OD LOYAL BUILDING CONTRACTING L.L.C NYAL. LOYAL. HEALTH, SAFETY AND ENVIRONMENT PLAN ok 10.15 HOT WORK PERMIT fanak me. weloine I> cascurnine Eerazinc CD) crisoie &— oTwens (SPECIF LI ‘SERIAL # I DATE| | Section - 1 DETAILS OF THE PERMIT RECIVER Project / Section Aw & Location(s) Permit kecsver eat Maar Engineer Responsible Yisbinn Yao, | Contact Number Name of the Worker y ID Number aga i eons nae Section II -ERMIT VALIDATIONS Date Issued 3 To Ta Valid Till (Not more than a week) Time Issued Sok) Vala (Expires after 0001 hrs) Send Dae valid Tl (Net more tana weed) Bonet tee vail (eagias shee Dont ey HOT work permit shall not exceed its duration for more than one (1) day. ‘Work Permit shall be renewed on the second (24) day WITHOUT FAIL Section Ill PREREQUISITE (Work May be stopped if one of the following is not complied with) _ | ¥ for YES and X for NO Yes NA | ¥for YES and X for NO Yes NA ‘A. Flammable Materials removed from locatig” [] | K. Appropriate Working Platform oD B. Welding Gensets terminal insulation Sb Gy | © Safety/warningsignsin place = (3 O) C. Adequate Earthing LY CF | M. Adequate Ventilation fo Dy. atestor work cken ond try, |X Condonofiieweldngeties Fy E, Appropriate Fire Extinguisher Provided Adequate illumination ae : e 1D | py Flash Backarrestors~ Gas cylinders E] F. Operations trained in using fire extinguisher a Cylinders Kept in trolley and secured] [I~ G. Fire Blankets (nonflammable) Provided & R. Regulatorsin good condition =) H. Fire Watch Personal O Bs cxwecequca om Te Area banstesited ZF CG | 7 tsolation ofequipment’s required] J._ Appropriate PPE Provided & oO Declaration by the Permit Receiver Namie and Address of employer (sub-contractor) tooo onnnn nn Representing A.NE9 hereby deciae | Company Name: that | have checked the location and the worker has been Nature of fo: briefed aboutthe emergency procedure andatoolboxtalk | pg. Bor ny aiven on using the fire extinguisher to ALL involved in the oan. FAK NOL! oor son Emirate fue Abe Contact Number (Site Safety Rep, ..2! Date22/a/.19. Name: Sahl... Signatures We Section IV PERMIT APPROVAL ‘Work shail be carried ouy ONDY after complying with the precautions given in Section-III of this Permit. The permite valdup tbat soni /-a/1¢ thas to eenured that ne employee eactingne ob has copy of the permit at all times during work. No equlpment’s aye unattended at any time whatsoever the reason may be. Prior to any accessory replacement the tool must be digcbnnected from the main source of power supply. Name of the Safety Adviser .'Itiws. 2.005%. signature Date 3\./.)o/.12, PERMIT COPY DISTRIBUTION (tick appropriate boxes): Project Manager (1 Chief Engineer Electrician C) Supervisor _C] _ Seawrity Page | of 1 LBC/HSEPYSF-19 REV: 00