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SA 9644 (04/05) Saudi Aramco GI 7.028 Attachment #1

Critical Lift Plan*

(*Each Piece Of Participating Lifting Equipment Shall Have A Separate Critical Lift Plan)
Organization Name: AZMEEL CONTRACTING COMPANY Date of Lift: 03/28/2017
Organization Code #: Work Permit Required? YES NO

Facility Name: N/A Specific Work Location: Contract #:

A) Load Description & Weight (From USER): B) Load Handling Devices (See Notes Below):

CONCRETE BLOCK Load Handling/Boom Stowed Erected N/A Weight:

15,000 Ibs/kgs
kgs Attachments Ibs/kgs
kgs

C) Crane Information (See Notes Below): Swing-Away Jib:

1. SA Inspection Sticker YES NO Other Jibs:

2. Inspection Sticker Expiry Date: Hook Block (Main): 850

N/A Auxiliary Boom Head: 0
3. Equipment ID #:

4. Crane Model: STC1000C Headache Ball:

MOBILE TRUCK CRANE Lifting/Spreader Beam Needed? YES NO

5. Crane Type:
kgs Does Beam Have Current Inspection Sticker? Yes No
6. Crane Rated Capacity: 100000

N/A Slings, Shackles, etc.:

7. Crane Operating Code # (if applicable):
Other: Wire rope slings and Shackles 200
8. Single Line Pull Capacity: 8333
Ibs/kgs
kgs
Weight of Load Handling Devices (Section B Above) 1,050 Ibs/kgs
kgs
9. # of Parts of Line: 6
+ Weight of Load to be Lifted (Section A) 15,000 Ibs/kgs
kgs
10. Total Gross Capacity of Hook Block
as Reeved: 50000 Ibs/kgs
kgs = Total Gross Weight (Sections A + B) 16,050 Ibs/kgs
kgs
D) Crane Configuration (See Notes Below): E) Rigging (See Notes Below):

1. Required Boom Length: 30.5 mft/m 1. Hitch Arrangement: 4 Leg Bridle

2. Boom Angle: 54 degrees 2. Sling Type(s): Wire Rope Sling

32,500
3. Sling Size(s): 1.125 in/cm
in
3. Required Counterweight: Ibs/kgs
kgs
4. Sling Length(s): 6 ft/m
m
16
4. Operating Radius: mft/m
10900
5. Shackle Size: 1.25 in/cm & Capacity:
in Ibs/kgs
kgs
5. Lift Quadrant (Front, Rear, 360 ): 360 degrees
o 6. Capacity of Above Configuration: 16681 Ibs/kgs
kgs

F) Crane Capacity in This Configuration (Derated, if applicable): 21,800 Ibs/kgs

kgs Total Gross Weight
Capacity =
73.62385321100918
%
G) Surface Requirements Needed (Other Than Mandatory Outrigger Pads): Mats? YES NO Is the Ground Level? YES NO
Proper Ground Compaction? YES NO Excavation Hazards Controlled? YES NO Other ? YES NO
H) Wind Speed Shall Not Exceed GI 7.027 Limits for Manbaskets or GI 7.028 Limits/Manufacturers Specifications for Loads

I) Energized Power-Lines Within Boom Radius? YES NO Explosive/Fire/High Heat Hazards Within Boom Radius? YES NO

J) Is This a Nighttime Crane Lift? YES NO

NO IfIfYes,
Yes,Do
DoYou
YouHave
HaveWritten
WrittenApproval
ApprovalFrom
FromFacility
FacilityManager?
Manager? YES
YES NO

***Attention: A Pre-Lift Safety Meeting is Mandatory CAN CRANE MAKE LIFT? YES NO
Positions: Name (Signature) Badge # Certificate # Approved by: Rigger-I/Rigging Competent Person

Originator: ARSLAN AHMED C28170322/46677 Name (Print): ARSLAN AHMED

Rigger: Badge #: 2407559612

Crane Operator: Certificate #: C28170322/46677

USER
Signature:
Supervisor:

Notes: 1. Attach sketch(es) of lift site, noting obstacles to movement of load, boom, or tail swing.
2. All units of weight shall be listed in the same units of measure as Crane Load Chart. PPD Concurrence
3. All units of measure shall be listed in the same units of measure as Crane Range Diagram. (when required by GI 2.702)
4. Attach copy of Crane Load Chart, Range Diagram, and Safety Notes.
5. Certain weights may be deducted from Crane Load Chart capacities based on manufacturers specifications.

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