CHINA PETROLEUM FORMAT NO

REV NO. 0
ENGINEERING &
CONSTRUCTION CORPORATION
TRAIN 3 OF WARA PRESSURE
MAINTENANCE PROJECT (NSK) ISSUE DATE
PROJECT-EF/1945

Element 4 - Integrated Safe System of Work (ISSOW)

Lifting & Shifting Self-Assessment Checklist

Area / Location:

PTW Number:

Task Description:

Date of Audit: Name of Auditor:

Section 1: Specification of Lift Yes No N/A
1.1 Has the correct category of lift been specified? Routine or Critical Lifting
Section 2: Lifting Plan Yes No N/A
2.1 Has a PTW been obtained for carrying out lifting activities?
2.2 Has a Rigging and Lifting plan been completed?
Have rationale for selection of a particular lifting equipment been identified in
2.3 line with sub-clause 5.6.3.1 of KOC.SA.029 procedure and is provided in lifting
plan?
Has the Rigging and Lifting plan been completed and assessed by a
2.4
competent person?
Has a Job Safety Analysis (supported by Rigging and Lifting Plan) been
carried out and addresses, apart from other aspects, equipment standing &
2.5
support conditions, proximity hazards, handling of loads near persons and
weather conditions ?
2.6 Are contingency or Emergency Response Plans completed and in place?
Section 3: Competency Yes No N/A
Is the Crane operator trained and possess competency certificate(s) for the
3.1 type of crane he is assigned to operate? Does the operator possess a valid
license to operate prime mover (in case of mobile crane)?
3.2 Is the Banksman trained and possess competency certificate(s)?
3.3 Are the Riggers trained and competent?
Has Crane operator and Banks man undergone periodic vision and audiometry
3.4
tests and are results satisfactory?
Section 4: Equipment Yes No N/A
4.1 Is the load within the weight and radius limits for the crane(s)?
Are all the lifting equipment being used approved by Controlling Team and the
4.2 approval is valid? Does mobile lifting equipment have Clearance Certificate in
line with KOC.SA.013 "Mobile Equipment Procedure”?
Are daily and weekly inspections being carried out in line with requirements of
4.3 KOC.SA.029 - 'Safety Requirements for Lifting-Shifting and Material Handling'
procedure?
Section 5: Execution of the lift Yes No N/A
5.1 Has a toolbox talk been carried out with all those involved in the lift?
5.2 Is there a single person control in the control of the lift?
5.3 Is there an agreed method of communication and is it suitable?
 CHINA PETROLEUM FORMAT NO
REV NO. 0
ENGINEERING &
CONSTRUCTION CORPORATION
TRAIN 3 OF WARA PRESSURE
MAINTENANCE PROJECT (NSK) ISSUE DATE
PROJECT-EF/1945
Are all those involved with the lift aware of their roles and responsibilities and
5.4
the Rigging and Lifting plan?
5.5 Are there are any deviations from the Plan?
5.6 Has the load been rigged according to the Rigging and Lifting Plan?
Have all hazards associated with the equipment, environment and 3rd parties
5.7 been identified and assessed and protections installed if required in the
Rigging & Lifting Plan?
Critical Findings

Auditors`s Immediate Actions