SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.

: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 1 of 7

Appendix A (Page 1
Lifting and Rigging Job Safety Analysis
Rigging and Lifting Task Description
Crane Manufacturer TADANO Date of Lifting: 22-06-2017 / 21-09-2017
SModel GR-800 EX Area KEMYA
Type MOBILE CRANE Location U-63B / C
Gross Crane Capacity 8O TON Permit needed YES

Total Load Weight (tons) Crane Configuration

Load Weight 1,500 KG Over Front Over Rear Side 360 180 90
Contingency* 10% 150 KG On Rubber Pick and Carry
Main Block 700 KG Position PICK UP In Progress SET DOWN
Aux. Block 165 KG Main Boom Angle (degs.) 52 DEG. 52 DEG. 52 DEG.
Aux. Sheave 4 Main Boom radius (mts) 15M 26M 26M
Stowed Jib N/A Load Heights (mts) 2M 15 M 15 M
Rigging Wt. etc 50 KG Total Boom Length (mts) 38.3 M 38.3 M 38.3 M
Erected Jib** N/A **Crane capacity (tons) 4,200 KG 4,200 KG 4,200 KG
Sub Total 2,565 KG
Others. Crane Load Chart for maximum weight to carry base on the Crane configuration
____4.2 ___ T__ (Tons) (select the least one)
Total Load 2,565 KG
Note: *Calculate weights shall add 10% contingency for
new equipment and 25 % for used or formerly in-service
% Crane Chart Cap. = Total Load 2.565 TON______________x 100 %
equipment (vessel, tanks, etc.) Crane Load Chart Cap. Base on config 4.20 TON
Note ** Note of necessary lifting capacity deductions for 61 % = percentage chart capacity
such hardware (jib, etc.)
Weight of Crane ______59.7___________(tons)(Include counterweight if added)
Typical Weight of Crane
Crane Capacity Typical Gross Weight Crane Capacity Typical Gross Weight
25 tonne 26.5 tonnes 70 tonne 55.8 tonnes
30 tonne 27.7 tonnes 80 tonne 59.7 tonnes
35 tonne 35.7 tonnes 90 tonne 61.0 tonnes
40 tonne 39.5 tonnes 95 tonne 70.0 tonnes
50 tonne 45.5 tonnes 100 tonne 75.9 tonnes
60 tonne 52.5 tonnes 160 tonne 81.0 tonnes
Note* You may consult the crane manual of manufacturer for the exact weight of the crane if needed

Matting and Padding

Soil Type__B___ Ground Bearing Capacity (Tons/m) _16_ TONS/M2_______
Soil Type Description Ground Bearing Capacity (GBP)
Type A Is a cohesive with an unconfined compressive strength of 1.5 tons per square foot (or more). Type A soil include >1.5 tons/Square foot
clay, silty clay, sandy clay, clay loam, caliche, hardpan, and sometimes silty clay loam and sandy clay loam. No (> 16.14 tons/ m)
soil should be classified as Type A if it is fissured: subject to vibration from traffic, pile driving, or similar effects:
previously disturbed
Type B Is cohesive soil with an unconfined compressive strength greater than 0.5 but less than 1.5 tons per square foot. 0.5 Tons - 1.5 tons/Square foot
Type B soils include granular cohesion less soils like angular gravel, silt, silt loam, sandy loam, and sometimes (5.48 -16.14 tons/ m)
silty clay loam and sandy clay loam: previously disturbed soils that are not Type C: fissured soils and soils subject
to vibration that would otherwise be classified as Type A: dry rock that is not stable:
Type C Is cohesive soil with an unconfined compressive strength of 0.5 tons or less. Type C soils include granular soils < 0.5 ton /square foot
such as gravel, sand, and loamy sand; submerged soil; soil from which water is freely seeping; submerged rock (< 5.48 tons/m)
that is not stable

Crane Matting can be calculated 75% of the gross weight of crane and load acting for a single outrigger pad
Minimum Mats Area per single outrigger = {Total Weight of Crane 59.7 TONS +2.5 TONS total weight of load} (tons) X 0.75 = 2.9 (sq. mts)
Ground Bearing Capacity (tons/m) 16

Mats dimension (length) = 2.9 = 1.7 mts

 SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 2 of 7

Appendix AB
(Page 2/2)
Job Safety Analysis
TASKS HAZARDS EXTRA PRECAUTION TO BE TAKEN
REQUIRED FLAG MAN TO ESCOURT THE VEHICLE
LOADING / UNLOADING / INSTALLATION OF TRAFIC HAZARDS AND HIT BY OTHER AS PER ROUTE PLAN. REQUIRED FIRE
OBJECTS. FIRE HAZARD, UNKNOWN
STRUCTURAL ASSY, BEAMS, SUPPORT AND ESTINGUISHER, CHECK THE WIND SPEED,
WEIGHT
FALL HAZARD & FAILURE OF LIFTING
OTHER MATERAILS CHECK THE WEIGHT OF THE LOAD, KNOW THE
GEARS
THE WORK AND USED CORRECT TOOLS W/
SLIP, TRIPS HAZARDS.
COLOR CODE. CLEA THE AREA AFTER WORK.

Jib/Boom extension erection and Stowing important checklist List

Manufacturers recommendation for erection and stowing must be followed and inspected.
All anti-two block and computer wiring properly installed (or disconnected).
Wedge socket ball and anti-two block weights properly installed (or disconnected).
All boom pins and keeper pins installed properly (or removed properly)
All pendant lines properly installed and pinned (or removed properly)
Hoist cable properly positioned in idled sheave or gantry on boom configuration.
All Clearances checked to boom up or down from grade to working position or from working position to grade.
Site Analysis
Is Ground Level/Site Condition satisfactory?_________
Are there any tripping hazards and housekeeping need to be corrected? ____ Is there potential for windblown particulates? no____
Are there any hot piping/tracing, head knockers, pinch points in the area? ____ Are there easy to access and turn?________
Try to work upwind of any potential leak! What is the wind direction
Review a planned escape route with all workers
Identify safety Equipment locations: Hydrants ________ Safety Shower/Eye Wash_______ Air packs_______
Lift Chemicals that exposure may be a concern__________________________________________________________

The following sketches, drawing, and plan shall be prepared in addition to this Rigging and Lifting analysis (see examples
Appendix AZ)

A. Elevation view drawing(s) of the crane, load, and any nearby structures that could cause interference problems. The
drawing shall be to scale and note:
1. Crane manufacturer(s), model(s) and counterweights
2. Boom length(s) and lifting radius(i)
3. Maximum load elevation during lifting procedure
4. Any jibs or special lifting devices required
5. Minimum number of parts of crane hoist line required to lift the load
6. Clearances from obstructions and power lines
B. Plan view drawing(s) of the crane, load, and nearby structures which could cause interference. The drawing shall be to
scale and include:
1. Route the transport will take to position the load for lifting
2. Initial position of the load, including radius
3. Final placement position of the load, including radius
4. Location of the crane(s), including tail-swing limits
5. Location and depth of nearby underground pipes and structures

Position Signature Date

1) Prepared By Crane Operator
2) Reviewed By Rigger(s)
3) Approved By Rigging Supervisor /Specialist
 SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 3 of 7

APPENDIX AC
(1/2)
PRE-LIFT CHECKLIST
The purpose of this checklist is to recognize hazards associated with lifting job and to take corrective action on site before lifting
take place.
Yes/ No Comments
1. Is approved lifting plan provided?
2. Necessary Work permit from operation obtained?
3. Contingency Plan (if LCM matrix required, e.g. near process operation) approved and on site?
4. Is physical location as per lifting plan? Load is rigged according to planned
5. Is the combined rated capacity of the rigging components adequate to carry the load safely?
6. All slings & shackles inspected, certified and color coded as per Kemya requirements
7. Rigging equipments (cranes, lifting bars, etc.) checked, certified, color-coded & free of defects?
8. Crane visually checked, (Hook block, wire ropes, tires, outriggers & pulleys).
9. Swing radius and elevation confirmed & clear of obstruction ( piping, structures, equipment, etc.)
10. Lifting radius / swing radius/ exhaust pipes barricaded and guarded
11. Outriggers fully extended and crane leveled. Tyres (tires) off the ground?
12. All parts of the crane and load unobstructed and will not be obstructed
13. Correct matting and/or foundation in place
14. Ground and site condition stable enough to allow lifting?
15. Will the lifting activity affect other nearby workers? Only rigging jobs during
lifting activities.
16. Swivel hook locked (where required)
17. Are operators / riggers having a valid certification?
18. Are the number of riggers adequate to execute the job safely?
19. Is there an independent signalman and is he wearing the appropriate green vest?
20. Specific Communication required? Is there a need for special communication equipment, i.e. radio, Hand signal only,no
etc. (Test before start lifting operation other device used.
21. Is crane provided with interlock systems (PLC), is it active/ functional (confirm no by-passed
devices)?
22. Wind velocity considered? (Pls. see at the back). (Max 35 Kph)
23. Tag line provided to control load?
24. Pre-lift work method / plan discussed by entire work group?
25. Equipment Daily Inspection (and operation) logs up to date
26. Engineering review of Lifting Attachments completed (where required)
27. Non Destructive Examination of welded lugs completed (where required)
Note:
If answer is NO to any of above, lifting shall not be executed till comment is satisfied.
Crane should not be used to pull or drag loads.
If it is necessary to change to the Lift Plan the change shall be reviewed by the people who reviewed the original plan
Remarks:

Kemya Rigging Supervisor/ Foreman Crane Operator

Rigger 1 Rigger 2 Rigger 3 Rigger 4

Area Assigned Operator: (ensure form are filled on site prior to lifting)
__________________
 SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 4 of 7

IMPORTANT SAFETY NOTES FOR CRANE OPERATIONS (2/2)

Always comply with the details in the load capacity tables concerning maximum permissible wind velocities. If the
permissible wind force limit is reached, crane operation must be discontinued and boom lowered.

WIND FORCE WIND VELOCITY EFFECTS OF WIND

Beaufort
Description Meter / Second Km / Hour In Land
Number
0 Calm 0 0.2 1 No wind, smoke
1. Light Air 0.3 1.5 15 Rises vertically Wind direction
shown by smoke but not by wind
vanes
2. Light Breeze 1.6 3.3 6 11 Wind felt on face, leaves rustle,
vanes moved by wind.
3. Gentle Breeze 3.4 5.4 12 19 Leaves and small twigs in constant
motion. Winds extend light flag.

4. Moderate 5.5 7.9 20 28 Raises dust, loose paper and small

Breeze branches are moved.
5. Fresh Breeze 8.0 10.7 29 38 Small trees in leaf begin to sway
crested wavelets form on inland
waters.
6. Strong Breeze 10.8 13.8 39 - 49 Large branches in motion, telegraph
wires whistle, umbrellas used with
difficulty.
7. Moderate Gale 13.9 17.1 50 61 Whole trees in motion,
inconvenience in walking against
wind.
8. Fresh gale 17.2 20.7 62 74 Breaks twigs off trees, generally
impedes progress.
9. Strong Gale 20.8 24.4 75 88 Slight structural damage occurs,
chimney pots and roof tiles
removed.
10. Whole Gale 24.5 28.4 89 102 Trees uprooted, considerable
structural damage occurs.
11. Storm 28.5 32.6 103 117 Very rarely experienced
accompanied by widely spread
damage.
12. Hurricane 32.7 36.9 118 - 133 Devastation occurs.
 SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 5 of 7

Appendix AD
Daily Crane Inspection Checklist
(To be used also for qualifying hired/contractor crane)
DATE ___________________ CRANE NO :________________Operator/Inspector__________________________
S.L. DESCRIPTION SAT. UNSAT. N/A REMARKS
1 Carrier Doors, Panels/Display, Mirrors
2 Under chassis leak, Deformities, Cracks, corrosion
3 Air Reservoir. Loose bolts
4 Tire Condition and air Pressure
5 Coolant Level
6 Engine Oil level
7 Wire Rope Conditions & Drum Lay (SWL marked)
8 Seat Belts, Windscreen, Platforms and Walkways
9 Load Charts, Rigging Signals, Hazards instruction posted
10 CO2 Fire Extinguishers (Do not use carbon tetrachloride)
11 Hydraulic Oil Level & system (Tubes, hoses, tanks)
12 Battery Terminals and cables
13 Engine Starting
14 Voltmeters/ ammeters
15 Turn Signals/ hazards
16 Horn, Lights, wipers
17 Tachometer
18 Engine Oil Pressure gauge
19 Engine Coolant temperature Gauge
20 Fuel gauge Level
21 Air Pressure gauge/ Brake Checks
22 Suspension System
23 Anti-Two Block / LMI (Load Moment Indicator)/LID (Load Indicator
Devices) RCL (Rated Capacity Limiter)
24 Boom Angle / Length / SLI
25 Outriggers Stabilizers
26 Spirit Level
27 Hoist Control / operation
28 Swing lock
29 Swing control /Operation (check operators cab)
30 Back Up Alarm and Moving Alarm
31 Anemometer, wind speed
32 Engine Oil leak Check
33 Sheaves Main hook Block & Aux. Hook, pins, cracks (SWL marked)
34 Swing away Jib
35 Battery Distilled water level
36 Fan belts
37 Transmission & Conversion temperature gauge
38 Transmission Oil level
39 Air Filter condition
40 Hydraulic Filter Condition
41 Steering System
42 Rear axle oscillation Lock Out System
43 Boom extension / Lift Controls

Crane Operator Signature____________________________

 SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 6 of 7

Appendix AG
LIFTING AND RIGGING PLAN

HB PBR EPDM U&O CB FLARE

Organization: DAELIM / SENDAN
Date: 22-06-2017 / 21-09-2017 W/O:
Job Location: U63B/C jkldjh0i kl Contract No.:
A) Crane Type / Model: TADANO GR-800 EX Equipment No: R-211
Current inspection Sticker on Crane: Yes No Valid Certificate No: 223527 Date: 22-03-2018

B) Capacity of Hoist Wire Ropes 6.6 D) Load Description Loading / Unloading/ Installation of structural supports
Capacity of Hook Blocks 80 T Beams, Bracings, Gratings, Ladders, Handrail and other materails
(Minimun Hoist required__________)
4
C) Attachm ents and Rigging: Net Load Weights: 1,500 + 150 KG (10%) (Lbs/Kgs)
1- Sling type: WEB SLING
Stew ed Erected N/A Lbs/Kgs
2- Size: 3"/2" x 6M No. 2 Pcs.
Jib Extension: N/ A
3 total capacity 6,000 KG Hook block (Main) 700 KG
Att. Boom Head N/ A
4- Hitch Arrangement Used: Headache Ball 165 KG
(Single, choker, basket, ) Slings, Schackles, etc. 50 KG
2 LEG BRIDDLE / CHOKER Others
5- Capacity of above Arrangem ent
Total 2,565 KG
(Refer to Lifting & Rigging JSA, as needed)
4157 KG / 2771 KG (Lbs / Kgs) Gross Load Weight 2,565 KG
Note: If Jib is used, refer to proper load chart & safety notes on load chart
E) Total Boom Length: 38.3 M (Mtr / Ft)

F) Maximum Required Operations Radius 26 M (Mtr / Ft) Lift Quadrants

Front SIDE Side

G) Boom Angle Limits of Operation: Max. 46 DEG. Min.

H) Maximum lifting capacity of crane in above configuration as per load chart: 4,200 KG - 61%

I) Ground level/ Site Condition Satisfactory Unsatisfactory

35KPH
Wind speed limit _________
J) Crane Operator Valid Certificate No. J/2017/4567 Date 28-02-2018
Crane Rigger Valid Certificate No. JB201702526 Date 14-03-2018

Approval for Non-Critical Lift "MTCE & Project"

Position Responsibility ID Signature Date
Rigger
Crane Operator
Project Engineer (If it is a DCR)
MTCE Supervisor
Operation Supervisor
The following approvals are also required for Critical Lifts
Rigging Specialist
Inspection Supervisor
Project Engineer (If it is a DCR)
MTCE Manager/Superintendent
Operation Manager/Superdt./( Plant Shif t Superintendent, Af ter Working hours )
Attachment required: Lift Classification Matrix Guidelines (App.A), Lifting and Rigging JSA (App.AB), Plan drawings, Elevation drawing (App.AZ) etc.
 SHEM-08 Safe Work Practices/ OIMS-5.1 Personnel Safety Issue No.: 4 Date: November 2015

SHEM-08.06 Lifting Equipment Rev. No.: 0 Date: November 2015

Next
Date: November 2020
OIMS 6.4 Mobile & Lifting Equipment Review
DC-M22 Page Page 7 of 7

8.0 ATTACHMENTS(APPENDICES&FORMS) Appendix-A

Rigging and Lifting Classification Matrix
(Guidelines)
Critical Lift/Non Standard Lift Review and Approval Required Information and Criteria
Personnel
o Lifting Personnel with a crane through cages Rigging and Lifting Lifting Plan (Appendix AG)
(Refer to SHEM 08.09 - # 2.3) Specialist/Supervisor Rigging and Lifting Job Safety Analysis
o Any two or more crane lift (Tandem Lift) Inspection Supervisor (Appendix AB)
o Lifting over live electrical power lines, process Project Engineer (for DCR) Plan and Elevation Drawing (App-AZ).
equipment, & pipelines Mechanical Maintenance Sketch of lifting swing area showing
o Any lift in which the load is greater than 50 tons Manager relevant facilities, hazards, barricaded
Operations area, and lift plan drawing.
o Any lift where load or crane boom passes over Superintendent/Manager Inspection certificate of Lifting
occupied buildings trailer, or process control
(area owner) Equipment and tools and tackles
process
Plant Shift Superintendent , Pre-Lift Checklist App. AC (To be done
o Any lift greater than 3000 lbs where load or (in lieu of operations just before the lifting is executed)
crane passes over multi-business unit pipe
Manager After Working Work Permit & Vehicle Movement
band or utility main, or equipment requiring joint
Hours) Permit.
permit issuer signatures.
Other Information and Criteria required in
o Lifting any object greater than 3000 lbs having a addition above as needed
vertical dimensions of greater than 25 feet
Emergency Rescue Plan for lifting
o Lifting in the immediate vicinity or excavation personnel through cages(Appendix C of
works distance 5 m and or depth 1.5 m. SHEM 08.09)
o Load lifting in congested areas crane entrance, Note 1: All Lifting to done by Contingency Plan/Emergency
crane boom movement, object to be lifted. Contractor or Third Party on Procedure (for lifting over live electrical
o Crane location on unstable ground surface site shall be reviewed and power lines, pipelines, operations, etc.)
gravel, sand, etc. . approved by the same (The plans should determine how to
Personnel. Rigging
o Special lifting equipment such as ginpoles or Specialist/ Supervisor to
shutdown, isolate and make safe
non-standard crane configuration is used. equipment which could be damaged in
give Procedures to the event of an incident during the lift, and
o The load represents more than 90 percent of Contractor.
the manufacturers rating chart at the working how to minimize the effect on other
radius. operations. The plans shall be reviewed
Note 2 : Rigging contractor by the OIC or by a person appointed by
o The load is greater than 20 ton (18 metric tons shall verify that all lifting the OIC.
and is also greater than 80 percent of the equipment can safely
manufacturers rating chart. Tandem Lift Evaluation and Approval
perform their intended Form (for tandem lift(Appendix AA)
Non-standard lift functions
Guidelines Clearance for lifting near
Any lift in which the total load is greater than 80% Electrical lines (refer to SHEM 08.05
of cranes load chart capacity. App. - B) for lifting over or near electrical
lines.
Non-Critical/Normal Lift Review and Approval Required Information and Criteria
Personnel
o Lifting outside operating areas (e.g. offsite, Rigger / Foreman Lifting Plan (appendix AG)
Lalco yard, MCO parking area, MCO fabrication Crane Operator Pre-Lift Checklist (App. AC)
shop, GSB fabrication shop) Project Engineer (for DCR) Sketch and drawing (App. AZ)
Maintenance Supervisor
Operation Supervisor
Notes: Any lifting operation not specified in the above matrix shall be approved by OIC
No deviation from these criteria is allowed without prior approval from area owner.