Lifting Plan Example

Insert company logo here

Lifting Plan Sketch Date Site Visited:

Project Ref:

Approx. Scale:

Insert company address / contact details here

Client: Site Address:

Lift Plan Prepared By (A ppointed Person) :

Clients Site Representative:

Print Name: This Lifting Plan has been prepared within guidelines drafted by the Client/Main Contractor  It must be read in conjunction with the attached Lifting Schedule/Method Statement/Risk Assessment and all associated documentation

 ____________________________  Signature:  ____________________________ 

X Denotes Delivery / Installation Sequence

Crane Stand Ref  “A”

Deploy air mat fall protection around delivery vehicle

Slew Direction

4 No. 1.74 x 1.74m Outrigger Mats Max. 11.3 Tonnes / m2 pressure beneath mats

3

4 2 5

1

Crane required to undertake the Lift :.

Is

Larger alternative crane permitted:

Outrigger loadings are based on the worst case tonnes / m2 outrigger loading including the alternative: The crane company must not provide a larger crane without prior agreement. If a crane larger than this is provided, do not rig up and refer to AP for guidance. Crane Outrigger Jack Load: Crane Mat Size:

×

=

Permissible Bearing Capacity of Hardstand = m²

Pressure Applied Beneath Mats

=

to/m² to/m²

Client hardstand location / preparation / maintenance confirmation:

1.

The permissible bearing capacity above has been provided by a “competent person” who assessed the adequacy of the crane hardstanding area.