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The Minitemaid Company: Eg: Gas / Electricity / Alarms Electricity

The document contains 4 permit to work forms from The Minitemaid Company. The permits are for maintenance work in the press shop involving electricity isolation, changing a bearing, and paint jobs. Each permit specifies the work location and activities, known hazards like slip/trip/fall and inhalation, and control measures taken like using safety shoes, nose masks, and lock out/tag out procedures. The HOD Safety signs as the authorized person approving the work and the contractor signs acknowledging the permit details and control measures.

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Prakash Patel
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118 views4 pages

The Minitemaid Company: Eg: Gas / Electricity / Alarms Electricity

The document contains 4 permit to work forms from The Minitemaid Company. The permits are for maintenance work in the press shop involving electricity isolation, changing a bearing, and paint jobs. Each permit specifies the work location and activities, known hazards like slip/trip/fall and inhalation, and control measures taken like using safety shoes, nose masks, and lock out/tag out procedures. The HOD Safety signs as the authorized person approving the work and the contractor signs acknowledging the permit details and control measures.

Uploaded by

Prakash Patel
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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EHS MANAGEMENT SYSTEM MANUAL Format No: F/EHS/ 28

Revision 00
THE MINITEMAID COMPANY No:
PERMIT TO WORK Rev. Date: 30.05.2018

PERMIT TO WORK
Section A

Permit to work date: 15 July 18

Location of the Work: Press shop - Press 01

Work activities covered in the permit: Maintenance


Isolation required:
Electricity
Eg: Gas / Electricity / Alarms
Known hazards: Slip trip Fall

Risks
Section B: Control Measures: Action taken & Action to be taken to reduce Risks

Works to be performed by a competent person, if risk assessment has been carried out:
This must be attached to this permit
Measures: Supervision

Issued by Site authorized person: HOD Safety


As authorized person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name HOD Safety Signature: -sd-

Received by competent person (who will be carrying out his work)


As competent person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name: Contractor Signature: -Sd-
EHS MANAGEMENT SYSTEM MANUAL Format No: F/EHS/ 28
Revision 00
THE MINITEMAID COMPANY No:
PERMIT TO WORK Rev. Date: 30.05.2018

PERMIT TO WORK
Section A

Permit to work date: 18 Aug 18

Location of the Work: Press shop – change of bearing - Press 05

Work activities covered in the permit: Maintenance


Isolation required:
Electricity
Eg: Gas / Electricity / Alarms
Known hazards: Slip trip Fall

Risks
Section B: Control Measures: Action taken & Action to be taken to reduce Risks

Works to be performed by a competent person, if risk assessment has been carried out:
This must be attached to this permit
LOTO implemented
Measures: Supervision of job done

Issued by Site authorized person: HOD Safety


As authorized person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name HOD Safety Signature: -sd-

Received by competent person (who will be carrying out his work)


As competent person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name: Contractor Signature: -Sd-
EHS MANAGEMENT SYSTEM MANUAL Format No: F/EHS/ 28
Revision 00
THE MINITEMAID COMPANY No:
PERMIT TO WORK Rev. Date: 30.05.2018

PERMIT TO WORK
Section A
Permit to work date: 09 May 18

Location of the Work: Paint Job

Work activities covered in the permit: Maintenance


Isolation required:
Electricity
Eg: Gas / Electricity / Alarms
Known hazards: Slip trip Fall / inhalation of just and fumes

Risks
Section B: Control Measures: Action taken & Action to be taken to reduce Risks

Works to be performed by a competent person, if risk assessment has been carried out:
This must be attached to this permit
Measures: Slip trip Fall – safety shoe provided
inhalation of just and fumes – Nose mask provided

Issued by Site authorized person: HOD Safety


As authorized person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name HOD Safety Signature: -sd-

Received by competent person (who will be carrying out his work)


As competent person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name: Contractor Signature: -Sd-
EHS MANAGEMENT SYSTEM MANUAL Format No: F/EHS/ 28
Revision 00
THE MINITEMAID COMPANY No:
PERMIT TO WORK Rev. Date: 30.05.2018

PERMIT TO WORK
Section A
Permit to work date: 20 Nov 18

Location of the Work: Paint Job

Work activities covered in the permit: Maintenance


Isolation required:
Electricity
Eg: Gas / Electricity / Alarms
Known hazards: Slip trip Fall / inhalation of just and fumes

Risks
Section B: Control Measures: Action taken & Action to be taken to reduce Risks

Works to be performed by a competent person, if risk assessment has been carried out:
This must be attached to this permit
Measures: Slip trip Fall – safety shoe provided
inhalation of just and fumes – Nose mask provided

Issued by Site authorized person: HOD Safety


As authorized person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name HOD Safety Signature: -sd-

Received by competent person (who will be carrying out his work)


As competent person, I confirm and understood the content of this permit and that no works than the work
activity specified will be carried out.
Name: Contractor Signature: -Sd-

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