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B Lifting Plan Using Lorry

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LIFTING PLAN USING LORRY

Project Date :
Location
Model Plate number I.D. Number
Materials to be lifted Weight of materials to be lifted
The following should be check by lifting supervisor before any lifting activity
S.N. Details description YES NO N/A REMARKS
01 Valid registration (MOI)
02 Valid 3rd party certificate
03 Valid insurance
04 Valid MOI license of operator
05 Operator is competent with valid 3rd party certificate
06 Signal man is competent, trained and certified
07 Soil ground surface is level and stable
08 Lifting area is controlled with barricades and signage in place
09 Daily inspection checklist of lorry done by operator
10 TBT and PSSB conducted and attended by operator &signal man
12 Adequate and inspected lifting gears in used for lifting
13 PTW obtained and available on site.

SWL:
HMF 1510-K2 _______tons

Max. lifting height


from the ground:

T 3.25 2.2 1.66 ________meters


m 4.3 6.1 8.3

Supervisor name: Signature OperatorName: Signature Signal man name: Signature

HSSE Officer Name Signature Appointed Person Signature

1 Document No: Revision No.: Issue Date: Prepared by:


HSE-TP-102-B 0.0 1 April 2020 M.

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