Doc.

ID : NEHS-01-02-02

SAFE START SYSTEM @ 3S Issue no .01

Issue date : 01/07/2019

सरु क्षित शरु

ु आत प्रणाली @ 3S DICIPLINE - HSE

Task Details Resource Required Emergency Details

Date/ तारीख :__________Shift/ पारी __________ Supervisor :_______________________ Contact Name & Tel No.
Foreman :_____________
Plant/Equipment :__________________
Project Number/ पररयोजना क्रमाांक :_________
Safety:_______________
Location/ स्थान :_________________________ Hazardous Materia/खतरनाक पदाथय l:__
First Aider:____________
________________________________
Description of work/ कायय का वििरण :_______ Work permit Required
_________________________________
_______________________________________ Note: A new 3S has to be prepared when the Confined
Hot/ गरम
________________________________________ task and environment changes.
Company / कांपनी का नाम:_______________ ध्यान दें : कायय और िातािरण में पररितयन होने height/ ऊंचाई Shaft
पर एक नया 3S तैयार ककया जाना है ।

Before work start the following MUST be inn place( Tick the control messures in place)
Supervision Induction Training WC Drinking water First Aid Smoking Information Others:-

Select Control must be inplace before The selection on “box” means risk not controlled
hazard work starts The selection on “circle” means risk controlled

General/
सामान्य
Ventilation Confined watch

Hand held
tools/
हाथ में Barricading

पकडे हुए
उपकरण

Work at
height /
ऊांचाई पर
काम
 Doc.ID : NEHS-01-02-02

SAFE START SYSTEM @ 3S Issue no .01

Issue date : 01/07/2019

सरु क्षित शरु

ु आत प्रणाली @ 3S DICIPLINE - HSE

Lifting
Operation
/ उठाने
का कायय

Others
Public /
जनता
Visitor Induction

PPE /
व्यक्ततगत
सुरिा
उपकरण
Others:- Others:- Others:- Others:- Others:-

Emergency /
आपातकाल

3S @ Prepared by / द्वारा तैयार:______________________________________ Sign ___________Date_______Time ____

Briefed By Supervisor and accepted by Team member( Name and Sign below)
पययिेिक द्िारा सांक्षिप्त और टीम के सदस्य द्िारा स्िीकार ककया जाता है (नाम और हस्तािर नीचे)
Name / Card Number Sign Name / Card Number Sign