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24. Work Permit Report

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17 views

24. Work Permit Report

Uploaded by

ravi
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
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SEPIO PRODUCTS PVT LTD

WORK PERMIT REPORT


Sr. No: Date:
Cold work / work in electrical Confined space / working at
Permit
area height
required
Hot work (Welding / Gas cutting
for Vessel entry
etc.)
Job Particulars

Department Location
Equipment
name
Job description
Name of
operator
Precautionary Measures Taken for
Cold work / Hot work (Welding / Confined space /
Vessel entry
Electrical work Gas cutting etc.) working at height
PPEs are PPEs are PPEs are PPEs are
available available available available
Area is not
Cylinders are in Safety belt is Equipment is
having water
upright condition available isolated electrically
clogging
Area is Proper earthing Belts are
SBA set is ready
electrically isolated is done removed

Trained welder is SBA set is ready


No present of Working area is
selected
solvent / oil / free from any other All valves, holes
lubricants nearby No present of work are kept open
solvent nearby
Welding Machine Portable Hand Tools
Tools, Equipment to
Gas Cylinder Non–Sparking Equipment
Be Used
Vehicle / Crane Other, Specify

Fire Hazard Fall from Height


Hazards
Dust / suffocation Oxygen Deficiency
considerations
Electrical shock Hazard Other, Specify

Fire Extinguisher Face Shield / Goggles / Mask


Pre-check and fire
Fire Water Hose Other, Specify
protection
Safety Belt with Lifeline

Form No.: SPPL/HR/WPR/000, Rev.No.:24, Rev. Date: 20-1-2024


Remarks Regular PPE Like, Safety Shoes, Safety Helmet Etc. Are Mandatory

From Date To Date


Permit Validity
Time Time
We certify that the job preparation, precaution and conditions are satisfactory and safe.
The people who are going to carry job have been explained the hazards involved and
precautions to be taken
Issuing Authority Date Time

Accepting Authority Date Time

Tick Status Person Name Sign Date Time

Permit is closed, job is Accepto


contd. Please issue new r
permit Issuer
Accepto
Permit is closed, job is r
completed
Issuer
Permit is cancelled, as present conditions are not conducive for carrying out the
work
Remarks

Requested By Authorized By

System Coordinator / Authorised


Person

Form No.: SPPL/HR/WPR/000, Rev.No.:24, Rev. Date: 20-1-2024

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