RA & SN RESTORATION & 20% TECHNICAL RATE PROJECTS
RIGGING/LIFTING DATA
THIS DATA SHEET SHALL NOT BE USED FOR TANDEM/ MULTIPLE CRANE LIFT AND COMPLEX OPERATIONS.
THE RIGGING/LIFTING DATA SHEET DESIGNED ONLY FOR SIMPLE OPERATION & REPETATIVE OPERATIONS AND SHALL BE COMPLETED BY RIGGING
TEAM. THIS DATA SHEET SHALL BE ATTACHED WITH ADNOC ONSHORE ELECTRONIC PERMIT TO WORK.
PART-1. DESCRIPTION/SCOPE (To be completed by Job Performer & Hand back to Rigging Foreman/Supervisor)
Job Performer: Date of Activity:
Name: EPTW No.:
Contractor/Subcontractor: Type of EPTW: Cold Work Permit
Contact No.: Hot Work Permit
Signature:
Description of load to be lifted:
PART-2. CRANE INFORMATION & SET-UP CONFIGURATIONS (To be completed by Crane Operator/ Rigging Foreman/Supervisor)
A) CRANE DETAILS:
1) Type of Crane: Crawler Crane Wheel Mounted Lattic Boom Wheel Mounted Hydraulic Boom
Tower Crane Make & Model:
2) Total Crane Capacity: (tons)
3) Total Boom Length: (meters)
B) CRANE SET-UP CONFIGURATIONS: THIS SECTION SHALL BE FILLED WHEN USING
MAIN BOOM FLY JIB OR LUFFER CONFIGURATIONS
1) Operating Boom Length: (meters) Operating Boom Length: (meters)
2) Operating Radius: (main boom length + jib/luffing)
2.1) Pick-up Radius: (meters) Pick-up Radius: (meters)
2.2) Erection Radius: (meters) Erection Radius: (meters)
3) Maximum Operating Radius: (meters) Maximum Operating Radius: (meters)
4) Maximum Lifting Capacity of Maximum Lifting Capacity of
the Crane @ this radius (tons) the Crane @ this radius (SWL (tons)
(SWL): of the crane):
5) Main Hook Block Auxiliary Hook Block Main Hook Block Auxiliary Hook Block
6) Number of Wire Rope : Number of Wire Rope :
PART-3. LOAD WEIGHT & LIFTING INFORMATION (To be completed by Rigging Foreman/ Rigging Supervisor)
A) Weight of Item to be lifted: (tons) Crane Chart Capacity (SWL) @ Maximum
F) Operating Radius (as per crane load chart):
B) Weight of lifting beam/spreader bar: (tons)
C) Weight of slings & shackles: (tons) (tons)
D) Weight of any other rigging gears (if any): (tons)
Percentage (%) of Crane Capacity @ Maximum
E) TOTAL WEIGHT TO BE LIFTED: (tons) Operating Radius (E ÷ F X 100):
G)
(A+B+C+D)
%
"G"- SHALL NOT BE ABOVE 75 % OF CRANE LOAD CHART CAPACITY
PART-4. PREPARED & VERIFIED BY (To be completed by Rigging Foreman/Supervisor,Site Eng./Contractor's Discipline Supv)
PRE-LIFT CHECK YES NO PREPARED & VERIFICATION BY
1) Crane inspected & approved? Prepared by Rigging Foreman/ Rigging Supervisor:
2) Inspection certificate valid? Name:
3) Certified lifting tackles? Emp#:
4) Lifting tackles color coded? Signature:
5) Crane checklist completed?
6) Load chart on crane? Verified by Subcontractor's Site Eng./Discipline Supervisor:
7) Outrigger pad acceptable? Name:
8) Outriggers fully extended? Emp#:
9) Crane in leveled condition? Signature:
10) Swing radius free from obstructions?
11) Head room checked? Verified by Contractor's Discipline Supervisor:
12) Tag lines attached? Name:
13) Wind speed @ the time of lifting: knots Emp#:
When wind speed exceeds 17 knots, crane & lifting Signature:
operation shall be stopped
NOTE: THIS DATA SHEET SHALL NOT BE USED FOR LIFTS USED BY Control Checks by Field HSE (Subcontractor/Contractor):
ARTICULATED BOOM TRUCKS. VERIFICATION SIGNATURES BY Name:
RIGGING/LIFTING SUPERVISOR, SITE ENGINEER/DISCIPLINE SUPERVISOR &
Emp#:
CONTRACTOR'S DISCIPLINE SUPVISOR IS MANDATORY PRIOR TO START
THE LIFTING OPERATIONS. CRANE LOAD CHART SHALL BE ATTACHED WITH Signature:
THIS DATA SHEET.
