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Nmo Critical Lift Plan Sheet

This critical lift plan outlines the necessary information for lifting a load using a hydraulic/lattice mobile crane. It documents details of the load, crane, rigging, lift considerations, and pre-lift checklist. The load weight is confirmed and the lift capacity of the crane at the required boom length and radius is specified. Sign-off is required by the supervisor, crane operator, and lead rigger to verify all preparations are complete before conducting the lift.

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Ihsan Ahmed
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0% found this document useful (0 votes)
106 views

Nmo Critical Lift Plan Sheet

This critical lift plan outlines the necessary information for lifting a load using a hydraulic/lattice mobile crane. It documents details of the load, crane, rigging, lift considerations, and pre-lift checklist. The load weight is confirmed and the lift capacity of the crane at the required boom length and radius is specified. Sign-off is required by the supervisor, crane operator, and lead rigger to verify all preparations are complete before conducting the lift.

Uploaded by

Ihsan Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NMO CRITICAL LIFT PLAN SHEET

HYDRAULIC / LATTICE MOBILE CRANE

Unit #: Date: _________________________


Location:
Load Description:
Lift Description:
Diagram of Crane Lift & Load Placement Attached: Yes _______ No _______

A. Load F. Crane Placement


1. Load condition: 1. Any deviation from smooth, solid foundation?
2. Wt. Empty lbs. ____________________________________________________
3. Wt. of Contents lbs. 2. High voltage or electrical hazards?
4. Wt. of Aux. Block lbs. ____________________________________________________
5. Wt. of Main Block lbs. 3. Buildings, Equipment, Plant, or Services to lift or swing over?
6. Wt. of Lifting Beam lbs. ____________________________________________________
7. Wt. Of Slings/Shackles/Other Rigging lbs. 4. Travel ? _____________________________________________
8. Wt. Of Jib (erected/stowed/stored) lbs. ____________________________________________________
9. Wt. Of Hoist Rope (extra) lbs. 5. Swing direction ? _____________________________________
10. Wt. Of Excess Load Material lbs.
11. Other lbs. G. Considerations
Gross Weight lbs. 1. If lift exceeds 75% of crane's capacity, attach
additional special instructions, restrictions,
Source of Load Wt. Information: (drawings, calcs.,ect.) diagrams for crane, rigging, lift, ect.
Yes________ No _________
Load Wt. Confirmed by: 2. Multiple crane lifts require a separate plan for
each crane.
B. Crane 3. Any changes in the crane configuration,
1. Type of Crane placement, rigging, lifting scheme, or calculations
2. Maximum Crane Capacity. require that a new critical lift plan be developed.
3. Boom Length ___________________________________________
4. Radius at Pick-up ______________ ft./Set-down ____________ft H. Pre-lift checklist-Completed Prior to Lift
5. Crane capicity at radius: over rear ______________________ lbs. 1. Crane insp 10. Rigger Qualified
Over side _____________ lbs. / Over front _______________ lbs. 2. Rigging ins 11. Signal system
6. Boom angle at Pick-up __________ft. / Set-down ___________ft. 3. Crane set-u 12. Tag lines
7. Max. rated capacity of crane at this boom length, radius and 4. Swing room 13. Wind/Temp.
boom angle for this lift is ______________________________ lbs. 5. Hoist heigh 14. Safety spotter
8. Max. load on crane for this lift is ________________________lbs. 6. Head room 15. Traffic
9. Lift is ______________________% of the crane's rated capacity 7. Crane Ctrw 16. Tailboard
C. Jib/Fly 8. Load test 17. Site control
1. Erected __________ Stowed ___________ Stored ___________ 9. Operator Q 18. Signatures
2. If jib/fly to be used: length ____________ angle _____________
3. Rated capacity of jib/fly from chart _______________________lbs. I. Notes/Comments

D. Hoist Rope
1. Rope diameter _____________ Number of parts ______________
2. Lift capacity based on parts ____________________________lbs.

E. Rigging __________________
1. Hitch type _____________________________________________ Supervisor Signature Date
2. No. of slings ____________ Size _________ Type ____________
3. Sling assembly rated capacity __________________________lbs. __________________
4. Shackle size ______________ No. of shackles _____________ Crane Operator Signature Date
5. Shackle rated capacity ________________________________lbs.
6. Shackle secured to load by: ______________________________ __________________
______________________________________________________ Lead Rigger Signature Date

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