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Yes No N/A Yes No N/A Name 0f The Person Working

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Vikas Yamagar

This document appears to be a work permit that authorizes work to commence and ensures proper safety precautions are followed. It lists required personal protective equipment and overseers, and requires signatures from the building engineer, contractor representative, project manager, safety and security departments to authorize the work. The contractor representative accepts responsibility for following safety precautions while working.

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© All Rights Reserved
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Yes No N/A Yes No N/A Name 0f The Person Working

Uploaded by

Vikas Yamagar
21 views1 page
This document appears to be a work permit that authorizes work to commence and ensures proper safety precautions are followed. It lists required personal protective equipment and overseers, and requires signatures from the building engineer, contractor representative, project manager, safety and security departments to authorize the work. The contractor representative accepts responsibility for following safety precautions while working.

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This document appears to be a work permit that authorizes work to commence and ensures proper safety precautions are followed. It lists required personal protective equipment and overseers, and requires signatures from the building engineer, contractor representative, project manager, safety and security departments to authorize the work. The contractor representative accepts responsibility for following safety precautions while working.

Copyright:

© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt
21 views1 page

Yes No N/A Yes No N/A Name 0f The Person Working

Uploaded by

Vikas Yamagar
This document appears to be a work permit that authorizes work to commence and ensures proper safety precautions are followed. It lists required personal protective equipment and overseers, and requires signatures from the building engineer, contractor representative, project manager, safety and security departments to authorize the work. The contractor representative accepts responsibility for following safety precautions while working.

Copyright:

© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt
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Competent Supervisor to Oversee the Work Yes No N/A

Required PPEs Provided? Yes No N/A

Name 0f the Person Working Gate Pass No Name 0f the Person Working Gate Pass No

'D' AUTHORISATION TO WORK

I hereby declare that the necessary precaution have been put into place and that work specified in part 'A' is
authorised to commence.

Signed (Building Engg.) Name of Building Engg. Date Time

'E' ACCEPTANCE

I hereby declare that I accept responsibility for carrying out the holiday work detailed in part 'A' of this permit and
that no attempt will be made by me or by persons under my control to work in any areas. Appropriate safety
precautions will be taken at all time.

Signed (Vender representative) Name of Contractor Date Time

Project Incharge Safety Dept. Security Dept.

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