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    Voltas Limited: Excavation Work Permit

    Uploaded by

    Chiranjib Biswal
    This document is an excavation work permit issued by Voltas Limited to an agency. It outlines 17 safety precautions that must be followed during excavation work, including precautions for underground utilities, shoring/shuttering, barricading, PPE, and emergency response. The permit is valid for 7 days and must be endorsed daily by both the agency and Voltas site engineers. It can be extended in increments if needed. Upon work completion, the permit must be returned and closed by both parties after ensuring the area is safe.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Voltas Limited: Excavation Work Permit

    Uploaded by

    Chiranjib Biswal
    133 views2 pages
    This document is an excavation work permit issued by Voltas Limited to an agency. It outlines 17 safety precautions that must be followed during excavation work, including precautions for underground utilities, shoring/shuttering, barricading, PPE, and emergency response. The permit is valid for 7 days and must be endorsed daily by both the agency and Voltas site engineers. It can be extended in increments if needed. Upon work completion, the permit must be returned and closed by both parties after ensuring the area is safe.

    Original Description:

    Standard Excavation Permit of Voltas Limited

    Original Title

    Excavation Permit

    Copyright

    © © All Rights Reserved

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    This document is an excavation work permit issued by Voltas Limited to an agency. It outlines 17 safety precautions that must be followed during excavation work, including precautions for underground utilities, shoring/shuttering, barricading, PPE, and emergency response. The permit is valid for 7 days and must be endorsed daily by both the agency and Voltas site engineers. It can be extended in increments if needed. Upon work completion, the permit must be returned and closed by both parties after ensuring the area is safe.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    133 views2 pages

    Voltas Limited: Excavation Work Permit

    Uploaded by

    Chiranjib Biswal
    This document is an excavation work permit issued by Voltas Limited to an agency. It outlines 17 safety precautions that must be followed during excavation work, including precautions for underground utilities, shoring/shuttering, barricading, PPE, and emergency response. The permit is valid for 7 days and must be endorsed daily by both the agency and Voltas site engineers. It can be extended in increments if needed. Upon work completion, the permit must be returned and closed by both parties after ensuring the area is safe.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    VOLTAS LIMITED

    EXCAVATION WORK PERMIT Permit No. & Date

    Project & Unit: Emergency Contact Nos


    Agency:

    Exact Location of Work: ____


    Nature / Description of Work:

    Duration of Work Execution *: From Date: to Date: Daily from ___________ hrs. to ________hrs.
    Name of Agency Performing the Work:
    Name of Agency’s Site Supervisor (Permit Requesting Authority): Sign:

    The above described work will be done under all the safety precautions mentioned on this permit to work as under during the
    currency of the Permit.
    Not required /
    No. Item Yes Remarks
    1. Precautions taken for Underground Electrical Cable
    2. Precautions taken for Under / Above ground sewer/Drinking Water Line
    3. Precautions taken for Underground Telecommunication Line
    4. Precautions taken for Underground Product/Utility Line
    5. Precautions taken for Underground Fire Water Line
    6. Shoring / Shuttering / Sheet piling done to prevent collapse of excavation walls. Strength of
    Excavation wall ensured at all times
    7. Hard Barricading & Edge Protection provided
    8. Separate Safe Access for Man and Vehicle
    9. Lighting arrangement
    10. Banks Man Provided
    11. Required basic PPEs provided
    12. Slope Cutting/Benching Maintained
    13. Excavated soil / Construction Material / equipment kept away from the edge.
    14. Emergency response team & Medical Facilities available.
    15. Work hazards are identified, controlled and communicated to the worker.
    16. Method Statements/ SOP/ Job Safety Analyses attached:

    17. Other:

    Declaration:
    All the points mentioned in the above checklist have been checked and found OK.
    Permit Receiver:
    Site Engineer (Agency):
    Signature:
    Name: Designation:
    Permit Issuer:
    Site Engineer (VOLTAS):
    Signature:
    Name: Designation:

    (* Permit valid for 7 days, subject to daily renewal, and extension as per overleaf instructions / record formats)

    To be printed on both sides of an A4 Sheet Page 1 of 2


    Excavation Permit No. & Date:
    ___________________________
    Daily Work Area Condition Endorsement
    Signature with Date & Time Remarks
    Sl. No. Date Agency Site Engineer VOLTAS Site Engineer
    Day 2
    Day 3
    Day 4
    Day 5
    Day 6
    Day 7
    Permit Extension Beyond Initially Requested Hours
    Extension Period Signature with Date & Time
    Sl. No. From……. To…… Remarks Agency Site Supervisor VOLTAS Site Engineer
    (Date, Time) (Date, Time)
    1.
    2.
    3.
    4.
    5.
    6
    Permit Closure After Work Completion
    Permit is here by returned after completing the job & ensuring safe removal of men and material.

    Site Engineer, Agency


    Signature:
    Name:
    Verified the area is safe and Permit is Closed
    Site Engineer, VOLTAS
    Signature:
    Name:
    General Instructions:
    1. Each Permit shall be given a unique number and recorded.
    2. Method Statement/ SOP/ Job Safety Analysis for the critical tasks to be ensured by concerned
    engineers and attached
    3. Any other Work Permits required for the task to be taken and attached along with this Permit
    4. Ensue that workers and supervisors involved are trained & medical checkup done
    5. This permit must be available at the work site all the times of the work.
    6. Location and description of the work must be clearly indicated by the permittee.
    7. Terms applicable must be clearly indicated by the permittee.
    8. This permit shall be endorsed each day by the agency and VOLTAS only after checking compliance to all points.
    Any violations shall be resolved before proceeding.
    9. Compliance to Permit conditions to be checked regularly by concerned execution department
    10. Permit shall be issued for not more than 7 days including the issue date.
    11. Permit shall be returned to the VOLTAS after completion of the job and closed.
    12. All additional safety precautions to be taken as per HSE Management System.

    Page 2 of 2

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