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DATE: 15-09-2012 REFERENCE: _______________.

Location: Mazari Yard (Ex-Procon Yard), Badin
Lifting Description:
Off-Loading of Tanks (03 Nos.)
Lifting Planned by:
Name: Musawir Abbas (JSL)
Signature: ________________ ___ ________.
Certification: NSL
Lifting Executed by:

NAME POSITION
Safety Watch Supervisor
______________ Banksman
______________ Cr. Operator / Driver
______________ Cr. Operator / Driver
_______________ Riggers 04 No.
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EQUIPMENT CHECKLIST LIFTING APPLIANCES AND ACCESSORIES
MOBILE CRANE PRE-USE INSPECTION CHECK LIST Date: _______________
Make/Model: Type/Capacity: 45 te (Hyd.) each
Crane Operator: Reg. No.:
Owner/Contractor: J SL
STATUS CODE: - Satisfactory; X Unsatisfactory; R See Remarks; N/A Not Applicable
ITEM CODE REMARKS
Valid Third party certification
Opt./Driver's License & Certificate
Riggers certificate
Battery installation & Terminals
Spark/Flame Arrester on Exhaust
Brakes
Positive swing lock
Hydraulic Reservoir
Hydraulic Hoses & Fittings
Outriggers & Float Pads
Level Indicator
Tire Condition & Pressure
Wheel Lugs
Hooks and Hook Block
Pulley and Sheaves
Boom & Attachments
Boom Angle Indicator
Lubrication/Grease or Oil Leaks
Wire Rope Kinks or Breaks
Wire Rope Dirt & Lube
Hoist non rotating wire per
manufacturers standard

Slings, belts, shackles, hook, etc.
Counterweight & Torque
Alarms:
Reverse
Swing

Limit Switches:
Boom limit switch
Boom angle
Hoist limit switch
Lowering limit switch


Load Moment Indicator
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Lights (front, reverse, turn
signals, cab, boom)

Seat Belt
Fire Extinguishers
Load Chart & Range Diagram
Hand Signal Chart
Electrical wiring & fittings
Cabin windshield & housekeeping
Windshield Wiper
GAUGES: Oil, Fuel, Amp
Lights & Horn
Gearshift Control
Foot & Parking Brakes
Swing Brake
Control Lever Linkage
Throttle Linkage
Engine RPM / vibration










J SL



OBSERVATIONS & REMARKS:









Musawir Abbas (J SL) ___________________ __________________
Prepared by: JSL Reviewed by: UEP Rep. Approved by: UEP

Date: 15-09-2012 Date: Date:
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APPENDIX 3: RISK ASSESSMENT FORM FOR RIGGING & LIFTING
OPERATIONS

Risk Assessment No.____________

The object of the risk assessment is to identify and eliminate any hazards in the lifting
operation, define the level of difficulty of the task and determine the skill level of the
personnel required to perform that particular activity safely. This document will also highlight
any need for further training.

Category of lifting
operation:
Complex
Person responsible for
Lifting Operation
(Performing Authority)
Supervisor
Personnel to be
involved:
Safety Watch Supervisor / Banksman / Riggers /
Crane Operator / Driver / Helper (lookout)
Date of Lift

Please complete the result table below once the relevant parts of the assessment have
been completed.

Result of assessment: (tick appropriate box)
1 Stop! - Further engineering input required.
2 Caution! - Rigging Personnel must perform operation.
3 Go - Proceed with lifting operation.

If the lift is to proceed, please enter in the box below, any special instructions and/ or
safety measures to be taken:







Name: Musawir Abbas (JSL) Job Title: Supervisor Date: 15-09-2012

Once the lift has been safely completed, please note in the box below any problems
encountered and how they were overcome, also any suggestion for doing the lift more
efficiently/ safely.

Job Completion Feedback:




Name: Position: Date:
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LIFT CATEGORISATION ASSESSMENT PART 1
ROUTINE LIFTING OPERATIONS CHECKLIST

Six Basic Questions Yes No
1 Has the lifting operation been performed before?
2 Is there a documented lifting plan and lifting operation risk
assessment in place?

3 Are you experience with all the lifting equipment/gear to be
used?

4 Has the load been checked and made ready for lifting (e.g. Hold
down bolts released)?

5 Have you the experience to lift a load of this weight?
6 Is the lift in an area free from obstructions and other possible
hazards?

If the answer to any of the above is No , go to Part 2 of the Lifting Operation
Assessment Procedure.



If the answer to all questions above is yes proceed with the routine lifting operation in
accordance with the relevant lifting plan and/or risk assessment.


Assessment Part 1 performed by: Musawir Abbas (JSL)

Job Title: Supervisor

Date: 15-09-2012
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LIFT CATEGORISATION ASSESSMENT PART 2
SIMPLE LIFTING OPERATIONS CHECKLIST

Questions Yes No
1 Is the lifting operation to be undertaken by a single lifting appliance only?
2 Do you know the weight of the load and does the lifting operation appear
to be straightforward?

3 Is the load heavier than you normally handle, do you have the
relevant permission and/or permit?

4 Is there a crane or certified support steelwork (eg runway beam or lifting
eye) directly above the load?

5 Does the load have certified lifting points (lifting eyes/collar eyebolts, etc)
fitted and if not, can slings be wrapped around easily (e.g., no sharp
edges, load not fragile, etc)

6 Is there ample headroom for the lifting appliance and slings?
7 Is the lift stable (e.g. center of gravity below lifting points)?
8 Is the lift balanced (e.g., center of gravity in the middle) or fitted with
special slings to compensate?

9 Is the load free to be lifted (e.g. all hold-down bolts removed, not
jammed, etc)?

10 Is the removal route clear of any obstructions?
11 Can the removal (lift, transfer & landing) be performed without cross-
hauling?

12 Is there a suitable laydown area and does the load come within the
allowable load bearing capacity of the ground/surface?

13 Are you experienced in using all the lifting equipment/gear involved?
If the answer to any of the above is NO go to Part 3 of the Lifting Operation Assessment
Procedure.

If you can answer yes to all the above, proceed with the lift as per the UEP requirements for
simple lifts.

Assessment Part 2 performed by : Musawir Abbas (JSL)
Job title: Supervisor
Date: 15-09-2012
Note to Supervisors: If you can give solutions to the above negatives to allow the lift to
proceed safely, write the instructions in the box below and if you cannot supply a solution,
seek guidance form the appropriate competent person (s).

Solutions to overcome the above problems:





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LIFT CATEGORISATION ASSESSMENT PART 3
COMPLICATED LIFTING OPERATIONS CHECKLIST

Complicated lifting operations must be carried out by qualified Riggers, or personnel with
similar qualifications and skills in dealing with awkward loads.

Identified Hazard Yes No
1 Load has Center of Gravity above the
lifting points or a high CofG

2 Load has an offset Center of Gravity
3 Load has to be cross-hauled or restrained
4 Load does not have specific lifting
attachments

5 Load is fragile
6 Load has a large surface area which may
act as a sail

7 Load requires multiple sets of rigging or
multiple lifting appliances

8 Load has to be rotated (overturned)
9 Load is equal to or less than 2 tonnes and
non-certified steel structural support
members are to be used in the lifting
operation

If you answer Yes to any of the above, go to Part 4 of the Lifting
Operations Assessment Procedure

If you have answered No to all of the above, proceed with the lift as per the UEP
requirements for complicated lifts

Assessment Part 3 performed by : Musawir Abbas (JSL)

Job title : Supervisor

Date : 15-09-2012

Approved/Endorsed by

Note to Supervisors: if you have the experience and can advise personnel involved in the
lifting operation how deal with the complication, allow the lifting operation to proceed but only
under your guidance. However, if you decide that the lifting operation is outwith the scope
of your competence, please indicate the reasons applicable in the table in Part 4 Complex
Lifts below before passing on to the nominated Technical Authority for lifting operations on
the site

Any comments from Lifting Coordinator of UEP: __________________________________
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LIFT CATEGORISATION ASSESSMENT PART 4
COMPLEX LIFTING OPERATIONS CHECKLIST

Lifting operations or conditions, which would merit additional engineering input.

Reasons for Requesting Engineering Input Tick Box where
Applicable
1 The operation involves lifting people
2 The load will be traveled over unprotected process
plant/machinery

3 The load is extremely heavy and/or involves the use of
non-certified steel structural support members for loads
greater than 2 tonnes

4 The load is very valuable
5 The lift is in a confined space
6 The lift is in an area with very restricted headroom
7 Other reason




Lifting Plan/Method Statement and
Risk Assessment Part 4 performed by: Musawir Abbas (JSL)

Job Title: Supervisor

Date: 15-09-2012

Approved/Endorsed by (delete as applicable)
Date ..
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Appendix 4: LIFTING OPERATION PLAN
Description of Load:
Ref. No:
Brief Description of Lifting Operation (including location):

Possible Considerations (not exhaustive) tick if relevant and address each point in step-by-stepplan section
1. Weight of load unknown .. 7. No dedicated rigging ... 13. Lifting thru substantial heights ..
2. High center of gravity ... 8. Load has sharp edges .. 14. Dynamic factors involved
3. Unstable load . 9. Extremely heavy load.. 15. Hazards to personnel ..
4. Awkward size / shape ... 10. No lift point above load .. 16. Communications ..
5. Fragile load 11. Restricted headroom .. 17. Tag lines needed .
6. No dedicated lift points 12. Confined work area . 18. Poor light conditions
Step by step plan of lifting operation (include any site clearance if relevant and sketches as
applicable):
(if required use reverse side of this sheet for additional information / sketches etc.)
Route to be traveled & laydown area:
1. Has route to be traveled been selected and cleared of obstructions? yes n/a
2. Is laydown/landing area adequate in both size and load bearing capacity? yes n/a
3. Is suitable packing available for protection of load/slings while landing the load (e.g. timber)? yes n/a
4. Has the area been cordoned off to prevent access to unauthorized personnel? yes n/a
5. Have you confirmed that the laydown area is within the operating radius of the crane? yes n/a
6. Will the banksman always be visible to the crane operator or has an alternate method of
communication (e.g. radios) been established? yes n/a
7. Have weather conditions been considered for their effect on the safety of the lifting operation yes n/a
Levels of personnel
competence and manning
levels required
Banksman/Signalman Qty: Riggers Qty:
Rigging Supervisor Qty: other Qty: S. watch
List of Rigging Equipment and Accessories used: (Give complete specs including make,
model, type, capacity, etc. and attach load charts and range diagrams for cranes). (Attach
sheets):
Note: Lifting gear shall be provided by UEP.
Levels of Rigging & Lifting
Risk Assessment
performed: (Attach copy)
1. Lift Categorization Assessment Part:
2. Task Risk Assessment Level:
3. Engineering Study
Ensure all the lifting equipment and accessories are certified and have been inspected before use.
Lifting operation planned by: Date:
J ob title: Supervisor Signature: