吊车许可证
父母的爱作文-土地租赁协议
PTW: Permit
to Mobile Crane Set-upLifting
Work移动吊车的站位及吊装作业许可证
Section 1:
Application申请
辽AH5676
Tel电话:
Tel电话:
Date日期:12.11.3
Work Location作业地点:主办公楼
Plant & Equipment involved:
所用设备及机具
Servicedmaintained (records available)
设备维护记录是否可查
Yes是 No否
11.10Time时间
18:00 ampm
Contractor承包商:浙江中成建工集团
Contractors Supervisor承包商监工:单利民
Permit
valid from
许可证生效期:
Date 日期 11.3
Time时间__6:00_ampm:
Permit valid until
许可证有效期到:
Date 日期
A Safe Work Method
Statement (inc Risk Assessment) for the works must
be attached to this permit. Should conditions of
this permit, or the worksite, alter during the
course of the works, the
permit and associated
safe work method statement must be revised to
accommodate the changes. 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
作出相应更改。
Brief description of the works: 作业简述
施工材料运输吊装
Section 2: Safety
Precaution Checklist安全防范措施检查
Safety
Precautions安全防范措施
Prelift crane inspection
complete by contractor
1.
承包商已经完成吊装开始前的检查
2.
Wind Speed －By Gauge 7am 12pm 3pm or if
increase occurs
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
3.
Slew Ring－Too much movement
摆臂钢丝绳－可自由移动
Outriggers－Fully extended Bogmats or hard wood
timber under
outriggers on firm stable ground.
支腿－完全撑开在坚实地面上，支腿下面垫钢板或实木
方。
5.
Connections－Bolts, Pins, Hoses etc
连接－螺栓，插销，软管等
Yes NA
12.
Certificates of lifting equipment, operators
and signalman’s
operation certificates have
been examined and confirmed.
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
13.
Protection Area－Flagman Barricades Flags
Harness Lights and
spotters as required
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
14.
Capacity chart is provided plainly legible to
the crane operator and
signaler.
提供简单易懂的容量表给吊车操作手及指挥员
Yes NA
Yes
NA
Yes NA 10.
Yes NA 9.
Cont 承包商
Yes NA 8.
Safety
Precautions安全防范措施
Windows －Kept clean
窗户－保持清洁
Lifting Gear Inspected －Hooks
Shackles. Slings (must have
monthly Tag)
提升设备已检查－吊钩的安全锁，钢丝绳（必须贴有当
月标签）
Crane
Lifting Wire Rope－In good condition, Cutout
switch
working
吊车提升钢丝绳－处于良好状态，控制开关工作
Sheaves－Sharp edges cracked, broken
钢丝绳保护套－边缘已裂缝和损坏
Cont 承包商
Yes NA
Yes NA
Yes NA
4. Yes NA 11.
Yes NA
6.
Fluid Levels－Are correct
水平－正确
Yes NA
Yes NA
7.
Panel Instrument－Working including load
indicator & limit alarm
仪表盘－工作状态包括载重指示仪和限载警报
Yes NA
Other special
precautions其他特殊防范措施:
Section 3: Endorsement and Approval签名和批准
Contractor Safety Manager
承包商安全经理：
DateTime
日期／时间:
Jianli Safety
Responsible Person
监理安全负责人:
DateTime
日期／时间:
PCM Safety Responsible Person
管理公司安全负责人：
DateTime
日期／时间: