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Blanket SWP D - For CPP

This document is a blanket safe work permit for class D work at Finolex Industries Limited's captive power plant in Ratnagiri, Maharashtra. It outlines the job description, equipment involved, expected completion date and timing. It also documents clearance from the fire, electrical, instrumentation and construction departments. The area in-charge approval specifies excavation depth, barricading, backfilling and safety instructions. Shift-wise monitoring and sign-offs are included to ensure safety precautions are followed for continuation of the job. Upon completion, the work is checked, housekeeping verified and the permit returned.

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Sarah Frazier
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© © All Rights Reserved
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Download as DOC, PDF, TXT or read online on Scribd
33 views

Blanket SWP D - For CPP

This document is a blanket safe work permit for class D work at Finolex Industries Limited's captive power plant in Ratnagiri, Maharashtra. It outlines the job description, equipment involved, expected completion date and timing. It also documents clearance from the fire, electrical, instrumentation and construction departments. The area in-charge approval specifies excavation depth, barricading, backfilling and safety instructions. Shift-wise monitoring and sign-offs are included to ensure safety precautions are followed for continuation of the job. Upon completion, the work is checked, housekeeping verified and the permit returned.

Uploaded by

Sarah Frazier
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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BLANKET SAFE WORK PERMIT CLASS- D

FINOLEX INDUSTRIES LIMITED


CAPTIVE POWER PLANT,
GOLAP-RANPAR, RATNAGIRI.

SR. NO.

ORIGINAL COPY

MARK (V) WHEREVER APPLICABLE OR (X) WHEREVER NOT APPLICABLE.


ORIGINAL COPY SHALL BE KEPT AT THE JOB SITE UNTIL WORK IS COMPLETE.

EXCAVATION, ROAD BLOCKAGE


SWP REQUESTED BY SHRI. _________ SIGN:_________ DEPT. :_______ SWP REQUIRED AT :______ HRS.
ESTIMATED DATE OF WORK COMPLETION:_____________ ;
THE WORK TIMING WOULD BE FROM__________ HRS TO__________HRS / 24 HRS.

ON:___________

JOB AT PLANT / DEPT.:_______________ UNIT NO. ____________ LOCATION._______________________________________________________


JOB DESCRIPTION (MENTION THE PURPOSE ALSO) :
A) EXCAVATION :_____________________________________________________________________________________________________________
EQUIPMENT INVOLVED: POWER / HAND TOOL, _____________________________ APPROX. DEPTH _______MTRS.
BACK FILLING DETAILS: ____________________________________________________________________________________________________
B)

ROAD BLOCKAGE : (SPECIFY ROAD NO.)


_____________________________________________________________________________________

SWP ISSUED ON DATE:_________TIME:____________ HRS. VALID UP TO ___________HRS. ON DATE___________


THE WORK TIMING ALLOWED IS FROM:___________HRS TO:_____________HRS. OR 24 HOURS.
( )
PART 1 : FIRE & SAFETY DEPARTMENTS CLEARANCE:
- CHECKED PHYSICALLY THE TOTAL AREA TO BE EXCAVATED. REFERRED DRAWING OF THE FIRE HYDRANT SYSTEM.
JOB CAN BE PERFORMED SINCE NO FIRE PIPELINE AND EQUIPMENT WOULD BE OBSTRUCTED.

- CHECKED PHYSICALLY THE TOTAL AREA TO BE EXCAVATED. REFERRED DRAWING OF THE FIRE HYDRANT SYSTEM,
( )
AND SINCE FIRE PIPE LINE AND EQUIPMENT NEARBY WOULD BE OBSTRUCTED JOB SHOULD BE PERFORMED WITH
EXTRA CARE AND BY TAKING FOLLOWING PRECAUTIONS: ___________________________________________________________
____________________________________________________________________________________________________________________
- SINCE ROAD NOS_______ WOULD BE BLOCKED ALTERNATIVE ROUTE NO.__________ FOR EMERGENCY MANAGEMENT WOULD BE
UTILISED, IF REQUIRED. ALL THE DETAILS NOTED AND INFORMED TO F & S STAFF.
SHIFT IN CHARGE FIRE & SAFETY: SIGN:______________NAME:___________________________DATE:___________TIME:__________HRS
PART 2 : ELECTRICAL DEPARTMENTS CLEARANCE:
- CHECKED PHYSICALLY THE TOTAL AREA TO BE EXCAVATED. REFERRED ELECTRICAL AND TELEPHONE CABLES
( )
NETWORK DRAWING. JOB CAN BE PERFORMED SINCE NO ELECTRICAL AND TELEPHONE CABLES AND EQUIPMENT
WOULD BE OBSTRUCTED.
- CHECKED PHYSICALLY THE TOTAL AREA TO BE EXCAVATED. REFERRED ELECTRICAL AND TELEPHONE CABLES
( )
NETWORK DRAWING. SINCE THE NETWORK AND EQUIPMENT NEARBY WOULD BE OBSTRUCTED JOB SHOULD BE
PERFORMED WITH EXTRA CARE AND BY TAKING FOLLOWING PRECAUTIONS: _______________________________________
___________________________________________________________________________________________________________________
SHIFT IN CHARGE ELECTRICAL DEPT: SIGN:___________NAME:___________________________DATE____________TIME:_________HRS

PART 3 : INSTRUMENTATION DEPARTMENTS CLEARANCE:


-

CHECKED PHYSICALLY THE TOTAL AREA TO BE EXCAVATED. REFERRED INSTRUMENTATION CABLE NETWORK
DRAWING. JOB CAN BE PERFORMED SINCE NO INSTRUMENTATION CABLES WOULD BE OBSTRUCTED.

CHECKED PHYSICALLY THE TOTAL AREA TO BE EXCAVATED. REFERRED INSTRUMENTATION CABLES NETWORK
( )
DRAWING AND SINCE THE NETWORK AND EQUIPMENT NEARBY WOULD BE OBSTRUCTED JOB SHOULD BE
PERFORMED WITH EXTRA CARE AND BY TAKING FOLLOWING PRECAUTIONS:_____________________________________________
___________ ____________________________________________________________________________________________________________
SHIFT IN CHARGE INSTRUMENTATION DEPT: SIGN:______________NAME:__________________DATE____________TIME:_________HRS

PART 4: CONSTRUCTION DEPARTMENTS. CLEARANCE:


- CHECKED THE PROPOSED AREA OF EXCAVATION, SURROUNDING BUILDING AND STRUCTURE AND UNDERGROUND
( )
PIPELINES. JOB SHOULD BE PERFORMED WITH EXTRA CARE AND BY TAKING FOLLOWING PRECAUTIONS: __________________
_________________________________________________________________________________________________________________________
ENGINEER CONSTRUCTION DEPT. : SIGN:__________________NAME:_________________________DATE____________TIME:_________HRS

PART 5 : AREA INCHARGES CLEARANCE :


PERMITTED EXCAVATION DEPTH:___________ MTRS
INFORMED TO SECURITY
( )
BARICADING DETAILS: ______________________________________________________________________________________________________
BACK FILLING DETAILS:_____________________________________________________________________________________________________
SPECIFIC INSTRUCTIONS (if any) : ____________________________________________________________________________________________
SAFE WORK PERMIT IS ISSUED AFTER CONSIDERING ALL SAFETY ASPECTS & ADOPTING NECESSARY SAFETY PRECAUTIONS AND
WILL BE EXECUTED BY ADOPTING SAFE WORK PROCEDURE. THE JOB, SAFE METHOD OF WORK, USE OF PPE, HOUSE KEEPING,
EMERGENCY PREPAREDNESS & RESPONSE PROCEDURE, COMMUNICATION MEDIA ETC ARE CLEARLY EXPLAINED TO THE
EXECUTING STAFF.
NAME OF SAFETY WATCH: SHRI______________________
SIGN : ______________

NAME:__________________

DATE:________________ TIME :__________________HRS.

AUTHORISED OPERATIONS SATISFACTION

SIGN : _____________ NAME:___________________


DATE : ______________ TIME:___________________HRS.

AUTHORISED MAINTENANCE SATISFACTION

SHIFTWISE CHECKING OF SPECIFIED CONDITIONS MENTIONED OVERLEAF SWP FOR


CONTINUATION OF JOB.
SR.
NO.

DATE

SHIFT

NAME OF
SAFETY WATCH

OPERATIONS SATISFACTION
SIGNATURE
NAME

MAITENANCE SATISFACTION
SIGNATURE
NAME

AFTER ANY EMERGENCY OR STOPPAGE OF WORK FOR CERTAIN REASON ALL THE PARAMETERS OF THE SWP
ARE RECHECKED AND SINCE FOUND SATISFACTORY RESTART OF THE JOB IS ALLOWED AND ENTRIES MADE.
JOB STOPPED FOR REASON : ----------------------------------------------------------ON
AT :
HRS.
MAINTENANCE
SATISFACTION
OPERATIONS
SATISFACTION
SR.
DATE
SHIFT
TIME
NO.
SIGNATURE
NAME
SIGNATURE
NAME

TAKING OVER

HANDING OVER

THE JOB IS COMPLETED


THE JOB IS INCOMPLETE.
BACK FILLING DONE AS INSTRUCTED.
BARICADING REMOVED.
HOUSE KEEPING DONE.

[
[
[
[
[

]
]
]
]
]

WORK CHECKED.
HOUSEKEEPING DONE IS SATISFACTORY.

[ ]
[ ]

ROAD BLOCKAGE REMOVED, INFORMED


TO FIRE CONTROL ROOM AND SECURITY

[ ]

PERMIT RETURNED.

WORK ACCEPTED

SIGN :____________NAME :______________

SIGN : ___________ NAME:________________

DATE : __________ TIME :_______________HRS.

DATE____________ TIME :_________________HRS.

AUTHORISED MAINTENANCE SATISFACTION

AUTHORISED OPERATIONS SATISFACTION

NOTE: THE PERMIT IS NOT VALID IN THE EVENT OF AN EMERGENCY. HOWEVER AFTER THE
EMERGENCY IS OVER IT CAN BE REVIVED AFTER RECHECKING OF ALL THE CONDITIONS MENTIONED
OVERLEAF AND THEN SUBSEQUENT CERTIFICATION OF THE SAME BY SIGNING FOR OPERATIONS
SATISFACTION AND MAINTENANCE SATISFACTION. THE PERMIT IS VALID ONLY FOR THE PERIOD AND
DURATION MENTIONED. ON EXPIRY OF VALIDITY NO EXTENSION IS PERMISSIBLE.

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