133 MVDC LAL - L0 SOLAR POWER PROJECT
Lifting Permit
Sub - Contractor Date
Responsible Person Crane Model
Description of Load Boom Length
Weight of Load Jib Length
Total Erection Load Maximum Radius
Movement Planned
Detailed Location:
Est Time Start
Est Time Finish
Weight Lift Details
Estimated
Actual
Comments / Corrective
Lifting Description Points Yes NO
Action
Operator wearing Personnel Protective Equipment(Hard Hat,
Safety Shoes etc.)
Risk assessment / Plan completed for lift
Emergency response pre-planning complete and resources
available .e.g., Fire Extinguisher, spillage kit etc.
Authorized/qualified crane operator (Third Party Operator Cert.)
Crane has current periodic inspection (T P I )
Daily crane inspection completed
All slings, ropes, and other rigging have current periodic
inspection
Pre-use inspection of slings, ropes, and other rigging completed
Smooth solid foundation in the crane set-up area with no
deviations. Underground installations considered and not
impacted
Outriggers extended as far as possible, on level, firm ground
with supports (mats) installed where required
Tires completely off ground when outriggers used
NAREDCO.ELE.PTW 0002 REV1.0 Page 1
Area completely barricaded to remove personnel from around
crane and lift area (including lift area)
All necessary clearances evaluated including e.g., overhead
power lines
All actions of the Risk Assessment in place and clearly
communicated
All applicable items on the permit have been answered “YES” and communicated to all personnel
involved with the lift.
Section 1 Sub-Contractor : On behalf of the company named above, I hereby accept receipt of this permit and
undertake to carry out the work specified, in accordance with site safety rules, PC HSE Rules and any other
applicable regulations.
Name Sign Date/Time
Section II Contractor : Named above is hereby authorized to carry out the work specified in this Permit.
Name Sign Date/Time
Section III OE : I confirm the work-related equipment, tackles and supportive documents are competent and fit for the
related work.
Name Sign Date/Time
Section IV Owner : The work specified in this permit has been completed and the area has been left in a safe
condition. The equipment provided for this work has been removed from the work site.
Name Sign Date/Time
• Copies of Crane Inspections, Crane Operator Certificate, Rigger Certificate and all related
Documents are to be included with this Lift Permit.
Objectives :
a) Personnel to maintain safer distance when lifting operation in progress.
b) None of the personnel to come below the immediate lift area and carry out works when lifting
in progress.
c) Barricade the area away from radius of lifting equipment and provide sign board.
d) Make lifting plan(If necessary) and permit prior to lifting and follow lifting operation permit
system.
e) Competent person must be assigned for all lifting activities.
f) Two tag lines must be provided during lifting on all occasion.
g) Visible “edge line” contact between rigger and crane operator should be maintained on all
occasion.
h) All lifting accessories should be inspected before lifting.
i) Use proper PPE while working at height.
j) The crane must have valid certification through third party.
k) Only one signal man should give signal at a time.
l) Hand off from pinch point when setting the material or container.
m) Outrigger pad must provide on both paved and unpaved areas.
n) Sling should be protected with softener at sharp edge.
o) Formal assessment of the weight to be lifted must be established prior to lift.
Comments:
1.
2.
3.
4.
5.
NAREDCO.ELE.PTW 0002 REV1.0 Page 2
