a Anplicobitty: Te be vse ses Proieeti Wo 116 ProectNol tf ox wa 34 setup han J0ton ton = ‘ing done utr on extia plan withthe seme} ‘feed ord postcn o tire equtrent jo Lifting Plan - Low Risk 1000 Ng). Cordetee non Perms siniog ran ginal fr ardence wits NEON PR [eaten pio [rs coorintes Consultant: i Contactor. ple coc tine oats setup Exceptions oe o if hot Oreaett ve withthe some setup wel of moter tbe :P-3K Sale Usect tig Ecuiprert and Ping ores Procedure Rectie / R fas | No saa on one RR SRR ler eve oogas on aeoaatatuem —e] m +-{ asec carat ride nia oh eaten | | (a eopané oe atcceney : | Hie ewionettnipesed and cored eburgoaa ———— oO | [ball cane checks, ana Task Biting Cord ample sd safc Sanmvenee NOT in} | Wook ee hes iced ad wating = SSiePanege [7 ose ated snes selected pero cae Co] itera Beanie fate BB =| Capen hackesareinstaed? i SSS SSS eleel is oided Sey Seti SFIS WRT GS = are] Seg Se a eee eo] If ansiers NO 10 ay ofthese questons_ DO NOT CONMENCETHISURT ‘vari wines Us 7oKer ihr alte na [Eavie- type Bown sel aRBEIBY 0 os Mosel |2895 0G 2%) rate Acie 6.ate aoe | Total Weigh (G90) Bt omnes] MAXIMUM WEIGHT CAPAGTY 185) topnay | ee eee etl i CURRENT K EQUIPMENT capaciTY | _Z& % 6 78cr lect banana wrehtasty tconince Crane Operators Name. Signature Bate Signaler’s Name Signature Dato ature bate “Appointed Person's Name Signa =e Maa = Spare ee Ties aahContractor: Bin wot 1s Project Location: La [approved lifting JHA and RAMS are in place [STARRT card! FLNA filed properly highlighting lifting activity lak and controls. [luftng plans are in place signed by site supervisor and riggers [Supervisor is available on ste [Vehicle ¥ crane | boom truck daly Inspection sheet in place, Vehicle verified by NEOM "Ver-F". lOperator License and 3™ party certificate available Rigger competency check and 3" party certificate available, [Competent Supervisor present for the unloading! lting operation = [Exclusion zone created during ifting operation — tools in available (cones, warning tapes, plastic chain). Lifting activity warning siens avaiable [Outrigger pads available and manufactured as per standards, size issuable forthe Equipments. Inspection of Lifting accessories ( Chains, hook, shackles, rope, anti 2 block, webbing straps etc, colour coded and free of damage and cuts) [Equipments has an annual valid 3 party Inspection [Manufacturer handbook! Manual present with the equipment Load chart present on cranes and HIABS or Boom trucks |SWLchartis clearly posted and fittouuse. [check valves for excavators used as lifting equipment for any leakage or hydraulicfalure. [Delivered materials/equipment ete not secured or correctly loaded willbe return and not off-loaded on site [Outrigger well maintained without any signs of leakage or hydraulic failure luting is performed away from overhead cables and near excavations. Soll condition is suitable to perform the lift. MVP document in place = Routine preventive maintenance recordin place [360 vision clear of obstruction Le. curtain, card board. INo hand on joad - Tag line in used to control the load SNPS |S ]SINYO |S OHS EIS |S IS IS SS Tpislslsys it Inspector NamesLifting Rigging Plan Sketch Based on: Icaset | WLL3.2 TONS, amSPS 25000 (B) cam [eam [Se] iam Era 3 e700 | «800 |] 5500 ism__| 7500” | ea00 If seso ff 200 ¢m__| 6500 | 5700 ff soo0 [4000 asm] 5000 | s000 |] asso || amo on 2500 If «000 I] 2500 55m “100 | 3600 | 2200 an 3500] 200 J 2000 tSm S500] 5100” | 2800 Tm 3400 [2650 | 2550 75m 3100 [2700 | 2500 a 2500 [2400 asm 2480 | 2080 oa 2300 | 2180 35m 2200 | 2080 10m 100 | 2000 105m 2000 | 1900 tm 750 15m 1750 Ba 1700 125m 1650 13m 7600 35m 1560 am 7300 ReommematT is [ s | « | 4aojetname We 19 Location: LAS Jaecrat of Wel ae eapnuuyy sce ina I! =_ Responsible is ma 5 Ne fos dies Sesishinr oats ated Agia gate superior Nameg P-L any lhe aa” “ a ylell pl aekasssament Jon oh a ART I: Duvving the acivily brlefiny, 2 4, Do we feel good and fit for work? 2, Which of the following significant hazards apply? Mabie Plone and Ding Werkingan ernetrsstingGround Worst lst ‘stng Confined Seaces Eauiomant lia Lefioods siteicmctions euiette Aaa gs91 eh Jd ds a cee WS, Bo Ba re Hotviorks EnanlzedSystoms TeraporayWorle BaIngand—Worlingonormnaee_ oitingin Haat ax ad ett iy el Baar jaja) oat bad o Ar —T WwW el 3, What ere the behaviors for the associated significant hazards?‘ fables Wind Spare Lest Thm BE mb Pre ose imsPeciion Ff SHAY Tackles flo Slamd umolex the Lead) ge caetall fm Re Wetkeag Pass prepes Cememuniention belweey Pisfer end opera use Tailives ond BrecDusion Dene A 1 Sino, nacantis involve? I y2s, st he haves ace controls slo can SS Re SAA yel gles cl Sp ds ues ‘Control jveasures i Elen _eeP-tam Soft Dislones wilh onrabile.. fleas wt SPA pat Ceara35 9lait) a eslatl y’ 2 4 \N Advanced inspection Advanced ©.R: 2080117470 RECORD OF THOROUGH EXAMINATION OF LIFTING PLANT AND EQUIPMENT (RIGGING ACCESSORIES) | oR 2346 86-40 ee. ‘Razani-23/26987 = sw Sue | Details OF Any — | Detects Found | baie | usaups von | 2-Legs Chain Sting with Mook Rin 310322/ | 3.2-t0n z L=0'M.D= 10MM | | None & Master Ring Capacity: 6-4 Ton csvox22m | 33 ton | 03 Ten SWL: 06 Ton Combined Capacity: 12.8Ton | Combined SWL: 12 Ton [Nadonal Sianderé or Techieal Spetistion SS EN 818-4:1996+A1:2008 inspectors Name aI ENGR, SAJJAD AHMED ‘Business Name INSPECTION EST. Business Address [ ‘Dammam 31423, Saudi ‘Owner's Business Name ABDULLAH ee, CONTRACTING ‘Owner's Business Address. Riyadh, Saudi Arabia VISUAL INSPECTION TESTS WERE FOUND SATISFACTORY @ THE TIME OF INSPECTION Date of next inspection ‘O7" May 2024 Declaration: I hereby declare that the above information is correc, and that the equipment has been tested and thorough ‘examined in accordance with the provisions/standards at the time of inspection and found to be Free from Any defect safety, other than these detailed above. ‘Stamp and signature of person making the above Statement. To Validate Please Visit peal Cate 050 £23 1640, gut 86 OO ‘Jeddah 056 P.O. Box 9937 Dammam 32241, Kingdom of Saudi (© +966 13 832 7055 / 832 6461 @056Sogo iit! aot! = section wea Advanced Ins tl ~CERTIFICAT certieate Number [Sfeker Number Faeference Number o3 [Description of te Equipment — [Location of the = a the safe working loads applicable, cores | M Radius @ Main Stage Boom With Fully SWL: 10 ton @ 2.5 Extended Outriggers- = ENG S Business Nam ADVANCE! Business Address Bos 9937, Dammam 31423, KSA ABDULLAH AHMED AL-AZZANI ‘Owner's Business Name Se TRACTING COMPANY. ‘Owners Business Address Riyadh, KSA defects or comments L a None [Details of any. VISUAL INSPECTION AND FUNCTIONAL TESTS WERE SATISFACTORY | Passed Final Result I ‘09 May 2024 Date of next inspection Declaration: Thereby declare that the above information is correct and that the equipment has been tested and thoroughly ‘examined in accordance with the appropriate provisions/standards at ‘the tir inspection and found to be free from any defect safety, other than these detailed above. ja - Dammam 050 223 1649, Riyadh 056 645 8168, Jeddah 056 6 @ info@advanced-sa 1. P.O, Box 9937/Dammam 32241, Kingdom of Saudi ‘(+966 13 892 7055 / 892 6461 © +966 13 823 0898 (©) 056 511 5489 oeTuy opaiex 6- B23 eorioels Tow openton — g- 35-2624 || ane no| ne | me | Me insurance a ee | Ynto- 2024 | a ye fe | Pg yo S- 22y et) a PE ss Teseem Rye Vo q_ 202) ee} ee fee ae) Urmaiy, Ries lo- 9. Dean een pe ee ete fe JR ae 18-F-2024 Bean ecm alt |i No JN |No INo peal License 8 | ota Ha | Na a Mo | Ae] Ho | Na i DETAILS OF | DEFECT (Oka € aif pl Jools) ; joenoe Bligh 277 esi Behar j REMAN BSP ha Aa —s— Ape}Aavanced ‘Ahmed Al Khadher Ahmed Al Gaari gama / Passport / |D No. 2466751282 S co. Name: AlRawasi Contracting Est. Certificate No. RD233065-45 5 Re Date of issue: Expiry Date KINGDOM OF SAUDI ARABIA MINISTRY OF INTERIOR Position: Boom Tru AHMED AL KHADHER AHMED AL GAARI VER 12 tym TEVUVOL TAS 3 pop os/o1/1986 «Yt * /* /S* Iss 04/10/2022 Efe T eA tamoei eat EXP 10/08/2027 CAT HEAVY TRANSPORT VEEMP ATP sA dene aut Je NAL YEMEN + 246675128: NAH AGIA RESTR O sora xaapomor sauotarasia — (Ren. AA MINISTRY OF INTERIOR RESIDENT IDENTITY a Spal Lert pal! ar! AHMED AL KHADHER AHMED AL GAARI GT tees FEVIVOVTAT tt Wb y IY Glas —jJaso3! uSo VAAN fed ad VEET/Y of TY jlasext Wy Mrs Gs digit! pdt dibat! Sal Qt! OY ghia gulg yt aw je Jest! oee o e Ahmed Khadher algaari Employer BinZafrah Occupation Heavy Equipment Driver Workforce [D V7N19RS CONTRACTORKINGDOM OF SAUDI ARABIA Be i A! MINISTRY OF INTERIOR CSrOML ERE on ‘. a Dipl ne penal! dare Ti Sel oolMuhammad RazaqTHIS IS NOT A DRIVER LICENSE TUV SUD for Safety Engineering La eden ahha el et Ma bashes doen ace t d CLED-23AK-2768 _ MUHAMMAD UMAIR ABDUL RAZAQ Issue Date: 11-09-2023 Expiry Date: 10-09-2024 1D No: 2519398503Vioharned i‘ VdsSCeCIT Employer BinZatrah Occupation Rigger Workforce ID id:42429590TUV SUD for Saf. CLED-23.AK-2769 2 MOHAMMAD TOSEEM MOHD NASEEM Issue Date: 11-09-2023 Expiry Date: ID No: THIS {S NOT A DRIVER LICENSi” ‘ety En inTesting Equipment Specialist Team Co, aaa! anal ygnndiall yout aS, TESTs Mr. ARIF ULLAH KHAN NASRULLAH - ID No.: 2478526029 Has successfully passed the Rigger level | (Advanced Rigging) ‘competency assessment to perform the rigging tasks listed on back side, Issue Date: 19 Jul 2023 Valid Untit> 18 Jul 2024 Examiner: Allan Cilion Approved By: Abdelmoneim Osman Arif Nasrullah oper Bindaftah Oseaputsn {ing Suprise Si tans TEVAOT TA TG bt Ags MOY Stes et ote VAAYET/o0 Seu VERT) sew - hyp reU ee Cauag eT ar Eo jal a9:31 2 28m ORF wl wl 50% S < 1696-9006-7920-17... @ Q This is to certify that Arif Ullah Khan Attended a LEA accredited training course in ‘Appointed Person for Lifting Operations Test date Course Duration 26th Oct 2023, 5 Days sand succersuly competed all applicable assessments Presented by Marine Petroleum Lifting (MPL) il Oo <