BLASTING PERMIT

Project Name: Exact Location:

Contractor Name: Blaster Name:
Date & Time of issue:
Name of Permit Issuer:
Name of Permittee:
Permit No. & Validity:
Sl. Description Observation Remark, if any
No. (Y/N/NA)
01 a. No. of holes
b. Amount of Charge per hole
c. Name of Explosive Used
d. Firing Pattern & Sequence (Sketch on Page-3)
e. No. of misfire if any
02 Has the permission for blasting operation taken from authority?
03 Is ID card & license available with blaster?
04 Is safety induction training provided to all workers & blaster?
05 Is competent supervisor & EHSO available at work location?
06 Does toolbox for safety precaution conducted & record available?
07 Is relevant PPEs used by workers & blaster?
08 Is the driller provided with helmet, apron, safety glass, gum boot
& ear plug?
09 Is “No Unauthorized Operation” implemented and displayed?
10 Are weather conditions considered for blasting (such as rain/
thunderstorm/ wind)?
11 Are warning posters & red flags displayed?
12 Is the danger zone cordoned off to control unauthorised person?
13 Is the nearby area vacated from traffic, trespassers, cattle, etc.?
14 Is the drilling equipment inspected before use & fit for use?
15 Is there any electrical/telecom/gas line in close vicinity of blasting?
16 Are the bored holes cleared off all debris before insertion of
explosives?
17 Has the vehicle carrying explosives is approve and licensed?
18 Are the explosives & cartridges of correct size?
19 Are the excessive cartridges removed from location before
blasting?
20 Are the filled holes covered with 5mm Steel sheet & Sandbags?
21 Are all workers leaving the “blasting zone” after loading?
22 Is there a proper system of siren & hooter to evacuate /prevent
trespassers from blasting zone?
23 Have the circuit been checked for continuity before blasting by
blaster?
24 Are electric blasting caps/ safety blasting cap available?
25 Are safety fuse and detonating cord delay connectors available?
26 Has position of all holes to be drilled marked out with white paint?
27 Is blasting material inventory maintained?
28 Are wooden tamping tools with no exposed metal parts except

STB-HSE-P-01 Page 1 of 3 Rev.: 00, Dated: 26.08.2022

 BLASTING PERMIT

non-sparking metal connectors for jointed poles used?

29 Are sand, earth, clay or other suitable non-combustible stemming
material used to confine the explosives in the bore hole?
30 Is welding/cutting of metal done inside the tunnel at the time of
loading?
31 Is firing circuit kept completely insulated from the ground or
other conductors, such as bare wires, rails, pipes etc.
32 have shot firer valid license, Safety inducted & medically fit?
33 Have explosives transported and stored along with other
materials?
34 Have explosives, detonating fuse & detonators kept in separate
wooden boxes at least 2m away.
35 Have the documents such as method statement, HIRA, permit is
approved and available during the activity?
36 Are 30 minutes interval between drilling & placement of primed
cartridges in the drill holes maintained?
37 Has visually inspection of the explosives done before use?
38 Are explosives being used damaged?
39 Have all connection checked before blasting?
40 Is there safe place for shot firer at least 30m away from blasting
area while firing?
41 Whether any misfire detected?
If yes, give the details (Action Taken)
42 Are we ensuring charged holes attended till the completion of
blasting operation?
43 Has bore holes thoroughly cleaned before a cartridge is inserted?
44 Wooden tamping rods (not pointed, but cylindrical throughout
shall be used in charging the holes.
Note: All person shall be evacuated from danger zone and warning siren shall be blown before the starting of
blast.
The precautions and safe conditions mentioned above have been verified. So, blasting operation may be
performed.

Name and Designation of Issuing Authority:

Signature:

I have checked the above points of this permit and found conditions are suitable and safe to undertake the blast.

Name and Designation of Permittee:

Signature:

Post Blasting Activities

STB-HSE-P-01 Page 2 of 3 Rev.: 00, Dated: 26.08.2022

 BLASTING PERMIT

01 Has the blaster returned to blasting site after firing within the 5
minutes after blast?
02 Have the shot holes examined after blasting in case of electric shot
firing?
03 Are any person approaching the blasting site within 5 minutes in
case of misfire?
04 Are there any counting system to know about the no of misfire?
05 Is there any mechanism to ensue no person allowed to approach
the blasting site within the 30 minutes.
06 Are all holes carefully inspected for residual undetonated
explosives after firing the shots?
07 Are any mechanism to ensue new hole 60 cm away from the old
bore.
* After verification of all safety measure, “All Clear Siren” must be blown to resume the work.
** Permit must be closed for blast.

Permittee Issuing Authority Name of EHSO

Signature Signature Signature

Date & Time Date & Time Date & Time

Firing Pattern:

STB-HSE-P-01 Page 3 of 3 Rev.: 00, Dated: 26.08.2022