Doc. Ref.

EHS-37

Revision 00
CRADLE OPERATION PERMIT
Date Nov-2018

Location/Project Name Job No.

Consultant Client :

SECTION 1 - DESCRIPTION / LOCATION CRADLE DETAILS

Location : ………………………………………

Description of Work : ……………………………………….

Cradle Id No. : ……………………………………….

Work Permit required for : ………………………………………..

(Name of Company)
: ………………………………………..
Approximate duration of the work
(incl. Date) : ………………………………………..
Name of the task incharge / engineer

SECTION 2 - CHECKLIST

No. Description YES NO NA

1 Cradles are inspected and certified by third-party
2 Prior inspection check done and found safe to use. (Attach checklist)
3 Cradles are safely accessible.
5 Operatives are trained for the safe cradle operation.
6 Tool box talk conducted
7 Proper communication system provided
8 Proper supervision available

SECTION 3 - INSPECTION OF CRADLE

The work permit for the above mentioned work at the location specified is issued based on the prior use inspection
done by the operator and the weekly inspection done by the plant department.

This is valid from …………………. hours to ………………….. hours on date ……………………… (1 day only).

Name of Engineer / Supervisor

Company

Signature Signature:

SECTION 4 - EXTENDING PERMIT

This work permit validity is extended for date:

a) Engineer:
( One day only)
b) Engineer:
( One day only)
c) Engineer:
( One day only)

SECTION 5 - CLOSEOUT OF PERMIT

Actual work completed. Permit closed

Time …………….. hours. Date………………………. Sign of Safety officer

(To be returned to the Safety Officer of Engineerg once the work is completed)