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Work Permit - Working at Height

This document is a work permit for working at heights. It provides information such as: 1. The place and expected time frame for the job 2. The job description and names of the contractor and supervisor 3. The number of engaged persons and clearance from overhead power cables and other safety aspects 4. Cancellation procedures once the job is complete The permit also specifies required personal protective equipment and monitoring requirements to ensure safety controls are reviewed periodically.

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Jaks Jaks
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282 views

Work Permit - Working at Height

This document is a work permit for working at heights. It provides information such as: 1. The place and expected time frame for the job 2. The job description and names of the contractor and supervisor 3. The number of engaged persons and clearance from overhead power cables and other safety aspects 4. Cancellation procedures once the job is complete The permit also specifies required personal protective equipment and monitoring requirements to ensure safety controls are reviewed periodically.

Uploaded by

Jaks Jaks
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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WORK PERMIT WORKING AT HEIGHT NWEF 0017 Page 1of 2 Issue B Date 14.02.

2012
Permit No.................... 1. Place of job: 2. Expected time for starting of job: 3. Expected period for completion of job: 4. Job Description: 5. Name of ontractor: !. Name of "#per$isor: %. N#mber of persons engaged: Name of &riginator: Date:.................................

Deptt:

"ign:

'. learance from (nc)arge *+aintenance,: *-./ine0Po1er "#ppl203iring0 abling0&t)ers, "afe Distance from o$er)ead po1er cables: 4emar5s: Name: "ign: 7. learance from (0 "afet2: "r.No. "89E.: -E ;" 0 PPE 4E<=(4E+EN." 01. Temporary Worki g P!atform 02. "uar#rai!s 0$. %#e&uate 'a##ers 04. %#e&uate I!!umi atio s 0(. No )!ippery Foot*ear 0+. ,e!met 07. )afety ,ar ess- Be!t 0.. /ra*! Boar#s-)afety Nets 0For fragi!e roof *orki g1 02. % y ot3er: Date 6 .ime: :es No N.8.

Name: "ign: 1>. ancellation: .)e said job is o$er and read2 for starting t)e prod#ction. &riginator: Name: )ig : (0c "afet2: Name: )ig : (0c +aintenance:Name: )ig :

Date: Date 4 Time: Date 4 Time: Date 4 Time:

(N 8"E &9 E+E4?EN : 8//: 1, "ec#rit2: !>! @ !>% 2, Dispensar2: !>' +onitoring: Depe #i g o te ure of *ork perio#i5a! re6ie* of 5o tro! s3a!! 7e 5arrie# out 7y safety offi5er pro5ess o* er.

ALSTOM T&D
ALSTOM T&D India Limited, P.O. Naini, Allahabad 211 008 (U.P T!l. "#1 $%2 2&# '(22)2( * 2&# '((')(8 * 2&# '&01)% +a, - "#1 $%2 2&# '%0' * 2&# '&0(. ....al/t0m.10m

WORK PERMIT WORKING AT HEIGHT NWEF 0017 Page 2of 2 Issue B Date 14.02.2012

K. Bheemprakash IMS Co-ordinator DT

S.C. Gupta IMS Co-ordinator Sw Gr

K. Razdan IMS Co-ordinator PT

8mendments: Issue % 8 Date# 21.11.0+ 9 :rigi a! issue Issue B9 Date# $0.11.0+ 8 ;o itori g re&uireme t a##e#.

ALSTOM T&D
ALSTOM T&D India Limited, P.O. Naini, Allahabad 211 008 (U.P T!l. "#1 $%2 2&# '(22)2( * 2&# '((')(8 * 2&# '&01)% +a, - "#1 $%2 2&# '%0' * 2&# '&0(. ....al/t0m.10m

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