Company Name Document: ???

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Basic Lifting Plan Issue: 1 (Apr 07)

Version: 1 (Apr 07)

Name of person conducting the lift: …………………..…………………………………………………...……………

Name of Slinger (if different from above):……………………………………………………………………………..

Date lift is being conducted:……………………………………………………………………..………………………

What is to be lifted? ………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………

What is the Weight of the load to be lifted? …………………………………………………………………….

What Lifting Equipment is being used and what is the Safe Working Load (SWL)?

Fixed Davit  …………Kg/tonne Portable Davit  …………Kg/tonne

Portable Gantry  …………Kg/tonne Electric Hoist  …………Kg/tonne

Overhead Crane  …………Kg/tonne other (state) …………………………………

What ancillary lifting equipment is being used and what is its SWL?

Chain Block  …………Kg/tonne Girder Clamp  …………Kg/tonne

Flat Sling  …………Kg/tonne Round Sling  …………Kg/tonne

Chain Sling  …………Kg/tonne (1 Leg  2 Leg  3 Leg  4 Leg )

Pump Chain  …………Kg/tonne Other (state) ……………………………….

Is all equipment to be used in date for inspection? Yes  No  (if No do not carry out the lift)

Has the slinger received basic slinging training? Yes  No  (if No do not carry out the lift)

Are Tag-Lines required to steady/control the load? Yes  No  (if Yes ensure they are used)

Is there a clear pathway for the movement of the load? Yes  No 

If No what are the obstructions? And can they be moved (detail) ……………………………………….

……………………………………………………………………………………………………………………

Has Set down point been prepared? Yes  No 

Is the set down point able to take the load? Yes  No 

What is the set down point? ……………………………………………………………………………………….

………………………………………………………………………………………………………………………………

Name of person authorising the lift:…………………………………….. Date:…………………………………

Ensure that all lifting equipment are returned to the correct location on completion of the lift.