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1.1 Permit To Work - Height
1.1 Permit To Work - Height
1.1 Permit To Work - Height
At Height
Page: 2 of 4
DATA CENTRE OPERATIONS
DCOS 1.1
Document information
Version: 1
Approved by:
Classification: Internal
Signature:
Document references
Revision history
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SAFETY PRECAUTIONS
⃝ Is the fire alarm system isolated ⃝ Are all informed on the works
⃝ Is all equipment in safe working order ⃝ Is the fire suppression system isolated
⃝ Floor and area clean of combustibles ⃝ Has the sprinkler system been isolated
⃝ Combustibles move or covered (fire blanket) ⃝ Are fire detectors protected
⃝ Walls and door openings covered (fire blanket) ⃝ Is ventilation equipment provided
⃝ Is fire watch second man required ⃝ Are portable fire extinguishers present
⃝ Has smoking / naked light prohibited ⃝ Is a pressurised water hose present
⃝ Has fire watch been appropriately trained ⃝ Can the fire alarm be raised
I hereby declare that the above safety precautions and instructions have been made known to
the person in charge and the work area is safe for hot work operations to commence.
I acknowledge receipt of this permit and understand the safety precautions and comments
described in PART I. Neither I, nor the personnel under my control will work on any other
activity or location other than those specified in PART I.
PART III CLEARANCE (To be completed by the person in charge after work completion)
GO REPRESENTATIVE Mr.Ibrahim
(name in print)
SIGNATURE TIME AND DATE
CONTRACTOR
(name in print)
SIGNATURE TIME AND DATE