Scribd Logo
Upload

Welcome to Scribd!

  • 48 views

    Cold Work Permit: (Location)

    Uploaded by

    Ahmed Bahgat
    This document is a cold work permit that outlines safety procedures and approvals for work being done. It requires signatures from the workgroup leader, permit controller, and area authority. The workgroup leader describes the work and location. The permit controller checks for adjacent workgroups and requires safety equipment like eye protection, barriers, and radio communication. The permit duration can be revalidated up to 6 times by the workgroup leader and permit controller. Signing indicates agreement to follow safety rules while working.

    Copyright:

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

    Cold Work Permit: (Location)

    Uploaded by

    Ahmed Bahgat
    48 views1 page
    This document is a cold work permit that outlines safety procedures and approvals for work being done. It requires signatures from the workgroup leader, permit controller, and area authority. The workgroup leader describes the work and location. The permit controller checks for adjacent workgroups and requires safety equipment like eye protection, barriers, and radio communication. The permit duration can be revalidated up to 6 times by the workgroup leader and permit controller. Signing indicates agreement to follow safety rules while working.

    Original Title

    cold permit

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a cold work permit that outlines safety procedures and approvals for work being done. It requires signatures from the workgroup leader, permit controller, and area authority. The workgroup leader describes the work and location. The permit controller checks for adjacent workgroups and requires safety equipment like eye protection, barriers, and radio communication. The permit duration can be revalidated up to 6 times by the workgroup leader and permit controller. Signing indicates agreement to follow safety rules while working.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views1 page

    Cold Work Permit: (Location)

    Uploaded by

    Ahmed Bahgat
    This document is a cold work permit that outlines safety procedures and approvals for work being done. It requires signatures from the workgroup leader, permit controller, and area authority. The workgroup leader describes the work and location. The permit controller checks for adjacent workgroups and requires safety equipment like eye protection, barriers, and radio communication. The permit duration can be revalidated up to 6 times by the workgroup leader and permit controller. Signing indicates agreement to follow safety rules while working.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    COMPANY: COLD WORK PERMIT Permit No.

    CW-

    1) Description and Location of Work Number in Workgroup:


    ( TO BE COMPLETED BY THE WORKGROUP LEADER)

    Name : Department/ Company: Signature : Date :

    2) Adjacent Workgroups ( Location ) ( TO BE COMPLETED BY PERMIT CONTROLLER)

    Permit / Certificate Numbers


    Type Number Type Number
    Hot Work Electrical Isolation

    Cold Work Mech. Isolation

    Entry Cert. Risk Assessment

    3) P.P.E. / Safety Equipment / Extra Precautions * ( EYE PROTECTION MUST BE WORN AT ALL TIMES )
    Safety Harness Radio Inertia Reel
    Goggles Barriers Erected Watchman
    Ear Protection Warning Signs Keep area tidy
    Gloves Hand tools only
    Additional Precautions :

    * = Tick as applicable Name : Signed :


    ( TO BE COMPLETED BY PERMIT
    CONTROLLER) Date :
    4) Duration of Permit Revalidation Revalidation Revalidation Revalidation Revalidation Revalidation
    Issued to Initial Issue 1 2 3 4 5 6
    Name #
    Date-Issue/Revalid.
    Time-Issue/Revalid.
    Valid Until
    Signature #

    Signature ##

    Task Complete or
    ongoing (delete)
    Signature # Signature
    (Permit returned)
    Signature # = Workgroup Leader Signature ## = Permit Controller Signature(# # # = Area Authority)
    By signing this I agree that I will abide by all By signing this I accept that I am By signing this I accept that I am ultimately
    rules and regulations stated on this permit to responsible for checking the worksite and responsible for the permit and the work being
    work that all the above precautions are in place done under it

    [Original to be held at the worksite, first copy to be held by Permit Controller, second copy to be held by Area Authority] ]

    Form : HSF 62 QSE P002.5-(Cold Work Permit)

    You might also like