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LIFTING PLAN
Contract No.
STANDARD FORM
CSSW/SF/CM/009/
Date:
Contract Name
This Lifting Plan must be completed by a competent Appointed Person. All sections must be completed or
marked not applicable. Additional information should be attached if required *
1.
2.
3.
4.
5.
6.
7.
9.
10.
11.
12.
13.
14.
Type of Lift.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
8.
Information in Section 3 must be provided to the crane supplier when procuring the crane.
Sections 4 & 5 are critical and must be completed prior to siting the crane.
* The Lifting Operations and Lifting Equipment Regulations 1998 apply to any item of lifting equipment. Regulation 8 requires
Every employer to ensure that every lifting operation involving lifting equipment is properly planned. For routine lifting operations an
initial plan may only be required once but should be reviewed occasionally to make sure that nothing has changed. For complex lifting
operations a plan is required for each operation. (To be completed for CRANES, ELECTRIC WINCH, FORK LIFT TRUCKS, HIABS,
HOISTS, MOBILE ELEVATED WORKING PLATFORMS, SCISSOR LIFTS, VEHICLE TAIL LIFTS & any specialist Lifting Appliance).
Page 1 of 2
Issue No.
Form No.
CSSW/SF/CM/009
CSSW
Health and Safety Management
Systems
LIFTING PLAN
STANDARD FORM
LIFTING
PLAN COMMUNICATION
SKETCH.
COMPANY
(Full not initials)
SIGNATURE
DATE
Page 2 of 2
Issue No.
Form No.
CSSW/SF/CM/009