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PTW For PNG PDF

This document is a general permit to work form used by IRM Energy Private Limited. It requires information such as the work permit number, date, location, job description, safety checks that must be completed before work begins, required personal protective equipment, and spaces for signatures and approvals by the worker requesting the permit, the verifying HSE department member, and approving manager. The form is used to ensure safety protocols are followed for critical activities like hot work, work at height, excavation, electrical work, and loading/unloading related to PNG and CNG operations.

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193 views1 page

PTW For PNG PDF

This document is a general permit to work form used by IRM Energy Private Limited. It requires information such as the work permit number, date, location, job description, safety checks that must be completed before work begins, required personal protective equipment, and spaces for signatures and approvals by the worker requesting the permit, the verifying HSE department member, and approving manager. The form is used to ensure safety protocols are followed for critical activities like hot work, work at height, excavation, electrical work, and loading/unloading related to PNG and CNG operations.

Uploaded by

वात्सल्य कृतार्थ
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IRM Energy Private Limited Work Permit No:

Doc no.: IRM/HSE/WP/F01


GENERAL PERMIT TO WORK
ORIGINAL COPY

WORK PERMIT WORK PERMIT


DATE:
VALID FROM: VALID TO:
SITE NAME & LOCATION:
JOB DESCRIPTION:

PRE-CHECK POINT BEFORE ISSUING THE PERMIT


SHUT DOWN TAKEN LOTO TAKEN
(YES/NO/NOT REQUIRED (YES/NO/NOT REQUIRED)
Sr.No. Area/ Item Done N. A Sr.No. Area/ Item Done N.A
1 Work area/ Equipment are inspected 8 Communication equipment is available.
2 Surrounding Area checked & Cleaned 9 First Aid box is available.
3 Tools Inspected 10 Ladder Required? Attendant: ________
4 Gas test done, found gas free 11 Stand by Personnel / Supervisor is
CH4=______% & O2=_______% available from O&M/Project.
Name: _________________________
5 Available fire extinguisher 12 Lifting Device / Sling / rope checked.
Type=_______ & Size=________kg SWL: ________________
6 Proper ventilation and lighting provided 13
7 Area cordoned off?
SAFETY EQUIPMENTS/ PPEs RQUIRED
Safety Shoe [ ] Gloves [ ] Ear plug [ ] Welding goggles [ ]
Safety Helmet [ ] Dust Mask [ ] Safety goggles [ ] Face shield [ ]
Others:

HSE Engineer Comment (if any) :

Work Permit Work Permit Verified By Work Permit Approved By


Requested By (HSE Department)

Name:

Designation:

Signature:

Date & Time of Closure

Contact no:

Note: This work permit is valid for all type of critical activities such as (Hot work, Work at Height,
excavation work, Electrical work, Loading and Unloading) involved in PNG and CNG related
activities/work. The Copy of the permit must be submitted to the HSE Department.

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