MAKSAT TECHNOLOGIES PVT LTD

Circle & Business M&G, Telecom Implementation MAKSAT

No. & Concerns : Permit for Working at Height TECHNOLOGIES PVT
LTD

1. PERMIT NO: PTW /Maksat/June’24/078

Valid From (Date/Time): 13th Jun 2024 – 10:00 AM Valid Up to (Date/Time): 13th Jun 2024- till 6:00 PM

2. Site ID/Site Detail/ Location of BTS ID :- IN-1472892// MH_WRD6320// MLGVASANTWADI_IDU Sindi Meghe
Ward No-8, Thakre chowk, Tupe Road , At.post-Sindi Meghe, Police Station-Sindi Meghe, Taluka and District-Wardha,
Maharashtra, Pincode-442001

3. DESCRIPTION OF WORK TO BE CARRIED OUT: On Tower for (IWAN Link)

4. HAZARDS ASSOCIATED WITH THIS WORK (Please Identify using HIRA) Yes
Maximum Risk Lavel – 16 Hazard (Not Wearing PPE)
5. CONTROL MEASURES TO BE IMPLEMENTED

S.N ITEM Yes No Remarks

1 Is the person authorised, competent & trained to work at Yes
height
2 Is the scope of work to be carried out at height is known Yes
and understood.
3 Risk assessment conducted/ Risk evaluated Yes
4 Double lanyard full body Safety harness secured to a Yes
fixed structure / strong anchoring point. All other PPE as
required is being used.
5 Safety net available/ Steel scaffolding / platform rightly Yes
erected / is being used. ( Only for Project Management
Scope i.e. supervision)
6 Safe access to work place / working platform with Yes
handrails and toe guard provided.
7 Is the area cordoned off/barricaded Yes
8 Nearest Emergency Contact Detail available with team. Yes
9 Is energy Isolation required Yes
10 Adequate lighting and all requirements for night working NO
Procedures followed and provided.
11 Is activity being carried out in the presence of a NSN Yes
Engineer or the presence of supervisor required?

6. ENDORSEMENT
I have understood the nature and extent of the work. I agree to comply with all safety precautions
Name Signature Date Time

Permit Receiver Rakesh Pahade/Bhushan Padmgirwar 13/06/2024

Permit Issuer Akshay Harnawal 13/06/2024
Completion of Work: (All safeguards returned to normal/Any other Feedback/Comments :

Issuer Signature & Name (Akshay H)

Page-1 Document Owner & Department Controlled

Services OHS Department