OHSE MANAGEMENT SYSTEM PROCESSES Doc. No.

AFC/1706/HSE/09
(ISO 45001: 2018 & ISO 14001: 2015) Job code-1706
CONSTRUCTION OF MUMBAI – AHMEDABAD HIGH SPEED Rev. No:00
RAIL Package No: MAHSR – C 2
Date: 26.05.2023
Page:

Permit-to-Work - Maintenance Work

No. Item Addressed Compliant Comments
Y N N/A
1 Method of maintenance is defined and related Hazard/risk
assessment is prepared
2 Proper PPEs as required considering the risk are available

3 Person conducting the maintenance work is/are competent to

perform the work.

4 Are proper barrications and warning sign boards as per standard

to prevent unauthorised access?

5 Is the equipment has been depressurised, drained, de-energised .

and cooled?

6 Is the equipment has been locked or tagged as per procedure?

7 Have maintenance / service workers been briefed on the process

hazards?

8 Do line / equipment contain any of the following chemicals:

Hydrogen, Methanol, Ethanol, Ozone, Oxygen, Propane, Butanol,
Ammonia or Natural Gas?
9 Are proper arrangements available for the effective
communication?

10 any other point needed to be ensured shall be added here

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Assessment Completed By : Responsibility Accepted By

Date/Time: Permit reference No: