Rigging Plan

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