Site Material Lifting Plan

Related Work permit details: PTW no. Date

Site details & Authorized Personnel

Site ID Site Type – GBT/RTT/RTP/GBM / Other Height -
Contractor - Signature Date & Time
Supervisor /Team leader

Riggers

Haulers

Characteristics of the Load(s)

This Lifting plan covers the load details and the
duration Lifting height Mtrs

Single load only Multiple items along with the primary load

Load weights GSM Antenna kg, MW antenna kg, RRU

kg, (in Kg)
RF Cable kg, IF Cable kg Accessories kg; Others Kg

Pulley system to be used (tick on any one applicable)

**It is preferable to avoid assembly of multiple loads during a lifting. A competent person like the Team Leader/Supervisor should assemble loads if
separate lifting is not feasible. Lifting activity must have atleast 02 technicians/riggers plus one Supervisor and for loads above 40Kgs there must be
atleast 02 hauler
/rigger, to support lifting and monitoring activities . The center of gravity considered during the load tie-off and slinging phase.
# only low stretch kernmantle ropes must be used for lifting

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 Sketch/Layout of the Site

Lifting preparations
▪ Drop /Exclusion zone marked: Mtrs (at least 1/7th of lifting height)
▪ Expected duration of the lifting activity (in Hours) From: Hrs. to Hrs.
▪ No. attachment points for the load to maintain stability & center of gravity 01 02 03
▪ Communication methodology between team Verbal Hand signal Combination
▪ Is there a secure anchorage point Yes No,
▪ Appropriate PPE & Rope, Pulley (one extra harness for rescue, if required)

Hard hat
Full body harness & lanyards Gloves & Shoes Kernmantle rope & Pulley

Safety goggles High visibility vest

Emergency Preparedness

Emergency / Rescue phone numbers) Ambulance __________ Fire________

Hospital: _____________ Police:______________

I certify that the entire lifting job will be done according to standard procedures.
Team leader/Supervisor signature: Date

Lifting Plan 2 of 2