SE-S-4.4.

6-F12
Issue: 1

Excavator Operation Lifting Plan

Requestor MTS FIBROMAT (M) SDN BHD Date 2/11/2021

Person in Charge Tan Poi Cheong Contact No 017 - 5137929

Lifting Date 2/11/2021 Time 0800~1700

Worksite / location Tanjung Adang Reclamation Project

Excavator Operator Ramly Bin Awang

Signalman / Rigger man /

General Lifting Plan

1.0 Scope of Work

Hoisting of sinker block with weight of 2 ton.

2.0 Excavator Information

Crane Registration No BNF 3602 PMA No N/A

Type of excavator EXCAVATOR Model SK200-8

Excavator capacity 20 Ton Fly Jib N/A meter

Boom length N/A meter Counter Weight N/A ton

Outrigger extension width N/A meter

3.0 Lifting Information

3.1 Lifting weight 2,000 kg * (maximum weight)

Hook Block N/A kg Rigging gears N/A kg

3.2 Lifting Radius (max) 7.5 meter

3.3 Lifting Height 1.5 meter

4.0 Safety Factor calculation

Total Lifting Weight 2,000 kg Safety Factor 32.77 %

[100% - (TLW / SLW) = more than 25%]
Safety Lifting Weight 2,975 kg
(refer to attachment - load chart) Acknowledgement by Crane Operator
* Remark: Safety Lifting wright is etimated 70% of max capacity without
bucket

5.0 Lifting Plan Layout : (attachment) ( ) (Date)

6.0 Excavator Load Chart : (attachment)
7.0 Excavator Operator Certificate : (attachment) * I have reviewed and understand the content in this lifting plan

Prepared by Excavator Owner Reviewed by Safety

 Name & Name &
Signature Signature

Date Date

Reviewed by Area Owner Approved by Maintenance/ Work Supervisor

Name & Name &
Signature Signature

Date Date

Sample lifting plan

max: 8.58m

1.5m