Scribd
Upload
317 views2 pages

86p$permit To Height Work

This document is a permit form for height work being conducted by Dilip Buildcon Limited on the Zuari Cable Stay Bridge project in Goa. It requires the site supervisor to check that adequate safety precautions are in place, including safe access, edge protection, work platforms, fall protection equipment, and clearance of work areas. The permit is valid for a specified time period and must be renewed or closed out by the site supervisor, site in-charge, and safety department once the work is completed. Emergency contact numbers are also provided.

Uploaded by

ATIKUR RAHMAN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
317 views2 pages

86p$permit To Height Work

This document is a permit form for height work being conducted by Dilip Buildcon Limited on the Zuari Cable Stay Bridge project in Goa. It requires the site supervisor to check that adequate safety precautions are in place, including safe access, edge protection, work platforms, fall protection equipment, and clearance of work areas. The permit is valid for a specified time period and must be renewed or closed out by the site supervisor, site in-charge, and safety department once the work is completed. Emergency contact numbers are also provided.

Uploaded by

ATIKUR RAHMAN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

DILIP BUILDCON LIMITED

ZUARI CABLE STAY BRIDGE PROJECT, GOA

PERMIT TO HEIGHT WORK


Area / Location Sr.NO.
Work in
Agency
charge

Description of
works

Precaution to be completed by agency supervision


The following are to be required and completed YES NO N/A
1 Whether Safe access to work place is provided
2 Whether the edge protection provided adequate
3 Whether work platform is adequate with respect to strength and
dimension.
4 Is the working platform fully boarded?
5 Work platforms provided with guard rail.
6 Are the workmen screened for working at height?
7 Adequate fall protection arrangement made (Static line, Double
Lanyard harness, Fall Arrestor, Safety Net)
8 Walkways, aisles & all overhead workplaces cleared of loose
material.
9 Whether all tools & tackles inspected before use.
10 Whether hand tools and handling materials secured against
accidental fall?
11 Workmen provided with bag / box to carry bolt, nuts & hand
tools.
12 Whether area below, where the height work being performed is
cordoned and unauthorized entries are avoided.
Additional precautions/ comments

Permit validity
This permit is valid from: am/pm on / /
Until: am/pm on / /
Notes: this form being triplicate is kept respectively one copy for construction party, Construction dept.,
Safety dept.
Issue of permit- authorization/ receipt
DILIP BUILDCON LIMITED
ZUARI CABLE STAY BRIDGE PROJECT, GOA

Comment of site supervisor from work agency Comment of site in-charge of work agency
I have examined the area specified and
permission is given for the work to start,
subject to the conditions stated above.

Name: Name:

Signed: Date: Signed: Date:


Comment of Safety dept. Emergency No.

Name: No.

Name: No.
Name:

Name: No.
Signed: Date:
Renewed of works/ permit
Time work will be renewed to : am/pm on / /
Site supervisor Site in-charge Safety dept.

Completion of works/ closing of permit


Time work completed/ suspended: am/pm on / /
Site supervisor Site in-charge Safety dept.

Notes: this form being triplicate is kept respectively one copy for construction party, Construction dept.,
Safety dept.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy