Your Name*

Your Company*

Jobsite Location*

Your Phone Number*

Your Email*

Estimated Date of Lift (mm/dd/yyyy)

(A.) Distance from center of lift point to edge of building

(B.) Height of the building

(C.) Distance from the building to the edge of the crane

(D.) The mass or weight of the item that we are lifting

Description of Lift

Your Name*

Your Company*

Jobsite Location*

Your Phone Number*

Your Email*

Estimated Date of Lift (mm/dd/yyyy)

(A.) Distance from center of lift point to edge of building

(B.) Height of the building

(C.) Distance from the building to the edge of the crane

(D.) The mass or weight of the item that we are lifting

Description of Lift

Your Name*

Your Company*

Jobsite Location*

Your Phone Number*

Your Email*

Estimated Date of Lift (mm/dd/yyyy)

(A.) Distance from center of lift point to edge of building

(B.) Height of the building

(C.) Distance from the building to the edge of the crane

(D.) The mass or weight of the item that we are lifting

Description of Lift

Your Name*

Your Company*

Jobsite Location*

Your Phone Number*

Your Email*

Estimated Date of Lift (mm/dd/yyyy)

(A.) Distance from center of lift point to edge of building

(B.) Height of the building

(C.) Distance from the building to the edge of the crane

(D.) The mass or weight of the item that we are lifting

Description of Lift