移动吊车的站位及吊装作业许可证

WP-EHS-020-PermittoMobileCraneLiftingWork-2013-Version-1PermittoMobileCraneLiftingWork移动吊车吊装作业许可证Section1:JobInformation工作信息Contractor承包商:Tel电话:Date日期:Plant&Equipmentinvolved:所用设备及机具Serviced/maintained(recordsavailable)设备维护记录是否可查Yes是No否ContractorsSupervisor承包商吊装负责人:Tel电话:WorkLocation作业地点:Permitvalidfrom许可证生效期:Date日期_________Time时间_____________am/pm:Permitvaliduntil许可证有效期到:Date日期_________Time时间_____________am/pmASafeWorkMethodStatement(incRiskAssessment)fortheworksmustbeattachedtothispermit.Shouldconditionsofthispermit,ortheworksite,alterduringthecourseoftheworks,thepermitandassociatedsafeworkmethodstatementmustberevisedtoaccommodatethechanges.此作业的安全施工方案（包括风险评估）必须附在许可证后面。如果许可证审批条件、工作场地在作业过程中有所变化，那么该许可证和相关的安全施工方案必须做出相应更改。Briefdescriptionoftheworks:作业简述（Model起重机型号、PlateNo.车牌号；load-bearing起重物体最大重量，measurement外形尺寸，gearinformation使用吊具描述Section2:SafetyPrecautionChecklist安全防范措施检查SafetyPrecautions安全防范措施Contractor/承包商SafetyPrecautions安全防范措施Cont/承包商1.Pre-liftcraneinspectioncompletebycontractor承包商已经完成吊装开始前的检查YesN/A8.Windows－Keptclean窗户－保持清洁YesN/A2.WindSpeed－ByGauge7am12pm3pmorifincreaseoccurs用仪器检查风速－早上七点,12点下午三点或者风速增加的时候测量YesN/A9.LiftingGearInspected－HooksShackles.Slings(musthavemonthlyTag)提升设备已检查－吊钩的安全锁，钢丝绳（必须贴有当月标签）YesN/A3.SlewRing－Toomuchmovement摆臂钢丝绳－可自由移动YesN/A10.CraneLiftingWireRope－Ingoodcondition,Cutoutswitchworking吊车提升钢丝绳－处于良好状态，控制开关工作YesN/A4.Outriggers－FullyextendedBogmatsorhardwoodtimberunderoutriggersonfirmstableground.支腿－完全撑开在坚实地面上，支腿下面垫钢板或实木方。YesN/A11.Sheaves－Sharpedgescracked,broken钢丝绳保护套－边缘已裂缝和损坏YesN/A5.Connections－Blots,Pins,Hasesetc.连接－螺栓，插销，软管等YesN/A12.Certificatesofliftingequipment,operatorsandsignalman’soperationcertificateshavebeenexaminedandconfirmed.起重设备相关证书，司机，信号工特种作业操作证书审查确认YesN/A6.FluidLevels－Arecorrect水平－正确YesN/A13.ProtectionArea－FlagmanBarricadesFlagsHarnessLightsandspottersasrequired保护区域－指挥人员用警示旗对吊装区域进行围护，需要制定有监护人YesN/A7.PanelInstrument－Workingincludingloadindicator&limitalarm仪表盘－工作状态包括载重指示仪和限载警报YesN/A14.Capacitychartisprovidedplainlylegibletothecraneoperatorandsignaler.提供简单易懂的容量表给吊车操作手及指挥员YesN/AOtherspecialprecautions其他特殊防范措施:Section3:EndorsementandApproval签名和批准ContractorManager承包商负责人Date/Time日期／时间ContractorSafetyManager承包商安全经理：Date/Time日期／时间:JianliSafetyResponsiblePerson监理安全负责人:Date/Time日期／时间:PCMSafetyResponsiblePerson管理公司安全负责人：Date/Time日期／时间: