Novade

Template Library

Lift plan

Author: Novade Solutions

Use this template to evaluate the foreseeable risks involved in the work and identify the appropriate resources before a lifting operation.

Published on: 11/19/2021

Lift plan

General Information

Company name

Project title

Location

Contract no.

Lift plan

Date of lifting operation

Lift plan reference or activity

Appointed person (lift planner) preparing this lift plan

Date

*Signed

Lift supervisor

Scope of works

Details of crane provider

Company name

Address

Contact name

Telephone

Details of crane operator(s)

CPCS card no. andoperating history

Load details (also refer to lift schedule at end)

Maximum weight

Maximum size of load

Other details (centre of gravity, lifting points, packaging, pallets and so on)

Details of crane

Capacity and type

Height (ground to jib head)

Radius

Main jib length

Fly jib length

Total jib length

Rated capacity (safe working load)

Actual working load

Outrigger spread

Counterbalance weight

Ground conditions (CBR/Strata),temporary works design in placeand checked off (where appropriate)

Outrigger loadings

Spread mat requirements

Airport/airfield requirements

Lifting accessories and configuration

Equipment details

Type (for example, spreader beam)

Rated capacity (safe working load)(Note: will configuration affect rated capacity?)

*Sketch of slinging method

Site conditions and hazards

Hazard

Control

Strength and stability - Ground conditions must be suitable, sufficient and remain so during lifting operations.A temporary works design must be in place and checked off before any lifting operation or crane set-up takes place.

Weather/environmental considerations - Give detail of wind speeds/environmental conditions that have been referenced/anticipated during lifting operations

Access - Include any special travelling routes, road closures/highways notifications, access problems.

Third party considerations - For example, over-sailing, works adjacent to railways, noise and restriction of view.

Emergency/breakdown procedures

Signalling - Indicate whether hand signals or radios are to be used. Also indicate signalling source and radio frequency/channel. Thissection can also include any unique signaller identification (that is, different colour helmet/hi-vis) if required.

*Site and crane layout plan - Include crane position, lay-down/rigging area, position of delivery vehicles, landing points, signaller positions, ground andoverhead hazards and exclusion zones. If required, use elevation drawings.

Safe system of work – methodology - Include pre-lift, lift and post-lift

General Information

Company name

Project title

Location

Contract no.

Lift plan

Date of lifting operation

Lift plan reference or activity

Appointed person (lift planner) preparing this lift plan

Date

*Signed

Lift supervisor

Scope of works

Details of crane provider

Company name

Address

Contact name

Telephone

Details of crane operator(s)

CPCS card no. andoperating history

Load details (also refer to lift schedule at end)

Maximum weight

Maximum size of load

Other details (centre of gravity, lifting points, packaging, pallets and so on)

Details of crane

Capacity and type

Height (ground to jib head)

Radius

Main jib length

Fly jib length

Total jib length

Rated capacity (safe working load)

Actual working load

Outrigger spread

Counterbalance weight

Ground conditions (CBR/Strata),temporary works design in placeand checked off (where appropriate)

Outrigger loadings

Spread mat requirements

Airport/airfield requirements

Lifting accessories and configuration

Equipment details

Type (for example, spreader beam)

Rated capacity (safe working load)(Note: will configuration affect rated capacity?)

*Sketch of slinging method

Site conditions and hazards

Hazard

Control

Weather/environmental considerations - Give detail of wind speeds/environmental conditions that have been referenced/anticipated during lifting operations

Access - Include any special travelling routes, road closures/highways notifications, access problems.

Third party considerations - For example, over-sailing, works adjacent to railways, noise and restriction of view.

Emergency/breakdown procedures

Safe system of work – methodology - Include pre-lift, lift and post-lift