Rigging Plan Worksheet

Building #: Work Location: Job#

Project Title: Project Engineer:

Note: Rigging Plans are to be submitted to the BNL Hoisting & Rigging Inspector for
review and approval at least 4 working days prior to the lift. All lifting equipment and
operations must be conducted in accordance with applicable ANSI standards and DOE
and OSHA requirements.

Mobile Crane Operations:

Descriptive Drawing – Include sketch w/measurements of pre-and post-lift locations any
encumbrances/clearances, crane capacities at working radius, impact on utilities (contact MMC
@ ext 2468) include protective measures where required.

Crane Operators Requirements:

Licensed by the NYS Dept of Labor, qualified for the specific type of equipment to be used.

Mobile Crane Inspection Documentation:

Include copies of the crane load charts (as planned set up), plus documentation of the latest crane
inspections (annual & monthly) along with rigging plan.
Mobile Crane Blocking / Cribbing:
Minimum requirements hardwood (oak, etc.) of at least 4-inch thickness, must completely
support the float.

Total Weight of Lift: (includes load weight, and all rigging equipment, & load block)

Description of Material to be Lifted w/Dimensions, Center of Gravity:

Tag lines and locations of attendants:

Pre-lift Meeting - Documented, attendees, content:

Designated Signal Person:

Designated Person In Charge (PIC):

Communication and Signals: Hand signals, two-way radio, emergency signal, voice commands

Describe Method of Accomplishment: provide a written description of the operation. All

lifting operations must be conducted in accordance with ANSI standards and the DOE and
OSHA requirements.

4.0/3b07e011.pdf 1 (11/2006)
 Equipment List
Equipment List Type Quantity Dimensions Capacity Configuration Weight of
(size) (WLL) (Hitch Used) Lift
Slings:

Rigging Hardware:
(shackles, eyebolts, rings etc.)

Below the Hook Lifting Devices:

(spreader bars, vacuum /magnetic lifters etc)

Manual Chain Hoists:

(come-alongs, load positioning device)

Mobile Crane:

Cribbing/Shoring/Matting:

Transportation Vehicles:

4.0/3b07e011.pdf 2 (11/2006)
 Equipment List Type Quantity Dimensions Capacity Configuration Weight of
(size) (WLL) (Hitch Used) Lift

Roller/Skates:

Jacks:

PPE/Hazmat:

I _____________________________________ ensure that all rigging hardware and slings

will be in accordance with the OSHA, ASME and DOE-STD-1090 requirements for
inspection and load test.

Submitted by: ________________________ Date Submitted: _____________________

Approved: YES NO Reviewed by: ___________________

Reason for Rejection:

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

4.0/3b07e011.pdf 3 (11/2006)