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    UtICO PTW

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    sami gorsi
    This document is a lifting permit form used by Utico to authorize and regulate the use of mobile cranes on construction projects. The form requires verification that safety requirements are met, such as valid certifications and licenses for the crane and operator. It also mandates checks of the crane, lifting gear, ground conditions and barricades before and during crane setup. Site supervisors and crane operators must inspect these items and sign the form, which is only valid for one day unless extended by management.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    UtICO PTW

    Uploaded by

    sami gorsi
    769 views1 page
    This document is a lifting permit form used by Utico to authorize and regulate the use of mobile cranes on construction projects. The form requires verification that safety requirements are met, such as valid certifications and licenses for the crane and operator. It also mandates checks of the crane, lifting gear, ground conditions and barricades before and during crane setup. Site supervisors and crane operators must inspect these items and sign the form, which is only valid for one day unless extended by management.

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    This document is a lifting permit form used by Utico to authorize and regulate the use of mobile cranes on construction projects. The form requires verification that safety requirements are met, such as valid certifications and licenses for the crane and operator. It also mandates checks of the crane, lifting gear, ground conditions and barricades before and during crane setup. Site supervisors and crane operators must inspect these items and sign the form, which is only valid for one day unless extended by management.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    769 views1 page

    UtICO PTW

    Uploaded by

    sami gorsi
    This document is a lifting permit form used by Utico to authorize and regulate the use of mobile cranes on construction projects. The form requires verification that safety requirements are met, such as valid certifications and licenses for the crane and operator. It also mandates checks of the crane, lifting gear, ground conditions and barricades before and during crane setup. Site supervisors and crane operators must inspect these items and sign the form, which is only valid for one day unless extended by management.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Utico LIFTING PERMIT

    (USE OF MOBILE CRANE)


    UTICO/MC/004
    REV.

    Project: Permit No: Date:

    Company:  UTICO  Sub: Location:


    Crane:  Own  Hire Registration No.
    Make / Model: Capacity: Ton

    Kind of Activity:
    SECTION 1 - SAFETY REQUIREMENTS (TO BE COMPLETED PRIOR TO ISSUE PERMIT)
    YES NO N/A
     Competency certificates crane is valid
     Competency certificate operator is valid.
     License operator is valid.
     Registration crane is valid.
     All lifting gear (Chain slings, web slings, shackles, wire rope etc) have valid test certificates.
     Plant induction check list completed.
     Banksman are trained and they have valid competency certificate.
     Crane erection / working area is suitable for the job.
     Crane operators, Riggers and all other personnel involved in the operation had attended safety induction /
    Tool Box Talk and they are aware of the task, Risk and Safety precautions.
    Note: Copies of all certificates / License to be handed over to Safety Department.
    Name of work-in-charge: …………………………………… Signature: …………………… Date: ………………………
    SECTION 2 – CHECKS PRIOR / DURING CRANE SETUP
    YES NO N/A
     Inspection of crane and Lifting gear has been carried out and they are in good condition.
     Ground is compacted and firm to set mobile crane.
     All outriggers are stable and set firmly on the ground.
     Checks made for underground service at point of out rigger and surrounding area.
     Mobile crane is away (2m) from excavation slope or pit.
     Mobile crane is not obstructing on 360o slew and overhead hazards.
     Mobile crane is not working under tower crane and suspended load.
     Mobile crane is setup with outrigger fully extended.
     All outriggers are placed stable / secured and set firmly on the ground on proper boards / mats.
     All tyres are clear of ground and as per manufacturer instructions Lifting of load
     Load is within safe working load of crane and radius
     Offloading area is checked and explained to operator and Riggers.
     Surrounding areas are cleared and barricaded and access restricted to all unauthorized trades while crane
    in operation
    SECTION 3
    I, the undersigned inspected and checked above mentioned requirements in section I & II and I will fully comply to it prior to start of activity.

    Site Supervisor / Engineer Crane Operator H&S Representative


    Name:

    Signature:

    SECTION IV - APPROVAL
    Site Manager / Site Engineer H&S Representative
    Name: Name:

    Signature: Signature:

    This permit is valid from Hrs to Hrs on .


    NB: - This permit is valid only for one day, return this form to HSE department 1 hour after completion of works.
    - Permit can be extended for work not finished and signed only by Site Manager and OHS Representative with checks made in section II
    - This permit is not valid for lifting personnel or man basket.

    Revised on Page 1 of 1

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