EPSILON (LOMS) LIFT PLAN. Date site visit carried out: Current Colour Code. Job Title:

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1 1. LIFT PLAN DETAILS Brief Description of Lifting Operation: EPSILON (LOMS) LIFT PLAN Lift Plan No: EP-LP-- Permit No: Risk Assessment No: EP-RA- Drawing No: EP-DR- Has a site visit been performed: Date Lift Plan Created: Name of Author: Date site visit carried out: Current Colour Code Job Title: 2. LIFT PLAN CONTENT REVIEW LOG: (Review of technical content and accuracy) Review Letter Date Details of Change Completed by This section shall be completed to show review letters P = Periodic, M = Monthly, F = Fortnightly, U = Up dated (wet Signature Only 3. REVIEW, APPROVAL, AND AUTHORISATION LOG Category Routine; Non Routine; Simple/Complicated/Complex Technical Engineering Review Required: Yes No Has Technical Review been completed; Yes No Approved and Endorsed By Date : Lift Plan Author EPSILON Lifting Operations Coordinator Designated Site Lifting Supervisor Lifting Technical Authority * * (LTA) Guidance: * * To be completed for COMPLEX LIFTS if requested by the LTA (If not required state N/A) Acronyms: Rig- Rigger; SCP Site Competent Person, LOTC- Lifting Operations Technical Coordinator, LTA Lifting Technical Authority Document No.: EPSILON-00-LOMS-PRO-001 Page 1 of Page 6 04/03/ :01

2 Lifting Operations Planning Pro-forma 4. DESCRIPTION OF LOAD: Load Weight: Gross Rigging Weight: Dimensions: L x H x W (metric): No. of Lift Points: Hook Block Weight (If applicable): Duty chart available : YES NO Total Weight to be Lifted: ( LW + RW + HW = TW) 5. DETAILED DESCRIPTION OF RIGGING EQUIPMENT Centre of Gravity Known: YES NO Item Quantity Item ID Number Pre-use Check carried Out By 6. UNCERTIFIED STEELWORK / LOAD BEARING SCAFFOLDING: Uncertified Steelwork / Load Bearing Scaffolding required; YES NO Platform Scaffold Request Serial Number ; Has the Structural Technical Authority been informed and the Uncertified Structural Steel work Pro-forma been completed with detailed measurements attached YES NO Guidance: Any item used for suspending or supporting a lifting appliance that does not have a valid certificate or supporting calculations. 7. CRANE(S): Is the crane required as part of the lift; YES NO Type(s) / Model(s) Pedestal or other? Boom Length: Maximum Radius: (metric) Crane(s) Capacity at Maximum Radius: (metric) Maximum Working Radius (Metric) Hook Block Weight: if applicable (metric) All equipment certificates available and reviewed (see Note 1) YES NO Crane percentage utilization: (Total Load lifted Capacity at Working Radius) x 100 Guidance: Note 1: If the certificates are not available, the job cannot proceed. Note 2: If the hook block weight is applicable, this shall be added to the weight of the load. Note 3: If crane percentage utilisation is calculated as 90% or above the category will change to a category COMPLEX lift Page 2 of Page 6

3 Lifting Operations Planning Pro-forma 8. ROUTE TO BE TRAVELLED: Pickup Location: Landing Area: Weather conditions been considered? YES NO Obstructions (List all in the path of lift): Barriers required / PA announcement made: YES NO Maximum Height of Lift (metric): Is there lifting over live plant: YES NO If YES for lifting over live plant, has a Level II RA been performed: YES NO Communication Type: (as per BS 7121) Radio / Hand / Verbal Is Banksman visible to Crane Operator: YES / NO / N/A 9. SIMULTANEOUS OPERATIONS: (SIMOPS) SIMOPS: YES NO If yes, are controls applied? WCC No. 10. MANPOWER: (Numbers of personnel required to conduct the lifting operation) Supervisor/ AP: Crane Operator(s): Banksman: Rigger(s)/Slinger(s): Crane Supervisor Other? Trained? Level(s): (1, 2, 3) 11. CONSIDERATIONS: GUIDANCE: All lifting Operations required the following to be considered, but this is not Exhaustive. 1. Is a valid permit to work in place under ISSOW 2. Does the Lift zone have barriers in place 3. Is the correct colour code is use 4. Has the task been performed before 5. Weight, size, shape, certification, and centre of gravity of load 6. Method of slinging, attaching, detaching the load 7. Availability of approved lifting points on load 8. Pre-use equipment checks by operator 9. Proximity hazards, obstructions, lay-down area, and path of load 10. Conflicting tasks undertaken in area (SIMOPS) 11. Safe access to equipment 12. Working under suspended loads 13. Radius of crane and angle of boom 14. Experience, competence, and training of personnel 15. Environmental conditions, including weather 16. Number of personnel required to perform 17. Overturning, load integrity, need for taglines 18. Communication requirements 19. Low head room or confined space 20. Availability of certified lifting points on load 21. Ground support conditions adequate for crane and load 22. Clearly defined responsibilities 23. Mandatory trial lift 24. Is the Crane lifting Operation a blind Lift Page 3 of Page 6

4 Lifting Operations Planning Pro-forma 12. METHOD STATEMENT: (STEP BY STEP PROCEDURE) Task No Safety Note: TASK STEP BY STEP Team members involved in task to make their way to the work site: When on site. Carry out Toolbox before commencing work scope complete the TRIC card identifying any potential hazards and read EPSILON 12 questions for safe lifts prior to starting work. Ensuring everyone involved understands their role in the work scope. Responsible person Work Party Safety Note: NOTE: ALL BARRIERS MUST BE IN PLACE AND A PA ANNOUNCEMENT MADE BEFORE ANY CRANE LIFTING OPERATIONS COMMENCE. ACCESS ALL LIFTING EQUIPMENT AND TRANSFER TO SITE USING MANUAL HANDLING PROCEDURE. DOC: (NOTE: RIGGER TO, CARRY OUT A PRE-USE EQUIPMENT INSPECTION TO ENSURE ITS FIT FOR USE AND CORRECT COLOUR CODE IS APPLIED AS OF PORTABLE AND FIXED LIFTING EQUIPMENT DOC: Work Party Safety Note NOTE: IF THE LOAD IS NOT STABLE OR AS AN UNKNOWN CENTRE OF GRAVITY, THE LIFT MUST BE STOPPED AND THE LOAD REASSESSED Riggers Page 4 of Page 6

5 Lifting Operations Planning Pro-forma Note: Ensure Completion of debrief, comments and lessons learnt section at the end of the lift plan. Guidance: Always bear in mind that the lifting plan could well be used by someone else and therefore needs all the relevant steps to be recorded. 13. SKETCH / DRAWING: (Reference drawing number if attached separately) EP-DR-0 Drawing And Technical Information Attached 14. GENERAL NOTES: 1. Pre-use inspection of all equipment and lifting devices shall be done on site. 2. Extreme care shall be exercised throughout the lifting operation to ensure safety to personnel, plant, environment, and equipment. 3. If for any reason conversation ceases between the Crane Operator and Banksman, all operations shall cease until re-established. 4. Riggers/ Crane Supervisor have the responsibility of ensuring that the correct rating and colour coded lifting and rigging equipment shall be used for all lifting and rigging operations. 5. Banksman shall always wear high visibility vests during all lifting and rigging operations. 6. If the load is not visible to the crane operator (Approved blind lift areas) two (2) or more Banksmen shall be in place and consideration should be given to communication breakdown during blind lifting. 15. FINAL CHECKS BEFORE LIFTING: (To be completed on the work site and returned to the LFP) All lifting appliances / accessories have the correct colour code : YES / NO Pre-use inspection of lifting equipment conducted on site: YES / NO Toolbox conversation completed: YES / NO Crane daily checklist completed (if applicable): YES / N/A Working at height, PPE, Rescue plan in place (if required by ISSOW): YES / N/A Load check for loose or possible dropped objects, has a full 360 visual inspection been Page 5 of Page 6

6 Lifting Operations Planning Pro-forma performed inside and outside: YES / NO Wind Speed below the manufactures guidelines: YES / N/A Are ALL signs and barriers in place and PA announcement been made: YES / NO Are the requirements of this lift plan being meet: YES/ NO Guidance: If tag lines are required, its use shall be covered in the Risk Assessment. 16. Work Party Acceptance Sheet: All members of the work party shall sign on to the lift plan to provide recordable evidence that they have read and understand what is required to complete the task in a safe manner. Position: Supervisor 17. DEBRIEF / LESSONS LEARNT: Once the lift has been safely completed, please note any problems encountered and how they were overcome, also any suggestions for doing the lift more efficiently / safely in the future. After completion of the debrief and lessons learned section, the person in charge of the lifting operation must complete the section below and ensure that any lessons learned or comments are recorded by the EPSILON Lifting Supervisor Supervisors Lift Plan Number: Date Note: On completion of the task, this page shall be removed and returned to the EPSILON Lifting Supervisor to ensure that ALL lessons learnt can be record and reviewed for future reference Page 6 of Page 6

7 Lifting Operations Category Selection EPSILON (LOMS) Item No. Step 1: Non Routine - Complex Lifting Operation Criteria Lift Plan Number EP-LP-0 Location Lift Criteria Applicable YES/NO 1. Does the lifting operation involve divers and/or lifting and transferring loads to and from subsea facilities? 2. Does the lifting operation involve lifting and hoisting of personnel (man-riding) using mechanical handling equipment (cranes, winches) and/or personnel transfer baskets? 3. Does the lifting operation involve the use of helicopters to lift and transfer the load? 4. Will the load will be travelled over live process plant and equipment containing hydrocarbon liquids or gas, accommodation modules or in close proximity (<15m) of energised power lines/equipment? 5. Does the weight of the load exceed of 90% of the SWL of the lifting equipment e.g. crane, winch, etc? 6. Does the load have a large surface area, with the potential to act as a sail? 7. Does the lifting operation require the simultaneous use of 2 cranes to lift and move the load (generally referred to as a tandem lift? (see Note 1 for definition of a Tandem lift) 8. Is the load unique or of significant financial value? If the load is lost or damaged would it have serious impact on the business performance e.g. loss of production capability, project delivery, or corporate reputation? 9. Does the load require the use of Un-certified structural steelwork or load bearing scaffold to hoist or support and/or cross haul a load in excess of 2te? (see Note 2) 10. Is the lifting operation being performed by a mobile crane on untested or uneven ground? 11. Does the lifting operation involve the transferring of the load between two floating vessels? 12 Is lifting operation to be performed in adverse weather conditions in an emergency situation (see Note 3 below) If you have answered YES to any of the lift Criteria above then the lift is deemed complex and specialist engineering assistance is required to develop the lift plan. On completion of the plan it must be endorsed by the designated Lifting Technical Authority (TA). If you have answered NO to all the lift Criteria above then the lift is not complex and you should continue with the lift categorisation using the lift Criteria in Step 2 Complicated Lifting Operations. Note 1: The definition of a tandem lift is one where the physical dimensions or weight of the load prevent it being handled by a single crane. This type of lift is considered complex because of the nature of the lift where both cranes have to luff, travel and slew in unison and where failure to do so could result in the hoist ropes moving from the vertical causing crane/load instability and/or additional load being transferred to one crane. Note 2: All lifting operations that require the use of uncertified structural steel must be technically assessed (the technical data assessment proforma Appendix 7 should be completed and sent to the structural engineer for assessment and approval). Note 3 In the event that lifting operations to transfer personnel using a crane or winch are required in an emergency situation the OIM must sanction the execution of the lift. Assessment Completed by: Approved by 04 Mar. 18 Procedure No EP-00-LOMS-PRO-002 Page 1

8 Lifting Operations Category Selection EPSILON (LOMS) Item No. Step 2: Non Routine - Complicated Lifting Operation Criteria Lift Plan number EP-LP-0 Location Lift Criteria Applicable YES/NO 1. Does the load have an offset Centre of Gravity (COG)? 2. Will un-certified structural steelwork/load bearing scaffold be required to support and/or cross haul a load less than 2 tonne? (see Note 2) 3. Is the load awkward and/or fragile or have the potential for a dropped object event? 4. Does the load contain residual liquids or other product that is likely to affect the COG and stability of the load? 5. Does the lifting operation involve the removal of major items of drilling equipment for maintenance e.g. top drive, crown block, etc.? 6. Does the lifting operation involve working at height with restraint, positioning and/or fall arrest PPE? 7. Does the load require to be rotated through 90 0 using a minimum of two cranes (this lifting operation is generally referred to as topping and tailing where the load is transferred to one of the cranes)? 8. Will the lifting operation be carried out in within production sensitive or confined areas? 9. Will the lifting operation require more than one lifting appliance to carry out the lift? 10. Will the load be lowered through deck hatches or be out of the view of the lifting appliance/crane operator load at any time during the lifting operation? If you have answered YES to any of the question in the lift Criteria section above then the lift is complicated If you have answered NO to all the lift Criteria then the lift is not complicated and you should continue with the categorisation in Step 3 Simple Lifting Operation Note 2: On some projects the Structural TA may sanction the use of uncertified steel for lifting purposes up to a specific load value (in either the vertical or angular plane). However, the default position to be taken is that all lifting operations that require the use of uncertified structural steel must be technically assessed by the designated structural engineer. The technical data assessment form Appendix 7 shall be completed in full and sent to the structural engineer for assessment and approval. Assessment Completed by :(Title) Approved by: Signature 04 Mar. 18 Procedure No EP-00-LOMS-PRO-002 Page 2

9 Lifting Operations Category Selection EPSILON (LOMS) Item No Step 3: Non Routine - Simple Lifting Operation Criteria Lift Plan Number EP-LP-0 Location Lift Criteria Applicable YES/NO 1. Is the lifting operation infrequent, uncomplicated and low risk using a single lifting appliance attached to dedicated and certified lifting points (lifting beam, pad eye etc.) directly above the load using a basic set of lifting accessories e.g. shackles, slings, eye bolts, etc. Can the load be easily slung? 2. Does the load have certified lifting points attached to the load (e.g. lifting lugs, pad eyes, collar type eyebolts, etc.) and is their certification still valid? 3. Does the load have a known weight and a COG that is below the lifting points? 4. Is there ample headroom for the load to be lifted and is the load path clear of any obstructions? 5. Is the lifting operation unlikely to be affected by changing environmental conditions? 6. Is the load set down point directly below the lifting beam? (no cross hauling of the load required) If you have answered YES to all of the questions above then the lift can be categorised as a is a simple lift. If you have answered NO to any of the questions continue with the categorisation process in Step 4 Completed by : Approved by: 04 Mar. 18 Procedure No EP-00-LOMS-PRO-002 Page 3

10 Lifting Operations Category Selection EPSILON (LOMS) Item No Step 4: Routine Lifting Operation Criteria Lift Plan Number EP-LP-0 Location Lift Criteria Applicable YES/NO 1. Is the lifting operation a frequent operation (as a minimum once per trip) utilising platform cranes, winches, forklifts, etc.? 2. Is the load pre-slung with standard lifting accessories and certified attachments e.g. crane pennant, multi-leg sling bridles, pad-eyes, shackles etc., and is the certification of the lifting points still valid? 3. Loads will be lifted and slewed over non-sensitive operational areas only? 4. Is there a suitable lay-down area for the size, shape and weight of the load? 5. Lifting operations will be carried out in suitable environmental conditions? 6. Lifts will be performed by competent crane operators familiar with the functions and operating parameters of the platform crane? 7. Is there a lift plan and risk assessment in place for this lift? If it is a generic lift plan have the generic risk controls been assessed and are they still appropriate for this for this lift operation? 8. The lift can be carried out without the use of synthetic type slings? 9. Does the operator have full view of the load at all times and is the pick up or laydown within an approved blind lift area. If you have answered Yes to all of the questions above the lift can be categorised as a Routine lifting operation. If you have answered No to any of the questions above then you must refer back to your Supervisor or if in doubt contact the designated Lifting Operations Technical Co-ordinator for advice/assistance with categorising the lift. Completed by: Name Approved by: 04 Mar. 18 Procedure No EP-00-LOMS-PRO-002 Page 4