Mobile crane lift plan check list

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Lifting Plan Checklist and Method Statement (Mobile Cranes). This template does not replace any lift plan that maybe in place, it is to be used as a checksheet before any lift commences to ensure that everything is in order.

• Is this a full Contract lift?

  Yes

  No

  N/A

• Task description:

• Date planned for lift:

  Date

• Use this checklist before carrying out a lifting operation. It is based on requirements set out in British Standard 7121-1:2016 Code of practice for safe use of cranes. The contractor must supply you with the information as in Sections B and C before the lifting operation takes place

• Section A: PRE-PLANNING

• The load to be lifted;

• basic description of the size and shape of the load to be lifted.

• Are the lifting eyes and lifting points suitable?

  Yes

  No

  N/A

• Has the centre of gravity and stability of the crane been considered?

  Yes

  No

  N/A

• Has the access route for crane and space available at planned operating position been considered?

  Yes

  No

  N/A

• Maximum weight of the load to be lifted in KG ?

• Expected operating radius in meters

• Has the presence of overhead cables and other hazards that could affect the lifting operation been taken into consideration?

  Yes

  No

  N/A

• Has the ground conditions - foundations, made-up ground, impact loading been considered?

  Yes

  No

  N/A

• Type of crane to be used?

• Section B: CRANE ON SITE. To be completed with the AP (if on site) in control of the lifting operation before the lift begins. If AP is not available then use the crane companies' responsible person.

Type of Crane

• Size of Crane in KG

Crane accessories equipment check

• Has the thorough Examination (Paperwork) of Lifting Accessories been checked? Valid only if completed within the last 6 months

  Yes

  No

  N/A

Driver, Operator Details

• Driver, Operator name

• Card No

Crane Position

• Adequate and suitable base?

  Safe

  At Risk

  N/A

• All outriggers fully extended?

  Yes

  No

  N/A

• Adequate packing under outriggers?

  Yes

  No

  N/A

• Position of outriggers satisfactory?

  Yes

  No

  N/A

Lifting Gear

• Type used, slings/strops etc?

• SWL of the equipment in KG?

• Visual Checks completed?

  Yes

  No

  N/A

Can the lift proceed in safety?

• Section C: Have the RAMS been checked and approved and signed by all operatives involved in the lift?

  Yes

  No

  N/A

• Explain the control measures required to eliminate or minimise risk to those involved

• Explain the steps required to eliminate risk to other people e.g. road closures and segregation zones

• Have all the Pre work checks of crane, site, and load been carried out?

  Yes

  No

  N/A

• Task allocation to named people;

• Appointed person in control of lifting operation

• Crane supervisor

• Crane operator

• Slingers – signalers

• Has the environmental limitations – wind speed been considered?

  Yes

  No

  N/A

• Are there arrangements for working at height and rescue plans in place?

  Yes

  No

  N/A

• Method of communication e.g. hand signals, radio, etc

PROVISION OF AUTHORITY -

• Authorisation commences (date and time)

  Date

Authorisation issued by: Northavon Health & Safety Manager or Site Manager only! No lift is to commence until authorized by the above mentioned.

• Signature

  Sign

• The person giving this authorisation confirms that the operator, slingers, signalers, supervisors and others involved in this lifting operation have taken part in a team briefing at which this method statement was explained and they were given all necessary information and made aware of specific hazards i.e. position of load, loads to be lifted, any excavation, soft ground, overhead cables, etc

  Yes

  No

  N/A

Accepted by Crane Driver/responsible person

• Signature

  Sign