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Sattva Permit RSP

This document is a Permit to Work for Cradles/Rope Suspended working platforms issued by Salarpuria Sattva Developers Pvt Ltd. It outlines the necessary safety measures, inspections, and approvals required before and after the work is conducted. The permit includes sections for information about the work, safety checks, and signatures from the requestor, issuer, and authorized personnel.

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deepakkumar
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2 views1 page

Sattva Permit RSP

This document is a Permit to Work for Cradles/Rope Suspended working platforms issued by Salarpuria Sattva Developers Pvt Ltd. It outlines the necessary safety measures, inspections, and approvals required before and after the work is conducted. The permit includes sections for information about the work, safety checks, and signatures from the requestor, issuer, and authorized personnel.

Uploaded by

deepakkumar
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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SSD-EHS-07-2018/014

Salarpuria Sattva Developers Pvt Ltd


Permit to Work - Cradles / Rope Suspended working Platform(RSP)
Project Name : Date :
Company requesting the Permit : Pemit No:
Section A: Information
Location of work :
Description of work :
Duration of work : Start time : End time :
Name of Activity in charge : Contact Number :
Number of Worker's deployed for
work :
A copy of this permit is to be kept with the operator / supervisor in charge at all times
Section B: The following control measures have been implemented (if applicable)
Si.No Descreption Yes No N/A Descreption Yes No N/A
Is the cradle movement impeded by
1 Method Statement & Risk Assessment in place 12
obstructions or projections

Appropriate PPEs are provided (Are the Safety harness being worn & Is there a weight hammer tied to the safety
2 13
secured to the fall arrester and life line rope). rope, keeping it in tension?

TPI (Third party inspection) certificate available. And inspection date &
Is an independent safety line with
3 due date displayed on the bucket 14
friction brake available
(TPI Expiry date___________________)

4 Competent/Trained operator deployed to operate 15 Are the suspension ropes and safety ropes, free of kinks and damaged

5 Is Gandola placed on proper floor & handrails are provided. 16 Is the pendant control secured to the handrail of the platform

Are the tools secured to the Cradle to avoid


6 Are suitable Warning signage displayed? 17
dropping them from the height

Are TBT Contuct before start of activity.


Is the area below Gandola Barricaded? Working area barricated to
7 18 Trainer Name and Signature
avoide unauthorised entry
___________________ _____________

Are safety devices (As per manufaturer instruction all stops, override Are the electric cables free of damages, improper
8 19
switches, brakes) operational condition joints and kept away from water

Is the Cradle inspected daily including the anchoring/ counter weight Are the operatives aware of emergency
9 20
system on the roof procedures (malfunctions / emergency)

Counter weights are tied with strong structure for secondery


10 21 Is the fire extinguisher (CO2) fitted securely in cradle
protection.

11 Is there a safe & convenient means of access to the Gandola bucket

SITE CONDITIONS:- Remarks


1. Hot / windy/ rainy / Normal condition?
2. Is Gandola used in vertical level without any obstacle?
3. Are there any persons working below and above?
Section C: Permit Requesation and Approvals
i) Permit Requested By:
I hereby request for a permit to carry out cradle work at the location specified above. I have personally inspected the cradle and
found that all precautions mentioned above have been complied with.

Name : Signature : Date


ii) Permit Issued By :
I have verified the Method Statement & Risk Assessment and it is suitable. All necessary safety precautions in relation to the hazards identified in the assessment have been taken.

Name : Signature Date


iii) Section E: Permit Authorised By
Client representative / Engineer in Charge
I am confident that all necessary safety precautions in relation to the hazards identified with this task have been taken.
Name Signature Date
PERMIT CLOSE
Section D:
i) Permit Requestor Requested for closing
The area has been cleaned and the work is completed.
Name (Same as in section C) Signature Date/Time
ii) Permit Issuer – Accepted the Closing Request:
I have verified the same as stated in section D(i).
Name (Same as in section C (ii)). Signature Date/Time
iii) Permit Authorised By – Acknowledge the Closing Request
Client representative / Engineer in Charge
Name (Same as in section C(iii)). Signature Date/Time
To be returned to the EHS Coordinator after the completion of the work.

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