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SA 9644 (04/05)

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Saudi Aramco GI 7.028

Attachment #1

Critical Lift Plan*

(*Each Piece Of Participating Lifting Equipment Shall Have A Separate Critical Lift Plan)
Organization Name:

Date of Lift:

Organization Code #:

Work Permit Required? YES

Facility Name:

Specific Work Location:

A) Load Description & Weight (From USER):

B) Load Handling Devices (See Notes Below):

3,000

kgs
Ibs/kgs

C) Crane Information (See Notes Below):

1. SA Inspection Sticker

YES

2. Inspection Sticker Expiry Date:

4. Crane Model:

03/22/2015

Hook Block (Main):

7. Crane Operating Code # (if applicable):

5100

9. # of Parts of Line:

58.5

4. Operating Radius:

NO
Yes

No

Slings, Shackles, etc.:

N.A

kgs
Ibs/kgs

50

Other:
590

kgs
Ibs/kgs

3,000

kgs
Ibs/kgs

Weight of Load Handling Devices (Section B Above)

+

Weight of Load to be Lifted (Section A)

3,590 Ibs/kgs
kgs

= Total Gross Weight (Sections A + B)

E) Rigging (See Notes Below):

mft/m

1. Hitch Arrangement:

TWO LEG BRIDLE HITCH

2. Sling Type(s): NYLON WEB SLING

3. Sling Size(s): 4"X 2NOS

kgs
Ibs/kgs
16

YES

Does Beam Have Current Inspection Sticker?

kgs

degrees

3. Required Counterweight:

120

Lifting/Spreader Beam Needed?

D) Crane Configuration (See Notes Below):

2. Boom Angle:

420

Headache Ball:

10. Total Gross Capacity of Hook Block

20400
as Reeved:
Ibs/kgs
kgs

31.2

Ibs/kgs
kgs

Auxiliary Boom Head:

1. Required Boom Length:

Weight:

N/A

Other Jibs:

55000

8. Single Line Pull Capacity:

Erected

Stowed

NO

R.T.H

6. Crane Rated Capacity:

Load Handling/Boom
Attachments

RT-700-E

5. Crane Type:

Contract #:

Swing-Away Jib:

225481

3. Equipment ID #:

NO

4. Sling Length(s):

mft/m

in/cm

5. Shackle Size: 1/2

m
ft/m
in
in/cm & Capacity:

6. Capacity of Above Configuration:

5. Lift Quadrant (Front, Rear, 360 ): 360 degrees

o

F) Crane Capacity in This Configuration (Derated, if applicable):

9,755

kgs
Ibs/kgs

8000

kgs
Ibs/kgs

Total Gross Weight

Capacity =

Ibs/kgs
kgs

G) Surface Requirements Needed (Other Than Mandatory Outrigger Pads): Mats? YES
Proper Ground Compaction? YES NO
Excavation Hazards Controlled? YES

4000

NO
NO

36.80164018452076

Is the Ground Level? YES

Other Barricated
? YES

NO
NO

H) Wind Speed Shall Not Exceed GI 7.027 Limits for Manbaskets or GI 7.028 Limits/Manufacturers Specifications for Loads
I) Energized Power-Lines Within Boom Radius? YES
J) Is This a Nighttime Crane Lift? YES

NO
NO

NO

IfIfYes,
Yes,Do
DoYou
YouHave
HaveWritten
WrittenApproval
ApprovalFrom
FromFacility
FacilityManager?
Manager?

***Attention: A Pre-Lift Safety Meeting is Mandatory

Positions:

Name (Signature)

Explosive/Fire/High Heat Hazards Within Boom Radius?

Badge #

CAN CRANE MAKE LIFT?

Certificate #

YES

YES
YES

YES
NO

NO

NO

Approved by: Rigger-I/Rigging Competent Person

Originator:

Name (Print):

Rigger:

Badge #:

Crane Operator:

Certificate #:

USER
Supervisor:

Signature:

Notes: 1. Attach sketch(es) of lift site, noting obstacles to movement of load, boom, or tail swing.
2.
3.
4.
5.

Print

All units of weight shall be listed in the same units of measure as Crane Load Chart.
PPD Concurrence
All units of measure shall be listed in the same units of measure as Crane Range Diagram. (when required by GI 2.702)
Attach copy of Crane Load Chart, Range Diagram, and Safety Notes.
Certain weights may be deducted from Crane Load Chart capacities based on manufacturers specifications.

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