Complex lift Plan

*The following details are a minimum requirement*

1/. ACTIVITY DETAILS

Item identification Expected lift date
Work Method Statement no. Permit to work no.
Load dimensions (mm) Length Width Height
Lifting activity description:

2/. CRANE INFORMATION

Type of crane Truck mounted Crawler Crane Other
Brand name Model
Location of lift
3/. RIGGING WEIGHT
Main hook block Kg Shackles Kg Other Kg
Chokers / Slings Kg Jib Kg Other Kg
Spreader Bar Kg Ball Hook Kg Other Kg
Hoist load line Kg Whip line Kg Other Kg
4/. LOAD CALCULATION
1 Length of boom m
2 Maximum required working radius m
3 Crane chart capacity at radius Kg
4 Weight of object to be lifted Kg
5 Rigging weight Kg
6 TOTAL LIFTING WEIGHT (4+5) Kg
7 Utilized load capacity ((6/3)*100) %
9 Number of parts of hoist line
10 Rated capacity per part of line Kg
11 Load per part of line. Kg
5/. ACCESSORY LIST
Item WLL SWL No. of Item WLL SWL No. of

6/. SITE CONDITIONS

Max. permissible wind speed (m/s)
Ground condition / mat requirements
(confirmed by civil engineer)
Ground protection
7/. APPLICANT
Designation Company Name Signature Date
Samsung Lifting specialist
Subcontractor focal point
Subcontractor lift supervisor
8/. ATTACHMENTS
Item Yes No
Permit to work
Complex lift checklist
Complex lifting rigging study (as specified in the Complex lifting checklist)
**Pre-Lift Checklist MUST be completed prior to actual lifting.
 Complex Lifting Check List
Item Minimum Requirements Yes No N/A
1/. Complex lifting summary data sheet completed
2/. Detailed written step-by-step methodology prepared
3/. Certified equipment Drawing with vendor calculated weights
3.1/. Plan view with crane location(s) relative to the lift item.
Movements, obstructions, information shown as listed below
3.1.a/. Location and size of underground facilities
3.1.b/. Dimensions for centerline of lift equipment to C.O.G. of the lift item at
the beginning of lift and at final set.
3.1.c/. All swinging and travelling of lift equipment including clearances
3.1.d/. At final set locations, note any required rotation of load
3.4/. Elevation view with data charts and crane locations relative to the
lift item. All movements and obstructions shall be clearly shown
as listed below:
3.4.a/. Dimension for centerline of equipment to C.O.G. of the lift item at the
beginning of lift and at final set.
3.4.b/. All swinging and travelling of lift equipment and clearances
3.4.c/. Rigging assembly and all lifting attachments clearly labeled.
4/. Crane details consisting of the following:
4.1/. Lift crane data chart (s) consisting of:
4.1.a/. Crane make / model and configuration - applicable to this lift
4.1.b/. Capacity and Radius chart (s) - applicable to this lift
5/. Calculations - crane
5.1/. Lift crane
5.1.a/. Total rigging weight including all accessories, hook blocks, jib etc
5.1.b/. Maximum load and load transfer calculated
5.1.c/. % chart capacity calculated
5.1.d/. % tipping capacity calculated
5.1.e/. % structural capacity calculated

Item Minimum Requirements Yes No N/A

6/. Calculations - rigging
6.1/. Item load weight
6.2/. Detailed rigging drawing (s)
6.3/. Accessory list
7/. Crane and Rigging Gear Certificates listed below:
7.1/. Lift crane - inspection and load test (3rd party and site)
7.2/. Load line , Whip line, & Boom hoist line
7.3/. Spreader beam
7.4/. Slings
7.5/. Shackles
7.6/. Links
7.7/. Hydraulic / Manual pin extractor
7.8/. All items color coded
7.9/. Others - Specify:-
8/. Site conditions
8.1/. Environmental
8.1.a/. Maximum acceptable wind speed assessed
9/.
The following notations shall appear in the body of the procedure.
9.1/. All rigging will be attached and then visually inspected by Samsung and
Subcontractor Lifting Supervisor
9.2/. Subcontractor Lifting Supervisor is responsible for verifying that all
prescribed conditions are met prior to the lift
9.3/. Cranes shall be inspected and deemed in good operational condition
prior to the lift
9.4/. The use of tag lines will be specified
9.5/. Load weight verified against calculated engineering weight and
one of the following weights to be calculated
9.5.a/. Calibrated hook scale
9.6/. Third party engineering review undertaken as required by Samsung
9.7/. Standby crane operator available
9.8/. Lift schedule planned
9.9/. Known hazards assessed and reviewed
10/. Pre-lift meeting to discuss step-by-step methodology including roles and
responsibilities of all parties
Check List completed by: Date