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General Work Permit

This document is a general work permit that provides details of a construction project such as the project name, location, date, tools and equipment involved, work description, safety precautions to be taken, and sign-offs from relevant parties.

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rahulphadake3
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53 views1 page

General Work Permit

This document is a general work permit that provides details of a construction project such as the project name, location, date, tools and equipment involved, work description, safety precautions to be taken, and sign-offs from relevant parties.

Uploaded by

rahulphadake3
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

GENERAL WORK PERMIT

Project Name Contractor Name/ Contact No

Location Date: Time: From To

Tools and Equipment involved:


Description of work:
The above signing person will be responsible to ensure that the above described work will be done under all the
safety precaution mentioned on the PTW and required by the Project.
The following precautions are to be taken
Sr No SAFETY PRECAUTIONS (Please Tick) Yes No / NA Remark
1 Safety Induction Given to the Labor’s.
2 Proper Access/ Exit available.
3 General instruction about the work
4 Proper supervision available

5 Daily housekeeping of the work area completed


6 Checked safe condition of hand tools/ Power tools.
7 Personal Protective Equipment provided. Minimum
applicable are safety helmet, safety goggles, safety
shoes, Hand gloves, dust mask, Etc.
8 Safety Sign board are in place
9 Adequate Lighting arrangement
10 Required area are properly barricaded (Outer edge,
Lift shaft & Ducts)
11 First Aid kit available at location.
12 Tools & Machinery checked & Tagged properly.
13 Other

Site Engineer Safety Officer Project Manager Site Engineer Safety Officer Project
(Contractor) / Supervisor (Contractor) /Supervisor /Supervisor Manager
(Contractor) (Kumar (Kumar (Kumar
Properties) Properties) Properties)

Permit Extension – Date Time –From To Sign

Site Engineer Safety Officer Project Manager Site Engineer Safety Officer Project
(Contractor) / Supervisor (Contractor) /Supervisor /Supervisor Manager
(Contractor) (Kumar (Kumar (Kumar
Properties) Properties) Properties)

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