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SA 9644 (04/05)
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Saudi Aramco GI 7.028
Attachment #1
Critical Lift Plan*
(*Each Piece Of Participating Lifting Equipment Shall Have A Separate Critical Lift Plan)
Organization Name: KGI
Organization Code #:
Date of Lift:
Work Permit Required? YES ✔ NO
7682
Facility Name: Will 322
Specific Work Location: Moduler Skid
A) Load Description & Weight (From USER):
B) Load Handling Devices (See “Notes” Below):
Pipe 32 inch weight
41 Ton
Load Handling/Boom
Attachments
41,000
kgs
Ibs/kgs
C) Crane Information (See “Notes” Below):
1. SA Inspection Sticker
YES
✔
2. Inspection Sticker Expiry Date:
Other Jibs:
12/31/2018
Hook Block (Main):
3556
4. Crane Model:
RT 65s
Ibs/kgs
kgs
✔
Headache Ball:
Lifting/Spreader Beam Needed?
YES
NO
Does Beam Have Current Inspection Sticker?
kgs
✔
Yes
No
Slings, Shackles, etc.:
7. Crane Operating Code # (if applicable):
8. Single Line Pull Capacity:
Weight:
N/A
Auxiliary Boom Head:
5. Crane Type:
6. Crane Rated Capacity:
Erected
Stowed
Swing-Away Jib:
NO
3. Equipment ID #:
Contract #:
kgs
Ibs/kgs
9. # of Parts of Line:
Other:
Weight of Load to be Lifted (Section A)
41,000 Ibs/kgs
kgs
= Total Gross Weight (Sections A + B)
41,000 Ibs/kgs
kgs
+
10. Total Gross Capacity of Hook Block
as Reeved:
Ibs/kgs
kgs
D) Crane Configuration (See “Notes” Below):
1. Required Boom Length:
E) Rigging (See “Notes” Below):
ft/m
2. Boom Angle:
degrees
3. Required Counterweight:
Ibs/kgs
4. Operating Radius:
0 Ibs/kgs
kgs
Weight of Load Handling Devices (Section B Above)
1. Hitch Arrangement:
2. Sling Type(s):
ft/m
3. Sling Size(s):
in/cm
4. Sling Length(s):
ft/m
5. Shackle Size:
in/cm & Capacity:
kgs
Ibs/kgs
6. Capacity of Above Configuration:
5. Lift Quadrant (Front, Rear, 360o):
F) Crane Capacity in This Configuration (Derated, if applicable):
Ibs/kgs
kgs
G) Surface Requirements Needed (Other Than Mandatory Outrigger Pads): Mats? YES ✔
Proper Ground Compaction? YES
NO
Excavation Hazards Controlled? YES
kgs
Ibs/kgs
Total Gross Weight ٠
٠ Capacity =
Infinity
NO
Is the Ground Level? YES
NO ✔ Other
? YES
%
NO
NO
H) Wind Speed Shall Not Exceed GI 7.027 Limits for Manbaskets or GI 7.028 Limits/Manufacturer’s Specifications for Loads
I) Energized Power-Lines Within Boom Radius? YES
J) Is This a Nighttime Crane Lift? YES
NO
NO
NO
IfIfYes,
Yes,Do
DoYou
YouHave
HaveWritten
WrittenApproval
ApprovalFrom
FromFacility
FacilityManager?
Manager?
***Attention: A Pre-Lift Safety Meeting is Mandatory
Positions:
Name (Signature)
Explosive/Fire/High Heat Hazards Within Boom Radius?
Badge #
CAN CRANE MAKE LIFT?
Certificate #
YES
YES
YES
YES
NO
NO
NO
Approved by: Rigger-I/Rigging Competent Person
Originator:
Name (Print):
Rigger:
Badge #:
Crane Operator:
Certificate #:
USER
Supervisor:
Signature:
Notes: 1. Attach sketch(es) of lift site, noting obstacles to movement of load, boom, or tail swing.
2.
3.
4.
5.
Print
All units of weight shall be listed in the same units of measure as Crane Load Chart.
PDD Concurrence
All units of measure shall be listed in the same units of measure as Crane Range Diagram. (when required by GI 2.702)
Attach copy of Crane Load Chart, Range Diagram, and Safety Notes.
Certain weights may be deducted from Crane Load Chart capacities based on manufacturer’s specifications.
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