Hoisting and Rigging Plan Location: Load Description: Lift Director Ordinary: Critical: Date of Lift: Multiple Cran
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Hoisting and Rigging Plan Location: Load Description: Lift Director Ordinary: Critical:
Date of Lift: Multiple Cranes:
NOTE: If lift requires multiple cranes, a lift plan for each crane must be filled out, reviewed, and approved by the lift coordinator.
A. CRANE 1. Type of Crane: 2. Crane Capacity: ______________Tons 3. Lifting Arrangement Crane #1 1. Radius @ pick up location: ft. 2. Radius @ set down location:. ft. 3. Length of Boom: ft. 4. Angle of Boom Pickup: deg. 5. Angle of Boom Set down: deg. 6. Rated Capacity From Chart Over Rear: _ _ _ _ _ _ _ _ l b s . Over Front: _ _ _ _ _ _ _ _ l b s .
D. RIGGING 1. Sling Selection a) Number of Slings in Hook-up: b) Sling Type WR___ FW____ RS____ Chain____ c) Sling Size: _______________ d) Sling Length: ___________________ e) Rating Capacity of Sling: ________________ f) ) Softeners Required
Over Sides: _ _ _ _ _ _ _ _ l b s . Lift is __________ % of Cranes Rated Capacity B. JIB Erected Stowed Length of JIB: ____________ ft. Rated/Capacity of JIB (Chart): lbs. C. HOIST ROPE Rope Diameter:______ Number of Parts_____
Rated Capacity based on parts:
lbs.
D. CRANE PLACEMENT
Yes
or No
2. Shackle Selection a) Capacity: _____________tons b) Number of Shackles: ____________
E. INTENDED LIFT LOAD 1. Load Condition New ____ Used _____ 2. Wt. of Load ____________ lbs. 3. Wt. of Aux Block ____________lbs. 4. Wt. of Main Block ____________lbs. 5. Wt. of Lifting Beam ____________lbs. 6. Wt. of Sling/Shackles ____________lbs. 7. Wt. of Jib/Ext. (erected/stowed) _______lbs. 8. Wt. of Hoist Rope _______lbs. 9. Wt. Excess Load Material _______lbs.
1. Foundation ___________________________
Total Weight
2. Electrical Hazards in Area?________________ ______________________________________________________
3. Obstructions to Swing or Lift?______________ ______________________________________________________
4. Swing Direction and Degree (Boom Swing)_
________lbs.
Source Of Load Wt. Information: ________________________________________ Load Wt. Confirmed by: ____________________
F. PRE LIFT CHECKLIST
______________________________________________________
5. Travel with Load Required _______________
1. See page 5 of Hoist and Rigging Plan
Signature
Date
Crane Operator Lead Rigger Project Engineer Lift Director Site Supervisor Page 1 of 5
Hoisting and Rigging Plan Location: Load Description: Lift Director
Date of Lift:
Load Travel Path / Personnel Placements
Page 2 of 5
Hoisting and Rigging Plan Location: Load Description: Lift Director
Date of Lift:
Load Schematic and Rigging Method
Page 3 of 5
Hoisting and Rigging Plan Location: Load Description: Lift Director
Date of Lift:
Personnel Assignments and Load Handling Sequence & Procedures
Page 4 of 5
Hoisting and Rigging Plan – Pre-Lift Checklist
(Section 4.12 Critical Lift Permit Duration = 1 month) DATE
Qualified Crane Operator
Qualified Rigger(s)
Designated Signaler / Spotter
Outriggers Fully Extended
Crane Inspection Records Available
Swing Room Hazards Present
Overhead Hazards Present
Tag Line Used
Load Chart in Crane
Work Area Barricaded or Guarded
Softeners Required
Current wind speed allowable
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Lift Supervisor’s Name
Page 5 of 5