Work Permit Request Form

ZEBL CONSULTING PLC
Contractors. Work Permit Request
To resident engineer / site supervisor _________________________________________________
From the contractor _______________________________________________________________
Project ___________________________________ Block/bill ________________________
Location __________________________________ Dr No __________________________
Clint _____________________________________ Axis ____________________________
Consultant ________________________________ Story ___________________________
Subject work permit request
Type of activity (item) to be executed ________________________________________________
To carry out the above activity we have completed all preparation and we here by submit our work
methodology to be granted work permit check list certificate we also notify that the take off sheet of
this item will be forwarded after the completion of stated work
Contractor ______________________ Supervisor _______________________
Sign ___________________________ Sign ____________________________
Date ___________________________ Date ____________________________
1
ZEBL CONSULTING PLC
Contractor working Methodology

Project: _______________ Bill No______________________
Employer: __________________ Block Building________________
Contractor: _____ Floor Levels _________________
Consultant: _____ Drawing No__________________
Place of work: __________ Rooms ______________________
Gridlines ____________________
Working Methodology for approval of work permit

 Accessories type sizes needs for proposed work_______________________________________
______________________________________________________________________________
 Quality of ran materials for intended work ___________________________________________
_________________________________________________________________________________
 Sufficiency of site available raw materials ___________________________________________
_________________________________________________________________________________
 Submission of approved sample product data written orders _____________________________
________________________________________________________________________________
 Storage/stacking/ piling condition of materials ________________________________________
_______________________________________________________________________________
 Availability of site level material testing tools_________________________________________
________________________________________________________________________________
 Qualification of assigned labor_____________________________________________________
________________________________________________________________________________
 Responsible assigned professional __________________________________________________
________________________________________________________________________________
 Devices be used for intended work _________________________________________________
________________________________________________________________________________
 Expected date/time for start of work_________________________________________________
________________________________________________________________________________
 Sustainability of proposed equipments devices ________________________________________
2
ZEBL CONSULTING PLC
Contractor working Methodology

 Number of assigned crew labour etc. ________________________________________________
______________________________________________________________________________
 Average expected out put of assigned crew/labor ______________________________________
______________________________________________________________________________
 Estimate of time requirement for completion _________________________________________
______________________________________________________________________________
 Duration of work/Day, night, holiday/_______________________________________________
______________________________________________________________________________
 Safety measures of the working area ________________________________________________
______________________________________________________________________________
 Intended measures for aid of labor incase of incident /accident___________________________
______________________________________________________________________________
 Sequence of activates for execution of intended work __________________________________
______________________________________________________________________________
 Means of transport of transport of goods intended position ______________________________
______________________________________________________________________________
 Protection measures for safety of computed work ______________________________________
______________________________________________________________________________
 Action to be taken for attainment of designed parameter /requirements _____________________
______________________________________________________________________________
 Proposed sampling of material for laboratory test ______________________________________
Contractors of all categories are expected to submit methodology of works which at least comprised of the
above points but not limited to these if their method is found as constructive
Contractor:- _______________________ Consultant:- ____________

Sign:- ____________________________ Sign :- _________________

Work Permit Request Form

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Work Permit Request Form

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ZEBL CONSULTING PLC

Contractors. Work Permit Request

To resident engineer / site supervisor _________________________________________________

From the contractor _______________________________________________________________

Project ___________ Block/bill

Location ________ Dr No

Clint _________ Axis

Consultant ______ Story _

Subject work permit request

Type of activity (item) to be executed ________________________________________________

this item will be forwarded after the completion of stated work

Contractor Supervisor _

Sign _ Sign __

Date _ Date __

Contractor working Methodology

Working Methodology for approval of work permit

Contractor working Methodology

Contractor:- ___________ Consultant:-

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