Qatar Shell GTL Ltd

Page 67 of 110
Pearl GTL
Lift Planning & Risk Assessment Sheet

Person In Charge: Company: Date & Time: Contact number:

08.08.2023 03:00 AM 70140037

1.Method statement (provide brief description of the task):

REMOVAL AND REINSTALLATION OF ANGLE (MUD DRUM) VALVE

USING LOAD BEARING SCAFFOLDS AT 2E-1112A GTL T-2 BC AREA

2.Describe rigging equipment required:

Slings: Shackles: Chain Hoists: Others:
WEBBING SLING/ ROUND BOW SHACKLE CHAIN BLOCK
SLING AS PER RTA
AS PER RTA LOAD BEARING
Total rigging weight: 50 KG
3. Describe lifting equipment required
Model: Boom Length: Radius: Capacity: Hook Block:
Mobile Crane
Crawler Crane
EOT Crane
Pedestal Crane
Lorry Loader
Power Hoist
Manual Hoist LOAD BEARING N/A N/A 500 KG N/A
MHE
4. Describe the load
Weight: Dimensions: Lift points:
200 KG GA ATTACHED 2 Nos.
5. Describe the lift
Height: Total weight: Capacity utilization:
1 m. 250 KG 50 %
6. Additional info:
Counterweight: Outrigger spread: Fly jib attachment: Wind speed:
N/A N/A N/A N/A

Document ID: R-0000003122 ALL PAPER COPIES ARE UNCONTROLLED

Revision: 3 Print Date: 12 April 2022
 Qatar Shell GTL Ltd

Page 67 of 110

7. Lift Categorization Questionnaire

Routine Lift
1. Do you know weight and COG of the load? YES
2. Is the weight of the load less than 10 tonnes? YES
3. Is crane capacity utilization within 75%? YES
4. Are you using a standard rigging arrangement? NO
5. Are the lift points above or in-line with COG and are verified as fit-for purpose? YES
6. Does crane operator see the load at all times? YES
If answer to ALL questions above is YES sign off and proceed. Otherwise move to the next section
Non-Routine Simple Lift
7. Is the weight of the load between 10 and 30 tonnes? NO
8. Is crane capacity utilization between 75% and 85%? NO
9. Is COG location not in the centre of the load? NO
10. Is it a sensitive or fragile load? NO
11. Does rigging arrangement require basic slinging? YES
12. Do lift points require verification? NO
13. Does the lift require suspended load transfer (cross hauling)? NO
14. Is the work area restricted in any way? NO
If answer to ANY of the question is YES request AP approval. Otherwise move to the next section
Non-Routine Complex Lift
15. Is the load weight over 30 tonnes? NO
16. Does the lift involve use of aerial bundle extractor? NO
17. Is it a multiple crane or top and tail lift? NO
18. Does the lift require special ground preparations? NO
19. Is the crane maximum capacity above 200 tonnes? NO
20. Does crane set up require more than one shift? NO
21. Does the lift duration extend over one shift? NO
22. Is it a lift in or out of confined space or through a hatch? NO
23. Is it a blind lift? NO
24. Does the load path go over live process lines or equipment? NO
If answer to ANY of the questions above is YES request AP and SHELL SME approval.
Special Consideration
1. Does the lift involve lifting of personnel? NO
If the answer to the above question is YES seek Shell VP Production approval
Lift deviation (If any)

Lift Categorization
Routine ☐ Non-Routine Simple ☒ Non-Routine Complex ☐
I confirm that the risks associated with this lift are as low as reasonably practicable
Date & Time:
Person In Charge Name: Signature
Date & Time:
Appointed person Name: Prasanthan N Signature 08.08.2023 03:00 AM
HANDOVER (In case of change of PERSON IN CHARGE)
Person In Charge Name: Signature Date:
Person In Charge Name: Signature Date:

Document ID: R-0000003122 ALL PAPER COPIES ARE UNCONTROLLED

Revision: 3 Print Date: 12 April 2022
 REMOVAL AND REINSTALLATION OF ANGLE (MUD DRUM) VALVE
USING LOAD BEARING SCAFFOLDS AT 2E-1112A GTL T-2 BC AREA

REMOVAL OF EQUIPMENT:
. Verify the rated capacity, Validity of the load bearing & have a visual check before use.

. Secure the load with lifting tackles as per attached Rigging Tackle Arrangement (Refer the LPRA.)

. Use a proper tag line to control the load.

. Ensure the load is completely free prior to lift from the position & check no loose
objects are with load.

. Drop the load on to the pallet or timber using chain block. (Secure the load).

. Detach all the lifting tackles from the load.

. Demobilize the tools & tackles from the work location.

REINSTALLATION OF EQUIPMENT:

. Mobilize the equipment/load at the work location.

. Verify the rated capacity, Validity of the load bearing & have a visual check before use.

. After mechanical teams’ necessary preparations done, attach the lifting tackles with the
load & load bearing scaffold as per the Rigging Tackle Arrangements.

. Lift and position the load using chain block, wait for the mechanical team to align & secure
the load in place.

. After installation/box up of the equipment Detach all the lifting tackles from the load.
. Demobilize the tools & tackles from the work location.

Lifting Supervisor
Name & Signature

Prasanthan N
08.08.2023
 REMOVAL & REINSTALLATION OF ANGLE VALVE ( MUD DRUM VALVE)
USING LOAD BEARING SCAFFOLDS AT 2E-1112 A GTL T-2 BC AREA

LBS 500 KG SWL

Flat Web./Round Sling
2 ton. 2mtr. 1 No. CHAIN BLOCK
1 ton. 1 No.
2.5 m.

Web./ Round Sling

1 ton. 1mtr. 2 No.

VALVE WEIGHT 200 KG

Prasanthan N 1 m.
08.08.2023
QS-GTL-RTA-000033