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Total Weigh (G90) Bt omnes]
MAXIMUM WEIGHT CAPAGTY 185) topnay |
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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
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Lifting Plan Procedure
NEOM - WO-15
Contract No. 1100001344/015
Logistic Facilities in the Connector
Contract [ROR ooonraauois (Contact Wo: oseaza0ast
Lift plan |LOADING UNLOADING | [Method Statement Ref 100001340015. ASBLIISEMSRA
‘Date of Lifting Operation: /28/02/2024- [Location WO - 15
TTiPian Prepared By (ar ull Wan "Tie lappointed Person
(Date: (zeroaz0z6- ‘Signed: Wess
Lift Team
‘Appointed Person JArif ullah Khan [Crane Supervisor [Arif ullah khan
7
Type of Lifts Basic @ |Intermediate (Complex ContractLifting Rigging Plan
Baek eoe
Inspection Criteria Result
Documents for operator, lifting gears, crane and load chart attached? Mes [J No
Rigging equipment including accessories inspected? Dino
Is the lift area controlled/barricaded and with appropriate signage? [No
Weather/Wind Conditions safe? [No
Crane set-up on level ground and cutriggers fully extended? LNo
Night Shift/Visibilty Considered? Bes [J No
Fire/explosion hazards within Boom radius? Mves [No
Suitable Communication means available? Myes LI No
Pick-up and drop paths identified and erea lifting sketch plan attached? MYes [J No
Safe clearance for ive electrical power lines and away from fire hazards? Dy Ono
eras
Quantity — Wt/each Weight
1 200) 200 Tons
0.00 Tons
0.00 _ Tons
Total Load (Weight of actual Items to be lifted) 2.00 Tons
Weight of Rieging 010 Tons
Hook Block Weight 045 Tons
Total Weight 2.25 Tons
Load Dimensions Height LENGTH 4.00
Een
Manufacturer MITSUBISH! === Mode! Number: 20090
Boom ‘TRucK elescopic Capacity: 110 TONS
Radius: 600m
Minimum Boom Angle: 3 a
Boom Length: 1130 [m
Height: 350 Im
Chart Load Capacity: 340 Tons
‘Actual Total weight:
Max % of Capacity Used:
Beene)
No. of slings: "2 Sligns Type:
Distance between lugs: 30 om Sling Length
Wire inclination angle (8): 630° Height:
Tension on wires (T): 1 Tons Slings Size: 10 mm
Alloy Steel 68 degreeLifting Rigging Plan
Sketch
Based on: Icaset |
WLL3.2 TONS, amSPS 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 | « | 4aojetname 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
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a ylell pl
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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
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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
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A 1 Sino, nacantis involve? I y2s, st he haves ace controls slo
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ues ‘Control jveasures
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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
@056Sogo 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
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P.O, Box 9937/Dammam 32241, Kingdom of Saudi
‘(+966 13 892 7055 / 892 6461
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DETAILS OF | DEFECT (Oka € aif pl Jools) ;
joenoe Bligh 277 esi Behar j
REMAN BSP ha Aa —s— Ape}UFTING OPERATIONS CHECKS,
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‘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
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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
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Ahmed
Khadher algaari
Employer
BinZafrah
Occupation
Heavy Equipment Driver
Workforce [D
V7N19RS
CONTRACTORKINGDOM OF SAUDI ARABIA Be i A!
MINISTRY OF INTERIOR CSrOML ERE on ‘. a
Dipl ne penal! dare
Ti Sel oolMuhammad
RazaqTHIS 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: 2519398503Vioharned
i‘
VdsSCeCIT
Employer
BinZatrah
Occupation
Rigger
Workforce ID
id:42429590TUV 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 inTesting 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
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< 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 <