Basic Generic Lift Plan

Basic Generic Lifting Plan
METHOD STATEMENT FOR A BASIC LIFT

THIS METHOD STATEMENT AND RISK ASSESSMENT IS BASED UPON THE REQUIREMENTS OF THE MANAGEMENT OF HEALTH & SAFETY AT WORK REGULATIONS 1999.
Project Name or Site address
Project SEW / WAT No
Lift Plan Title
Job Date

DayMonthYear
Lift Plan Ref No
Risk Assessment Ref
Hirer / Contractor
Lift Classification
Scope of Works
Access, Working Area, and Exclusion Zones

Lifting Accessories & Equipment

Rows	Yes	No	N/A
Slings (wire rope)
Shackles, Manhole rings, ISO Container lifting Keys
Slings (web or endless)
Tag Lines
Full body Hrness
fall arrest / inertia reel
1200 x 1200mm Nylon outrigger pads (on request only)
Modular Lifting Beam (on request only)

Lifting Schedule

Ex: 32ft Cabin | 10m x 3m | Transport | Ground | 5500kg + inc tackle | 5.m above ground | 7.70.m | 6980kgs | Example

Load Hazards

Rows	Y	N
Position of centre of gravity, including unknown position
Fluid load or unsecured elements within the load
Location of lifting points
Slinging arrangement and difficulties
Uncertainty of magnitude of load, including suction, adhesion etc
Integrity of load
High surface area and/or drag coefficient
Load stability
Fragility
Sharp edges
Is the load top or end heavy

Environmental Hazards

Rows	Y	N
Light levels, including insufficient lighting, multipleshadows etc.
Rain, snow, ice
Wind
Railways
Live Roads
Waterways
Airports and aerodromes
Telecommunications masts and other sources of electromagnetic radiation
Adjacent cranes or other plant
Poor ground conditions (Unstable/ Soft ground)
Power lines including overhead and underground
Public places
Poor access
Overhead obstacles e.g., services/structures
Underground services
Excavations
Height restrictions
Width restrictions
Confined working area

Identification of Hazards Comments

The Lifting Activity

Rows	Y	N	N/A
Has the work activity been identified as a basic lift
Is the sequencing of work activities clear?
Is the safe system of work suitable and in clear logical steps from start to finish?
Has the lift category been recorded and is it justified?
Has suitable lifting equipment been proposed?
Has the configuration of the lifting equipment been identified (e.g., radius, hook, outrigger positions etc.)?
Has the utilisation rate (load vs. capacity) been recorded and is it acceptable?
If travelling with the load across site is the load secure to the vehicle
Are radius / pick up and set down locations identified (with a drawing)
Has any additional safety equipment required been identified? (e.g., Harness Etc..)
Are any permits required
Are emergency procedures documented/suitable and do they include rescue/contingency plans as required?
Is there a documented risk assessment and is it suitable?
Is the communication method identified and suitable?
Has any learning from recent safety alerts relevant to the operation been included?

The load

Rows	Y	N	N/A
Have items to be lifted been identified and factors of safety applied correctly?
Has the geometry of the items to be lifted been identified and wind effects considered?
Has the centre of gravity of items to be lifted been identified?
Are measures to prevent instability of lifted items suitable?
Have suitable lifting accessories been identified and their in-use capacities given?
Have Manufactures attachment points been clearly identified?
Are Manufacturers slinging requirements clearly identified?
Has the load share between accessories been considered?

The location

Rows	Y	N	N/A
Is there sufficient information to identify where the works will be carried out?
Have obstructions been identified and suitable control measures identified?
Has consideration been given to access and egress including any restrictions?
Have exclusion zones, including any slew restrictions required, been detailed?
Has consideration been given to prevent access to the lifting area by 3 rd parties?
Has consideration been given to other activities in the area and control measures identified?
Have the foreseeable hazards present been identified?
Have the maximum outrigger loads been given and any proposal for larger mats requested or required
Is the need for any TWC approval identified?

The team

Rows	Y	N	N/A
Have the personnel required for the lift been clearly identified?
Is the lift team of a suitable size and makeup?
Have the qualifications required for the lift team been identified?
Can the lift plan be used without revision, i.e., is it suitable?

Use the answers to the above questions to determine if further investigation will be required. On completion of the evaluation, this form must be signed by the lift plan reviewer, supervisor or Lorry loader operator
Print name
Position
Date

DayMonthYear
Signature
PRESSURE UNDER FOOT/PAD CALCULATION - FASSI 660RA.2.2.6

Ground Bearing Pressure - Worst case maximum on lead outrigger

Rows	Value
ML - Mass of Load, inc. Lifting Tackle (kg)
MV - Mass of Vehicle (kg)
DF - Distance from centre of slew to centre of outrigger foot (m)
DL - Distance from centre of slew to centre of load (m)
P - Outrigger Pad Area (standard 600mm x 600mm) (m2)

PRESSURE UNDER FOOT/PAD CALCULATION - FASSI 710RA.2.2.6

Ground Bearing Pressure - Worst case maximum on lead outrigger

Rows	Value
ML - Mass of Load, inc. Lifting Tackle (kg)
MV - Mass of Vehicle (kg)
DF - Distance from centre of slew to centre of outrigger foot (m)
DL - Distance from centre of slew to centre of load (m)
P - Outrigger Pad Area (standard 600mm x 600mm) (m2)

PRESSURE UNDER FOOT/PAD CALCULATION - PALFINGER 88002 EH

Ground Bearing Pressure - Worst case maximum on lead outrigger

Rows	Value
ML - Mass of Load, inc. Lifting Tackle (kg)
MV - Mass of Vehicle (kg)
DF - Distance from centre of slew to centre of outrigger foot (m)
DL - Distance from centre of slew to centre of load (m)
P - Outrigger Pad Area (standard 600mm x 600mm) (m2)

Confirmation of Instructions to Operatives

All operatives at the briefing must sign their understanding of the Safe WorkingProcedure as laid out herein.

The following documents must be evidenced prior to the commencement of operations at
site

Checklist

Rows
Certificate of thorough examination of Lorry Loader (12 monthly)
Certificate of inspection of lifting accessories (6 monthly)
Lorry Loader Operators CPCS or ALLMI card checked
CSCS or equivalent card(s) checked for other personne

Basic Generic Lifting Plan