tradedocs
Permit to work
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Permit to work
Permit type
Hot work
Confined space
Excavation
Working at heights
Permit number
Location
Valid from date
Valid from time
Valid to date
Valid to time
Task description
Precautions
Area isolated and signposted
Services located and isolated
Equipment isolated, locked and tagged
Atmosphere tested and safe
Ventilation in place
Fire extinguisher available
Combustible materials removed or protected
Fire watch appointed
Rescue plan and standby person in place
Fall protection in place
Edge protection or barricades installed
Emergency contacts and communication confirmed
PPE checked and worn
Workers briefed on the permit conditions
Isolation and testing notes
Issued by
Name
Signature
Date
Accepted by
Name
Signature
Date
Close-out
Work completed
Area made safe
Name
Signature
Date