Comprehensive High-Risk Lift Plan for Critical Infrastructure Lifts

Crane Identification Number

Crane Type Classification

Specify specialized crane type and unique characteristics:

Crane Manufacturer and Model

Serial Number or VIN

Capacity Chart Reference Number

Boom and Jib Configuration Details

Maximum Rated Capacity (tonnes)

Calculated Capacity at Planned Lift Radius (tonnes)

Safety Factor Applied (Capacity ÷ Load Weight)

Is the safety factor greater than or equal to 1.5 for critical lifts?

Explain mitigation measures for inadequate safety factor:

Load Moment Indicator (LMI) System Functional and Within Calibration

Describe alternative load monitoring method and risk controls:

Anti-Two Block (ATB) System Operational

Detail manual two-block prevention procedures:

Last Annual Crane Certification Date

Next Scheduled Certification Date

Crane Operator Certification Number

Operator Certification Expiry Date

Crane Setup Position Coordinates and Orientation

Outrigger Extension and Matting Configuration

Total Counterweight Configuration (tonnes)

Wind Speed Limitation per Manufacturer (m/s)

Load Description and Configuration

Verified Load Weight (tonnes)

Load Weight Verification Method

Justify estimation method and describe additional safety measures:

Load Center of Gravity Location

Is the center of gravity clearly marked on the load?

Describe method for ensuring rigging crew identifies correct lifting points:

Rigging Plan Reference Number

Sling Specifications and Condition Assessment

Spreader Beam or Lifting Beam Model and Capacity

Calculated Rigging Safety Factor

Does rigging safety factor meet or exceed 5:1 for critical lifts?

Describe engineering review and approved mitigation plan:

Last Rigging Hardware Inspection Date

Is this classified as a Critical Lift per site criteria?

Provide critical lift justification including potential consequences of failure:

Detailed Load Weight Calculation Breakdown

Total Calculated Load Weight (tonnes)

Special Rigging Requirements or Load Stability Considerations

Calculated Ground Bearing Pressure (kPa)

Verified Soil Bearing Capacity (kPa)

Does soil bearing capacity exceed ground pressure by minimum 1.5 factor?

Describe ground improvement measures and engineered approval:

Ground Preparation Methods Implemented

Ground Condition Description and Preparation Details

Underground Utilities Cleared and Marked Within 10m of Crane Position?

Detail utility locations, depths, and protective measures implemented:

Utility Clearance Reference Number

Overhead Hazard Assessment - Check All That Apply

Minimum Clearance Distance to Nearest Overhead Hazard (m)

Does clearance distance meet or exceed regulatory minimums for voltage/height?

Specify required minimum, actual clearance, and hazard control measures:

Current Weather Conditions

Measured Wind Speed at Ground Level (m/s)

Forecast Maximum Wind Speed at Lift Height (m/s)

Are wind speeds within crane manufacturer limitations?

Describe wind mitigation plan or lift postponement criteria:

Visibility Assessment (1=Poor, 5=Excellent)

Temperature (°C)

Are weather conditions stable and forecasted to remain within limits throughout lift?

Define weather monitoring protocol and abort criteria:

Ground Stability Monitoring Plan During Lift Operations

Planned Lift Radius from Crane Center to Load Center (m)

Actual Boom Length to Achieve Radius (m)

Load Chart Reference for Current Configuration

Is the planned radius within the verified capacity chart range?

Explain radius adjustment plan or capacity re-verification:

Complete Swing Path Description and Clearances

Has the entire swing path been physically inspected for clearance?

Identify uncleared areas and inspection schedule:

Established Exclusion Zone Radius from Load Perimeter (m)

Exclusion Zone Barrier Type

Detail combination method and justification:

Number of Personnel Authorized Within Exclusion Zone During Lift

Authorized Personnel Roles and Positions Within Exclusion Zone

Tag Line Configuration for Load Control

Justify single tag line use and describe additional control measures:

Detail mechanical guidance system and safety features:

Describe specialized system and operator qualifications:

Primary Communication Method During Lift

Describe specialized communication system and backup method:

Emergency Stop Procedures and Abort Signals

Is This a Multi-Crane Tandem Lift Operation?

Tandem Lift Coordination Details:

Crane Positioning Diagram Reference

Lift Sequence Plan and Critical Hold Points

Are spotters positioned at all critical visibility points?

Describe alternative camera/technology visibility solutions:

Pre-Lift Safety Meeting Conducted with All Personnel

Schedule meeting time and list attendees:

Pre-Lift Meeting Date and Time

Risk Assessment Document Reference Number

Has a Task-Specific Risk Assessment Been Completed for This Lift?

Complete risk assessment before proceeding. Summarize key hazards identified:

Lift Permit Authorization Number

All Personnel Certifications and Competencies Verified Current

List any expired certifications and interim control measures:

Designated Competent Person for This Lift

Signal Person Certification Number

I confirm all sections of this lift plan have been completed accurately

I verify that all equipment inspections are current and certifications are valid

I confirm that the exclusion zone is established and all non-essential personnel are cleared

I acknowledge that weather conditions are within acceptable limits and will be monitored continuously

I understand that I have authority to stop the lift at any time if unsafe conditions develop

Master Rigger Full Name

Master Rigger Signature

Master Rigger Sign-Off Timestamp

Site Safety Director Full Name

Site Safety Director Signature

Site Safety Director Sign-Off Timestamp

Is a Post-Lift Inspection Required?

Specify post-lift inspection scope and responsible person:

Lessons Learned Documentation Plan