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Pragathi Concepts: A: The Person Taking Permit To Fill Up

This document is a height work permit form for a construction project located at PRAGATHI CONCEPTS, #108F/9, 6TH CROSS, HGH LAYOUT, NEW AIRPORT ROAD, GANGA NAGAR, BANGALORE-560032. The permit details the location and duration of planned height work, safety precautions that must be followed, and signatures approving the commencement and completion of the work. Key information includes the project location, number of workers involved, work dates and times, 10 safety points to be checked and confirmed, and signatures from the engineer overseeing safety and the permit approver.

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Deepak G
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190 views1 page

Pragathi Concepts: A: The Person Taking Permit To Fill Up

This document is a height work permit form for a construction project located at PRAGATHI CONCEPTS, #108F/9, 6TH CROSS, HGH LAYOUT, NEW AIRPORT ROAD, GANGA NAGAR, BANGALORE-560032. The permit details the location and duration of planned height work, safety precautions that must be followed, and signatures approving the commencement and completion of the work. Key information includes the project location, number of workers involved, work dates and times, 10 safety points to be checked and confirmed, and signatures from the engineer overseeing safety and the permit approver.

Uploaded by

Deepak G
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
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PRAGATHI CONCEPTS

#108F/9, 6TH CROSS, HGH LAYOUT, NEW AIRPORT ROAD,


GANGA NAGAR, BANGALORE-560032.

HEIGHT WORK PERMIT

Project:……………………………………………….

A: THE PERSON TAKING PERMIT TO FILL UP.


1. EXACT LOCATION WHERE WORK IS BEING PLANNED: ……………………………………………………………………
2. NO OF PERSON INVOLVED: …………………….
3. APPROXIMATE DURATION OF WORK FROM: Date: …………………………
Time: …………………………. To …………………………..

SL POINTS TO CHECK REMARK


NO YES NO NOT
1 All the persons engaged in the work should be well equipped with
necessary PPEs as per the job requirement (Helmet, Full body belt,
Safety shoes, jacket etc )
2 Minimum 20mm diameter polypropylene rope or 8mm wire rope
shall be used as a lifeline.
3 Explain the workers about the requirement of safety equipment to
be used through tool box/ pep talk
4 Fall protection net has been provided all around the periphery of
the building before starting the work
5 Proper access to the work place will be provided by suitable means
before engaging workmen in the work area
6 Suitable platforms have been provided before allowing any
workmen to work at height
7 The housekeeping and illumination of the work area is ensured or
not
8 Materials dropping should be avoided as far as possible. If it is to
be dropped the area below should be barricaded and a watch
person shall be kept
9 Openings in floor – All openings in areas where workmen are liable
to work or pass through shall be closed or barricaded and warning
signage shall be displayed
10 Any other precautions taken
(specify:………………………………………………………………………………………..)

The above points have been complied with and conditions rendered safe/hazards innocuous to undertake height
work.
Name of engineer: ………………………………………….. Signature: …………………………………….
Designation: …………………………………………………..
B) The person giving permit to fill up:
After checking all the above precautions the height work can be carried out in the above area
Name: ………………………………………. Signature: …………………………………..

C) Time: …………………………. Date: ……………………………. At which the permit closed and filed

Signature: ……………………………………..

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