Cold Work Permit
Cold Work Permit
Location- Date-
4.Hazard Identification (Fill yes or no in box) 5.Safety Precaution (Fill yes or no in box)
Unsafe access. Toolbox talk done.
Lack of sign/barriers. Suitable access and egress is provided.
Slip & Trip. Barriers and signs board in place.
Moving machinery. Site traffic is under control and sign provided.
Manual handling. Secure loose objects.
Simultaneous opening. Equipment is checked and in good condition.
Equipment not maintaining. All chemical material are packed and kept in proper way.
Adverse weather condition. All power tools, electrical board and cable are checked.
Confined space. Suitable working platform provided.
Working with chemical. Scafolds are checked before use sign board provided.
Falling objects. Worker to be aware of emergency procedure.
Others. Proper housekeeping to be done.
6. PPE (Fill √ tick in box)
Safety shoes Goggles. Gloves. Ear plug/muff. Full body harness.
Safety Helmet Face mask Gumboot. Face shield. Others.
7.Acceptance 8.Closure/Cancelation
Performing Authority ( Contractor, Site In-charge) Performing Authority ( Contractor, Site In-charge)
I CONFIRM THAT EACH OF THE IDENTIFIED CONTROL MEASURE ARE The work is finalized.
SUITABLE AND SUFFICIANTIN THE PLACE.WORK MAY PREOCEED.
Date- Time-