Mohammed Abdulmohsin Al-Kharafi & Sons LLC- DS197/1
LIFTING PERMIT - MOBILE CRANE / LIFTING EQUIPMENT
To be filled by the Crane Operator and MAK Foreman / Subcontractor
SET UP CHECKLIST
To be completed by Crane Operator and Foreman
Load: Area:
1. Crane set on the levelled ground and outriggers are fully extended? YES NO
2. Load pick up and drop points identified? YES NO
3. Rigging equipment inspected and correctly color coded? YES NO
4. Is the lift area around the crane cordoned off / Isolated? YES NO
5. Daily crane checklist is complete and safe to commence work? YES NO
6. Are the crane and accessories certifications valid? YES NO
7. Has the load been identified and weight known? YES NO
8. Are the crane accessories capacity equal / more than load weight? YES NO
9. Is the load weight not exceeding 75% of the crane capacity as per the set- YES NO
up (If exceeding 75%, critical lift plan available)?
10. Are the out riggers placed, away from shallow or dangerous underground YES NO
services?
11. Is the boom height restrictions communicated to the operator for the YES NO
overhead obstructions and is implemented?
*** If any answer is no to any of these questions, DO NOT COMMENCE LIFT ***
MAX BOOM CALCULATION
LENGTH =
A Load Weight (t):
________M C
B Crane Tonnage (t):
Max Capacity of the
C Crane for this Lift at max radius (t):
D Capacity of the Rigging slings(t):
A E Percentage of Load being lifted (t):
Formula to Find out: -
E = A/C×100
R – Radius =M E=
SIGN OFF SECTION
Crane Operator: Competent Rigger:
ID Number: ID Number:
Time & Date: Time & Date:
Crane type: ............................................... Capacity: ...................T License Plate: ............................
MAK Responsible Person (Supervisor / Eng.) Name:
Signed: Date & Time:
Randomly verified by HSE Representative, Name:
Signed: Date & Time:
Note: A specific lifting permit is valid for a particular lift in a precise site location and won’t be valid for similar lifting in
different site locations by using a single permit; separate permit shall be obtained for diverse locations, loads and lifting
equipment. Nonetheless typical shaped loads, same or below the permitted load with the same positioning of the crane
can be allowed under a single lifting permit.
MAK/ HSEF – 015, Revision - 00, Dated: 09-10-2019