely attach/adjust rigging at height, and load is free to lift
8. PICWS to inspect all rigging and equipment prior to use, and confirm colour code is valid

Doc. no.: VEN-00000-SIPD-00-HX-6180-00018 Rev. No. 009 1 of 2

The information contained on this page is subject to the disclosure on the front page of this document.
 PLANNING & HOISTING OPERATIONS Page 2 of 2
TASK STEP BY STEP – ATTACH ADDITIONAL PAGES IF REQUIRED

LIFT PLAN DRAWINGS (incl. load path & rigging arrangement) – ATTACH ADDITIONAL PAGES IF REQUIRED

LEARNING FROM THIS L&H ACTIVITY

PLANNED BY (CONTRACTOR):

NAME: SIGNATURE: DATE:

APPROVED BY (CONTRACTOR) DIFFERENT INDIVIDUAL TO THE ABOVE)):

NAME: SIGNATURE: DATE:

APPROVED BY SIPD LIFTING AND HOISTING DEPT:

NAME: SIGNATURE: DATE:

Doc. no.: VEN-00000-SIPD-00-HX-6180-00018 Rev. No. 009 2 of 2

The information contained on this page is subject to the disclosure on the front page of this document.