FM-OHS-1300-04 Lift Plan

Business Function Document Owner Document Type
Health and Safety Director – HSSQ FORM
Lift Plan – Other Lifting Equipment
Project Name: Janssen - Hercules Project No: 4634

Package: HVAC Contractor: Induct BV
Date Prepared: 08.09.2023 Lift Plan Ref. No: Rev: 01
Section A Description of Lifting Activities:
This lift plan serves to take away the scrap metal in the laydown area.
The Lorry loader comes equipped with an orange peel/grabbing crane which will take the left over materials from the demolished AHU’s.
The lorry will be parked backwards to our container inside our laydown area.
The lifting area will be cordoned off and everyone will be removed from the area within 5m radius, ensuring a safe lift.
The grab itself is designed to handle certain types of materials, such as scrap metal, waste, or bulk goods.
The whole time the activity will be supervised by the HSE personnel.
The following sequence must be used:
Pre-Lift Phase:
1. Check Equipment Compatibility:
 Verify that our crane and grab are compatible with our lorry and integrated container.
 Ensure that they are suited for lifting scrap material.

2. Conduct Pre-Lift Inspection:
 Thoroughly inspect the crane, grab, lorry, and integrated container for any issues that might compromise safety.
3. Verify Load Weight:
 Ensure the weight of the scrap material to lift is within the crane's and grab's weight limits.
 Confirm that the payload, including the container’s weight, is within the lorry's overall capacity.
Engagement and Lifting Phase:
4. Position Scrap Material:
 Use the crane and grab to evenly distribute scrap material within the jaws to ensure a balanced center of gravity.
5. Engage the Grab:
 Confirm that the grab fully encloses and grips the scrap material securely.
 Perform a slight test lift to validate that engagement is secure.

6. Control Operational Speed:
 Operate the crane at a smooth, controlled speed to avoid dislodging or dropping the material.
John Sisk & Son (Holdings) Ltd. FM-OHS-1300-04 Lift Plan Rev: 01 © John Sisk & Son (Holdings) Ltd.
2022 Page 1 of 6
Management System - Other Lifting Equipment All rights reserved.
Last Updated: Sep-23 Document uncontrolled when printed.
Section B Lift Complexity Classification:

Basic Lift: ✘ Intermediate Lift: Complex Lift:
Note: Tick one only. Different lift plans to be prepared for different complexity for same lifting equipment.
Section C Lifting Equipment Details

Lifting equipment used Excavator Lorry Loader ✘ Forklift Truck
Telehandler Piling Rig/Auger Gantry Crane
Manual Chain Hoist Other please describe:
Lifting equipment HIAB Z-HIPRO 191
(Make/Model/Serial No)
Last thorough examination 11.2022 Next thorough 12.2025

date examination due date
Plant / Lorry loader arrival Yes ✘ No
inspection completed Hold point: If no, do not proceed.
Maximum height of lift 6m
Max safe working radius 360 degrees
SWL @ maximum radius 4.8 tons - 2.1 tons when fully extended
Refer machine duty chart (attach duty
chart to this plan)
Deployment of outriggers Yes ✘ No N/A Max Outriggers/
required Wheel/Track Load
Specify slew and height None
restrictions if any
Any other comments This process will be supervised 100% during the works.
Section D Load Details and Slinging Method

N/A
Description of Loads RD Reference No Total Gross Weight of Special Lifting Attachments
(Attach copy with this plan) Load and Attachments Required
Heat Exchangers 200kg
Fan Engines 100-180kg
Fans Up to 100kg
AHU aluminium frames 2-10 kg
Section E Ground Conditions
2022 Page 2 of 6
Max Outriggers / Wheel / 1.5m / 5 tons Allowable Ground Bearing 750 tons
Track Load Capacity
Outrigger Mat Size and Area 0.5 x 0.5m Actual Ground Loading 2500 kg
Mat Details
Details of any Ground

Improvement Required None
Ground Conditions see ground measurement from Convoi (imp dated 02.08.2023)
Comments/Notes
Section F Preparation and Review:

Prepared by Package Appointed Person:
Print Name: Cosmin Zbirna Signature: Cosmin Zbirna Date: 08.09.2023
Reviewed by Sisk Appointed Person:
Print Name: Lisia Forde Signature: Lisia Forde Date:
2022 Page 3 of 6
Section G Competence Verification and Communication

We, the undersigned, confirm that the above plan has been fully explained to me and I confirm my understanding of the
lift plan requirements
Roles Name Signature Competence Expiry Date Date
Lift Supervisor Cosmin Zbirna
Operator Thommen
2022 Page 4 of 6
Do not stay in the slewing range of the crane

Risk of injury due Observe the operating instructions Keep an
Controlled moving to swinging all eye on
1 4 3 12 4 1 4
unprotected parts movements of the employees the danger area If necessary, close off the
boom slewing range if there is a possibility of people
entering the danger area.
Only use tested lifting and slinging equipment.

Crane hooks with hook safety device are used
Always carry out the visual and functional
checks prescribed in the operating instructions
Risk of injury from before starting work.
falling load due to Injury due to all It is important to check the following facilities:
2 3 5 15 3 1 3
the incorrect falling parts employees • Emergency stop switching device
grabbing • Stroke limitation
• Suspension cable/support chain
• Load hook safety device
Never step under suspended loads, do not
work on suspended containers.
2022 Page 5 of 6
By the driver by means of visual and tread

strength control a test of the soil conditions on
site. Solite these show, If the substrate does
not have sufficient load-bearing capacity, the
Danger from
site preparer must be consulted on how to
overturning
proceed.
vehicles due to Injury due to all
3 3 4 12 to hold. If it is not possible to set up the truck 3 2 6
insufficiently overturning load employees
safely
load-bearing
or if there is a risk that the truck cannot be
subsoil
divided
up in a stable manner, the work will not be
carried
out / continued. Stand the vehicle securely
Danger due to
overturning of the
Vehicles by being Injury due to all Secure against (internal) traffic (barricades,
4 3 3 9 3 2 6
hit by overturning load employees signal lights, signs) Stand the vehicle securely
others Vehicles (in
the range)
Secure the danger zone (e.g. with barriers or

security guards).
Danger of injury Give clear and unambiguous signs or
(Crushing all
5 due to objects to 3 3 9 instructions, choose a safe place for the 3 1 3
hazards) employees
be transported observer Keep a
sufficient safety distance from the load
Do not swing the load over people
Minimum distance:
Danger from
from 1,000 to 110,000 volts: min. 3m
working near Electric shock and all
6 3 3 9 110,000 to 220,000 volts: min. 4m 3 1 3
overhead electric electric arc employees
220,000 to 380,000 volts: min 5m
lines
For unknown voltage: min 5m
Inhalation of Avoid running the engine unnecessarily

Poisoning through all
7 hazardous 3 4 12 Do not stand in the immediate vicinity of the 3 1 3
CO2 employees
substances exhaust tailpipe.
Provide and carry hearing protection

all
8 Noise Hearing damage 3 4 12 Use of PPE (hearing protection) at sound 3 2 6
employees
protection levels of more than 85dB
Provide drinking water

Heat stroke / all Protection from direct sunlight Wear
9 Climate 3 3 9 3 1 3
frostbite employees breathable clothing Wear neck protection
Apply sun cream factor 50
2022 Page 6 of 6

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Business Function Document Owner Document Type

Health and Safety Director – HSSQ FORM

Lift Plan – Other Lifting Equipment

Project Name: Janssen - Hercules Project No: 4634

Section A Description of Lifting Activities:

The following sequence must be used:

 Ensure that they are suited for lifting scrap material.

 Perform a slight test lift to validate that engagement is secure.

Health and Safety Director – HSSQ FORM

Lift Plan – Other Lifting Equipment

Section B Lift Complexity Classification:

Section C Lifting Equipment Details

Last thorough examination 11.2022 Next thorough 12.2025

Max safe working radius 360 degrees

Section D Load Details and Slinging Method

Section E Ground Conditions

Health and Safety Director – HSSQ FORM

Lift Plan – Other Lifting Equipment

Details of any Ground

Section F Preparation and Review:

Health and Safety Director – HSSQ FORM

Lift Plan – Other Lifting Equipment

Section G Competence Verification and Communication

Health and Safety Director – HSSQ FORM

Lift Plan – Other Lifting Equipment

Do not stay in the slewing range of the crane

Only use tested lifting and slinging equipment.

Health and Safety Director – HSSQ FORM

Lift Plan – Other Lifting Equipment

By the driver by means of visual and tread

Secure the danger zone (e.g. with barriers or

Inhalation of Avoid running the engine unnecessarily

Provide and carry hearing protection

Provide drinking water

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