MOBILE CRANE LIFT PLANNING SHEET

B.15 Mobile Crane Lift Planning Sheet

Description of lift: Man & Materials below 3 Ton

Location: Area 3 and 4 Permit to work Number

Generic Lift plan No.2018-5631-04 Risk assessment No.
1. CRANE DATA
Crane Reg. No. 1/3311 A.D
Inspection Date 14-10-2019
Next due date 13-04-2020
Crane capacity 50 Ton
Max working radius 15 Mtrs
Max boom length 30 Mtrs
Max lifting height 30 Mtrs
Parts of line 4
The crane capacity charts must be consulted for
operation restrictions i.e. over the rear only,
outriggers fully extended
2. LOAD DATA
Object to be lifted Various
Weight of Load 3 Ton
Container YES NO
Awkward Shape YES NO
COG Known, could it change YES NO
Certified lifting points YES NO
Special Rigging required YES NO
Special rigging techniques required YES NO
Other : Chain block used to
balance
3. RIGGING REQUIRED
Shackle set 1 Type BOW Capacity 3250 kg Quantity 2 Weight 10 kg
Shackle set 2 Type BOW Capacity 4750 kg Quantity 2 Weight 15 kg
Sling set 1 Type WEB Capacity 200 kg Quantity 2 Weight 10 kg
Sling set 2 Type WEB Capacity 4000 kg Quantity 2 Weight 15 kg
4. RIGGING WEIGHT 5. RIGGING CALCULATION
Description Weight Units Description Weight Units
Main hook block 250 kg Object weight (2) 3000 kg
Load line 60 kg Contingency % 100 kg
Fly Jib NA kg Rigging weight (4) 360 kg
Auxiliary hook block NA kg Total weight 3360 kg
Rigging i.e. sling shackles 50 kg Maximum Radius 15 Mtrs
Man basket NA kg Lift height 30 Mtrs
Boom length 30 Mtrs
Other rigging attached NA kg
Capacity chart rating at 5850 kg
Total (With Aux hook) 360 kg radius & boom length
% of chart capacity 57.4 Utilization
6. CATEGORY OF LIFT Tick whichever is applicable
Routine Lift plans shall be written by Lift Planner and approved by person in charge (PIC) of the lifting operation.
Simple Lift plans shall be written by Lift Planner and approved by person in charge (PIC) of the lifting operation.
Complicated Lift plans shall be written by Lift Planner and approved by person in charge (PIC) of the lifting operation.
Complex Lift plans shall be written by Lift Planner and approved by person in charge (PIC) of the lifting operation.

Reference
Revision No.: 0/Date: 15.03.2013/Procedure Title: Lifting and Hoisting/Document ID: TE-ST-002
Doc.
 MOBILE CRANE LIFT PLANNING SHEET

7. HAZARDS CRANE SET-UP/OPERATING AREA

7.1 Underground Hazards 7.2 Ground level Hazards 7.3 Above ground Hazards
Utilities – Gas, Water etc Members of the public Electrical cables
Storm Drain Workers Telephone cables
Sewer Vehicles/machinery Lampposts
Recent excavations Buildings Other cranes
Other - describe Ground conditions Trees
Other - describe Conflicting tasks in area
Other - describe
Access road: Concrete/Bitumen/Gravel/soft/Other
Crane Set-Up Area: Concrete/Bitumen/Gravel/Soft/Slope /Other
The lifting activity requires the following to be considered, note this list is not exhaustive
Cultural, communication and language difficulties Environmental conditions including weather and
permissible limits
Weight, size, shape and centre of gravity of load Illumination in the pick-up and lay-down areas
Availability of approved lifting points on load Proximity of hazards, obstructions in the path of load
Method of slinging/attaching/detaching the load Contingency plan in case the task changes
Overturning/load integrity/need for tag lines Access and emergency escape routes
Initial and final load positions and how it will get there Experience, competence and training of personnel
Lifting over live plant/equipment Number of personnel required for task
Number and duration of lift(s) Pre-Use Inspection of equipment by Operator
PTW, Tool Box Talk, including Safety and Stopping
the job
8. APPROVALS
Required lift Approvals Name Signature Date
Lift plan prepared by
Lift plan reviewed by
Lift Plan approved by

Lifting details (step by step)

Method statement for lifting activities (5631-C-MS-07-MA-003)

Reference
Revision No.: 0/Date: 15.03.2013/Procedure Title: Lifting and Hoisting/Document ID: TE-ST-002
Doc.