Company: Date of lift:
Site Location: Site ID: Time: to
Task description:
Lifting/rigging Preparation Team Composition
Rigging Equipment/model No. Name Role Sig
Slings to be used 1
Height, width, and length of the
2
lift
Weight of component to be
3
lifted
Capacity of lifting equipment 4
Number of riggers required 5
Center of gravity of the load
6
being lifted
Diameter of rope to be used
Drop zone radius
Lifting/rigging Operation Sketch
Y N
Sling angles not less than 30°
No adverse weather condition
Sound anchorage point for
fixing the pulley available
The pulley system provided
with stopping safety catcher
Rigging/Lifting gears involved
inspected and in good condition
There are no overhead
obstacles (electric lines, beams)
Safe approach distance from
the overhead electric line
maintained (considering
swinging and wind effect).
Drop zones identified and
barricaded
Only certified riggers are
working on the operation.
Riggers provided with all
required PPE
Rescue kit and rescuer available
I, Mr. (Team Leader) certify that all the activity will be conducted as per the
specifications.