Lifting Plan Method & Risk Assessment طريقة عمل خطة الرفع وتقييم المخاطر
Lifting
Plan Method & Risk Assessment
Project
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Date
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Site/location
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Client
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Appointed
Person carrying out the Assessment:
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Date
of Assessment:
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Site
contact:
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Phone:
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Description
of lift:
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Is
it Critical Lift?
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Yes
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NO
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If
yes Justify the critical lift: (select one of the following)
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Lifting greater than 75% of the rated capacity
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Lift involving more than one crane
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Lift over
occupied structures or in tight quarters
Blind lift (out of the view of the operator)
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Lift near power lines
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Hoisting personnel
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Lift involving non-routine rigging techniques
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Lift where the center of gravity may change
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Lifting high value, hazardous, or explosive loads
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Lifting submerged loads
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Other
(describe):
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NB
50% reduction in load capability if man basket is used.
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Load Position 1
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Load Position 2
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Load Position 3
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Weight:
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Dimensions:
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Position of C of G:
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Height of lift (worst case only):
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Max. radius (worst case only):
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Date of lift:
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Time of lift:
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Gross Load:
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Additional Weight:
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Headache ball/ load- block
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Load line
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Whip Line
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Jib deduction
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Allowance:
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Unaccounted Materials
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Total Weight
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Total Weight= (Items to be lifted+ Rigging
materials+ Hook Block +Spreader beam if used)
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1st
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2nd
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3rd
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Make & model:
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Capacity:
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Jib length:
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Outrigger spread:
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Outrigger load:
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Max. ground bearing capacity:
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Counterweight:
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Weight of crane:
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Make & model:
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Capacity:
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Jib length:
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Outrigger spread:
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Outrigger load:
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Max. ground bearing capacity:
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Counterweight:
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Weight of crane:
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Access/Egress for crane & transport:
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Lifting position:
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Type of Slings
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Total Numbers
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Size
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Rated Capacity
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Slings (wire rope)
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Slings (chains):
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Slings (webbing
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Shackles
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Other Accessories:
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- Identification of Hazards
Proximity Hazard
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Present?
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Proximity Hazard (cont.)
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Present?
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Overhead power lines
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Other hazards identified
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Other overhead obstacles
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Underground services
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Excavations
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Load Hazard
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Present?
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Unstable/ Soft ground
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Slinging difficulties
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Hazardous chemicals/materials
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Top heavy
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Confined working area
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Sharp edges
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Restricted access - width
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Other hazards identified
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Restricted access - height
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Other vehicles
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Does
the Risk assessment have been prepared for the lifting plan? (Attach copy to
the plan)
Method
Statement
Responsibilities
Personnel
The following personnel should be nominated
as a part of the lifting plan:
Title
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Name
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Title
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Name
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Appointed Person
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Slinger(s)
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Crane Supervisor
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Signaller(s)
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Crane Driver(s)
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Crane Erectors
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Weather
Conditions
The Appointed Person or, in his absence, the
Crane Supervisor, will ensure that the lifting operation only takes place if
the weather conditions are within the limits recommended by the crane
manufacturer. 3 day weather forecast.
Ground Conditions
Yes/No
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Have assurances been obtained that the ground
can withstand the load?
Sequence
of Operations (use another sheet if necessary)
1
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2
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3
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4
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Appointed Person’s Acceptance of
Responsibilities
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I
confirm that the lifts have been planned and will be carried out in
accordance with current legislation and that I accept responsibility for the
preparation of this Risk Assessment and Method Statement.
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Signed:
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Date:
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Crane Supervisor’s Acceptance of Duties
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I confirm that I have been fully briefed on the
contents of this Risk Assessment and Method Statement and that I accept the
duty of ensuring that the lift(s) will be carried out in accordance with the
method and procedures set out in this document.
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Signed:
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Date:
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G. Attachments: The following
items should be attached to the lifting plan:
(1) Sketch dimension of load, lift points and centre of gravity (COG). (2).
Load calculation (3). Capacity and dimension of lift gears and angles. (4). Risk assessment (5) Crane load charts
and other information important for the lift.
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