Authorization for Critical Crane Lifts Exceeding 75% Capacity or Tandem Dual-Crane Operations

1. Section 1: Crane Model, Load Weight & Pick/Placement Location Metadata

Provide comprehensive details of all crane(s), load characteristics, and precise location data for the entire lift path. This section establishes the foundational parameters for risk assessment.

Is this a tandem dual-crane lift operation?

Yes

No

Number of cranes involved in tandem operation:

Crane Specifications (complete for each crane)

	Crane ID/Unit Number	Crane Manufacturer & Model	Crane Configuration (e.g., main boom, jib, luffing)	Maximum Rated Capacity (tonnes)	Planned Load Capacity Utilization (%)	Capacity Exceeds 75%?
	A	B	C	D	E	F
1
2
3
4
5
6
7
8
9
10

Total Gross Load Weight including rigging gear (tonnes):

Load Description & Center of Gravity Location:

Load Dimensions (L x W x H in meters):

Pick Location Coordinates/Grid Reference:

Pick Location Ground Conditions & Preparation:

Placement Location Coordinates/Grid Reference:

Placement Location Ground/Support Conditions:

Total Horizontal Travel Distance (meters):

Maximum Vertical Lift Height (meters):

Upload Crane Load Chart (marked with planned configuration):

Choose a file or drop it here

Upload Lift Plan Drawing/Sketch:

Choose a file or drop it here

2. Section 2: Boom Angle, Load Radius & Outrigger Soil Bearing Pressure Calculations

Provide detailed engineering calculations for boom geometry, load radius throughout the lift, and outrigger loading. All calculations must be performed by a qualified person and verified against ground bearing capacity.

Boom Configuration & Load Radius Analysis

	Lift Phase	Boom Length (m)	Boom Angle (degrees)	Load Radius (m)	Corresponding Capacity (tonnes)	Capacity Margin (%)
	A	B	C	D	E	F
1	Initial Pick	45	75	8.5	85.2	15
2	Mid-Travel	45	60	18.3	62.1	5
3	Final Placement	45	82	6.2	92.5	20
4
5
6
7
8
9
10

Maximum Load Radius During Entire Lift (meters):

Does the load radius exceed manufacturer's recommended limits for the configuration?

Yes

No

Describe engineering justification and additional risk controls implemented:

Outrigger Configuration & Soil Bearing Pressure Analysis

Outrigger Pad Loading & Ground Pressure

	Outrigger Position	Pad Dimensions (m x m)	Calculated Load (tonnes)	Ground Bearing Pressure (kPa)	Verified Soil Capacity (kPa)	Pressure Within Limits?
	A	B	C	D	E	F
1
2
3
4
5
6
7
8
9
10

Are outrigger mats/cribbing used?

Yes

No

Describe mat/cribbing material, dimensions, and load distribution path:

Has geotechnical engineer verified ground bearing capacity at all outrigger positions?

Yes

No

Describe alternative method used to verify ground capacity and associated risk assessment:

Upload Detailed Engineering Calculation Sheet (signed by qualified person):

Choose a file or drop it here

Upload Soil Bearing Capacity Test Results or Geotechnical Report:

Choose a file or drop it here

3. Section 3: Rigging Hardware Inspection, Tag Line Setup & Signal Person Assignment

Comprehensive verification of all rigging hardware, tag line arrangements, and qualified signal person assignment. All equipment must be inspected and within certification dates.

Primary Rigging Hardware Inventory & Inspection

	Component Type	ID/Serial Number	Rated Capacity (tonnes)	Last Inspection Date	Certification Body	Fit for Use?
	A	B	C	D	E	F
1	Master Link	ML-4521	50	11/15/2024	ISO 9001	Yes
2	Wire Rope Sling	WRS-887	25	12/1/2024	Third-Party	Yes
3	Shackle	S-3421	17	10/20/2024	Manufacturer	Yes
4
5
6
7
8
9
10

Is any rigging hardware damaged, worn, or approaching retirement criteria?

Yes

No

Describe defect, immediate corrective action taken, and replacement plan:

Total Number of Tag Lines to be Used:

Tag Line Configuration Details

	Tag Line ID	Material & Diameter	Length (m)	Attachment Point on Load	Ground Handler Position	Clear of Load Path?
	A	B	C	D	E	F
1
2
3
4
5
6
7
8
9
10

Signal Person Qualification Level:

Nationally Certified Signal Person

Company-Qualified (internal assessment)

Third-Party Qualified

Other

Primary Signal Person Name & ID Number:

Signal Person Qualification Expiry Date:

Is a secondary/backup signal person assigned?

Yes

No

Backup Signal Person Name & ID Number:

Communication Methods Established (select all that apply):

Hand Signals (standard)

Two-Way Radio (dedicated channel)

Voice Commands (line-of-sight)

Emergency Stop Signals (audible/visual)

Other

Upload Rigging Hardware Certificates & Inspection Records:

Choose a file or drop it here

Upload Photo of Rigging Assembly (as-configured):

Choose a file or drop it here

4. Section 4: Wind Speed Telematics, Overhead Obstruction & Egress Radius Check

Real-time environmental monitoring, obstruction identification, and emergency egress planning. This section ensures safe operating conditions and contingency preparedness.

Current Wind Speed at Ground Level (m/s):

Wind Speed at Maximum Load Height (m/s):

Maximum Allowable Wind Speed for This Lift (m/s):

Is wind speed within safe operating limits for all phases of the lift?

Yes

No

Describe wind mitigation plan, hold points, or lift postponement criteria:

Are real-time wind monitoring devices (anemometers) installed and operational?

Yes

No

Anemometer Location & Height Above Ground (m):

Describe alternative wind monitoring method and its reliability:

Overhead Obstruction Assessment

	Obstruction Type	Location/Grid Reference	Minimum Clearance Distance (m)	Required Clearance per Standard (m)	Adequate Clearance?
	A	B	C	D	E
1	High Voltage Power Lines	Grid B-7	8.5	10
2	Existing Structural Steel	Grid C-5	3.2	3	Yes
3	Tower Crane Jib	Grid A-9	5.8	5	Yes
4
5
6
7
8
9
10

Are there any overhead obstructions with inadequate clearance?

Yes

No

Describe engineered controls, de-energization plans, or alternative lift path:

Emergency Egress Radius from Crane (meters):

Is the crane equipped with anti-collision system (if applicable)?

Yes

No

Anti-Collision System Type & Operational Status:

Are there ground-level hazards within the swing radius?

Yes

No

Describe barricading, personnel exclusion zone, and monitoring plan:

Upload Site-Specific Environmental Risk Assessment:

Choose a file or drop it here

Upload Photos of Overhead Obstructions & Egress Routes:

Choose a file or drop it here

5. Section 5: Master Rigging Supervisor & Site EHS Director Joint Clearance Sign-Off

Final authorization by qualified personnel confirming that all safety checks, calculations, and preparations have been completed satisfactorily. This sign-off is mandatory before lift commencement.

Master Rigging Supervisor Name:

Master Rigging Supervisor Certification Number:

Master Rigging Supervisor Certification Expiry:

Has Master Rigging Supervisor reviewed all Sections 1-4 in detail?

Yes

No

Lift CANNOT proceed. Complete review is mandatory.

Site EHS Director Name:

Site EHS Director Employee ID:

Has Site EHS Director independently verified critical safety controls?

Yes

No

Lift CANNOT proceed. Independent EHS verification is mandatory.

Has a pre-lift safety meeting been conducted with all personnel involved?

Yes

No

Pre-Lift Meeting Time:

Lift CANNOT proceed. Pre-lift meeting is mandatory.

Number of Personnel Directly Involved in Lift Operation:

Emergency Contact Number for Lift Operations:

Specific Hold Points or Stop Work Triggers for This Lift:

Are there any remaining concerns or conditions that could affect lift safety?

Yes

No

Describe concerns and mitigation measures:

Planned Lift Commencement Date & Time:

Permit Expiration Date & Time:

Master Rigging Supervisor Digital Signature:

Site EHS Director Digital Signature:

Upload Pre-Lift Meeting Attendance Sheet:

Choose a file or drop it here

Upload Final Approved Lift Plan (all pages):

Choose a file or drop it here