Crane Lift Plan
Lift Description
Load Description
Load Weight (verified)
Load Center of Gravity
Crane Configuration
Crane Type
Boom Length
Radius
Load Chart Reference
Last Annual Inspection
Distance from Pin Maximum
Total Weight Including Block and Rigging
Ground Bearing Pressure
Calculated Bearing Pressure Under Mats
Example: 3,800 PSF
Ground Bearing Capacity
Example: 4,000 PSF
Ground Bearing Capacity
Calculated
Assumed
Ground condition verified?
Yes
No
Rigging
Sling Type
Angle
Capacity
Tag Lines
Wind Limit
Maximum Allowable Wind Speed
Exclusion Zone
Barricades established?
Yes
No
Approval
Lift Director
First Name
Last Name
Lift Director Signature
Crane Operator
First Name
Last Name
Crane Operator Signature
Superintendent
First Name
Last Name
Superintendent Signature
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