Hoisting and Rigging Plan

Location: Date of Lift:

Load Description:
Lift Director
Ordinary:  Critical:  Multiple Cranes: 

NOTE: If lift requires multiple cranes, a lift plan for each crane must be filled out, reviewed, and approved by the lift coordinator.

A. CRANE D. RIGGING
1. Type of Crane: 1. Sling Selection
2. Crane Capacity: ______________Tons a) Number of Slings in Hook-up:
3. Lifting Arrangement Crane #1
1. Radius @ pick up location: ft. b) Sling Type WR___ FW____ RS____
Chain____
2. Radius @ set down location:. ft.
c) Sling Size: _______________
3. Length of Boom: ft.
d) Sling Length: ___________________
4. Angle of Boom Pickup: deg.
e) Rating Capacity of Sling: ________________
5. Angle of Boom Set down: deg.
6. Rated Capacity From Chart f) ) Softeners Required Yes  or No 
Over Rear: _ _ _ _ _ _ _ _ l b s . 2. Shackle Selection
Over Front: _ _ _ _ _ _ _ _ l b s . a) Capacity: _____________tons
Over Sides: _ _ _ _ _ _ _ _ l b s . b) Number of Shackles: ____________
Lift is __________ % of Cranes Rated Capacity

B. JIB Erected  Stowed  E. INTENDED LIFT LOAD

1. Load Condition New ____ Used _____
Length of JIB: ____________ ft.
2. Wt. of Load ____________ lbs.
Rated/Capacity of JIB (Chart): lbs. 3. Wt. of Aux Block ____________lbs.
C. HOIST ROPE 4. Wt. of Main Block ____________lbs.
Rope Diameter:______ Number of Parts_____ 5. Wt. of Lifting Beam ____________lbs.
6. Wt. of Sling/Shackles ____________lbs.
Rated Capacity based on parts: lbs. 7. Wt. of Jib/Ext. (erected/stowed) _______lbs.
D. CRANE PLACEMENT 8. Wt. of Hoist Rope _______lbs.
9. Wt. Excess Load Material _______lbs.
1. Foundation ___________________________
2. Electrical Hazards in Area?________________ Total Weight ________lbs.
______________________________________________________
Source Of Load Wt. Information:
3. Obstructions to Swing or Lift?______________ ________________________________________
______________________________________________________ Load Wt. Confirmed by: ____________________
4. Swing Direction and Degree (Boom Swing)_ F. PRE LIFT CHECKLIST
______________________________________________________

5. Travel with Load Required _______________ 1. See page 5 of Hoist and Rigging Plan

Signature Date
Crane Operator
Lead Rigger
Project Engineer
Lift Director
Site Supervisor

Page 1 of 5
 Hoisting and Rigging Plan

Location: Date of Lift:

Load Description:
Lift Director

Load Travel Path / Personnel Placements

Page 2 of 5
 Hoisting and Rigging Plan

Location: Date of Lift:

Load Description:
Lift Director

Load Schematic and Rigging Method

Page 3 of 5
 Hoisting and Rigging Plan

Location: Date of Lift:

Load Description:
Lift Director

Personnel Assignments and

Load Handling Sequence & Procedures

Page 4 of 5
 Hoisting and Rigging Plan – Pre-Lift Checklist

(Section 4.12 Critical Lift Permit Duration = 1 month)

DATE Qualified Qualified Designated Outriggers Crane Swing Overhead Tag Line Load Work Area Softeners Current Lift Supervisor’s Name
Crane Rigger(s) Signaler / Fully Inspection Room Hazards Used Chart in Barricaded Required wind
Operator Spotter Extended Records Hazards Present Crane or speed
Available Present Guarded allowable
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

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