Lift planning form per OSHA 29 CFR 1926.1400 and AS 2550
PAGE 1 OF 2
| # | Plan Item | Detail / Value | Verified | Notes |
|---|---|---|---|---|
| Crane and Configuration | ||||
| 1 | Crane type and model confirmed for lift | |||
| 2 | Crane maximum rated capacity at required radius | |||
| 3 | Boom length and configuration (main boom / jib) | |||
| 4 | Counterweight installed per load chart | |||
| 5 | Outrigger configuration (full / partial extension) | |||
| 6 | Crane inspection current and documented | |||
| Load Details | ||||
| 7 | Load description and dimensions | |||
| 8 | Load weight (verified by weigh bill or calculation) | |||
| 9 | Weight of rigging, spreader bars, and hardware | |||
| 10 | Total lifted weight (load + rigging) | |||
| 11 | Centre of gravity identified and marked | |||
| 12 | Percentage of crane capacity utilised | |||
| Lift Geometry | ||||
| 13 | Pick radius (centre of rotation to load) | |||
| 14 | Set radius (centre of rotation to landing point) | |||
| 15 | Lift height (ground to maximum hook height) | |||
| 16 | Swing angle required (degrees) | |||
| 17 | Overhead obstructions identified and cleared | |||
| 18 | Power line clearance meets minimum safe distance | |||
| Rigging Arrangement | ||||
| 19 | Sling type, size, and capacity selected | |||
| 20 | Sling angle factor applied to capacity calculation | |||
| 21 | Shackles, hooks, and hardware rated for load | |||
| 22 | Spreader bar or lifting beam required and rated | |||
| 23 | All rigging inspected and within certification date | |||
| 24 | Tag lines provided for load control | |||
| Site and Ground Conditions | ||||
| 25 | Ground bearing capacity confirmed for crane and load | |||
| 26 | Crane pads or mats positioned under outriggers | |||
| 27 | Underground services identified and marked | |||
| 28 | Exclusion zone barricaded and signposted | |||
| 29 | Wind speed within crane operating limits | |||
| 30 | Adjacent structures and traffic considered | |||
| Communication and Sign-Off | ||||
| 31 | Lift signals agreed (hand signals or radio) | |||
| 32 | Dogger / rigger assigned and competent | |||
| 33 | Spotter positioned for blind lifts (if applicable) | |||
| 34 | All personnel briefed on lift plan | |||
| 35 | Emergency stop procedure communicated | |||
| 36 | Trial lift to be conducted before main lift | |||
| 37 | Lift supervisor authorisation confirmed | |||
I confirm that all items have been inspected/completed as indicated above. Any defects or concerns have been noted and reported.