ECS Pre-Lift Assessment ECS PRE LIFT ASSESSMENT Details Of Lifting Operation Client * Lift Planner / AP * Location * Date Of Works * Shift Start Time * 000102030405060708091011121314151617181920212223 : 0030 Crane Selected * Registration Number * Maximum Height of Hook * Method of Communication * Hand SignalsRadioOther Method of Communication Outrigger Pads Supplied? * YesNoN/A Number of Slingers Required * 1234Other Number of Slingers Required Site Risk Assessment Access to site of lift - pre-Arranged Meet & Greet, or working alone Task-Brief to confirm all control measures. is it Sufficient? * YesNo Other Vehicle Movements - Exclusion Zone to be maintained, traffic movements paused whilst lifting operations take place - is it Sufficient? * YesNoN/A Overhead Obstructions / Wires etc. Minimum Seperation distance required is maximum length of boom plus length of load plus 7 metres - is it Sufficient? * YesNoN/A Adjacent Structures / Obstructions - All lifts to be planned around known structures - is it Sufficient? * YesNo Restricted Clearance - Exclusion zone of 20 metres to be maintained around lifting operations. - is it Sufficient? * YesNoN/A Presence of Running lines/ALO - ALO Plan to be in place at all times, ALO Co-ordinator deployed as/when required - is it Sufficient? * YesNoN/A Surface & Sub-Surface Services - Ensure no outriggers are placed on surface or sub-surface services. - is it Sufficient? * YesNo Staff in Vicinity? - Exclusion zone of 20 metres to be maintained around all lifting operations.. - is it Sufficient? * YesNoN/A General Public? - No access granted to general public within the exclusion zone. - is it Sufficient? * YesNoN/A Environmental/Weather Limits - Wind to be monitored by the AP/Operator and if the load becomes difficult to control then lifting will be stopped, no lifting if lightning is present. - is it Sufficient? * YesNo Lift Type * BasicIntermediateComplex Load Details Location * Description of Load * Weight of Load (kg) * Weight of Lifting Tackle (kg) * Total Weight of load (kg) * Maximum Radius (m) * Outrigger spread (i.e. full outrigger spread on lift side, none lift side outrigger to be deployed for back stability) * SWL from Duty Chart at Specified Radius (kg) * Factor of Safety (%) - (Must be below 100%) THIS LIFT IS NOT SAFE - STOP AND ASSESS THE WEIGHT & SWL from DUTY CHART Method Statement - (Describe the lift method to be deployed) * Checks to be made prior to lifting * Certificate of thorough Examination for lifting tackle in date? LOLER Certificate for Crane in date? Crane Operators Authority to Work? Crane Operators Certificate of Competence? Slinger / Signaller's Certificate of Competence Pre-Use Check Sheet Completed? Any Special Instructions / Comments Ammendments Reqired to Lift Plan? plus1 Add Another Load minus1 Remove Authorisation Lift Planner Name * Lift Planner Name First First Last Last Date * Signature * signature keyboard Clear Submit If you are human, leave this field blank.
