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Published on: 11/29/2024This permit is valid for 7 days from time of approval. Application shall be submitted at least 1 day in advance.
Attach Drawing / Sketch


All categories of work listed below shall be considered Coldwork
Photos


*Signature
*1. Safe work procedure and Risk Assessment briefed to all workers involved? point?
*2. Proper barricade with warning signage put up at work area?
*3. No incompatible works in / near work area?
*4. Appropriate PPE issued and worn by worker?
*5. Area checked by Licensed cable detection worker (LCDW) before start of any excavation/trial holes?
*Signature by Contractor Supervisors to verify above checklist
Select Yes to verify the item
1. Work personnel briefed on risk-impact assessment of the work scope?
2. Is PPE adequate and appropriate for this job as indicated by permit applicant?
3. Work area is safe. Environmental impacts are eliminated.
4. Have you confirmed that no incompatible works being carried out in/ near your work area?
5. Reasonably practicable measures have been taken to safe guard the safety and health of work personnel and preservation of the environment?
Photo, if any


*Contractor Safety Assessor / Competent Person Signature
VERIFICATION BY Engineer / Site Supervisor:
*Engineer / Site Supervisor Signature
ACKNOWLEDGEMENT BY SFEC HSSE Dept:
*HSSE Dept. Rep. Signature
APPROVAL BY WAH MANAGER
Permit Approver
*This Permit is:-
*Project Manager/Construction Manager Signature
*Signature
*Signature
*Signature
*Signature
*Signature
*Signature
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GENERAL PERMIT (7 Day PTW)
This permit is valid for 7 days from time of approval. Application shall be submitted at least 1 day in advance.
Attach Drawing / Sketch


All categories of work listed below shall be considered Coldwork
Photos


*Signature
*1. Safe work procedure and Risk Assessment briefed to all workers involved? point?
*2. Proper barricade with warning signage put up at work area?
*3. No incompatible works in / near work area?
*4. Appropriate PPE issued and worn by worker?
*5. Area checked by Licensed cable detection worker (LCDW) before start of any excavation/trial holes?
*Signature by Contractor Supervisors to verify above checklist
Select Yes to verify the item
1. Work personnel briefed on risk-impact assessment of the work scope?
2. Is PPE adequate and appropriate for this job as indicated by permit applicant?
3. Work area is safe. Environmental impacts are eliminated.
4. Have you confirmed that no incompatible works being carried out in/ near your work area?
5. Reasonably practicable measures have been taken to safe guard the safety and health of work personnel and preservation of the environment?
Photo, if any


*Contractor Safety Assessor / Competent Person Signature
VERIFICATION BY Engineer / Site Supervisor:
*Engineer / Site Supervisor Signature
ACKNOWLEDGEMENT BY SFEC HSSE Dept:
*HSSE Dept. Rep. Signature
APPROVAL BY WAH MANAGER
Permit Approver
*This Permit is:-
*Project Manager/Construction Manager Signature
*Signature
*Signature
*Signature
*Signature
*Signature
*Signature