LIFTING PLAN

• Site conducted

  Select

• Sub location

• Conducted on

  Date

• Prepared by

• Location
  Address

• Brief description of lift

• Is this a contractor specialist lift

  Yes

  No

• Contractor Details

• WAE Contact

  Sign

The load

• Details and description

• Charachteristics

• Weight of load

• Centre of Gravity

• Lifting points

Personnel

• Appointed Person

• Lifting Coordinator

• Slinging signallers

Lifting Equipment

• Equipment under the control of

• Make Model

• Working load Limit

Lifting accessories

• Description with load limit

• Description with load limit

• Description with load limit

• Description with load limit

• Description with load limit

• Is the Certificate of conformity/thorough inspection in place

  Yes

  No

• is the lift open or blind?

• What is the agreed method of signalling/communication

• Is there a temporary works requirement?

  Yes

  No

• Is the an appropriate demarcation of the lifting area using barriers and signs

  Yes

  No

• Is there a requirement to control the load using tag lines

  Yes

  No

• What re the ground conditions like?

  Yes

  No

• Are there any hazards in proximity of the lift

• Description of the lifting operation (attach drawing/pictures if necessary)

Sign Off

• Originator

  Sign

• Date & Time

  Date

• Appointed Person

  Sign

• Date & Time

  Date