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Permit to work system - working at height

Permit to work system - working at height

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Published by Shamih Sikthy

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Published by: Shamih Sikthy on Nov 06, 2012
Copyright:Attribution Non-commercial

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12/04/2012

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1
a):b):c):d)From:To:e)Barricades/ Warning SignsSafety Harness with lifelineNon-sparking ToolsDust MasksHard HatMarshal/ Stand by manAccess LaddersOthers (Please Specify)(Please tick where appropriate)f)Name of Competent Person:Safety Assessorg)No. of Workers:h)Name::Date :
Permit No.
..
SupervisorPTW ApplicantSignature
Application
PROJECT NAME 
COMPANY NAME 
Demolition Work/ Working at Height(More than 2m) Permit-To-Work
Permit-To-Work to be displayed at work area(Delete where not applicable)
Location of WorkDescription of WorkDate/s of WorkI wish to carry out the above work, I undertake to comply with the requirement stated above andmaintain them throughout the work.I have read and understood the Permit-To-Work and shall comply with General Safety Procedure.Time of WorkThe following safety equipment/special provisions must be provided and maintained throughout thework.

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/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->