Crane Lift Plan

Project Details

• Project Name: [ENTER PROJECT NAME]
• Site Address: [ENTER FULL ADDRESS]
• Date of Lift: [DD/MM/YYYY]
• Prepared By: [NAME AND ROLE]
• Company: [COMPANY NAME]
• Plan Number: [UNIQUE ID e.g. CLP-001]

1. Lift Description

• Description of Load: [BRIEFLY DESCRIBE THE ITEM TO BE LIFTED]
• Load Weight: [ENTER WEIGHT IN TONNES]
• Load Dimensions (L x W x H): [ENTER METRES]
• Centre of Gravity: [DESCRIBE LOCATION]
• Lifting Points: [DESCRIBE E.G. 4 LIFTING LUGS]

2. Crane Details

• Crane Type: [E.G. MOBILE, TOWER, CRAWLER]
• Make and Model: [E.G. GROVE GMK 4100]
• Maximum Rated Capacity: [ENTER TONNES]
• Counterweight: [ENTER WEIGHT]
• Length of Boom: [ENTER METRES]
• Jib / Fly Length: [ENTER METRES]
• Radius of Lift: [ENTER METRES]
• Height of Lift: [ENTER METRES]

3. Rigging Gear

• Sling Type: [E.G. WIRE ROPE, SYNTHETIC, CHAIN]
• Sling Capacity (SWL): [ENTER TONNES]
• Shackles: [SIZE AND QUANTITY]
• Spreader Bar: [YES/NO - DETAILS IF YES]
• Total Rigging Weight: [ENTER KILOGRAMS]

4. Site Conditions

• Ground Conditions: [DESCRIBE SURFACE E.G. COMPACTED GRAVEL, CONCRETE]
• Ground Pressure Bearing Capacity: [ENTER KPA IF KNOWN]
• Outrigger Pads Used: [YES/NO - SIZE OF PADS]
• Slope / Gradient: [ENTER PERCENTAGE]
• Overhead Hazards: [E.G. POWERLINES, TREES - DISTANCE]
• Wind Speed Limit: [ENTER KM/H]

5. Personnel

• Crane Operator: [NAME] - LICENCE NUMBER: [HRW LICENCE NO]
• Dogger / Rigger: [NAME] - LICENCE NUMBER: [HRW LICENCE NO]
• Site Supervisor: [NAME]
• Emergency Contact Person: [NAME] - PHONE: [NUMBER]

6. Lift Method

• Lift Category: [E.G. STANDARD, CRITICAL, TANDEM]
• Pick up Point: [LOCATION]
• Placement Point: [LOCATION]
• Travel Path: [DESCRIBE PATH]
• Exclusion Zone: [DESCRIBE AREA - E.G. 10M RADIUS]
• Communication Method: [E.G. TWO WAY RADIO, HAND SIGNALS]

7. Risk Assessment

• Identify hazards and controls below:

Hazard	Risk Level	Control Measures
[E.G. CONTACT WITH POWERLINES]	[HIGH/MED/LOW]	[E.G. DE-ENERGISE LINES, USE SPOTTER]
[E.G. GROUND FAILURE]	[HIGH/MED/LOW]	[E.G. USE LARGE OUTRIGGER PADS]
[E.G. SWINGING LOAD]	[HIGH/MED/LOW]	[E.G. USE TAG LINES]

8. Sign Off I acknowledge that I have read and understood this lift plan.

• Operator Signature: __________________________ Date: _______
• Dogger Signature: __________________________ Date: _______
• Site Supervisor Signature: __________________________ Date: _______