PTW GENERAL WORK PERMIT

Project Name: Vendor Name: ABS FUJITSU GENERAL PVT LTD

Permit No: Date & Time from: to:

Location of work: Description of Work:

Permit extension(Night work) No: Emergency contact no:

Sl. Description Yes No N\A

No
1
Are all workers being aware about the work?
2
Is supervisor available at the workplace to supervise the task?
3
Is toolbox talk / pre-start briefing carried out prior to start the task?
4
Is task specific PPEs Provided?
5
Are the materials are stacked properly?
6
Is the scaffold is inspected prior to use?
7
Are live electrical cables routed through the insulated hook?
8
Is there proper illumination provided at the work location?
9
Are workers are using Use right tools for the job?
10
Are all the power/hand tools are inspected prior to use?
11
Is the work area free from obstructions?
12
Are workers are using Full Body Harness (FBH) during working at height (Above 1.8 meter)?
Any additional precautions:

Permit Executer By ABS Verified By ABS EHS:

Name of Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

Approved By ABS (PROJECT MANAGER)
Name of Representative : COMMENTS:

Date and signature:

I understand the precaution to be taken as described above and as per Project requirement & here by confirm that Work will be executed under my supervision by following all
precaution & Safety Rules.
Permit Closing / Cancellation:-
I hereby declare that the work is completed / suspended, all workers under my control have been withdrawn and the site restored to a safe tidy condition
Name of Site Engineer: Name of EHS Engineer:
Date and signature: Date and signature:

COMMENTS:
 WORK PERMIT FOR WORKING AT GENERAL WORKS

MACE Reviewed by mandatory: Permit No-

Name & Designation Sign
Comments

MACE Civil/MEP In-

Charge

MACE Safety In-

Charge

SHPL Reviewed by (Optional) on random basic:

SHPL Civil/MEP In-

Charge

SHPL Safety In-

Charge
PTW HEIGHT WORK PERMIT
Project Name: Vendor Name: ABS FUJITSU GENERAL PVT LTD

Permit No: Date & Time from: to:

Location of work: Description of Work:

Permit extension(Night work) No: Emergency contact no:

Sl. Description Yes No N\A
No
1 Are workers trained on work at height?

2 Is the working platform erected as per approved design?

3 Is safe access is provided at the working platform?

4 Is ladder access inclined at 75 degree (ratio 1:4) and its top & bottom secured?

5 Is ladder access fitted with double handrail?

6 Is distance between the rungs or step of ladder is not more than 30 CM?

7 Are working platform capable of supporting workers and the safe working load indicated and
inspected?
8 Are working platform sufficiently wide to walk on without risk of stumbling or loosing balance?

9 Is there any gap in-between plank in working platform?

10 Is double handrail at 650 MM (Mid rail) and 1150 MM (Top rail) provided to the platform?

11 Is area below the working platform is barricaded, warning signage displayed, and exclusion zone
declared?
12 Is SWL capacity of the working platform is displayed, and workers are aware of it?

13 Are workers working at height, having full body double lanyard safety harness?

14 Is static lifeline provided at overhead to the workers?

15 Are workers anchored the safety harness to static lifeline or at rigid point while working at height?

16 Are loose, unwanted, and surplus materials removed from the work platform?

17 Are there any simultaneous activities carrying out (overhead or below) at the working area?

18 Is any new and untrained worker is engaged for work at height?

19 Is responsible supervisor available at the workplace to supervise the work at height?

20 Is competent person inspected the working platform and tagged?

Any additional precautions:

Permit Executer By ABS Verrified By ABS EHS:

Name of Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

Approved By ABS (PROJECT MANAGER)

Name of Representative : COMMENTS:

Date and signature:

I understand the precaution to be taken as described above and as per Project requirement & here by confirm that Work will be executed under my supervision by following all
precaution & Safety Rules.

Permit Closing / Cancellation:-

I hereby declare that the work is completed / suspended, all workers under my control have been withdrawn and the site restored to a safe tidy condition

Name of Site Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

COMMENTS:
 WORK PERMIT FOR WORKING AT HEIGHT WORKS

MACE Reviewed by mandatory: Permit No-

Name & Designation Sign
Comments

MACE Civil/MEP In-

Charge

MACE Safety In-

Charge

SHPL Reviewed by (Optional) on random basic:

SHPL Civil/MEP In-

Charge

SHPL Safety In-

Charge
PTW HOT WORK PERMIT
Project Name: Vendor Name: ABS FUJITSU GENERAL PVT LTD

Permit No: Date & Time from: to:

Location of work: Description of Work:
Permit extension(Night work) No: Emergency contact no:
Sl. Description Yes No N\A
No
1 Is trained Fire Watcher Assigned ?

2 Check Combustibles Surrounding area (10m radius)

3 Check Combustibles Floors Below (10m radius)

4 Check Combustibles Gas/Flammable Liquid (15m radius)

5 PPEs Provided (Face Shield, Leather Apron & hand gloves).

6 Is area wetted ?

7 Is Suitable Fire Extinguisher in place ?

8 Are Fire blanket or tray provided to prevents falling sparks/ molten slag

9 Are suitable safety warning signs in place?

10 Is area Barricaded ?

11 Is gas cutting, welding cylinder in upright position and secured?

12 Cutting / welding / brazing / hot Work equipment in good working order?

13 Is body earthing provided for the welding machine?

14 Are any leaks found in cylinder and or any leaks observed on the hose reel?

15 Is flash back arrestor in placed both end and in good working condition?

Any additional precautions:

Permit Executer By ABS Verified By ABS EHS:

Name of Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

Approved By ABS (PROJECT MANAGER)

Name of Representative : COMMENTS:

Date and signature:

I understand the precaution to be taken as described above and as per Project requirement & here by confirm that Work will be executed under my supervision by following all
precaution & Safety Rules.
Permit Closing / Cancellation:-
I hereby declare that the work is completed / suspended, all workers under my control have been withdrawn and the site restored to a safe tidy condition

Name of Site Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

COMMENTS:
 WORK PERMIT FOR WORKING AT HOT WORKS
MACE Reviewed by mandatory: Permit No-
Name & Designation Sign
Comments

MACE Civil/MEP In-

Charge

MACE Safety In-

Charge

SHPL Reviewed by (Optional) on random basic:

SHPL Civil/MEP In-

Charge

SHPL Safety In-

Charge
PTW NIGHT WORK PERMIT
Project Name: Vendor Name: ABS FUJITSU GENERAL PVT LTD

Permit No: ABS/N/ Date & Time from: to:

Location of work: Description of Work:

EHS Engineer contact details: Emergency contact details:

Sl. Description Yes No N\A
No
1 Is dedicated Night shift in charge available ?
2 Is supervisor available in night shift to supervise the task?
3 Is First aider available ?
4 Is Ambulance available for emergency?
5 Are the workers working continuously for last 12 hours?
6 Is the work area safe for work?
7 Is there proper illumination provided at the work area?

8 Are the hazards related with the work identified and assessed at workplace?

9 Is toolbox talk / pre-start briefing carried out prior to start night shift?

10 Are the workers having specific PPE’s according to the requirement of the task?

Is there any high-risk activity like working at height, work in penetration and shafts, electrical testing
11 and commissioning, hot work, Mechanical lifting operation, excavation etc. to be carried out in night
shift?

Any additional precautions:

Permit Executer By ABS Verified By ABS EHS:

Name of Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

Approved By ABS (PROJECT MANAGER)
Name of Representative : COMMENTS:

Date and signature:

I understand the precaution to be taken as described above and as per Project requirement & here by confirm that Work will be executed under my supervision by following all
precaution & Safety Rules.
Permit Closing / Cancellation:-
I hereby declare that the work is completed / suspended, all workers under my control have been withdrawn and the site restored to a safe tidy condition

Name of Site Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

COMMENTS:
 WORK PERMIT FOR WORKING AT NIGHT WORKS
MACE Reviewed by mandatory: Permit No-
Name & Designation Sign
Comments

MACE Civil/MEP In-

Charge

MACE Safety In-

Charge

SHPL Reviewed by (Optional) on random basic:

SHPL Civil/MEP In-

Charge

SHPL Safety In-

Charge
 CONFINED SPACE WORK
PTW
PERMIT
Project Name: Vendor Name:

Permit No: Date & Time from: to:

Location of work: Description of Work:

Permit extension(Night work) No: Emergency contact no:

Sl. Description Yes No N\A
No
1 TBT to workmen regarding hazards and working procedure conducted (Attach Attendance)?
2 Weather condition normal and no high wind pressure observed during the height work?
3 Escape routes to be provided and kept clear
4 The vessel / equipment /Space been cleaned, purged, isolated
5 All electrical / air/ hydraulic equipment / drives been disconnected and checked

6 The gate watcher / constant supervisor at the place(gate) at all time

7 Rescue team equipped with emergency rescue devices like life line, ladder, rescue stature etc… put on
standby
8 Atmospheric gas monitering is done ? Confirmed Oxygen level 19.5% to 23.5%

9 24V hand lamp been provided

10 Exhaust / fresh - air - flow fan been provided

10 Tanks/ confined space well ventilated for about 6 - 7hrs before entry of person
11 Log book maintained by Gate watcher

Any additional precautions:

Permit Executer By ABS Verified By ABS EHS:

Name of Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

Approved By ABS (PROJECT MANAGER)

Name of Representative : COMMENTS:

Date and signature:

I understand the precaution to be taken as described above and as per Project requirement & here by confirm that Work will be executed under my supervision by following all
precaution & Safety Rules.

Permit Closing / Cancellation:-

I hereby declare that the work is completed / suspended, all workers under my control have been withdrawn and the site restored to a safe tidy condition

Name of Site Engineer: Name of EHS Engineer:

Date and signature: Date and signature:
COMMENTS:
 WORK PERMIT FOR WORKING AT CONFINED SPACE WORKS

MACE Reviewed by mandatory: Permit No-

Name & Designation Sign
Comments

MACE Civil/MEP
In- Charge

MACE Safety In-

Charge

SHPL Reviewed by (Optional) on random basic:

SHPL Civil/MEP
In- Charge

SHPL Safety In-

Charge
 LIFTING AND SHIFTING
PTW WORK PERMIT
Project Name: Vendor Name: ABS FUJITSU GENERAL PVT LTD

Permit No: Date & Time from: to:

Emergency Contact no:

Location of work: Description of Work:

Crane Type & Capacity Radius Minim. load Capacity
Object Weight Boom Length
Sl. Description Yes No N\A
No
1 Pep talk / Toolbox talk conducted before starting of work.

2 Competent & Certified supervisors riggers available

3 Crane Operator Certified

4 Swinging radius barricaded & poster displayed

5 Riggers wearing reflective vest.

6 Ground stability verified.

7 Is inspection carried out and Current color code applied for all Lifting tools & tackles?

8 Slings & ropes in good condition

9 Taglines in use

10 Adequate Signal man designated & identified with communication aids.

11 Safe distance from power lines
12 Crane outriggers and pads are in good.

13 Load secured properly

14 Whether the area is levelled & compacted for crane movement & placement?

15 whether the area is free from any electrical hazard?

16 Is the lift / swings free from obstacle?

17 Oil/fuel leakage.

18 Soil bearing capacity / Stability ensured.

19 ASLI in working condition

20 Valid 3rd party test certificates available for crane and rigging gears used

21 Wind Speed (less than 38 Km per Hrs)

Any additional precautions:

Permit Executer By ABS Verified By ABS EHS:

Name of Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

Approved By ABS (PROJECT MANAGER)
Name of Representative : COMMENTS:

Date and signature:

 I understand the precaution to be taken as described above and as per Project requirement & here by confirm that Work will be executed under my supervision by following all
precaution & Safety Rules.
Permit Closing / Cancellation:-
I hereby declare that the work is completed / suspended, all workers under my control have been withdrawn and the site restored to a safe tidy condition

Name of Site Engineer: Name of EHS Engineer:

Date and signature: Date and signature:

COMMENTS:
 WORK PERMIT FOR WORKING AT LIFTING AND SHIFTING WORKS

MACE Reviewed by mandatory: Permit No-

Name & Designation Sign
Comments

MACE Civil/MEP In-

Charge

MACE Safety In-

Charge

SHPL Reviewed by (Optional) on random basic:

SHPL Civil/MEP In-

Charge

SHPL Safety In-

Charge