Lifting Operation Planning Checklist

Doc. no: MS-FR00315 Rev: 5 Published: 03.07.2015

LIFT PLAN Part 1 [to be complete by Person Responsible for Lifting Operation (PRFLO)]
Unit: BW JOKOTOLE Location: Engine room
Work Permit No: JSA No.: N/A
Lift Plan No: 003 Work Pack No.: N/A
Is drawing or sketch of the lifting operation attached? YES NO

Type of Lift: Level- 1 Level- 2 Level- 3

Details of the Loads

Description of loads Pump approx. 200 kg

Overall Dimensions H: 40x 40 x 70cm & Dia. : - Cm

Weight of Load
200 kg/tonne Known Weight Estimated Weight

Centre of Gravity
Obvious Estimated Determined by drawing

Description of Lifting Operation:

To lift pump approx.weight 200kg. Use 2 weebing sling 1T x 2m, 1 weebing sling 1T x 1m, 1 weebing sling 1 T
x 6m , shackle 3 x 2T , master link , 2 chainblock 1T

Possible Consideration (not exhaustive)

(tick if relevant and address each point in “Step-by-Step” section below)

Weight not verified Lifting of chemicals Conflicting tasks in area

High centre of gravity Load on pallet requires securing Dynamic factors involved

Stability of load Sea fastening removed Hazards to personnel in the area

Restricted headroom or confined work

Awkward size/shapes/sharp edges Communication requirements
area

No dedicated lifting points on the load No lifting points directly above the load Adequate lighting and visibility

No certified suspension point for the Appropriate and correctly installed lifting Is the use of tag lines required? Then
lifting equipment equipment and accessories consider personnel positioning

Route to be Travelled and Laydown Area

(if you can’t answer either, address in the “Step-by-Step” section) YES N/A
1. Are the route and laydown area clear of obstructions?

2. Is the laydown/landing area adequate in terms of size and load-bearing ability?

3. Is suitable packing available for protection of the load, lifting equipment, slings etc?

4. Have barriers been positioned to prevent access by unauthorised personnel?

5. Have you confirmed that the laydown area is within the operating limits/radius of the equipment?

6. Have environmental conditions been considered with regards to the safety of the lifting operations?

7. Will the Crane Operator be able to see the Banksman throughout the operation, or has another suitable,
risk-assessed means of communication been checked and made available (e.g. radios)?

Step-by-Step Details of the Lifting Operation (By who/)

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Attach weebing sling 1T x2m and 1 T x 6m with shackle and 1T chain block to Hull
Rigger / Hendriex
structure.

Lift up pump with 1 weebing sling 1Tx 2m with shackle and master link. Rigger / Hendriex

Cross hauling with 1T weebing sling and 1 T chain block to transfer pump on deck/
Rigger / Hendriex
safe area.

           

           

           

           

           

           

           

           

           

           

           

           

           

LIFT PLAN Part 2 (to be complete by Person Responsible for Lifting Operation (PRFLO))
Details of the Lifting Equipment/Accessories

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Type of lifting equipment Chain Block, Webbing slings and Shackles

Maximum SWL as per the cert 1T Date of last certification: Sep 2020
Max Boom/Jib Length       m Fly jib/offset

Intended load radius      Distance between the load and crane SWL at this radius:       m
Type of lifting gears Slings / webbing / chains / shackles / spreader beam / receptacle

Combined weight of the lifting gears       Kg /tonne Certification of lifting gears Yes No

Personnel Involved in Lifting Operation

Position Name Qualification/Experience
Site Supervisor/Responsible Person Hendriex Level-2
Lifting Supervisor/Competent Person N/A      
Crane operator/Lifting Equipment Estepanus Level-3
Operator

Rigger Hendriex Level-2

Signalman Hendriex Level-2
Others(Please state)            
Debrief and Learning Points (did the lifting operation go as planned or are changes to the lift plan requires?)
     

Competent Person:
Print Name:       Signature:       Date:   /  /    
List of Guidewords for Hazard Identification
This list of guidewords for the identification of hazards associated with the use of lifting equipment is divided into five
sections, i.e. Nature of Load, Environment, Strength, Stability and Position.
The guidewords shall be used in conjunction with the initial lifting plan and the preliminary equipment selection to identify
possible hazards associated with the specific lifting operation.
For each hazard identified the review team shall record actions necessary to eliminate or reduce the likely impact of the
hazard.
It is not intended that this list of guidewords is exhaustive and the review team may identify additional items requiring to be
considered during the process of hazard identification.

Nature of Load

Size Weight Shape

Centre of Gravity Stability of the load Protected / Unprotected

Hazardous / Non-hazardous Dangerous Snow / Ice build-up

Environment

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Inside / Outside Day / Night Onshore / Offshore

Land / Sea Weather High / Low temperatures

High Winds Sea State Work Site restrictions

Radiant heat Personal protective equipment

Strength

Safe working load (SWL) Factors of safety Overload (non testing)

Shock loading Dynamics Load integrity

Heave compensation Failure modes (fracture, wear, fatigue etc.)

Stability

Travelling with load Slewing with load Overturning / Tilting

Stability of supports Ground conditions / Slopes Stability of mountings/fixings

Position

Reach / Travel Headroom Suitability of laydown area

Operator visibility Banksman visibility Communications

Load striking lifting equipment Proximity of other equipment Proximity of other structures

Trapping / crushing of persons Access /egress from work site Work site protection

Proximity of power lines Proximity of trenches, drains etc Load transfer

Load passing through floor or bulkhead

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DOCUMENT LINKS

Reference documents

MS-PR00156 Lifting Operations

MS-PR00097 Pedestal Crane Operations

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 Lifting Operation Planning Checklist
Doc. no: MS-FR00315 Rev: 5 Published: 03.07.2015

REVISION SUMMARY
Rev. Date Document Owner to summarise key changes in the document

0 04-Jun-2013 Issued for use

1 27-Jun-2013 Add Subject – Marine Operations & SIS Mobilisation

3 14-Jul-2014 Adding Form in English, Portuguese & Spanish

4 29-Sep-2014 Update reference

5 20-Nov-2015 Revise as per TMS review

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