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QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 Date of issue of the certificate & authentication. When replacing, all wire ropes shall be supplied wit...

QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 Date of issue of the certificate & authentication. When replacing, all wire ropes shall be supplied with a QP Approved Inspection Service Provider break test certificate. Certificate of lifting appliance with wire rope installed should mention test certificate number and the date of replacement of the wire rope. FOS of running ropes shall meet OEM specification for the particular equipment. If the OEM specification is not available then an FOS of 5:1 must be applied as a minimum. Wire rope to be installed in any lifting appliances shall be accepted by a QP Approved Inspection Service Provider. All wire rope used for lifting operations that involve submergence in water shall be break load tested annually to verify with the MBL requirement. Break test sample shall be taken from the immersed portion of the wire rope. FOS of standing ropes shall meet OEM specification for the particular equipment. If the OEM specification is not available then an FOS of 3.5:1 must be applied as a minimum. The wire ropes for the raking machines shall be subjected to visual inspection by QP approved inspection service provider at an interval of every six months. Inspection and replacement of wire ropes shall be as per the OEM operation & maintenance manual. TABLE 2: INSPECTION AND TEST REQUIREMENTS FOR LIFTING APPLIANCES INSPECTION OR ALTERATION EVERY 4 YEARS INSTALLATION AFTER MAJOR 6 MONTHLY LIFTING APPLIANCE TYPE ANNUALLY ON INITIAL SUPPLY REPAIR EVERY NDT 1 Beam Trolley      - - 2 Cable pulling machine      - - 3 Crane (Derrick)      - 4 Crane (EOT, Floor, Gantry, Jib,)     - - 5 Crawler Crane     - 6 Davit (General Purpose)       *** Earth moving equipment with 7       *** lifting attachment 8 Elevators (passenger or goods)       - SECURITY CLASSIFICATION: INTERNAL Page 35 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 INSPECTION OR ALTERATION EVERY 4 YEARS INSTALLATION AFTER MAJOR 6 MONTHLY LIFTING APPLIANCE TYPE ANNUALLY ON INITIAL SUPPLY REPAIR EVERY NDT 9 Escalators      - - 10 Forklift / Telehandler      - - 11 Grabs      - - 12 Hoist (powered)      - - 13 Jack **   ** ** - - 14 Jaw Winch (Tirfor) *   * * - - 15 Lifeboat /Rescue Boat Davit    *** 16 Lorry Loader Crane      - - 17 Manual Chain Hoist/Lever Hoist *   * * - - 18 Mast Climbing Working Platform      - - 19 Mobile Crane    - - 20 Mobile Elevating Working Platform      - - 21 Pallet Stacker      - - 22 Pallet Truck – Hand Operated      - - 23 Pedestal Crane / Offshore Crane µ  µ µ - - 24 Portable Gantry (A- Frame)      - - 25 Runway Beam/Monorail       - 26 Side Boom Pipe Layer     - - 27 Suspended Access Platform      - - Test Equipment (load cell and 28       - Testing machines) 29 Tower Crane     - 30 Vehicle lift       - 31 Vehicle Mounted Drilling Rig      - - 32 Winch      - - 33 Winch (Lifeboat & Man Riding) **   ** ** ** - SECURITY CLASSIFICATION: INTERNAL Page 36 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 LEGEND: 1.50 x SWL test & thorough visual  Thorough visual inspection  inspection 1.00 x SWL test & thorough visual 2.20 x SWL test & thorough visual  inspection inspection 1.00 x SWL test, 100% line pull & 1.50 x SWL up to 20t * thorough visual inspection 1.25 x SWL above 20t 1.10 x GW test dynamic & thorough 1.50 SWL static test  ** visual inspection 1.10 SWL dynamic test 1.25 x SWL test & thorough visual NDT After PLT/Discretion of LE  *** inspection Inspector/Surveyor SWL up to 18.15t: 1.25 x SWL µ SWL 18.15t to 45.4t: SWL + 4.54t  Calibration required SWL above 45.4t: 1.10 x SWL Note: A load test may be performed as deemed necessary by the LE Inspector/Surveyor During inspection SECURITY CLASSIFICATION: INTERNAL Page 37 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 APPENDIX C - REQUIREMENTS FOR LIFTING TACKLE (LOOSE GEARS) C.1 GENERAL All lifting tackle shall be clearly marked, die-stamped or tagged as appropriate with a unique identification number and SWL. All items shall be colour coded in accordance with QP colour coding scheme applicable at the time of utilisation. The LE Focal Point for the Operational Area shall take delivery of new LE and fall protection equipment. If the manufacturer/supplier of the lifting tackle is unknown it must be removed from service. All lifting tackle shall be examined and tested as detailed in Table 1, Appendix C. C.2 EQUIPMENT WHICH HAS NO QP RESTRICTIONS The list below identifies the equipment which has no QP restrictions: Beam Clamp Lifeboat / Rescue boat Lifting Points Beam Clamp (Fabricated) Lifting Bar/Lifting Beam/Spreader Beam Bundle Puller Loading Ramp Chain Pipe Clamp / Pipe hook Chain Sling Plate Clamp Drum Lifter Portacabin Eye bolt Pulley Block Eye Nut Snatch Block Hoist Link / Ring / Swivel Turnbuckle / Rigging screw Hoppers Water bags The inspection, testing and certification of the above listed tackles shall be performed as per the applicable international standards listed in Appendix A with no additional requirements imposed by QP for the certification. Endorsement is required, in order to verify compliance to QP LE Standard. C.3 EQUIPMENT WHICH HAS QP RESTRICTIONS: C.3.1 BEAM TROLLEY Beam Trolleys shall be fitted with an anti-tilting device. C.3.2 CARGO CARRYING UNIT (CCU) All CCUs including cargo baskets, containers, cylinder racks, enclosure lifting frames, Lifeboat/Rescue Boat Lifting Frame, skids and skips used for transportation of materials, equipment or plant shall be designed, constructed, operated and maintained in accordance with the applicable standards and this standard. In addition the following shall apply: Protruding parts such as door handles, hinges, hatch cleats etc. shall be so placed or so protected that they do not catch the lifting set or other structures. Fitted with data plates as detailed in the relevant standard. For CCUs for offshore transportation, lifting point pad eyes shall be a minimum of 19 mm thick. SECURITY CLASSIFICATION: INTERNAL Page 38 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 For CCUs for onshore transportation, lifting point pad eyes shall be a minimum of 19 mm thick, unless supported with QP Approved Inspection Service Provider verified OEM design documents. Certificates issued for CCUs with lifting point pad eyes less than 19mm thick, must include the statement ‘For onshore use only’. For CCUs for offshore transportation, the lifting set must meet the minimum standard requirement. Shackles fitted with proper locking arrangement to avoid accidental detachment. Hooks shall not be used in place of shackles. The container number shall be prominently displayed on all sides of the container in characters of a contrasting colour not less than 75mm high. For open-sided containers it may be necessary to attach panels specifically to carry the container number. The information markings such as gross weight, tare weight, and SWL shall be marked in characters of a contrasting colour not less than 50mm high on two (2) faces of the container. C.3.3 CARGO NET All cargo net made of steel wire rope or manmade fibre rope shall be supplied with certificate of conformity. C.3.4 ISO CONTAINERS ISO Containers must only be lifted by specifically designed, tested and certified lifting devices and tackles. ISO Containers that have not been modified shall have valid CSC certification. ISO container that has had its lifting points modified is considered to be a CCU and in addition to items stated above in D.2.2, any modifications to the lifting points of an ISO container must be supported with QP Approved Inspection Service Provider verified design documentation. All ISO containers having wooden flooring shall not be used offshore. Floors shall be fabricated from steel and be in good condition. C.3.5 FALL ARRESTOR QP Approved Inspection Service Provider shall review the manufacturer’s certificate of conformity and issue a thorough examination certificate. Fall arrestors must be fitted with an indicator of instance of fall. Fall arrestors shall not be reused if they have arrested a fall. Fall arrestors/inertia reels should only be serviced by OEM approved agency. C.3.6 GANGWAY The recorded deflection at any point shall not exceed 1/500 of its span with evenly distributed SWL. Aluminium gangways with non-metal base (point of contact) are only allowed in hazardous areas. For gangways constructed with lifting pad eyes, there must be a minimum of four (4) lifting pad eyes. While testing the test weight shall be uniformly distributed along the gangway. SECURITY CLASSIFICATION: INTERNAL Page 39 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 C.3.7 HOOKS (SLING TERMINATIONS) Hooks shall be fitted with safety latch. Hooks with safety locks protruding, which can be accidentally opened shall not be used. C.3.8 JUMBO BAGS: All jumbo bags complete with lifting straps shall be rated for the content weight and have a minimum FOS of 5:1. Jumbo bags shall not be reused or re-circulated. Jumbo bags shall have four (4) lifting points from lifting straps that are completely encircling the bag. A batch testing procedure as detailed below shall be followed for certification of the bags:  All bags shall be marked with an individual ID number.  One bag shall be randomly selected from a batch of 100 bags and be tested to 5 x SWL without breaking.  The break test certificate number shall be referenced in the certificate issued for the remaining bags (with unique ID nos.).  The details such as ID no., SWL and Break test certificate number shall be recorded in each certificate. C.3.8.1 OPERATIONAL RESTRICTIONS The following restrictions shall be applied to Jumbo Bags: Not to be lifted by a single leg sling or a single loop. Not to be used for dynamic lifting i.e.to or from vessel to offshore platform. To be protected from sunlight and moisture at storage areas. Not to be dragged or lifted by sharp edges. Manufacturer’s safe handling and stacking instructions shall be followed. C.3.9 MAN-RIDING BASKET (EXCLUDING PERSONNEL TRANSFER NETS) All man-riding baskets and associated lifting sets shall have a minimum design FOS of 10 x the maximum gross weight and shall be designed, constructed, operated and maintained in accordance with the applicable standards and the following requirements: A suitable fender, manufactured from incombustible material shall be fitted on all sides of the basket. Man-riding baskets which are provided with more than one pad eye must be designed such that the pad eyes are aligned diagonally. Man-riding baskets shall have a snag resistant tag line, fitted properly. Pad eyes shall be a minimum of 19 mm thick. Fitted with data plates clearly marked with the owner’s ID, tare weight, SWL, gross weight in metric units and dates of PLT and visual examination. The basket shall be marked prominently with the maximum number of persons permitted in addition to the SWL. SECURITY CLASSIFICATION: INTERNAL Page 40 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 C.3.9.1 OPERATIONAL RESTRICTIONS Man-riding baskets are only to be used as the last option. All personnel using a man-riding basket shall wear an approved safety harness, which shall be attached to the safety lifeline. The safety lifeline shall be tied to the crane hook block. Man-riding baskets shall be lifted only with multi-leg steel wire rope slings terminated with hard eyes and safety pin shackles. Chain and textile/fibre slings shall not be used for man-riding basket operations. C.3.10 PAD EYES (EXCLUDING PORTABLE GANTRY, CCU, LIFTING BEAM AND MAN-RIDING BASKET) Pad eyes for general lifting operation shall be designed, manufactured and QP Approved Inspection Service Provider verified, tested and certified for the specific application. Pad eyes for which the design cannot be verified shall be tested to Two (2) x SWL. C.3.11 PAD EYES FOR SPECIAL APPLICATIONS The requirements for PLT of pad eyes for special applications, such as for lifting of offshore jackets, modules, pressure containment vessels etc., can be waived provided the concerned QP Dept. or contractor can demonstrate that the pad eyes have been designed, manufactured and QP Approved Inspection Service Provider verified and certified for the specific application. Lifting points which are impractical to be proof load tested, that are mounted on equipment such as pressure containment vessels, gas turbines, generators, transformers, etc., must, as a minimum, have a self-load test performed on them, witnessed and certified by QP Approved Inspection Service Provider before the planned lifting operation. NDT shall be performed on the lifting points before and after the self-load test. C.3.12 PALLET Steel pallets used for lifting shall be constructed with four (4) lifting points. Steel pallets can be used with cranes, forklift trucks, pallet trucks and crane forks. Wooden pallets can only be used with a forklift truck, pallet truck and crane forks. In all cases load shall be secured with adequate lashing. C.3.13 PERSONNEL TRANSFER NET: The personnel transfer nets used at offshore locations for transportation of personnel shall have a FOS of 10:1 and shall be designed, constructed, operated and maintained in accordance with the applicable standards and this standard. Each offshore personnel transfer net inspection criteria shall be as follows: OEM’s recommendations shall be followed for life cycle applications relative to replacement of personnel carriers. SECURITY CLASSIFICATION: INTERNAL Page 41 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 The transfer net shall be marked prominently with the maximum number of persons permitted in addition to the SWL. C.3.13.1 OPERATIONAL RESTRICTIONS Any offshore facility carrying out personnel transfers using a personnel transfer net shall have a written procedure for this task which must be followed. An anti-spin device shall be fixed between the load line and the upper master link. The anti-spin device shall be of a sufficient capacity to support the personnel carrier application. Personnel carriers shall not be used as a workbasket. C.3.14 SAFETY HARNESS AND LANYARD QP Approved Inspection Service Provider shall review the manufacturer’s certificate of conformity and issue a thorough examination certificate. Safety harness shall be discarded after four (4) years regardless of condition. Full body harness with shock absorbing double lanyard and snap hooks shall be used. C.3.15 SHACKLE Shackles manufactured to BS 3032 shall not be used in QP operational areas. C.3.16 TEST WEIGHTS Test weights shall be calibrated annually and certified by a QP Approved Inspection Service Provider and inspected every six (6) months. The gross weight of the test weight shall be marked in characters of a contrasting colour not less than 50 mm high on two (2) sides of the test weight. C.3.17 TEXTILE SLING (ROUND SLING/WEBBING SLING) Textile slings shall not have any colour code painted, or be marked with ink, directly on the sling material. A label or a tag shall be attached to indicate the current colour coding system. Textile slings can only be used for a maximum four (4) years from the initial certification. Textile slings shall not be used for offshore transportation. All textile slings shall be supplied with a QP Approved Inspection Service Provider certificate from a batch break test procedure to ensure a minimum FOS of 7:1 as per BS EN 1492 or 5:1as per ASME B30.9. The batch testing procedure as detailed below shall be:  One textile sling of each capacity shall be randomly selected from a batch of 300 slings.  The break test certificate number shall be referenced in the certificate issued for the remaining slings (with unique ID nos.).  The details such as ID no., SWL and Break test certificate number shall be recorded in each certificate. SECURITY CLASSIFICATION: INTERNAL Page 42 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 C.3.18 TRUNNIONS Trunnions can only be used if they are supported with QP Approved Inspection Service Provider verified OEM design documents. Trunnions shall not be used for offshore transportation. C.3.19 WIRE ROPE SLING All wire rope slings shall be supplied with a QP Approved Inspection Service Provider certificate from a batch break test procedure to ensure a minimum FOS of 5:1. The batch testing procedure as detailed below shall be:  One wire rope slings of each capacity shall be randomly selected from a batch size of 11 to 100 slings and tested to destruction.  For a batch size less than 11 each wire rope sling shall be examined and PLT to 2 x SWL.  The break test certificate number shall be referenced in the certificate issued for the remaining slings (with unique ID nos.).  The details such as ID no., SWL and Break test certificate number shall be recorded in each certificate. Certificate of multi-leg wire rope sling shall provide detail of master link and other terminal fittings for verification. All wire rope slings used for lifting operations that involve submergence in water shall be discarded after one year regardless of the condition. TABLE 1: INSPECTION AND TEST REQUIREMENTS FOR LIFTING TACKLE INSPECTION AND TEST N or Alteration INSTALLATIO 6 MONTHLY ANNUALLY ON INITIAL LIFTING TACKLE TYPE EVERY 4 SUPPLY REPAIR MAJOR YEARS EVERY AFTER NDT 1 Beam clamp      - - 2 Beam clamp (fabricated)      - *** 3 Bundle puller (frame)      - *** Bundle puller (lifting points for 4   - *** transportation) Cargo Carrying Unit (CCU) up to 5      - *** 25,000 kg Cargo Carrying Unit (CCU) above 6      - *** 25,000 kg 7 Cargo net    - - - SECURITY CLASSIFICATION: INTERNAL Page 43 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 INSPECTION AND TEST N or Alteration INSTALLATIO 6 MONTHLY ANNUALLY ON INITIAL LIFTING TACKLE TYPE EVERY 4 SUPPLY REPAIR MAJOR YEARS EVERY AFTER NDT 8 Chain     - - - 9 Chain sling    - - 10 Containers (ISO)    - - 11 Drum Lifter      - - 12 Eyebolt/eye nuts    - - 13 Fall Arrestor    - - 14 Gangway or Walkway      - - 15 Gangway (Lifting Points)   - *** 16 Gin Pole/Wheel      - - 17 Hook    - - 18 Hopper (Lifting Points)    - *** 19 Hoist Links / Rings / Swivel    - - 20 Jumbo Bags     - - - Lifeboat / Rescue Boat Lifting 21      - - Points Lifting Bar/Lifting Beam/Spreader 22    - *** Beam 23 Loading Ramp      - - 24 Loading Ramp (Lifting Points)   - *** 25 Man riding basket      - *** 26 Pad eyes (with design)      - *** 27 Pad eyes (without design)      - *** 28 Pallet (steel with lifting points)      - *** 29 Personnel transfer net    - - - 30 Pipe clamp/hook      - - SECURITY CLASSIFICATION: INTERNAL Page 44 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 INSPECTION AND TEST INSTALLATIO 6 MONTHLY ANNUALLY ON INITIAL LIFTING TACKLE TYPE EVERY 4 SUPPLY REPAIR MAJOR YEARS EVERY AFTER NDT N or 31 Plate clamp      - - 32 Portacabin with pad eyes   - *** 33 Portacabin with trunnions      - *** 34 Pulley block    - - 35 Safety harness and Lanyard    - - - 36 Shackle    - - 37 Snatch Block    - - 38 Test Weight Calibration       - 39 Test Weight (Lifting Points )   - *** Textile Sling (Round Sling / 40     - - - Webbing Sling) 41 Trunnion      - *** 42 Turnbuckle / Rigging Screw      - - 43 Water bag      - - 44 Wire rope     - - - 45 Wire rope ( Running)   *** *** ***  *** 46 Wire rope sling     - - - SECURITY CLASSIFICATION: INTERNAL Page 45 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 LEGEND: 1.50 x SWL test & thorough visual  Thorough visual inspection  inspection 1.50 x GW test & thorough visual 2.00 x SWL test & thorough visual  inspection  inspection 1.00 x SWL test & thorough visual 2.00 x GW test & thorough visual   inspection inspection 1.10 x GW test dynamic & thorough 2.00 x Tare Weight test & thorough  visual inspection visual inspection 1.25 x SWL test & thorough visual 2.50 x GW test & thorough visual   inspection inspection CSC certificate issued by CSC NDT After PLT/Discretion of LE approved inspector/surveyor initial and *** Inspector/Surveyor every 2.5 years. SWL up to 10t: 2.00 x SWL SWL up to 25t: 2.00 x SWL SWL 10t to 160t: 1.04 x SWL + 9.6 t SWL above 25t: 1.22 x SWL + 20t SWL above 160t: 1.10 x SWL SWL up to 25t: 2.00 x SWL Certificate of conformity and visual SWL 25t to 160t: 0.933 x SWL + 27t inspection SWL above 160t: 1.10 x SWL  Sample to be Tested to destruction  Calibration required Note: A load test may be performed as deemed necessary by the LE Inspector/Surveyor During inspection SECURITY CLASSIFICATION: INTERNAL Page 46 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 APPENDIX D - WIRE ROPE ON LIFTING APPLIANCE DISCARD CRITERIA TABLE 1: DISCARD CRITERIA FOR WIRE ROPE ON LIFTING APPLIANCE For visible broken wires Nature of visible broken wire Discard criteria a) Wire breaks occurring randomly in sections of rope. Two or more wire breaks in a rope lay b) Localized grouping of wire breaks in length (approximately equivalent to a sections of rope which do not spool length of 6d) on and off the drum. c) Valley wire breaks. d) Wire breaks at a termination. Uniform decrease in diameter of wire rope have reached as per below percentage values, then severity rating is considered high (60%) signalling discard of the wire rope running through a steel sheave Rope type Uniform decrease in diameter (expressed as percentage of nominal diameter) a) Single-layer rope with fiber core 8 % and over but less than 9 % b) Single-layer rope with steel core or 5,5 % and over but less than 6,5 % parallel-closed rope c) Rotation-resistant rope 3 % and over but less than 4 % Corrosion and intermediate severity ratings Type of corrosion Condition and Discard criteria Wire surface rough to touch or Wire surface heavily a) External corrosion pitted and slack wires - High severity, 60 % to be discarded. Obvious visible signs of internal corrosion i.e. corrosion debris exuding from the valleys between b) Internal corrosion the outer strands- High severity, 60 % to be discarded Assessment of internal condition of wire rope shall be verified by employing Electromagnetic Inspection (EM) methodology and discard criteria are introduced, as an aid to the internal inspection of wire ropes. SECURITY CLASSIFICATION: INTERNAL Page 47 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 APPENDIX E - USE OF LE DURING NON-ROUTINE COMPLEX LIFT FORM (QP- PAI-STD-005-E) The following form shall be used in the implementation of this standard. USE OF LE DURING NON-ROUTINE COMPLEX LIFT FORM QP-PAI-STD-005-E Attach the form, duly reviewed and signed by QP Focal Point, to the Lifting Plan S No REQUIREMENTS DETAILS Contact /Project title Name of Contractor company Contract Number Contract Manager 1 Tel No. Mobile No. Fax No. Address of Contractor company QP Focal Point (Name & Ref indicator) Tel No. Mobile No. Fax No. Details of LE to be used (Use extra sheet if required) Equipment Certificate Number Validity Of Certificates 2 Details of lifting personnel to be used Validity Of Name Certificate Number Certificates 3 Crane operator Rigging Supervisor Rigger Rigger 4 Brief description & location of the planned lift Estimated duration of work Are Certificates for all 5 equipment and personnel for YES NO this lift provided 6 Reviewed by : Name Signature Date QP Focal Point SECURITY CLASSIFICATION: INTERNAL Page 48 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 APPENDIX F - REQUEST FOR WAIVER FORM (QP-PAI-STD-005-F) The following form shall be used in the implementation of this standard. REQUEST FOR WAIVER FORM QP-PAI-STD-005-F SPONSORING DEPT. Telephone No.: REPRESENTATIVE: Fax No.: Print Name: Designation : Signature: FOR QP DEPARTMENTS: OFFSHORE ONSHORE AREA OF OPERATION Section: FOR CONTRACTORS: PROJECT OR COMPANY REPRESENTA AREA OF OPERATION CONTRACT No. NAME TIVE ONSHORE OFFSHORE EQUIPMENT DESCRIPTION ID No. CERTIFICATE No. PERIOD WAIVER FROM: TO: REQUIRED: REASON FOR REQUESTING WAIVER: APPLICABLE CLAUSE OF QP-PAI-STD-005: RESTRICTION PARAMETER TO BE IDENTIFIED TO ENSURE SAFE OPERATION: Requested by: Review by QP competent person (LE): Print Name: Print Name: Ref. Ind.: Ref. Ind.: Signature: Signature: Date: Date: REVIEW BY QP OPERATIONAL HSE Approved by QP Asset Owner/Project Manager: Manager: Print Name: Print Name: Ref. Ind: Ref. Ind: Signature: Signature: Date: Date: Copy to be sent to BC for reference. SECURITY CLASSIFICATION: INTERNAL Page 49 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 APPENDIX G - USE OF LE DURING NON-ROUTINE SIMPLE LIFT FORM (QP- PAI-STD-005-G) The following form shall be used in the implementation of this standard. USE OF LE DURING NON-ROUTINE SIMPLE LIFT FORM QP-PAI-STD-005-G CRANE DETAILS LIFTING TACKLE DETAILS LIFTING ITEM DETAILS 1.1 Crane Name & Type 2.1 Slings SWL & Quantity 3.1 Dimensions (LxWxH) 1.2 No. of falls as rigged 2.2 Shackles SWL & Quantity 3.2 Actual Weight 1.3 Lifting Height (LH) 2.3 Spreader Bar, SWL 3.3 Weight Of Lifting Tackle 1.4 Lifting Radius (LR) 2.4 Other appliance, SWL 3.4 Weight of Hook Block 1.5 Boom Length (BL) SAFETY FACTOR FOR THE LIFT 3.5 Total Weight = 1.6 / 3.5 (SHALL BE > 125%) (=3.2+3.3+3.4) 1.6 Capacity as per load Risk assessment conducted TBT conducted chart (for above Date: configuration) 4. Brief description of the lift (including location and date of lift): Attach a plan view to this form Crane Name Staff No./Ref. Ind. Signature Date Operator Prepared by a Name Staff No./Ref. Ind. Signature Date competent person Accepted by a Name Staff No./Ref. Ind. Signature Date QP Competent Person (LE) A. Attach QP accepted certificates for all LE and LE personnel. B. Cordon off the footprint of the crane to prevent unauthorised entry to lift site and mark escape route. C. All the lifting gear/appliances shall have SWL of 30% in excess of the total weight to be lifted. D. This plan is valid for 7 days from date of approval. E. Use for this lift operation only as detailed above. SECURITY CLASSIFICATION: INTERNAL Page 50 of 51  QP STANDARD FOR LIFTING EQUIPMENT AND OPERATIONS DOC. NO. QP-PAI-STD-005 REV.00 APPENDIX H - REVISION HISTORY LOG Revision Number: 00 Date: 03/07/2020 Item Revised: Revision Description Page No. Nil New Document. NA Remarks: Nil. SECURITY CLASSIFICATION: INTERNAL Page 51 of 51