MRO Village AMH KAIA

Jeddah Doc No: 000

Rev:00
LIFTING PLAN Contractor:

Project Lifting Plan – Basic / Standard / Complex (Delete as applicable)

Contractor: - Package:

1.

Specialist lifting Contractor: -

Contractor Managing Lift: -

2.

Date of Operation: From: 19/7/2020 To: 20/7/2020

Brief Scope of Lifting Operation: -

3. Summary CV of the Appointed / Competent Person: -

Name: CPCS No; Exp. date;

D. L. Exp. date;

Expérience / Relevant Qualification (CPCS A61): -

4. Name and training achievements of slinger / signalers (CPCS A40): -

Name: CPCS No; Exp. date;

Name: CPCS No; Exp. date;

Name: CPCS No; Exp. date;

NB. Orange Hi Vis & Hard hat (red) to be worn by slinger / signaler

5. Description of Load:

a. Weight

b. Characteristics

c. Method of Lifting

d. Centre of gravity

e. Lifting points / or
method of slingling
6. Sketch of load / slinging of if applicable:
 MRO Village AMH KAIA
Jeddah Doc No: 000

Rev:00
LIFTING PLAN Contractor:

7. Lifting Equipment to be used (i.e. crane, excavator, genie hoist etc.):

Plate No: CPCS No: Exp. date:

a. Make / Model:

b. Maximum capacity:

c. Counterweight: :

d. Main boom length:

e. Fly jib / extension: -----------------

f. Outrigger loads: -------------

g. Maximum working radius :

h. Rated capacity at max working radius:

8. Lifting accessories to be used (i.e. chains, slings, shackles, etc.):

9. Proximity hazard considerations:

Y/N Details (continue on separate sheet if necessary)

a. O/H power lines: N

b. Railways: N

c. Proximity to buildings: N

d. Proximity to N
boundaries:
e. U/G N
Services/drains/cellars
:
f. Other lifting/plant: N

g. Other – specify: N

10. Existing ground conditions / conditions required - what measures will be taken to make safe (i.e. pads/plates etc.):

11. N/A, however steel plate will be used under crawler when and where required
 MRO Village AMH KAIA
Jeddah Doc No: 000

Rev:00
LIFTING PLAN Contractor:

Are any temporary works involved in Y/N 3rd party check complete? Y/N
the lift? N N
If yes, please specify:

12. Sketch showing position of crane/load before, during and after lift, including route of travel and interface with other plant /
cranes including distance of other buildings / plant.

13. What demarcation of the lifting area will be used and how will access be controlled:

14. How will the suspended load be controlled (e.g. tag lines etc.):

15. Crane rigging requirements (i.e. lay down area, slave crane, ground prep):

16. Access / Egress (Lifting Equipment, associated vehicles etc.):

17. Wind speed monitoring? Y/N

Crane’s own anemometer: Y

Other (please specify): **

Max safe wind for lift taking account load characteristics & manufacturers recommendations:

Average: Km/h: Less than 35kmph mph:

Gust: Km/h: *** mph:

18. What type of lift is involved? Y/N

Open: Y Blind: Y After lowering in shaft

 MRO Village AMH KAIA
Jeddah Doc No: 000

Rev:00
LIFTING PLAN Contractor:

Please describe signaling system:

Signaler/rigger will be in place to lead operator as per load placement required.

19. What type of communication is Y/N

required?

Radio: Licensed:

Visual: Y

20. What is document reference number for the operation? Status

Reference number: A C

Risk
Assessment:

Method
Statement:

21. Y/N

Has Crane Checklist been completed for crane(s) used: Y

22. Y/N MOBILE ONLY – NOT TOWER CRANES

Is the operation a multiple crane lift? N If yes, then submit details in accordance with Legal
Frame work reference/BS7121 Part1

23.

Appointed Person Sign Date

Contact Number

Crane coordinator Sign Date

Contact Number

HSE Engineer Sign Date

Contact Number

24. Delegation of Duties

Appointed Person: Lifting Supervisor:

Name: Name:
Signature: Signature:
Date: Date: