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Permit to Dump

Permit to Dump

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dasmadhu1609
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13 views2 pages

Permit to Dump

Permit to Dump

Uploaded by

dasmadhu1609
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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EHSMSM/ WORKS/446/4019 Tata Steel Ltd.

Rev#0 Effective date: 19.12.22

Daily pre-requisite form for permit to dump


The pre-requisite form is required to be filled for ‘Loading/Dumping’ job wherever heavy vehicle is involved, filled
in by the concerned TSL and Vendor supervisors at the beginning of every shift and shall be attached with the work
permit issued for loading/dumping activity).
ONE FORM TO BE USED FOR ONE JOB/SITE ONLY.

This permission for loading/unloading is given to for a single day from ..........AM/PM to….......AM/PM for the
Date........................

The permission is here given to


Mr./Ms...........................................................................................................................................................................
Designation ..................................... Department/Vendor name ..................................................
For the site ....................................... Section/Location................................................................
Brief description of the job
................................................................................................................................................................... .......................
..........................................................................................................................................................................................

Sr.
Check Points Yes No Remark
No.
1 Is floor Condition of loading/unloading area levelled?
2 Is Surface of loading/unloading area sufficiently compacted?
Is approach for the movement of the dumpers free from any
3
obstacle/ Spillage/ Pot holes/ water logging etc.
Does the dumper deployed for unloading activity have all key
4 safety features like- Dala raise interlock, Reverse camera, anti-
tilt device, Driver Fatigue Monitoring System?
Is illumination level at loading/unloading area sufficient as per
a r d
5
statutory norms?
n d
ta
6 Is Load profile evenly spread throughout the Dala?
Type of Material to be handled (Dry / Wet)
7
S
(for wet material, safe method of removal of residual sticky
material from dala should be mentioned in SOP)
d
8
unloading point?
a l i
Is there any moving machinery deployed under loading/

9 V
Is Toe wall /Berm Provided at the Edges
(excluding places where unloading activity is to be carried out at
ground level)
Sufficient space available for safe unloading w.r.t. number of
10
vehicles deployed
Specific to RM Division
11 Berm provided across the ramp
(except unloading at ground level)
12 Is there any presence of Surface Run-off?
In case of any deviation found in the checklist, necessary corrections need to be taken before issuing the
work permit.

Any other observations:

1. …………………………………………………………………………………………………………………

2…………………………………………………………………………………………………………………..

Executing agency Owner agency Working agency


Signature
Name
Designation
P.No./GP No.
Date & Time
a r d
n d
Sta
l id
Va

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