OVERHEAD PERMIT
HSE-OHP-005
Project Name : ______________________________ Name of Subcontractor/Company: _______________________
SCOPE OF WORK: SAFETY EQUIPMENT:
SAFETY PRECAUTION
1.0 TOOLS & MATERIALS ARE SECURED FROM FALLING. WORKING PERSONNEL SHOULD BE EQUIPPED WITH SAFETY HARNESS.
2.0 OVERHEAD FIXTURES ARE STRONG EVEN WITH STRONG MOVEMENTS, ENOUGH TO CARRY THE WORKING CREW.
3.0 PEPOPLE WORKING BELOW SHOULD BE WELL PROTECTED BY A RIGID COVER IN CASE SOMETHING FALLS.
4.0 WARNING /CAUTION SIGNS SHOULD BE CONSPICUOSLY INSTALLED TO WARN OTHE RPERSONNEL. NECESSARY SCAFFOLDING,
LADDERS ARE TO BE INSTALLED IN A SUCH A WAY THAT ENOUGH AISLE OR CORRIDOR SPACES ARE STILL AVAILABLE FOR PASSAGE.
5.0 INSTALLATION OF CATWALK SHOULD BE DONE NEEDED.
6.0 POWER TOOLS SHOULD BE PROPERLY FASTENED/TIED.
7.0 EXTENSION CORDS SHOULD BE SAFELY LAID OUT TO PREVENT TRRIPING HAZARD.
8.0 SUPERVISOR OF THE AREA WHERE OVERHEAD IS TO BE DONE MUST SIGN THE PERMIT AS PROOF OF BEING NOTIFIED OF THE
JOB.
9.0 ALL ELECTRICAL HAZARD SHOULD BE CLEARED FIRST BEFORE JOB STARTS.
10.0 NUISANCE CAUSED TO THE SURROUNDING BY THE JOB SUCH AS NOISE, DUST, OBNOXIOUS ODOR, SPARK, FUMES, SPILLS
SHOULD BE PROPERLY CONTAINED
JOB HAZARD ANALYSIS
STEPS TO COMPLETE THE JOB POTENTIAL HAZARD HAZARD CONTROL
CONTROL PERMIT NO: _____________________________ LEVEL/AREA OF WORK: ____________________ REQUESTED DATE AND TIME: _________ /__________
REQUESTED BY: APPROVE/NOTED BY: CHECKED BY: (To be checked at the workplace)
Project In Charge: ______________________ _______________________________ __________________________________
Permit Receiver: ______________________ TECI - Permit Issuer TECI - HSE Dept.
PERMIT CLOSE OUT
PERMIT CLOSE OUT - SUBCONTRACTOR ( PERMIT RECEIVER )
The subcontractor acknowledge that the activity has been completed/suspended and the area has been left in a safe and satisfactory condition
Name: _________________________________________ Signature: ______________________________ Time: _______________ Date: ________________
PERMIT CLOSE OUT - TECI ( PERMIT ISSUER )
The permit issuer acknowledge that the activity has been completed/suspended
Name: _________________________________________ Signature: ______________________________ Time: _______________ Date: ________________