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Permit To Height Work

This document outlines a permit process for work at heights at the ACWA Power Zarqa Project. It requires that 13 precautions be completed, such as providing safe access, adequate edge protection, guard rails on work platforms, fall protection equipment, and clearance of overhead work areas. The permit is valid for one day and can be renewed with authorization. It involves sign-off from the work supervisor, site engineer, safety department, and others to authorize, renew, or close out the permit.

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Saleh Alomari
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79 views2 pages

Permit To Height Work

This document outlines a permit process for work at heights at the ACWA Power Zarqa Project. It requires that 13 precautions be completed, such as providing safe access, adequate edge protection, guard rails on work platforms, fall protection equipment, and clearance of overhead work areas. The permit is valid for one day and can be renewed with authorization. It involves sign-off from the work supervisor, site engineer, safety department, and others to authorize, renew, or close out the permit.

Uploaded by

Saleh Alomari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

ACWA POWER Zarqa Project

PERMIT TO WORK – WORK AT HEIGHT


Area / Location Permit No.
Agency Work in charge

Description of
works

Precaution to be completed by works supervisor/ Sub-Contractor


The following are to be required and completed YES NO N/A
1 Whether Safe access to work place is provided
2 Whether the edge protection provided adequate
3 Whether work platform is adequate with respect to strength
and dimension.
4 Is the working platform fully boarded?
5 Work platforms provided with guard rail.
6 Are the workmen screened for working at height?
7 Adequate fall protection arrangement made (Static line,
Double Lanyard harness, Fall Arrestor, Safety Net)
8 Walkways, aisles & all overhead workplaces cleared of loose
material.
9 Whether all tools & tackles inspected before use.
10 Whether hand tools and handling materials secured against
accidental fall?
11 Workmen provided with bag / box to carry bolt, nuts & hand
tools.
12 Whether area below (exclusion zone), where the height work
being performed is cordoned off and unauthorized entries
are avoided.
13 Was a Job safety analysis done and submitted together with
this permit.
Additional precautions/ comments

Permit validity
This permit is valid from: am/pm on / /
Until: am/pm on / /
Notes: Permit to Work – Height work is valid for one day and can be renewed for one day after get
the signature from the concerned authority. This form being triplicate is kept respectively one copy
for construction party, Construction dept., Safety dept.
Issue of permit- authorization/ receipt

Page 1 of 2
ACWA POWER Zarqa Project

Comment of site engineer /Sub contractor


Comment of SEPCO III site in-charge
from work agency
I have examined the area specified and
permission is given for the work to start,
subject to the conditions stated above.

Name: Name:

Signed: Date: Signed: Date:


Comment of Safety dept. Emergency No.
Name: No.

Name: No.
Name:

Name: No.
Signed: Date:
Renewed of works/ permit
Time work will be renewed to : am/pm on / /
Site supervisor Site in-charge Safety dept.

Completion of works/ closing of permit


Time work completed/ suspended: am/pm on / /
Site supervisor Site in-charge Safety dept.

Notes: Permit to Work – Height work is valid for one day and can be renewed for one day after get
the signature from the concerned authority. This form being triplicate is kept respectively one copy
for construction party, Construction dept., Safety dept.

Page 2 of 2

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