Title Page

  • Lift Plan Reference Number

  • Planned Lift Inspection Checklist

  • Conducted on

  • PSCS / PC

  • Contractor responsible for the lift

  • Crane Company

  • Site

  • Describe the lift task

Company Undertaking Lift

  • Name of Company Undertaking the Lift

  • Have they submitted a lift plan?

  • Lift plan reference details

  • State who has reviewed the lift plan

  • Is the access suitable and sufficient for the crane and load

Lifting Plant, Equipment & Personnel

  • Is crane's safe working load as detailed in lifting plan?

  • Does crane have a current & valid LOLER certificate of thorough examination?

  • Thorough Examination date?

  • Thorough Examination certificate expiry date?

  • Does lifting equipment/gear etc have a current & valid certificate of thorough examination?

  • Fall of rope as per the lift plan

  • Outrigger configuration % as per lift plan

  • Are the outriggers pinned and locked in.

  • Are the PAD sizes as per the lift plan

  • Boom length & Configuration %

  • Ballast T as per lift plan. Count ballast on back of crane and confirm as stated in lift plan.

  • Is the slinger / signaller easily identifiable

Lift Area & Immediate Surroundings

  • Is lift area suitably & sufficiently barriered off?

  • Area free of any potential for contact with overhead power lines, cabling or services?

  • Is access to lift area suitably controlled by banksmen?

  • Area free of any other potential overhead or peripheral obstructions (e.g. trees, walls etc)?

Local Conditions?

  • Are local conditions (e.g. wind, rain, snow etc) suitable for lifting?

Summary

  • Is it safe for lift to proceed?

  • H&S Auditor 1

  • H&S Auditor 2

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