Document Ref No: CTCE-HW-2

Permit Request Date issue:

Please permit the lifting as per the following details Date close:
Location YAS ISLAND
Project Name: Bay Residence C-33 Type of Crane: Grinding/ Welding / Gas Cutting
Equipment to be used:
Permit No: PTW-CTCE-HW-2
HOT WORK PERMIT

Permit Requester: WELDER NAME:

Please issue the permit to the below mention name following details:
Name of Requester: FIRE WATCHER:
Designation:

Detail of working Area Furnish detail and means of isolation and protection
Are there any combustible material nearby? YES / NO
Are there any nearby welfare facility in the working area YES / NO
Are there any flammable chemicals in the area? YES / NO

Verification of documents /drawing/approvals

Method Statement/RA/ &Lifting plan Yes NO Valid Equipment 3rd party YES NO

Performance competency Certificate available? Yes NO JSA YES NO

HSE CONTROL & PRECATIONS

Is the performer competent to undertake this work? YES NO N/A Necessary PP’S available? YES NO N/A
Work area is isolated from other works& barricaded? YES NO N/A Hazard warning signage/emergency YES NO N/A
contact number displayed?
Welfare facilities available at location(toilet/rest YES NO N/A Are weather condition acceptable? YES NO N/A
area/drinking water?
Work area & equipment have been free of YES NO N/A Equipment certify, good condition& YES NO N/A
flammable ,combustible and hazardous materials? checklist done?
Welding arc blocked by fire blanket secreen? YES NO N/A Fire fighting equipment available? YES NO N/A
Is fire watcher provided? YES NO N/A Is there reliable means of escape in the YES NO N/A
event of a emergency?
rd
welder qualified/3 part certify? YES NO N/A Risk of explosion checked? YES NO N/A

Remarks (If any)

Document Ref No: CTCE-HW-2

Authorised by: Project Manager/Construction Manager/Site Engineer

Name: Signature: Mob No
Permit Held by: Foreman / Site supervisor
Name: Signature: Mob No
Approved By: HSE Engineer
Name: M Shahzaib Signature: Mob No:056 3844808

Daily inspection by supervisor YES NO HSE Engineer Remarks

Welding machine Drip tray
Hot work warning signage
Fire extinguisher
Welding machine cable
Welding machine earthing
Emergency stop
Daily Checklist
Cylinder Cap
Flash back arrestor
Emergency evacuation
route
Performer health condition
Workers PPE’s
MSRA available on site

Request For Daily Validation Of Permit(to be filled by Supervisor)

Date/Sign Date/Sign Date/Sign Date/Sign Date/Sign Date/Sign

Validated by HSE Engineer

Date/Sign Date/Sign Date/Sign Date/Sign Date/Sign Date/Sign

Non compliance to the permit condition will lead to cancellation of the permit & stoppage of the work
Cancelled Closed by Signature Reason
NOTE:
1. The scope of permit is limited to the location mention above.
2. The permit must be returned to the HSE office upon expiry of the same. alteration/correction after the approval make the permit null & void.
3. The Maximum days for validation are six days. for exiting permit, additional working hours (2hours) shall be considered.
4. HSE Eng /Officer to cancel the permit if deviation are observed during the daily validation .
5. The permit and the daily validation sheet shall be returned to HSE office upon expiry.