LIFT PLAN

(To be filled for more than 5 MT in single lift)

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Points / Particulars
Section
Sub section
Exact Location
Equipment
Lifting Part Description
Outer dimensions of Lifting Part
Weight of Lifting Part
Height where Part to be Lifted
Crane Model No.
Crane Capacity
Crane Make
No. of falls
Capacity of Lifting Hook
Crane swing area is clear or not
C/C Hz. distance where part is lying
Crane Boom angle
Required Crane Boom Length
Crane capacity at particular Boom angle & Length
C/C Hz. distance where part to be shifted
Crane Boom angle
Required Crane Boom Length
Crane capacity at particular Boom angle & Length
Wire rope sling dia & length
No. of slings
Capacity of D shakles
No. of D shakles
Whether Guide rope tied or not
Whether Manpower skilled or not
No. of Workmen engaged
Ensure use of fall arrestor if required
Ensure use of life line if required
Ensure use of full body harness with two lanyard if required
Ensure height work permit taken if required
Ensure hot work permit taken if required
Ensure Electricity isolation permit taken if required
Ensure cofined space work permit taken if required
Ensure area baricading & no entry for unconcered
Contractor Engineer Name & Sign.

Section Engineer Name & Sign.

Section Head Name & Sign.

Date
UOM Qty./ Measurement/Remarks

MT
Mtr.
MT
Nos.
MT
Mtr.
Deg.
Mtr.
MT
Mtr.
Deg.
Mtr.
MT
Nos.
MT
Nos.

Nos.

CC: Concern DH & Safety Deptt.