LIFTING PERMIT

PERMIT NO: DATE:

Name, Designation Contact Number of The Originator Arbaz Hussain. Lifting Supervisor
Mentioned What Material (s) Is to Be Lifted
Locations / Area
Equipment Details
Capacity (SWL)
Maximum Load To Be Lifted
Operator Name and Third-Party ID
Type of Lifting: Routine (normal)/ Non – Routine (Critical/Heavy Lift/Tandem
Lift etc.)
NOTE: Lift Plan required for Non-Routine Lifting Operations
HSE Checklist for The Lifting Supervisor\Foreman

Items to be Checked YES NO NA Items to be Checked YES NO NA

Task Briefing Delivered to The Crew. All the lifting gears have valid 3rd party
certificate.

Visual Inspection Carried Out on Lifting The equipment & the Operator has valid
equipment and Accessories. 3rd party certificate.

Trained & 3rd party approved rigger The Rigger & The Operator Know
available. Correct Hand Signals.

Outrigger Pads Are Defect Free The Ground Is Compacted and Levelled

All the lifting documents (JSA, RAMS, Hazard warning Signage Placed & swing
Checklist, 3rd party certificates) in place. area barricaded.

Is There Any U\G Utility Below? Is There Any Overhead Electrical Line In
the Swing Area

The Lifting Equipment or Truck Parked Traffic Control Measures Taken.

on a live Road.

Lifting Supervisor Is Available On Site. Weather Conditions is Satisfactory.

Operator Cabin Have Full Visual Is There Any Excavation Near By The
Clearance Lifting Equipment Positioning Area?

The Lifting equipment Is Positioned If the Excavation Is Deeper Than 1.5 mts
Away from Excavation Edge The Outrigger Shall Be D X 1.5 mts Away
from The Edge

Authorized By: Lifting Forman Name: Signature:

Permit Issued By: Lifting Supervisor Name: Arbaz Hussain Signature:

Validity of The Permit From: ……………………………………. HRS. TO ……………………………………………………. HRS Date:

NOTE: 1) The Permit Shall Be Returned to OHS Office on Completion of the Task.
2) Non-Compliance to The Permit Conditions Will Lead to Stoppage of Work.
3) The Lifting Shall Be Stopped If the Wing Speed Exceeds 32KPH, and During Other Inclement Weather Conditions.

Sapac- OHS Form

 Lifting Plan - Low Risk
Applicability: To be used for all lifts less than 10 ton (1 ton = 1000 Kg). Complete a new lift plan each time a lift is set-up. Exceptions are a lift that is
being done utilizing an existing plan with the same persons signing on an original plan for a repetitive lift with the same set up, weight of material to
be lifted and position of lifting equipment.

Section 1: Particulars
Project: Location: Consultant:
Project No: GPS Coordinates: Contractor:

Section 2: Checklist
Set Up Yes No Yes No
Is the lifting equipment set on suitably stable and level ground and outriggers fully extended and are suitably
1
sized outrigger pads by equipment type? Are Underground Utilities verified and protection installed as required?
2 Pick up and drop paths identified?
3 Rigging equipment inspected and correctly colour coded?
4 Is the lift area around the lifting equipment adequately controlled?
5 Daily crane checklist, JHA and Task Briefing Card complete and safe to commence work?
6 Hook block latches fitted and working properly?
7 Correctly rated slings selected per rigging arrangement?
8 Correct spreader Bar or Beam installed (if applicable)?
9 Correct size shackles are installed?
10 Softeners provided at rigging bearing points (where required)?
11 Tag lines attached to control payload?
*** If answer is NO to any of these questions, DO NOT COMMENCE THIS LIFT ***
Calculations
A= meters
B= meters
C= meters

D = 0 - 2 te 2 - 4 te 4 - 6 te 6 - 8 te 8-9 te
Total Weight (C+D) tonnes
MAXIMUM WEIGHT CAPACITY
(At equipment set up)
tonnes
CURRENT % EQUIPMENT CAPACITY %

Warning: If the lift is 74% or less of the maximum weight capacity, then continue
with the lift. If it is 75% or higher of the maximum weight capacity, then don’t
proceed with the lift.

Section 3: Equipment Details

Equip. Type Licence Plate Make Model Capacity

Section 4: Sign Off

Crane Operator’s Name Signature Date

Signaller’s Name Signature Date

Appointed Person’s Name Signature Date

1 Approved lifting JHA and RAMS are in place .
2 STARRT card! FLHA filled properly highlighting lifting activity risk and controls.
3 Lifting plans are in place signed by site supervisor and riggers.
4 Supervisor is available on site .
5 Vehicle ! crane ! boom truck daily inspection sheet in place.
6 Vehicle verified by NEOM “Veri-Fi”.
7 Operator License and 3rd party certificate available
8 Rigger competency check and 3rd party certificate available.
9 Competent Supervisor present for the unloading ! lifting operation.
10 Exclusion zone created during lifting operation – tools in available (cones, warning tapes, plastic chain).
11 Lifting activity warning signs available.
12 Outrigger pads available and manufactured as per standards, size is suitable for the Equipments .
13 Inspection of Lifting accessories ( Chains, hook, shackles, rope, anti 2 block, webbing straps etc, colour coded and free of damage
and cuts).
14 Equipments has an annual valid 3rd party inspection .
15 Manufacturer handbook!Manual present with the equipment .
16 Load chart present on cranes and HIABs or Boom trucks .
17 SWL chart is clearly posted and fit to use.
18 Check valves for excavators used as lifting equipment for any leakage or hydraulic failure.
19 Delivered materials/equipment etc not secured or correctly loaded will be return and not off-loaded on site.
20 Outrigger well maintained without any signs of leakage or hydraulic failure
21 Lifting is performed away from overhead cables and near excavations.
22 Soil condition is suitable to perform the lift .
23 MVPI document in place – Routine preventive maintenance record in place
24 360 vision clear of obstruction i.e. curtain, card board.
25 No hand on load - Tag line in used to control the load .

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Date: