PERMIT FOR BLASTING OPERATION

A. To be filled up by the person taking the permit

Name of the Project : Job Number :

Date : No of the Blasting :
Name of the Licensed :
Name of the Contractor:
Blaster / Shot Firer :
Location of Blasting : Starting time of drilling operation:

B. Permit Validity
Permit From (Time) ----------------------- Date-------------------
To (Time) ----------------------- Date--------------------

C. Check Points before Blasting

Sl. No Description Yes / No

1. Whether the detonators are checked individually for continuity & resistance?

2. Do all the detonators belong to the same manufacturer?

3. Whether the explosives & cartridges selected for use are of correct size?

4. Whether the explosives & detonators are of approved quality?

5. Whether the Condition of lead / leg wires are checked?

6. Whether sockets in the blasted area are flushed with air and water & plugged?

7. Whether the bore holes are cleared of all the debris before explosives are inserted?

8. Whether all the excessive cartridges are removed from the work spot?

Whether it has been counted that the number of persons involved in the operation
9.
have come out of the spot after loading?

Whether the environmental conditions are considered?

10.
(Rain / Sunny / Wind / Thunders / Lightning)

11. Are Electronic Items / Radios, mobile phones & pagers prohibited in the location?

Whether the danger zone is suitably cordoned and flagmen posted at important
12.
points?

13. Whether suitable warning boards are displayed at site?

14.
Whether no. of entry points are identified and access control is established?

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 15. Whether blaster’s shelter is available in good condition?

Whether proper signaling system is established to prevent trespassers entering the

16.
blasting zone, siren or hooter is available?

Whether all the drillers have been provided with Ear Plugs, Helmets, Goggles &
17.
Gum Boots?

Whether a record has been maintained in a separate register indicating.

18.  Date & Time of Blast  Amount of Charge Per Hole

 Number of Holes  Firing Pattern & Sequence
 Type of Explosive Used

Mention the
 Qty of explosive brought from magazine. ---------------------------------------------------
19.
 Qty of explosive used ---------------------------------------------------

 Qty of explosives returned to magazine ---------------------------------------------------

Any Electrical / Telecom line or cables nearby?
20.
If so specify the distance & Voltage -----------------------------------------------------------------------
Whether the circuit has been checked
21.
Specify the resistance ----------------------------------------------------------------------------------------

I have checked the above points & found conditions suitable to undertake the blast.

Name & designation of the permittee: --------------------------------------------------------

Signature: -----------------------------------

D. To be filled up by the Issuing Authority

The precautions & safe conditions mentioned above have been verified & blast can be
done.

People shall be evacuated from danger zone & warning sirens shall be blown before the
blast.
………………………………….
Name & signature of issuing Authority Section In-charge

E. Check Points after Blasting

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Name & designation of the permittee : ------------------------------------

Signature : ------------------------------------

………………………………….
Name & signature of issuing Authority Section In-charge

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