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    Test Working Permit

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    jetrumerka

    Copyright:

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

    Test Working Permit

    Uploaded by

    jetrumerka
    3 views2 pages

    Original Title

    test working permit

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    Copyright:

    © All Rights Reserved
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    3 views2 pages

    Test Working Permit

    Uploaded by

    jetrumerka

    Copyright:

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

    中国建筑股份有限公司埃及分公司

    CHINA STATE CONSTRUCTION ENGRG. CORP. LTD（EGYPT）

    TEST WORK PERMIT


    Section 1- The Request for a Permit (Completed by CSCEC or sub-contractor’s supervisor & submitted to Approved Permit Issuer )

    Contract Date of Permit Valid from:

    Senior Project Manager:


    Permit No Valid up to ……………. (time)

    Description / location & details of plant/systems to be pressure tested:

    Nature of test (state whether hydrostatic, gas or air, state gas type & pressure involved:

    Additional comments arising from approved risk assessment and method statement:

    CHECKLIST FOR PRESSURE TEST PERMIT REQUIRED


    YES NO
    Hydraulic Test
    Approved risk assessment/method statement is attached
    Is a competent person designated?
    Are those involved trained and briefed?
    Blank/Plug/seal off all open ends
    Remove/blank off vulnerable items/meters,etc
    All valves closed at limits of test section
    All high point vents closed
    Calibration certificates (supplied)
    Adequate drain cocks
    Test area adequately identified with signs and cleared of personnel
    Other control measures
    Pneumatic Testing
    Approved risk assessment/method statement is attached
    Blank/Plug/seal off all open ends
    Remove/blank off vulnerable items/meters,etc
    All high point vents closed
    Calibration certificates (supplied)
    Air supply controlled outside test area
    Reducing valve required
    All flexible connections secured at both ends
    Safety valve set connected to pipe work
    Test area clearly demarcated and cleared of all personnel
    All valves closed at limits of test section
    Acknowledgement: I understand the hazards of this work and the precautions to be taken. I have ensured that these have been fully
    explained to the operatives carrying out this work, and consider them to be competent to do it safely. I will closely supervise these works to
    ensure that they are carried out in accordance with the terms of this permit and I will return my copy of this permit to the Approved Permit Issuer
    when this work has been safely completed.

    Permit Recipient: (Print Signature: Date: Time:


    Name)
    (To be signed by the CSCEC or Subcontractors Supervisor in Direct control of the Work)

    Section 2- The Authorisation for Work to Proceed (to be completed by the Approved Permit Issuer)
    中国建筑股份有限公司埃及分公司
    CHINA STATE CONSTRUCTION ENGRG. CORP. LTD（EGYPT）

    Validation: I confirm that I have checked that the control measures detailed in section 1 above are in place and therefore within the limitation below, work
    described above in section 1 is authorised to proceed.
    Permit Valid From: (hrs) on: (date) To (hrs) on: (Date)

    It is accepted by: (Name, Initials & Pass No.) Position: Contact:

    Authorised By (Approved Permit Issuer)


    HSE Manager

    Time Extension from: (hrs) on: (date) To (hrs) on: (Date)

    Authorised By: (Approved Permit Issuer)

    Section:3 – to be completed by the Supervisor/Entry leader


    I confirm that a safe system of work is in place, which includes the control measures detailed in Part 1 of the permit, and that a full
    risk assessment and method statement has been completed for this activity and that this has been the subject of a briefing to the
    persons involved in this task prior to the commencement of the activity.
    Print Name Date of signature

    Signature Time of signature

    Persons authorised to work

    Name Name

    Name Name

    Name Name

    Name Name

    Section: 4 Stopping of Activity


    I confirm that work in the enclosed space has been completed / stopped and the persons in my control have been withdrawn along
    with all tools and equipment used during the activity.

    Print Name Date of Signature

    Signature Time of Signature

    Section 5: Cancellation of Permit – to be completed by the person in charge of the works


    This permit is now cancelled; all additional or continuing works in this area will require a new permit to be issued

    Print Name Date of signature

    Signature Time of signature

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