Scribd Logo
Upload

Welcome to Scribd!

  • 30 views

    R.A and JSA Attached R.A and JSA Attached: Elevated Work Permit

    Uploaded by

    mahammed saleem
    This elevated work permit document outlines the safety procedures and requirements for work taking place from October 1-7, 2020 at the MOSQUE STATION ZONE 5 area. The permit lists various hazards and precautions that must be followed, including using 100% fall protection, maintaining scaffold safety, and designating a safety officer. Section C details that the listed criteria have been satisfactorily met and related permits and plans completed. The permit is signed by the task supervisor, receiver, and approving managers. Section D provides for extensions of the permit on a daily basis, as needed.

    Copyright:

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

    R.A and JSA Attached R.A and JSA Attached: Elevated Work Permit

    Uploaded by

    mahammed saleem
    30 views1 page
    This elevated work permit document outlines the safety procedures and requirements for work taking place from October 1-7, 2020 at the MOSQUE STATION ZONE 5 area. The permit lists various hazards and precautions that must be followed, including using 100% fall protection, maintaining scaffold safety, and designating a safety officer. Section C details that the listed criteria have been satisfactorily met and related permits and plans completed. The permit is signed by the task supervisor, receiver, and approving managers. Section D provides for extensions of the permit on a daily basis, as needed.

    Original Title

    Elevated WP - Copy

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This elevated work permit document outlines the safety procedures and requirements for work taking place from October 1-7, 2020 at the MOSQUE STATION ZONE 5 area. The permit lists various hazards and precautions that must be followed, including using 100% fall protection, maintaining scaffold safety, and designating a safety officer. Section C details that the listed criteria have been satisfactorily met and related permits and plans completed. The permit is signed by the task supervisor, receiver, and approving managers. Section D provides for extensions of the permit on a daily basis, as needed.

    Copyright:

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

    R.A and JSA Attached R.A and JSA Attached: Elevated Work Permit

    Uploaded by

    mahammed saleem
    This elevated work permit document outlines the safety procedures and requirements for work taking place from October 1-7, 2020 at the MOSQUE STATION ZONE 5 area. The permit lists various hazards and precautions that must be followed, including using 100% fall protection, maintaining scaffold safety, and designating a safety officer. Section C details that the listed criteria have been satisfactorily met and related permits and plans completed. The permit is signed by the task supervisor, receiver, and approving managers. Section D provides for extensions of the permit on a daily basis, as needed.

    Copyright:

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

    MASAR Project Makkah KSA

    ELEVATED WORK PERMIT


    PERMIT NO. COMPANY:AL DAYRI CO MANPOWER:
    START DATE:1-10-2020 FINISH DATE:7-10-2020 TIME FROM: 7 : 00 AM TIME TO: 7 : 00 PM
    LOCATION: MOSQUE STATION ZONE 5 ( SEGMENT 7-13 ) AREA: ZONE 5
    Section A: SAFE WORK PLAN
    RESPONSIBLE SUPERVISION (Please Print Name)
    Responsible Person: ENG . ISHAQ FAISAL Position: CIVIL ENGINNER Contact No.:0576813722
    SCAFFILDING

    S/N HAZARDS PRECAUTIONS


    R.A and JSA Attached R.A and JSA Attached

    Section B: PRIOR TO START OF ELEVATED WORK


    ENSURE THAT THE FOLLOWING CRITERIA ARE MET
    N/ Cables/cords are raised 6ft. above surface and
    Y N 100% Fall Protection complied. Y N N/A
    A safety flags are provided.
    N/ Walkway is clear of scattered debris, tools and
    Y N Scaffolds are complete and tagged safe for use. Y N N/A
    A materials.
    N/ Access is clear and free of obstruction. Access Gas cylinders secured or mounted on a trolley or
    Y N Y N N/A
    A ladder is secured and free of defects. rack.
    Full body harness with 2 lanyards and shock
    N/ Open areas are adequately covered and protected.
    Y N absorber worn where required. 100% PPE Y N N/A
    A Warning signs are conspicuously posted
    compliance.
    N/ Hot Work/Cold Work permit completed where Vertical ladder is not allowed. For elevation higher
    Y N Y N N/A
    A required. than 12ft. side step scaffold is required.
    N/ Fire blanket/welding screen for welding,
    Y N Safety Officer designated to the area. Y N N/A
    A cutting/grinding works provided.
    N/ Safe Work Plan submitted alongside with Elevated work will not be performed above fuel
    Y N Y N N/A
    A elevated work permit. driven equipment.
    N/ Proper and adequate housekeeping is Elevation Work has safe access and egress and
    Y N Y N N/A
    A maintained. secures anchor points.
    Section C: AUTHORIZATION TO PROCEED WITH ELEVATED WORK
    This is to certify that the above criteria are satisfactorily met and related work permits and safe work plans are completed.
    TASK SUPERVISOR/G.FOREMAN/FOREMAN PERMIT RECEIVER:
    NAME (Please Print): NAME (Please Print):ENG .ISHAQ FAISAL

    SIGNATURE: DATE: SIGNATURE: DATE:30-09-2020


    APPROVED BY:
    PERMIT ISSUER (NESMA SITE SAFETY SUPERVISOR / ZONE MANAGER/PROJECT ENGINEER/LEAD ENGINEER
    OFFICER) NAME (Please Print):ENG MOHAMMED MADAH
    NAME (Please Print):

    SIGNATURE: DATE: SIGNATURE: DATE:30-09-2020


    Section D: EXTENSION OF WORK PERMIT
    Task Supervisor Area Safety Officer Nesma Safety Officer
    Day 2 NAME (Please Print): NAME (Please Print): NAME (Please Print):
    Task Supervisor Area Safety Officer Nesma Safety Officer
    Day 3 NAME (Please Print): NAME (Please Print): NAME (Please Print):
    Task Supervisor Area Safety Officer Nesma Safety Officer
    Day 4 NAME (Please Print): NAME (Please Print): NAME (Please Print):
    Task Supervisor Area Safety Officer Nesma Safety Officer
    Day 5 NAME (Please Print): NAME (Please Print): NAME (Please Print):
    Task Supervisor Area Safety Officer Nesma Safety Officer
    Day 6 NAME (Please Print): NAME (Please Print): NAME (Please Print):
    Task Supervisor Area Safety Officer Nesma Safety Officer
    Day 7 NAME (Please Print): NAME (Please Print): NAME (Please Print):
    Permit Receiver Date/ Time
    Closed Issuer Date/ Time
    NOTE: 1-For Issuance of work permit, Permit must be submitted to the NESMA SAFETY DEPT 24 hrs. in advance. (2) Work shall
    be stopped 30 minutes before end of shift/any break or fire watch must stay 30 minutes after quitting the job
    2-This permit is consider as void if not signed by issuer
    3-Official sanction will be taken by receiver who is not following the due procedure.
    IF EMERGENCY ALARM IS SOUNDED, THIS PERMIT IS CANCELLED

    You might also like