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TGH-HSE-F0018 Lifting Plan Template LOCKED

This lifting plan template outlines the requirements for safely lifting heavy loads. It includes details of the load, cranes, lifting accessories, ground conditions, overhead restrictions, personnel roles, lifting procedures, and approvals. Sign-off is required from the applicant, lifting supervisor, and project manager to confirm the lift will be completed according to the plan and permit.

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thana raj
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0% found this document useful (0 votes)
46 views5 pages

TGH-HSE-F0018 Lifting Plan Template LOCKED

This lifting plan template outlines the requirements for safely lifting heavy loads. It includes details of the load, cranes, lifting accessories, ground conditions, overhead restrictions, personnel roles, lifting procedures, and approvals. Sign-off is required from the applicant, lifting supervisor, and project manager to confirm the lift will be completed according to the plan and permit.

Uploaded by

thana raj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

Doc.

No:
HSE MANAGEMENT SYSTEM
TGH-HSE-F0018
Rev. No. 00
LIFTING PLAN TEMPLATE
Date 1/3/2022

Project: Date:
Lifting Location: Contractor:
Document Ref: Rev: Issued by:

Lifting Supervisor: Date of


Assessment:
Contact: Fax:
Site contact: Fax:
Description of lift:

Details of Loads Load Position 1 Load Position 2


Weight:
Dimensions:
Height of lift (worse case)
Max. radius (worst case)
Date of lift:
Time of lift:
Block Weight:
Rope Weight:
Lifting Beams:

TechnyGroup Holding (M) Sdn. Bhd. Page 1 of 5

CONTENTS OF TECHNYGROUP-STRICTLY CONFIDENTIAL-DO NOT DISTRIBUTE


Doc. No:
HSE MANAGEMENT SYSTEM
TGH-HSE-F0018
Rev. No. 00
LIFTING PLAN TEMPLATE
Date 1/3/2022

Slings:
Shackles:

Total Loads (1+2) ______Kg ______Kg

Crane Details Crane 1 Crane 2


Make & Model:
Capacity: ______________ -25% for Tandem Lifts -25% for Tandem Lifts
Boom Length:
Outrigger Spread:
Outrigger Load:
Max. Ground Bearing Capacity:
Counterweight:
Weight of Crane:

Lifting Accessories Used


Sling(s) Number(s): Diameter(s):
Length(s): Capacity(s):
Shackle(s) Number(s): Diameter(s):
Length(s): Capacity(s):
Lifting Beam(s) Number(s): Diameter(s):
Length(s): Capacity(s):

Ground Conditions 1st Crane 2nd Crane


Access/Egress for crane & load
transporter:
Lifting position:
Location of underground services

Overhead Restrictions 1st Crane 2nd Crane

TechnyGroup Holding (M) Sdn. Bhd. Page 2 of 5

CONTENTS OF TECHNYGROUP-STRICTLY CONFIDENTIAL-DO NOT DISTRIBUTE


Doc. No:
HSE MANAGEMENT SYSTEM
TGH-HSE-F0018
Rev. No. 00
LIFTING PLAN TEMPLATE
Date 1/3/2022

Overhead power lines


Obstacles (Tress, Buildings etc.)

Alternative Crane Details (In the event of Emergency)


Make & Model:
Capacity: ______________
Boom Length:

Outrigger Spread:
Outrigger Load:
Max. Ground Bearing Capacity:
Counterweight:
Weight of Crane:

Title Name Title Name


Requestor Slinger(s)
Lifting Supervisor Banksman
Signaller(s)
Crane Operator(s) Crane Erectors

Drawings / Plan (Example 1)

TechnyGroup Holding (M) Sdn. Bhd. Page 3 of 5

CONTENTS OF TECHNYGROUP-STRICTLY CONFIDENTIAL-DO NOT DISTRIBUTE


Doc. No:
HSE MANAGEMENT SYSTEM
TGH-HSE-F0018
Rev. No. 00
LIFTING PLAN TEMPLATE
Date 1/3/2022

Drawings / Plan (Example 2)

Detailed Sequence of Operation (From road closure through to Lift completion)


1
2
3
4
Applicant Acceptance of Responsibilities
I confirm that the lifts have been planned and
will be carried out in accordance with current Signed: Date:
legislation and that I accept responsibility for
the preparation of this Lift Plan & Method
Statement.

Lifting Supervisor’s Acceptance of Duties


I confirm that I have been fully briefed on the Signed: Date:

TechnyGroup Holding (M) Sdn. Bhd. Page 4 of 5

CONTENTS OF TECHNYGROUP-STRICTLY CONFIDENTIAL-DO NOT DISTRIBUTE


Doc. No:
HSE MANAGEMENT SYSTEM
TGH-HSE-F0018
Rev. No. 00
LIFTING PLAN TEMPLATE
Date 1/3/2022

contents of this Plan & Method Statement and


that I accept the duty of ensuring that the lift(s)
will be carried out in accordance with the
method and procedures set out in this
document.

Project Manager / Construction Manager Approval


I hereby approve and give permission for the Signed: Date:
work operation to be carried out in accordance
with the requirements of this plan and its
contents. The plan shall be in line with the
Lifting Permit

TechnyGroup Holding (M) Sdn. Bhd. Page 5 of 5

CONTENTS OF TECHNYGROUP-STRICTLY CONFIDENTIAL-DO NOT DISTRIBUTE

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