Safe

Safe Work,
Work, Operation
Operation
and
and Maintenance
Maintenance
Permits

R. Chiodi 03/25/1997 rev 04/16/2001

1
 Safe
Safe Work,
Work, Operation
Operation and
and
Maintenance
Maintenance Permits
Permits
Why Safe Work, Operation and Maintenance Permits?

Every standard established company requires evaluation of very hazardous level

of their organization to secure approved safe Work, Operation and Maintenance
Permits.

Certain Work, Operation and Maintenance always require that a Safe Work
Permit be issued by a qualified individual.

R. Chiodi 03/25/1997 rev 04/16/2001

2
 Safe
Safe Work,
Work, Operation
Operation and
and
Maintenance
Maintenance Permits
Permits
Goals and Objectives:
Safety Transformation development and management has a unique
perspective on revenue generation at a practicable degree of safety, standard
and economy.” People Powered Performance!

We shall Use the power of our people, our message, and our performance to
drive our success and create what’s new and what’s next to keep pace safety
managing innovations e.g.
1. Safety Transformation and Revenue generation!
2. Grow state Safety and Revenue!
3. Build a Strong safety precautions Force!
4. Make Oyo state safety compliance Stand Out in Nigeria!

R. Chiodi 03/25/1997 rev 04/16/2001

3
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

The project shall focus most of its

safety activities at all hazards
associated work, and it will examine
how and when Safe Works are at
any point in time, we shall issued
Permits that will help to prevent them
from causing any damage or injury.

R. Chiodi 03/25/1997 rev 04/16/2001

4
 Safe
Safe Work,Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Construction and Maintenance
Construction and Maintenance
Works
WorksPermit
Permit
Confined Space Entry Permit
Confined Space Entry Permit
Location:
Location:
OYWF No.
OYWFand
Location Safe
Safe Work,Operation
No.description of confined Work,
space:Operationand
andMaintenance
Maintenance Permit
Permit Permit #
Location
Reason for and description of confined space:
entry:
Reason for entry: Permit #
Permit issued to:
Permit issued
Supervisor’s to:
Name: Type: (construction work, confined space, line break, etc..... location:
Supervisor’s Name: Type: (construction work, confined space, line break, etc..... location:
Date: OYWF No.
Attendant’s name:
Date: OYWF
Permit No. name:
Attendant’s
issuer’s name: Valid __/___/___ ____ __/___/___ ____ Issued to:
Valid M__/___/___ ____ to M __/___/___ ____ Issued to:
%Permit
oxygen:issuer’s name: From:
% lower explosive D Y ppm
limit: time CO: H 2S: D Y time
% oxygen: From: Mlimit:
% lower explosive D Y ppm timeCO:to H M2S: D Y time
Work Description: ________________________________
Requirements Work Description:
____________________________________________ ________________________________
Supervisor’s Signature Print name
Requirements ____________________________________________ Supervisor’s Signature Print name
____________________________________________
Emergency Rescuer ____________________________________________
yes no
____________________________________________ Work Order No.
EmergencyGas
Continuous Rescuer
Monitor yes nono
____________________________________________
yes Work Order No.
Continuous
Barrier Gas Monitor
for ground openings yesyes nono (<10%)
Barrier Signs
for ground openings Atm Combustible
yes vapors or gases Oxygen Concentration (>19.5% & <21%) Toxic Material Concentration
Warning Atm Combustible
Tests yes nono (<10%)
vapors or gases Oxygen Concentration (>19.5% & <21%) Toxic Material Concentration
Warning Signs Tests yes no
Precautions Always Required:
Precautions Always Required:

We shall introduce three documents which are called “Safe Work, Operation and
Maintenance Permits.”

R. Chiodi 03/25/1997 rev 04/16/2001

5
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Construction
Constructionand
andMaintenance
Maintenance
Works Permit
Works Permit The Construction and Maintenance Works
Location: OYWF No. Permit
Location: OYWF No.
is a Safe Work Permit usually issued by
Government safety agencies or Marshal or
Date:
Date:
OYWF No.
OYWF No. other authorities that are responsible for
Location & Building:
Location & Building:
Floor
Floor
safety.
Nature of Job:
Nature of Job:
This proposed permit shall be required for all
Worker’s Name:
Worker’s Name: situations which may result in construction
The above location has been examined. The precautions checked
onThe
the above
reverselocation has been
of this card haveexamined.
been takenThe precautions
to prevent checked
accidents. work, operation and maintenance work
on the reverse of thisfor
card
thishave been taken to prevent accidents.
Permission is granted work.
Permission is granted for this work. accidents.
Permit Date: Time:
Permit Date: Time:
Expires AM
Expires AM
PM
PM

R. Chiodi 03/25/1997 rev 04/16/2001

6
 Safe
Safe Work
Work Permits
Permits
Confined Space Entry Permit
Confined Space Entry Permit
Location and description of confined space:
Location
Reason for and description of confined space:
entry:
Reason
Permit for entry:
issued to:
Permit issued
Supervisor’s to:
Name:
Supervisor’s
Attendant’s Name:
name:
Attendant’s
Permit issuer’sname:
name:
%Permit
oxygen:issuer’s name:
% lower explosive limit: ppm CO: H 2S:
% oxygen: % lower explosive limit: ppm CO: H2S:

Requirements
Requirements

CAUTION Emergency Rescuer

EmergencyGas
Continuous Rescuer
Monitor
yes
yes
yes
no
nono
Continuous Gas Monitor yes nono
Opening in Ground Barrier
Barrier
for ground
for
Warning Signs ground
openings
openings
yes
yes
yes nono
Warning Signs yes nono
Keep Out ! Safety Harness with life line
Safety/ Hoist
Tripod Harness with life line
/ Pulley
yes
yes
yes nono
Tripod / Hoist / Pulley yes no

The “Confined Space Entry Permit” is

another form of safe work permit
regulating entry into pits, pool bucket
/concrete tanks, vessels etc.

R. Chiodi 03/25/1997 rev 04/16/2001

7
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Construction
Constructionand
andMaintenance
Maintenance
Works
WorksPermit
Permit Confined Space Entry Permit
Confined Space Entry Permit
Location: OYWF No. Location and description of confined space:
Location: OYWF No. Location
Reason for and description of confined space:
entry:
Reason
Permit for entry:
issued to:
Permit issued
Supervisor’s to:
Name:
Supervisor’s
Attendant’s Name:
name:
Attendant’s
issuer’sname:
Date: OYWF No. Permit name:
Date: OYWF No. %Permit
oxygen:issuer’s name:
% lower explosive limit: ppm CO: H 2S:
% oxygen: % lower explosive limit: ppm CO: H 2S:

Requirements
Requirements
Emergency Rescuer yes no
EmergencyGas
Continuous Rescuer
Monitor yes
yes nono
Continuous
Barrier Gas Monitor
for ground openings yes
yes nono
Barrier Signs
Warning for ground openings yes
yes nono
Warning Signs yes no

Confined Space Entry Permits and all Maintenance Work Permits will be discussed
in detail in project explanatory statement.

R. Chiodi 03/25/1997 rev 04/16/2001

8
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Safe
SafeWork,
Work,Operation
Operationand
andMaintenance
Maintenance Permits
Permits Permit #
Permit #
Type: (construction work, confined space, line break, etc.... location:
Type: (construction work, confined space, line break, etc.... location:
Valid __/___/___ ____ __/___/___ ____ Issued to:
Valid M__/___/___
From: D Y ____ to M __/___/___
time D Y ____
time Issued to:
From: M D Y time to M D Y time
Work Description: _____________________ ___________
Work Description:
____________________________________________ _____________________
Supervisor’s Signature ___________
Print name
____________________________________________
____________________________________________ Supervisor’s Signature Print name
____________________________________________
____________________________________________ Work Order No.
____________________________________________ Work Order No.
Atm Combustible vapors or gases (<10%) Oxygen Concentration (>19.5% & <21%) Toxic Material Concentration
Atm Combustible vapors or gases (<10%)
Tests Oxygen Concentration (>19.5% & <21%) Toxic Material Concentration
Tests
Precautions Always Required:
Precautions Always Required:

The objective of the Safe Work Permit system is to identify hazards

associated with a no routine work, and to develop precautions required to
control each hazard identified.

R. Chiodi 03/25/1997 rev 04/16/2001

9
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Examples of work requiring permits are:

1. All Construction Work - the use of electrical, mechanical and electronic

equipment's, chemical, open flame, oxyacetylene burning, tar kettles, etc....,
and the use of portable spark or heat producing equipment in flammable
storage or handling areas.
2. Confined Space Entry
3. Excavations
4. Blasting
5. Whenever required by existing company or contractor procedures or
required in the contractor’s Project Safety Plan.
6. Use of internal combustion engines, or vehicles with internal combustion
engines inside company buildings.
7. Use of company owned equipment, such as personnel lifts, fork trucks,
vehicles, etc., by employees of a contractor

R. Chiodi 03/25/1997 rev 04/16/2001

10
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Excavations can result in:
head Injuries from materials
falling from overhead surfaces,

rupture of high pressure hydraulic

lines used on backhoes, shovels,
and drills.

excessive noise from concrete

breaking and cutting equipment,

and collapse of excavation walls and piles due to poorly secured soil, sudden
weather changes, or other factors.

Permits shall be issued to ensure that necessary equipment is present and in

good working order.
R. Chiodi 03/25/1997 rev 04/16/2001
11
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Excavations :
Poorly planned excavations can result in
damage to underground services, such as
electrical lines, natural gas lines, water
lines, sewers and drains.

The consequence of damaged service lines

is often complete shutdown of operations
resulting in major business losses.

Permits shall be issued to prevent damage to

underground equipment and services.

R. Chiodi 03/25/1997 rev 04/16/2001

12
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Excavations may expose hazardous materials, which have leaked and are
contaminating the soil.

Permits shall be issued to ensure standard and safe procedures to protect workers
from exposure to toxic substances have been identified.
R. Chiodi 03/25/1997 rev 04/16/2001
13
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Blasting can cause damage

to adjacent operations and
personnel.

Permits are issued to ensure

procedures are followed that
prevent injury to neighboring
facilities, equipment and
employees.

R. Chiodi 03/25/1997 rev 04/16/2001

14
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Internal combustion engines produce poisonous gases
such as carbon monoxide, and oxides of nitrogen.

The proposed Permits shall ensure that procedures are followed that will prevent
equipment emissions from contaminating air inside buildings and confined
spaces.

R. Chiodi 03/25/1997 rev 04/16/2001

15
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Unauthorized use of company

equipment can result in lost
production and injury to untrained
operators.

Permits prevent company equipment

from being taken by contractors
without the permission of area
management, and require
verification of equipment operator
training.

R. Chiodi 03/25/1997 rev 04/16/2001

16
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Work which ordinarily does not require safe work permits may be included at the
discretion of the Project Safety Representative, Agencies and Administrator.

R. Chiodi 03/25/1997 rev 04/16/2001

17
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Movement of
large pieces of equipment,
especially while other personnel
are working nearby, can result
in employee injury.

Permits may be issued to ensure

the use of procedures that will
prevent employee injury from
falling material, or being struck
by rigging equipment.

R. Chiodi 03/25/1997 rev 04/16/2001

18
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Abandoned tanks, pipe lines,

drums, and vessels may contain
hazardous vapors and gases.

Permits may be issued to prevent

toxic or corrosive exposures to workers
when working on abandoned
equipment, complementing hot work
and confined space permits.

R. Chiodi 03/25/1997 rev 04/16/2001

19
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Many construction processes

create noise levels high enough
to cause hearing loss.

Permit requirements may be issued

to reduce noise to acceptable limits,
or to provide both construction and
other employees with required
hearing protection.

R. Chiodi 03/25/1997 rev 04/16/2001

20
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Boilers, high pressure

vessels, tanks, and reactors
can undergo sudden failure
resulting in disastrous
consequences.

Permits may be issued requiring

precautions and equipment to
prevent system failures not
covered by safe work procedures
or project safety plans.

R. Chiodi 03/25/1997 rev 04/16/2001

21
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Permits may be required

where the consequence
of noncompliance with
fall protection requirements
is severe, or where dropped
materials may endanger
other workers below.

R. Chiodi 03/25/1997 rev 04/16/2001

22
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Permits are required

before work begins near
energized lines which cannot
be shut off if there is danger
of fire, shock or electrocution.

R. Chiodi 03/25/1997 rev 04/16/2001

23
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

CAUTION
Hazardous Materials!
“Safe Work Permit Required!”

Permits are mandatory where signs are

posted which require them.

R. Chiodi 03/25/1997 rev 04/16/2001

24
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

The safety representative must verify

that all underground utilities have
been located and staked out.

Provisions must be made to

barricade the open trench, prevent
Safe
SafeWork,
Work,Operation
Operationand
and collapse of trench walls, provide
Maintenance
Maintenance Permits
Permits employees with a means of exit,
----------------------------------------------------------------------
----------------------------------------------------------------------
reroute ground water, and all other
EXCAVATION PRECAUTIONS REQUIRED: requirements of excavating.
EXCAVATION PRECAUTIONS REQUIRED:
o Underground / Underfloor Utility Hazard Review
o Underground / Underfloor Utility Hazard Review
o Soil Excavation Reviewed
o Soil Excavation Reviewed
o Underground Utility Stakeout Performed
If soil is contaminated, the safety
o Underground Utility Stakeout Performed
o Excavation cut back 1/1, or walls reinforced
o Excavation cut back 1/1, or walls reinforced
representative will ask for a written
o Means of exiting within 25 feet.
o Means of exiting within 25 feet. safety and health plan.

R. Chiodi 03/25/1997 rev 04/16/2001

25
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Safe
SafeWork,
Work,Operation
Operationand
andMaintenance
Maintenance Permits
Permits Permit #
Permit #
Type: (hot work, confined space, line break, etc.... location:
Type: (hot work, confined space, line break, etc.... location:
Valid __/___/___ ____ __/___/___ ____ Issued to:
Valid M__/___/___
From: D Y ____ to M __/___/___
time D Y ____
time Issued to:
From: M D Y time to M D Y time
Work Description: ________________________________
Work Description:
____________________________________________ ________________________________
Supervisor’s Signature Print name
____________________________________________
____________________________________________ Supervisor’s Signature Print name
____________________________________________
____________________________________________ Work Order No.
____________________________________________ Work Order No.

Permits are issued:

- for a specific date and time range,

- for a specific job,
- and to specific individuals.

R. Chiodi 03/25/1997 rev 04/16/2001

26
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Safe
SafeWork,
Work,Operation
Operationand
andMaintenance
Maintenance Permits
Permits Permit #
Permit #
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
Work Description: ________________________________
Work Description:
____________________________________________ ________________________________
Supervisor’s Signature Print name
____________________________________________
____________________________________________ Supervisor’s Signature Print name
____________________________________________
____________________________________________ Work Order No.
____________________________________________ Work Order No.
Atm. Combustible Vapors or gases (<10%) Oxygen Concentration ( >19.5% & < 21%) Toxic Material Concentration
Atm. Combustible Vapors or gases (<10%) Oxygen Concentration ( >19.5% & < 21%) Toxic Material Concentration
Tests
Tests
Permit Issued by: _________________________/____/___ Work Area Manager Approval _______________/___/__
Permit Issued by: _________________________/____/___ Work Area Manager Approval _______________/___/__

Permits shall be reviewed at any point time and signed by:

- This project representative issuing the permit,

- the workers’ supervisor,
- affected workers,
- and the work area manager.

R. Chiodi 03/25/1997 rev 04/16/2001

27
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits

Safe
SafeWork,
Work,Operation
Operationand
andMaintenance
Maintenance Permits
Permits
----------------------------------------------------------------------
----------------------------------------------------------------------
Precautions Always required:
Precautions Always required:
o Emergency procedures review by:
o Emergency procedures review by:
o Emergency equipment & location review by:
o Emergency equipment & location review by:
o Area inherent hazards review by:
o Area inherent hazards review by:
o Material Safety Data Sheet(s) review by:
o Material Safety Data Sheet(s) review by:

Workers must be informed of required emergency procedures, location

and operation of emergency equipment, and area inherent hazards.

Material Safety Data Sheets must be supplied and special

precautions reviewed with workers and their supervision.

R. Chiodi 03/25/1997 rev 04/16/2001

28
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Safe
SafeWork,
Work,Operation
Operationand
andMaintenance
Maintenance Permits
Permits
----------------------------------------------------------------------
----------------------------------------------------------------------
Special
SpecialPrecautions
PrecautionsRequired:
Required:
o Buddy System o Sprinklers in Service
o Buddy System o Sprinklers in Service
o Cleaning of _________ o Purging of ________
o Cleaning of _________ o Purging of ________ Required special precautions
o Remove materials from ___________________
o Remove materials from ___________________
oo Piping
must be clearly indicated and
Piping ooDrain
Drain oo Disconnect
Disconnect ooBlank
Blankoff off/ /Capped
Capped
oo Clean communicated to workers,
Clean oo Ventilate
Ventilate
oo Remove
Removecombustibles
combustiblesfromfromother
otherside
sideofofwall.
wall. and their supervision.
oo Floor
FloorSwept
SweptClean
CleanofofCombustibles
Combustibles
o Clean area within 35 feet. o Wet down floor.
o Clean area within 35 feet. o Wet down floor.
o Adjacent areas: __________________________ It is the safety representative’s
o Adjacent areas: __________________________
o Cover floor with: __________________________
o Cover floor with: __________________________ responsibility to determine if
o Non-combustible Tarpaulins or Metal Shields Over:
o Non-combustible Tarpaulins or Metal Shields Over:
oo Electrical
and when special measures
ElectricalSwitches
SwitchesororValves
Valvesoff,
off,locked-out,
locked-out,and andTagged:
Tagged:
oo Electrical Grounding of: ________________________ are required.
Electrical Grounding of: ________________________
oo Atmosphere
Atmospheremonitored
monitoredduring
duringwork
workfor:for:____________
____________
periodically: __________ continuously: __________
periodically: __________ continuously: __________
o Safety Monitor(s) present from _________ to _________
o Safety Monitor(s) present from _________ to _________
o Fire Watch Present during work and for 30 minutes after...
o Fire Watch Present during work and for 30 minutes after...
o Respirator to be worn____ or be readily available ___
o Respirator to be worn____ or be readily available ___

R. Chiodi 03/25/1997 rev 04/16/2001

29
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits
Permits
Safe
SafeWork,
Work,Operation
Operationand
and
Maintenance
Maintenance Permits
Permits
----------------------------------------------------------------------
----------------------------------------------------------------------
Safety
SafetyEquipment
EquipmentRequired
Required
o safety glasses
o safety glasses
o hard hat
o hard hat
o face shield
o face shield
o safety shoes
o safety shoes
Personal protective equipment
o fire extinguishers - type ___ #___ size ___
o fire extinguishers - type ___ #___ size ___
o fire hose and other safety equipment required
o fire hose
o supplementary illumination
o supplementary illumination is specified.
o warning signs
o warning signs
o barricades
o barricades
o non-sparking tools
o non-sparking tools
o explosion proof equipment
For each hazard present at the work
o explosion proof equipment
o safety harness
o safety harness
site, the safety representative must
o life line
o life line
o tripod emergency escape unit specify a hazard control.
o tripod emergency escape unit
o 2-way radio or phone
o 2-way radio or phone
o respirators
o respirators
o impervious gloves
o impervious gloves
o protective clothing _____________________
o protective clothing _____________________
o mechanical ventilation
o mechanical ventilation
o shower & eyewash
o shower & eyewash
o self contained breathing apparatus
o self contained breathing apparatus
o ground fault circuit interrupter
o ground fault circuit interrupter
o ladder / lift / scaffold
o ladder / lift / scaffold
o other________________________________
o other________________________________

R. Chiodi 03/25/1997 rev 04/16/2001

30
 Safe
Safe Work,
Work, Operation
Operation and
and Maintenance
Maintenance
Permits -- SUMMARY
Permits SUMMARY
Construction work, confined space entry, excavations, blasting, use of internal combustion
engines inside of buildings, use of company owned or leased equipment, and areas where
“Safe Work Permit Required” signs are posted always require a safe work permit.

Other safe work permits may be required at the discretion of the Safety Representative,
the Contract Administrator, or the Contractor.

- Permits will be issued by a qualified safety representative.

- Hot work permits are issued by the Fire Marshal.

- Permits are issued to specific persons for a specific time

period and for a specific job.

- Permits must be signed at the time issued by the safety

representative, job supervisor, affected workers, and
the manager of the area in which work is being done.

R. Chiodi 03/25/1997 rev 04/16/2001

31