Havieron - Lifting Permit

• Site conducted

  Select

• Conducted on

  Date

• Region

  Select

• Country

  Select

• Project

  Select

• Project Name

• Project

• Project

• Project Name

• Yes

  No

  N/A

  Fixed in Field (pic required)

Requestor details

• Company requesting permit

• Name of person requesting permit

• Location of works to be undertaken - (e.g Rig 49)

Permit details

• Description of the work to be undertaken

• Time and Date permit becomes active

  Date

• Time and Date permit will become deactivated

  Date

• Permit issued to

• Special tools / Equipment required

• Can the work be conducted at ground level

  Yes

  No

  N/A

Training and Competency

• Is the worker a trained and qualified dogman / rigger / crane operator?

  Yes

  No

  N/A

• Worker/s have completed a Verification of Competency (VoC) to undertake the task as a dogman / rigger / crane operator?

  Yes

  No

  N/A

• Worker/s hold current High Risk Work Licence (HRWL)?

  Yes

  No

  N/A

Risk Management

• Is there a Lifting Procedure available?

  Yes

  No

  N/A

• Has a JSEA been completed?

  Yes

  No

  N/A

• Has the lifting zone been barricaded and sign posted to prevent unauthorised entry?

  Yes

  No

  N/A

• Wind conditions are safe and monitored during the lift?

  Yes

  No

  N/A

• Is there a designated spotter for the lifting activity?

  Yes

  No

  N/A

• Is there safe clearance between overhead structures/powerlines?

  Yes

  No

  N/A

• Prestart inspections completed for Cranes / Lifting Equipment?

  Yes

  No

  N/A

• Cranes and lifting equipment are fit for purpose?

  Yes

  No

  N/A

• All non-essential workers have been removed from lift area?

  Yes

  No

  N/A

Lifting Equipment

• Is rigging in good condition including shackles?

  Yes

  No

  N/A

• Is rigging and lifting equipment tagged within current tagging schedule?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Select appropriate tag colour

  Red (Dec - Feb)

  Green (Mar - May)

  Blue (Jun - Aug)

  Yellow (Sep - Nov

• Slings are protected from sharp edges?

  Yes

  No

  N/A

• Has pre-lift study been undertaken?

  Yes

  No

  N/A

• Is a tag line in use?

  Yes

  No

  N/A

• Do ground conditions appear to be acceptable for crane set up?

  Yes

  No

  N/A

• Are outriggers fully extended?

  Yes

  No

  N/A

• Person in Charge of Works

  Sign

• Company

• Newcrest Representative

  Sign

• Newcrest Representative

  Sign

• Date and Time Permit Closed

  Date