EHS-WP-05 Height Work Permit
EHS-WP-05 Height Work Permit
EHS-WP-05 Height Work Permit
Project-.
HEIGHTWORK PERMIT
Sr. No: _________________
Job Description:
Equipment: -
Probable Hazards; a) Fall Hazards.a) Building Structures b) Exterior Construction Areas c) Scaffolds
d) Staircase .e) Ladders
5. Ensure that the anchoring points are available to fix the life line
6. Ensure that the area nearby and below is cordoned off and barricaded with
signage’s.
Type of access used to reach to work station- (Tick as applicable)
1.FIXED/MOBILE SCAFFOLD 2. LADDERS.3.CHERRY PICKER 4.
7. SEIZER LIFT 5. VERTICAL FALL ARRESTER
Ensure that all the equipment’s as mentioned above are in good working
Condition and health tag is provided on the equipment’s.
8. Safe Access & Egress provided
Work clearance from all concern departments are verified & found
13
satisfactory.
14 The work has been discussed with the person in charge and all quality,
safety and environmental precautions considered. controls will be in place
ROHAN BUILDERS (I) PVT.LTD.
prior to commencement.
The above signatories will be accountable to ensure safe and eco-friendly work practices while
executing the said activity.
Work Permit Approval By: PMC/Client :
Permit Extension/ Renewal for the same day during night work:
Date: ____________ Time: From ________________To______________________
Name & Signature of RBIPL Name & Signature of RBIPL Name & Signature of RBIPL