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  • Permit To Work Form Alan Houghton

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    Htin Lin Aung
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    This document outlines the suggested elements for a permit-to-work form, including the job location, plant identification, description of work, identified hazards, necessary precautions, available protective equipment, signatures confirming understanding of hazards and precautions by those doing the work, extensions if needed, and signatures upon work completion and plant recommissioning.

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    Permit to Work Form Alan Houghton

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    This document outlines the suggested elements for a permit-to-work form, including the job location, plant identification, description of work, identified hazards, necessary precautions, available protective equipment, signatures confirming understanding of hazards and precautions by those doing the work, extensions if needed, and signatures upon work completion and plant recommissioning.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    11 views1 page

    Permit To Work Form Alan Houghton

    Uploaded by

    Htin Lin Aung
    This document outlines the suggested elements for a permit-to-work form, including the job location, plant identification, description of work, identified hazards, necessary precautions, available protective equipment, signatures confirming understanding of hazards and precautions by those doing the work, extensions if needed, and signatures upon work completion and plant recommissioning.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    SUGGESTED ELEMENTS FOR A PERMIT-TO-WORK FORM

    1. CONFINED SPACES PERMIT-TO-WORK 3. Job location 4. Plant identification 5. Description of work to be done 6. Hazards identified 7. Precautions necessary 2. Reference No:

    8. Protective equipment available (checked and calibrated)

    9. Signature to confirm precautions have been taken (by authorised person) Duration of permit: Time/Date:

    10. Signature to confirm understanding of hazards and precautions (by persons carrying out the work) Time/Date: 11. Extension of permit if required. Signatures of those involved. Duration of permit: Time/Date:

    12. Signature of person(s) carrying out the work to certify that work is completed. Signature of authorised person to certify that work is completed and that any plant is ready for recommissioning. Time/Date: 13. Signatures to certify that plant is satisfactorily recommissioned. Time/Date:

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