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    China Harbour Engineering Company LFTZ Enterprise. Excavation Permit

    Uploaded by

    Wealth Ewomazino
    This excavation permit document outlines the safety precautions and approvals required for excavation work at a construction site, including checking for gases, isolating equipment, using breathing apparatus and safety harnesses, and sign-offs from supervisors, testers, and authorizers to validate the work area is safe and the permit is approved. The permit is valid for excavation work exceeding 12 meters in depth that requires additional safety measures and oversight.

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

    China Harbour Engineering Company LFTZ Enterprise. Excavation Permit

    Uploaded by

    Wealth Ewomazino
    16 views2 pages
    This excavation permit document outlines the safety precautions and approvals required for excavation work at a construction site, including checking for gases, isolating equipment, using breathing apparatus and safety harnesses, and sign-offs from supervisors, testers, and authorizers to validate the work area is safe and the permit is approved. The permit is valid for excavation work exceeding 12 meters in depth that requires additional safety measures and oversight.

    Original Description:

    Excavation PTW template

    Original Title

    excavation ptw

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    This excavation permit document outlines the safety precautions and approvals required for excavation work at a construction site, including checking for gases, isolating equipment, using breathing apparatus and safety harnesses, and sign-offs from supervisors, testers, and authorizers to validate the work area is safe and the permit is approved. The permit is valid for excavation work exceeding 12 meters in depth that requires additional safety measures and oversight.

    Copyright:

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

    China Harbour Engineering Company LFTZ Enterprise. Excavation Permit

    Uploaded by

    Wealth Ewomazino
    This excavation permit document outlines the safety precautions and approvals required for excavation work at a construction site, including checking for gases, isolating equipment, using breathing apparatus and safety harnesses, and sign-offs from supervisors, testers, and authorizers to validate the work area is safe and the permit is approved. The permit is valid for excavation work exceeding 12 meters in depth that requires additional safety measures and oversight.

    Copyright:

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

    CHELE-PTW-FORM-4

    CHINA HARBOUR ENGINEERING COMPANY LFTZ


    ENTERPRISE.
    EXCAVATION PERMIT
    DESCRIPTION /LOCATION: PERMIT NO: EX-PTW/004

    For the purpose

    NOTE: This certificate is valid for excavation only when exceeds 12m. Any work to be performed requires the issue of a permit.
    2). PREPARATIONS AND PRECAUTIONS (TO BE COMPLETED BY WORKGROUP LEADER & SUPERVISOR)
    For entry to an enclosed space, the following preparations and precautions must be taken (*= Tick as applicable)
    Preparation/Precaution Y-N-N/A Preparation/Precaution Y-N-N/A

    Portable gas detectors to be placed at worksite Isolate Blinds


    Personnel monitors to be carried Disconnect Lines
    Suitable lighting been provided Isolate relief and drain systems
    Breathing apparatus to be located at entry point Isolate Prime mover, motor, heaters
    Safety harness and lifeline to be used Other(give details)
    Adequate crossing out
    Equipment – drained, flushed, inert gas purged
    Auxiliary ventilation required?
    Relevant work certificate:

    Y-N-N/A* Cert. Numb


    Mechanical Isolation
    Electrical Isolation
    Other precautions

    3) GAS TESTS RESULTS (TO BE COMPLETED BY AUTHORIZED GAS TESTER)

    FREQUENCY Date Time Oxygen Toxic Explosive Nitrogen Co2 signature


    (H2S)
    Initial Check
    Re-checked
    Re-checked
    4) PERMIT REQUESTOR ( To be completed By Workgroup leader)

    I confirm that all safety precautions as stated in the work permit will be strictly observed and all persons under my control will be warned
    accordingly, I certify that the excavation is gas free and safe to enter.
    Name: Position: Signature: Time: Date:

    5) PERSON IN CHARGE (SIGNED by the supervisor)

    I authorize excavation can commence provided the above precautions are in effect
    Name: Position: Signature: Time: Date:

    6) PERMIT AUTHORISER (HSE MANAGER/DIRECTOR)

    Name: Signature: Time: Date:

    7) Certificate Revalidation (by the authorizer) only if the task remains the same.

    Day 1 2 3 4 5 6 7
    Position
    CHELE-PTW-FORM-4
    Name
    8) CANCELLATION OF CERTIFICATES (authorizer)

    Entry into the above vessel/Equipment is no longer required. All isolations in 2) may/may not* no be removed. *=Delete as applicable.

    Me: Position: Signature: Time: Date:

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