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    General Work Permit S3-F7: Start Date: End Date: Start Time: End Time

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    Hareekirishnan Lrk
    This document is a general work permit that outlines the health and safety requirements for work. It requires the permit requester to provide details of the intended work area, description of work, mandatory risk assessments and permits. The permit authorizer must then approve the permit by signing off on the start and end dates and times. Personal protective equipment requirements and hazard identification/control measures must be documented. Upon completion of work, the permit requester and authorizer must sign to close out the permit and confirm the area is safe.

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    General Work Permit S3-F7: Start Date: End Date: Start Time: End Time

    Uploaded by

    Hareekirishnan Lrk
    108 views1 page
    This document is a general work permit that outlines the health and safety requirements for work. It requires the permit requester to provide details of the intended work area, description of work, mandatory risk assessments and permits. The permit authorizer must then approve the permit by signing off on the start and end dates and times. Personal protective equipment requirements and hazard identification/control measures must be documented. Upon completion of work, the permit requester and authorizer must sign to close out the permit and confirm the area is safe.

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    This document is a general work permit that outlines the health and safety requirements for work. It requires the permit requester to provide details of the intended work area, description of work, mandatory risk assessments and permits. The permit authorizer must then approve the permit by signing off on the start and end dates and times. Personal protective equipment requirements and hazard identification/control measures must be documented. Upon completion of work, the permit requester and authorizer must sign to close out the permit and confirm the area is safe.

    Copyright:

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

    General Work Permit S3-F7: Start Date: End Date: Start Time: End Time

    Uploaded by

    Hareekirishnan Lrk
    This document is a general work permit that outlines the health and safety requirements for work. It requires the permit requester to provide details of the intended work area, description of work, mandatory risk assessments and permits. The permit authorizer must then approve the permit by signing off on the start and end dates and times. Personal protective equipment requirements and hazard identification/control measures must be documented. Upon completion of work, the permit requester and authorizer must sign to close out the permit and confirm the area is safe.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    General Work Permit S3-F7 V3

    EHS GENERAL WORK PERMIT PERMIT NO:


    SECTION 1: TO BE COMPLETED BY PERMIT REQUESTOR
    Permit Requestor: Name: Company:
    Intended Work Area: Building: Level: Room:
    Description of Work:

    Mandatory Requirements: Method Statement Risk Assessment


    Services being worked on: tick those that apply Additional Permits Required: tick those that apply
    Electrical □ Mechanical □ Hot works □ Confined Space □
    Process equipment □ Utility Systems □ Dig □ Working at Height □
    Chemical system □ Structural/Civil □ Fire Protection □ □
    Other: Permit Number (S ):
    Waste management organized □
    Lockout/Tag: Mast be used if any of the following hazard exit
    Electrical □ Liquid/free flowing Solids □ Excessive heat □ Moving part □
    Safety Information: are you aware of the following
    Location of Nearest Emergency Exit: Location of Telephone/Radio:
    Location of Nearest Safety Shower /Eye Wash: Location of Assembly Point:
    Equipment/Tools to be used:
    Hazard Identification and Risk Assessment Yes/ No/ Comment
    Is the work area cordoned or barrier placed?
    Are chemicals required for the task and has the MSDS been reviewed?
    Is lighting and ventilation adequate for the task?
    Is there sufficient access/egress in the work area?
    Can emergency access/egress routes be kept clear?
    List all the hazard associated with the task and all control measures documented, must be implemented & used.
    Hazards Control measures

    Use the Required Personal Protective Equipment: tick those that apply
    Hard Hat □ Eye Protection □ Safety Shoes □ High Visibility Clothing □
    Respiratory Protection □ Hand Protection □ Hearing Protection □ Lab Coat / Garb □
    Safety Harness □ Others:
    SECTION 2: PERMIT APPROVAL
    THIS SECTION TO BE SIGNED BY THE PERMIT REQUESTOR AND PERMIT AUTHORIZER
    Start date: End date:
    Permit valid from:
    Start time: End time:
    Signature Date Time
    Permit Requestor:
    Permit Authorizer:
    Revalidation
    Date Time from Initials Date Time to Initials

    SECTION 3 : PERMIT CLOSE OUT


    THIS SECTION TO BE SIGNED BY THE PERMIT REQUESTOR AND PERMIT AUTHORIZER
    Confirmation that the work has been finished. The area is left safe and clean (any problem: Incident Report need to be done)
    Name Signature Date & Time
    Permit Requestor:

    Permit Authorizer:

    File Name : S3-F7 General work permit V3 Page 1 of 1


    This document and the information it contains are property of ENOVA and confidential. They shall not be reproduced nor disclosed to any person except to those having a
    need to know them without prior written consent of the HSEQ Manager of ENOVA.

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