WORK AID

CPO Operations and Maintenance Procedure

Mobil Cepu Limited

Cepu Production Operations

Onshore Lift Plan

Lift Plan
Onshore Critical Lift Plan

Critical Lift Description

Basis for Critical Lift
Classification

Lifting Equipment

The load is lifted over, or near, operating equipment or electrical

power lines
Two or more cranes are required to work in unison/
simultaneous with the same purpose
A non-standard crane configuration is used
The gross load is greater than 50 tons

The gross load is between 90-95% of crane

capacity at given configuration and radius
The gross load is greater than 20 tons and
exceeds 80% of crane capacity at given configuration
and radius
Other______________________________

Crane, Hoist, or Winch Tag Number:

Maximum Load Radius:
Corresponding Boom Radius:
Corresponding Boom Length:

Crane Manufacturer:
Model Number:
Serial Number:
On Tires
on Crawlers
On Outriggers:
Extended

On Boom

Lift Will Be
Configuration (Include sketch if
needed)
Total Gross Load to be Lifted
(Including Rigging)

Yes

Check List
No
N/A

Lift Radius______
N/A
Load:
Jib Ball:
Other:
Item
1
2

Over side

On Jib

Over-End

Boom Angle_____
N/A
Block:
Hoist Line:

Retracted

Capacity at configuration:
Percent crane capacity:

Rigging:
Jib:

Total Gross Load

Summary of Key Lift Planning Elements

(Attach supporting documentation to the lift plan)
Crane is current regarding inspection and testing
Crane Operator and Riggers are qualified and certified, under a good health?

Safe Working Load (SWL) required has been determined and rigging gear identified/specified?

Communications means are defined and agreed between identified signalman and operator?

Critical Work permit, work management, and JSA issues and requirements defined and resolved?

6
7

Crane Foundation support or soil stability is satisfactory?

Blocking and crane mats will be used?

Lift Plan Participants

Endorsed by

Crane Operator and Rigger(s):

Maintenance Supervisor or Designated Maintenance Lead:

Project Team or Related Engineer(if any):

Area PIC:

Designated Maintenance Personnel:

Operations Senior Supervisor:

Area PIC:

Comments:

This form should be used with Critical Work Permit for Lifting Work /Activities

WORK AID
CPO Operations and Maintenance Procedure

Mobil Cepu Limited

Cepu Production Operations

Onshore Lift Plan

Signature Page
Prepared by
Yupiter Kristiyanto
Crane and Lifting Gear Program Owner

Date

Endorsed by
Rieski Anna Dewi
Programmatics Supervisor

Date

James W Lester
CPO Field Superintendent

Approved by

M David Acker
CPO Operations Superintendent

Date

Revision History
Revision 0

Initiation

March 12th, 2012