Work Permit Request Form

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ZEBL CONSULTING PLC

Contractors. Work Permit Request

To resident engineer / site supervisor _________________________________________________

From the contractor _______________________________________________________________

Project ___________________________________ Block/bill ________________________

Location __________________________________ Dr No __________________________

Clint _____________________________________ Axis ____________________________

Consultant ________________________________ Story ___________________________

Subject work permit request

Type of activity (item) to be executed ________________________________________________

To carry out the above activity we have completed all preparation and we here by submit our work

methodology to be granted work permit check list certificate we also notify that the take off sheet of

this item will be forwarded after the completion of stated work

Contractor ______________________ Supervisor _______________________

Sign ___________________________ Sign ____________________________

Date ___________________________ Date ____________________________

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ZEBL CONSULTING PLC

Contractor working Methodology


Project: _______________ Bill No______________________
Employer: __________________ Block Building________________
Contractor: _____ Floor Levels _________________
Consultant: _____ Drawing No__________________
Place of work: __________ Rooms ______________________
Gridlines ____________________

Working Methodology for approval of work permit


 Accessories type sizes needs for proposed work_______________________________________
______________________________________________________________________________
 Quality of ran materials for intended work ___________________________________________
_________________________________________________________________________________
 Sufficiency of site available raw materials ___________________________________________
_________________________________________________________________________________
 Submission of approved sample product data written orders _____________________________
________________________________________________________________________________
 Storage/stacking/ piling condition of materials ________________________________________
_______________________________________________________________________________
 Availability of site level material testing tools_________________________________________
________________________________________________________________________________
 Qualification of assigned labor_____________________________________________________
________________________________________________________________________________
 Responsible assigned professional __________________________________________________
________________________________________________________________________________
 Devices be used for intended work _________________________________________________
________________________________________________________________________________
 Expected date/time for start of work_________________________________________________
________________________________________________________________________________
 Sustainability of proposed equipments devices ________________________________________

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ZEBL CONSULTING PLC

Contractor working Methodology


 Number of assigned crew labour etc. ________________________________________________
______________________________________________________________________________
 Average expected out put of assigned crew/labor ______________________________________
______________________________________________________________________________
 Estimate of time requirement for completion _________________________________________
______________________________________________________________________________
 Duration of work/Day, night, holiday/_______________________________________________
______________________________________________________________________________
 Safety measures of the working area ________________________________________________
______________________________________________________________________________
 Intended measures for aid of labor incase of incident /accident___________________________
______________________________________________________________________________
 Sequence of activates for execution of intended work __________________________________
______________________________________________________________________________
 Means of transport of transport of goods intended position ______________________________
______________________________________________________________________________
 Protection measures for safety of computed work ______________________________________
______________________________________________________________________________
 Action to be taken for attainment of designed parameter /requirements _____________________
______________________________________________________________________________
 Proposed sampling of material for laboratory test ______________________________________
Contractors of all categories are expected to submit methodology of works which at least comprised of the
above points but not limited to these if their method is found as constructive

Contractor:- _______________________ Consultant:- ____________


Sign:- ____________________________ Sign :- _________________

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