Doc. No. IWL/HSE/F-24/Rev.

05
Annexure: 5.3
EXCAVATION WORK PERMIT INOX WIND LIMITED.
Date: 01.04.2022

Date: Area / Location of the site:

Valid
Time: From To
Equipment / System / Area:

Description of work to be carried out Excavation Check – List Yes No

1. Underground obstruction
exist

2. Before excavation check

refer Drawings

3. Underground obstruction
marked on the ground

A) Electrical cables

B) Telephone cables

C) Oil / Gas & Waterlines

D) Sewer

4. Excavation will be carried

out in explosion risk area

Instruction for the excavation work

Protective Equipment / Measures : (A) Excavation route is inspected and safety

precautions listed in this permit must be followed.

(B) Excavation route is inspected and we certify that

underground obstructions do not exist.

Electrical:

Civil:

Mechanical:

Communicate to :Safety Department

Area has barricaded, Caution boards &danger lamps I acknowledge the precaution to be taken and accept the
placed, I have personally checked the job site responsibility of carrying out the job accordingly.
conditions for the work is fulfilled.

I have personally checked the job site conditions and The work is finished, back filling has done &waste
confirm that a safe condition for work is fulfilled. material removed.
Accepter Name & Sign. Permit Issuer
Site HSE Person(INOX)
(INOX) (INOX)