Project :

LIFTING OPERATION PLAN

Date: Location:
Lifting Plan No: JHA Number:
Permit Number: Method Statement Number:
Are Diagram/Sketch/Calculations Of Lifting Operation Enclosed? YES/NO
Description Of Lifting Operation:

Lift Category: Boom Length: _______________________________

Weight Of Load: Working Radius:______________________________

SWL: ______ Lifting Percentage: ____________________________

Lifting Equipment & Accessories to be used (specify type ,SWL and color code)

Pre-start Safety Briefing / Lifting Lifting Personnel Involve

Operations considerations. No. Name Task Signature
 Cultural, communication and language
difficulties. 1
 Availability of approved lifting points on load 2
 Method of slinging/attaching/detaching the
load. 3
 Overturning/load integrity/need for tag lines. 4
 Suitability and condition of lifting equipment
to be used. 5
 Initial and final load positions and how it will
6
get there.
 Proper ground considerations. 7
 Proximity hazards, obstructions, path of load
 Conflicting tasks in area. 8
 Environmental conditions including weather
9
and permissible limits.
 Pre-Use Inspection of equipment by operator. 10
Method(s) Of Communication To Be Used Radio Verbal Hand Signals

Lifting Supervisor: Signature: Date:

Work supervisor: Signature: Date:

HSE In charged : Signature: Date: