Permit To Work

Permit Reference
RA.01972
Valid From
01/03/2023 08:00
Job Number
16206
Valid To
17/03/2023 16:00
Permit Category
Permit to work (Specialist)
Issue Date
28/02/2023 14:46
Permit Type(s)
Roof Access
Work Covered By Permit
Access onto roof to enter plantroom
Permit Title
Clone of MRC Labs Plantroom - Estates - Control System
Permit Description
Just access into the plantroom to enable works to Honeywell Control System and CCTV camera move.
Permit Limitations
Icy or snow weather works will need to be postponed.

Locations
Location Plant/Equipment Task
(02) – Gibbet Hill, (02.007) – MRC Laboratory, (02.007.R01) – Roof walk to plantroom

Issue Details
Prepared For Issue By
Graham Steer
Issued By (Signature)

Issued By
Carla Murphy
Name

Status (at time of printing)

Issued
Date

Recipient Details
Receiving Authority
Simon Morley
Received By (Signature)

Printed on: 28/02/2023 Page: 1 of 3

Organisation
Estates
Name

Mobile Number
Date

Named Individuals
Tom Whyte, Ebuzer Gulhan, Joshua Randle - 07585400324, Tyco Operative

Permit Returned By Competent Person

Receiving Authority
Simon Morley
Received By (Signature)

Organisation
Estates
Name

Mobile Number
Date

Printed on: 28/02/2023 Page: 2 of 3

Linked Permit: Roof Access
Authorised By: Lee Cartwright
Equipment:: n/a
Means of access:: Through Salto padlock gate and Salto to plantroom door
Types of hazard:: Slips and trips, in particular during poor weather conditions.
PPE required:: Hi-vis vest and safety boots.
Control measures:: No lone working or during poor weather conditions.
Do you require Salto access:: Yes
Have you provided 3 working days notice?: No
It is the requestor responsibility to notify the Zone manager. Has the ZM been notified?: Yes
Additional comments: Basically extension needed for overunning Hoeywell works and CCTV camera move on 01/03.
Do you require the permit for weekend working: No
Will you be using a latch line system on the roof: No

Other current permits within any of the selected locations

As at the time of issue, there are no other current permits within the selected locations. If you observe any other work or on site issues that affect
the work covered by this permit, this must be reported to Estates services immediately.

Risks and hazards within any of the selected locations

As at the time of issue, there are no Risks and Hazards recorded in the system for the selected locations. However, you have confirmed that you
have carried out a risk assessment of the area and provided evidence of this as well as a method statement. If any new risks come to light during
the course of the work covered by this permit, this must be reported to Estates services immediately.

Report Print History

Printed 28/02/2023 14:47

Printed on: 28/02/2023 Page: 3 of 3