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CSC General work permit

This document outlines the General Work Permit process, which is valid for seven days and requires various safety checks before work can commence. It includes sections for client and contractor details, job descriptions, safety requirements, and personal protective equipment needed for excavation work. The permit must be signed off by relevant personnel and displayed at the workplace, with strict adherence to safety measures and protocols outlined.

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safety.nagoor1992
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13 views

CSC General work permit

This document outlines the General Work Permit process, which is valid for seven days and requires various safety checks before work can commence. It includes sections for client and contractor details, job descriptions, safety requirements, and personal protective equipment needed for excavation work. The permit must be signed off by relevant personnel and displayed at the workplace, with strict adherence to safety measures and protocols outlined.

Uploaded by

safety.nagoor1992
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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General Work Permit Permit No :

Filled by Contractor Engineer


( Permit valid for seven (7) days )
Tick (✔ ) the appropriate box applicable
Type of permit Type of standard work followed Nature of general work
⬜ New ⬜ Renewal ⬜ JSA Avail ⬜ HIRA Avail ⬜ SOP Avail ⬜ Ground ⬜ Floor

General work using Tools & Equipment's List


1, 2, 3, 4,

Details of Client Project In-Charge Details of Contractor Project Manager


Name of The In-Charge : Name of Job In-charge :
Department and Designation : Name of the Contractor firm :
Mobile No : Mobile No :

Job Description :- Location :- Date of Permit Issue : Work Shift Time


Date of Start of work : ⬜ A ⬜ B From :
Date of Work Completion : ⬜ G ⬜ Night To:

Safety requirement for general work : Please tick Yes- (✔ ), NA (✔ ) in the appropriate box Daily wise check points
Sl Date Date Date Date Date Date Date
No Confirm below safety measures taken at work site YES NA

1 Work Area is free from any obstruction / hazards & hygienic


2 Adequate Illumination arrangement provided
3 Scaffold / Ladder / Stairs Inspected
4 Energy Source Isolated / Disconnected If Any
5 Barricaded the working zone [ Ground level & Floor Level ]
6 Electrical power supply, RCCB, Earthing and connection Checked
7 Is the area display with of Signage and Posters
8 Equipment / Tools Inspected and tagged
9 Dedicated Supervisor deployed -
10 Job briefing done to all workers and recorded -
11 Are the workers gone through the Induction & Specific training -
12 Ensure a minimum of 100lx and aim of 200lx should be made
13 All workers induction trained and HSE Pass is available.
Required Personal Protective Equipment (PPE's) for Excavation work (Tick( ✔ ) the appropriate)
⬜ Reflective Jacket ⬜ Nose Mask ⬜ Face shield ⬜ Helmet*
14 ⬜ Arm Sleeves ⬜ Ear Plug ⬜ Safety goggle ⬜ Safety Shoe*
⬜ If other please specify _____________________ [* Mandatory PPE]

Contractor Engineer : I Personally checked above safety check points before work start

Contractor Safety Officer : I Personally confirmed above safety check points before work start

CSC (PMC) : I Personally Confirmed & approved above safety check points before work start N/A

Note : In-case of change Project Engineer update & Ensure Safety measures of Sl no 01 to 13.
Additional safety requirements / remarks :- Contractor Contractor CSC PMC CSC PMC CSC PMC
1. Project Engineer Project Manager Project Engineer Project Manager Safety Officer
2. Sign: Sign: Sign: Sign: Sign:
3.
4. Name: Name: Name: Name: Name:
Date: Date: Date: Date: Date:

Note* :- 1. Permit to be handover to the CSC (PMC) Safety Department after expiry of validity date or completion of General work.
2. White Copy To be displayed at workplace after sign off. 3. Yellow copy handover CSC (PMC) Safety Department after sign off.
Safety Instructions : This general work permit cancelled
1. No general work should be attempted / to be done without work permit / Invalid permit due to Insufficient safety measures as
mentioned below
2. Apart from work permit requirements, JSA Instructions / HIRA Procedure are to be strictly followed
3. This general work permit to be carry at work site at all time. Name: Dept :
4. Workers must be briefed (TBT) about imminent dangers involved in the job. Sign: Date/Time:
5. One general work permit is valid for one work place, in-case of multiple location need individual general work permit. Permit cancellation communicated to:
6. Permit valid for 7 days from date of work start
7. Without supervisor single person working is not allowed
8. General work prohibited during without TBT on workers, supervisor must inspect the PPE's before working Date : Time:

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