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Cold Work Permit Template and Guidelines

This cold work permit document outlines safety precautions for work being done at Wingtech Mobile Communication India Pvt Ltd. It requires identification of hazards, safety precautions being taken, necessary PPE, acceptance of safety measures by the contractor and engineers, and signatures for the work to proceed. The multi-page permit covers responsibilities, work details, hazard and precaution checklists, required PPE, acceptance and closure sections, with spaces for signatures from contractors and engineers to authorize the work.

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GANESH
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2K views2 pages

Cold Work Permit Template and Guidelines

This cold work permit document outlines safety precautions for work being done at Wingtech Mobile Communication India Pvt Ltd. It requires identification of hazards, safety precautions being taken, necessary PPE, acceptance of safety measures by the contractor and engineers, and signatures for the work to proceed. The multi-page permit covers responsibilities, work details, hazard and precaution checklists, required PPE, acceptance and closure sections, with spaces for signatures from contractors and engineers to authorize the work.

Uploaded by

GANESH
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Wingtech Mobile Communication India Pvt Ltd

Cold Work Permit


1. INFORMATION. 2.RESPONSIBLE PERSON CONTACT. 3.PERMIT DETAIL.
Contractor- Engineer Name & No. ( CCTEB) Permit no-

Location- Date-

Work description- Engineer Name & No. ( Contractor) Time-

Equipment use- Hour-

4.Hazard Identification (Fill yes or no in box) 5.Safety Precaution (Fill yes or no in box)
Unsafe access. Toolbox talk done.
Lack of sign/barriers. Suitable access and egress is provided.
Slip & Trip. Barriers and signs board in place.
Moving machinery. Site traffic is under control and sign provided.
Manual handling. Secure loose objects.
Simultaneous opening. Equipment is checked and in good condition.
Equipment not maintaining. All chemical material are packed and kept in proper way.
Adverse weather condition. All power tools, electrical board and cable are checked.
Confined space. Suitable working platform provided.
Working with chemical. Scafolds are checked before use sign board provided.
Falling objects. Worker to be aware of emergency procedure.
Others. Proper housekeeping to be done.
6. PPE (Fill √ tick in box)
Safety shoes Goggles. Gloves. Ear plug/muff. Full body harness.
Safety Helmet Face mask Gumboot. Face shield. Others.
7.Acceptance 8.Closure/Cancelation
Performing Authority ( Contractor, Site In-charge) Performing Authority ( Contractor, Site In-charge)
I CONFIRM THAT EACH OF THE IDENTIFIED CONTROL MEASURE ARE The work is finalized.
SUITABLE AND SUFFICIANTIN THE PLACE.WORK MAY PREOCEED.
Date- Time-

Sign Engineer Sign HSE


Sign Engineer Sign HSE
Issuing Authority ( CCTEB) Issuing Authority ( CCTEB)
PERMISSION IS GIVEN FOR THE WORK TO PROCEED SUBJECT SPECIFIED The work is finalized, work area is clean & secure. All persons left the area.
ABOVE.
Sign Engineer Sign HSE
The work is finalized and this permit is no longer valid.

Sign Engineer Sign HSE


9. Type the working days in week.
Date
Contractor Eng.
Contractor HSE.
Engineer(WINGTECH/
CCTEB).
HSE(WINGTECH/CCTEB).
NOTE- First copy shall be give to CCTEB Dept and second copy be shall be kept at site ready to shown when
request. Third copy shall be given to In-charge Dept.

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