CLASSIFICATION: C1 - CONTROLLED

USE OF LE DURING NON-ROUTINE COMPLEX LIFT FORM

QP-PAI-STD-005-E

Attach the form duly reviewed and signed, by QP Contract Focal Point to the Lifting Plan
S No. REQUIREMENTS DETAILS
Wester Taxiway and Stand Development
Contract / Project Title
works-HIA
Name of Contractor Company UBT JV

Contract Number HIAEP-0012

Contract Manager Rezik Abumiddain

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Tel. No. Mobile No. 55558375 Fax. No.
Address of UrbaCon Trading & Contracting
Contractor PO Box 201184, Doha, Qatar
Company
QP Contract Focal Point
Abdulla Ghanim Al-Sulaiti ODT/31 (M)
(Name & Ref; Indicator)
Tel. No. Mobile No. Fax. No.

Details of lifting equipment to be used (Use Extra Sheet if required)

Validity of
Equipment Certificate Number
Certificates
Mobile Crane QD-DSF-22-66499/84080/2-MM Rev.1 26-Dec-2022
Bow shackle QD-WB-22-68488-86577-56-AJ 09-Feb-2023
Bow shackle QD-WB-22-68488-86577-57-AJ 09-Feb-2023
Round sling QD-WB-22-68488-86577-58-AJ 09-Feb-2023

2 Details of lifting personnel to be used

Validity of
Name Certificate Number
Certificates
Upal Janaka Iriyagasange
Crane Operator CLEDQ-21-WA-56071 25-Jul-2024
Gedara
Rigging
Kingsley Chidi Odoemena CLEDQ-21-WA-57098 25-Dec-2024
Supervisor
Rigging Atta Ur Rehman Muhammad
CLEDQ-21-WA-57097 25-Dec-2024
Supervisor Farid
Rigger Robin Hossain Aman Ullah CLEDQ-22-MD-2 02-Jan-2025
Rigger Muhammad Parvez Ali Khan CLEDQ-22-33644 03-July-2025
Rigger Bharat Bhushan Kharwar CLEDQ-22-33645 03-July-2025
Brief description & location of the planed lift:
Installation and removal of precast slab
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Estimated duration of work: 3 months

Are certificates for all equipment and personnel

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for this lift provided  YES NO
Name: Signature: Date:
Reviewed by:
6 Abdulla Ghanim Al-Sulaiti 22/12/2022
QP Focal Point
ODT/31 (M)

QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS QP-PAI-STD-005-E

DOC. NO. QP-PAI-STD-005 REV.00