Lifting Operations Procedure TX Whiskey

Project Name:

Location:

Date of pick:

Description of load:

Weight of load:

Lbs. Length of load:

ft. Width of Load:

ft. Lift height:

Crane Operator:

Qualifications:

Lift Supervisor:

Qualifications:

Rigger:

Qualifications:

Hoisted personnel (if applicable):

Choose all that apply

• Lifting greater than 75% of the rated capacity

• Lift involving more than one crane

• Lift over occupied structures or in tight quarters

• Blind lift (out of view of the operator)

• Hoisting personnel

• Lift involving non-routine rigging techniques

• Lift where the center of gravity may change

• Lifting submerged loads

• Lift near power lines

Other (describe):

Manufacturer:

Model:

Mobile Crane Capacity (lbs):

Over Rear:

Over Front:

Over Side:

Route of Travel:

Tower Crane Capacity (lbs):

Boom length:

Maximum Radius(ft):

Jib length:

Load block:

# of sheaves:

Size:

Weight:

Secondary block:

# of sheaves:

Size:

Weight:

Hoist Rope Diameter:

Maximum rated capacity for lift radius and boom angle (lbs)

Maximum crane load for lift radius and boom angle (lbs)

Lift rated capacity (%)

Load weight (lbs):

Source of load weight:

Load weigh confirmation:

Total rigging weight(blocks, lifting beam, slings, shackles, rope, etc.) in lbs:

Total load weigh (load & rigging) in lbs.

Choose all that apply

• Standard signaling

• Voice

• Radio

• Telephone

Other:

Number:

Diameter

Length:

Capacity (lbs):

Number:

Size:

Type:

Capacity (lbs):

Ground Conditions:

Outrigger Position:

Degree of level:

Maximum allowable windspeed in mph:

Site windspeed range in mph:

Method of windspeed confirmation:

Site weather conditions:

Proximity to other workers:

Proximity to power lines:

Obstacles or obstructions to lift or swing:

Proximity to other hazards

Daily inspection date:

Competent person:

Annual inspection date:

Competent person:

Date:

Competent person:

Project Manager/Engineer:

Date:

Supervisor:

Date:

Crane Operator:

Date:

Completion/Cancellation Date

Completion/Cancellation Time

Diagram Crane & Load Placement (draw in space below or attach a copy)

Diagram Rigging Configuration (draw in space below or attach a copy)

Name

Signature