Sports Boulevard BP-5A

Mobile Crane – Lifting Plan

Crane Type Crane Make Crane Model

Capacity License Plate Date

S# SETUP CHECKLIST (To be completed by crane operator) YES NO

1 Crane set on level ground and outriggers fully extended?

2 Pick up and drop paths identified?

3 Rigging equipment inspected and correctly color coded?

4 Is the lift area around the crane controlled?

5 Daily crane checklist completed and safe to commence work?

*** If answer is no to any of these questions, DO NOT COMMENCE LIFT ***

Lift Data
Boom’s Length A= Meter

Working Radius B= Meter

Crane’s Hook C = 0.5 Ton

Weight of Load D=
(Including rigging weight: slings, spreader beams,
shackles…)

Total (C+D) = Ton

Maximum Weight Capacity

(From load chart at crane set up)

…………….. Ton

(Total Weight / maximum capacity)* 100 =

CURRENT % CRANE CAPACITY

…………….. %

Authorizations
Lifting [Name & Signature] ID Number 243095216 Time & Date 19-04-2022
Supervisor
Crane Operator [Name & Signature] ID Number 243095216 Time & Date 19-04-2022

Competent [Name & Signature] ID Number 243095216 Time & Date 19-04-2022
Rigger
HSE Incharge [Name & Signature] ID Number 243095216 Time & Date 19-04-2022

Remarks

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HSE-SB-F-01-R0