Professional Documents
Culture Documents
PTW For DAM Area
PTW For DAM Area
00 12th May 2020 Remove Lightning Arrestor 22KV TBM – Intake TL22KV
Any Alarm, Alert, Gas Release, Evacuation or other Emergency Suspends / Cancels this permit. To Restart Contact Permit
PTW No:
Authorizer
Activity Category: A B C D [A]: Access Permit; [B]: Work Permit; [C]: PTW plus S/Permit; [D]: PTW plus Work Pack. Plant:
Valid To: 12th May 2020 Standa rd Wo rk Descrip tion : PTW CR OSS REFER ENC ES:
Modifier
Maintenance. Testing Required:
Bruce Eng
[N] [Y]
PlanningLocation:
Engineer
1. WORK ACTIVITY EQUIPMENT No:
Maintenance
Reviewer Song Dong Seok
Manager
President & Plant
Approver Young Park TRA No.
Uncontrolled, if printed * Refer latest version in the server / SAP * If required, print both the sides *
FM No: KLIC_HSE_SP-001/FM-004 Rev: 00
Permit To Work
2. ADDITIONAL (SUPPLEMENTARY) PERMITS / CERTIFICATES ( cross referenced perm its and certificates shall be kept displayed together) CR: Cross Ref .
Perm its Permit No. YES NO CR Cer tificates Cer tifica te No. YES NO CR
Hot Work Perm it Isolation Certificate
Diving Perm it Scaffolding Certificate
Confined Space Entry/Work Perm it Radiation Certificate
Excavation Perm it HV Isolation Certificate
Working at Height Perm it Simulation Certificate
Heavy Machinery Movement Perm it Test Certificate
OPERATION (Permit Issuer, PI) Supervisor/SCE/Engineer: I declare that Technical System is secured. I hereby approve this task.
Name: OPERATION Signature: Date Time:
MAINTENANCE (Permit Acceptor, PA): I declare that I have checked isolations, LOTO & precautions personally and found OK.
5. PTW EXTENSIONS:
Perm it validity extension-I: Reason with Requestors ' Name, Signature & Date: New Validity (PI: Name, Sig. Date): Perm it Acceptor (Name, Sig, date):
Perm it validity extension-II: Reason with Requestors ' Name, Signature & Date: New Validity (PI: Name, Sig. Date): Perm it Acceptor (Name, Sig, date):
6. TEMPORARY SUSPENSION:
M AIN T EN ANCE (PA): I de cla re tha t al l wo rks a re cea sed OPERAT ION (PI): PER MIT SU SPENDED OPERAT ION (PI): PER MIT R ESUMED
PA Name/Signature/Date/Time: PI Name/Signature/Date/Time: PI Name/Signature/Date/Time: