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?
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%? | |
|---|---|---|---|---|---|---|
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):
Upload Lift Plan Drawing/Sketch:
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 (%) | |
|---|---|---|---|---|---|---|
Initial Pick | 45 | 75 | 8.5 | 85.2 | 15 | |
Mid-Travel | 45 | 60 | 18.3 | 62.1 | 5 | |
Final Placement | 45 | 82 | 6.2 | 92.5 | 20 | |
Maximum Load Radius During Entire Lift (meters):
Does the load radius exceed manufacturer's recommended limits for the configuration?
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? | |
|---|---|---|---|---|---|---|
Are outrigger mats/cribbing used?
Has geotechnical engineer verified ground bearing capacity at all outrigger positions?
Upload Detailed Engineering Calculation Sheet (signed by qualified person):
Upload Soil Bearing Capacity Test Results or Geotechnical Report:
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? | |
|---|---|---|---|---|---|---|
Master Link | ML-4521 | 50 | 11/15/2024 | ISO 9001 | Yes | |
Wire Rope Sling | WRS-887 | 25 | 12/1/2024 | Third-Party | Yes | |
Shackle | S-3421 | 17 | 10/20/2024 | Manufacturer | Yes | |
Is any rigging hardware damaged, worn, or approaching retirement criteria?
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? | |
|---|---|---|---|---|---|---|
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?
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:
Upload Photo of Rigging Assembly (as-configured):
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?
Are real-time wind monitoring devices (anemometers) installed and operational?
Overhead Obstruction Assessment
Obstruction Type | Location/Grid Reference | Minimum Clearance Distance (m) | Required Clearance per Standard (m) | Adequate Clearance? | |
|---|---|---|---|---|---|
High Voltage Power Lines | Grid B-7 | 8.5 | 10 | ||
Existing Structural Steel | Grid C-5 | 3.2 | 3 | Yes | |
Tower Crane Jib | Grid A-9 | 5.8 | 5 | Yes | |
Are there any overhead obstructions with inadequate clearance?
Emergency Egress Radius from Crane (meters):
Emergency Egress Route Conditions (select all that apply):
Clear of obstructions and debris
Marked with signage
Illuminated (if low light)
Accessible to emergency vehicles
Multiple routes available
Other
Is the crane equipped with anti-collision system (if applicable)?
Are there ground-level hazards within the swing radius?
Upload Site-Specific Environmental Risk Assessment:
Upload Photos of Overhead Obstructions & Egress Routes:
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?
Master Rigging Supervisor Review Checklist (confirm all):
Load weight verified against marked capacity
Crane configuration matches load chart
Rigging hardware inspected and certified
Signal person qualified and assigned
Wind speed within limits
Overhead obstructions cleared
Ground conditions adequate
Emergency plan established
Site EHS Director Name:
Site EHS Director Employee ID:
Has Site EHS Director independently verified critical safety controls?
EHS Director Verification Items (select all confirmed):
Personnel exclusion zones established and marked
Pre-lift safety briefing conducted
Emergency response team on standby
Communication protocols tested
Stop work authority communicated
Environmental monitoring active
All non-essential personnel cleared
Has a pre-lift safety meeting been conducted with all personnel involved?
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?
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:
Upload Final Approved Lift Plan (all pages):