Taree big eS = Ee ssemerm | Commissioning PTW Inspection Checklist |i Paar Permit Type! Permit ar Oconsirucioninconmisonngares __Workingonneariveauipment___ Commiioning_ Maintenance Sub-ContractorName PIW Holder Name Location /Zone Date & Time Description of Acivy tals Deszpion 7 1 | RONALD Hef wo ad ate STE SAS = 3 [tx oF PROVEN nlensrontnbe moore oma ees z [conan PT pe Noe ao 7 in Sa Sateen Pee Ae oem 1 [lithe Pr oalotleonworlng area? [isthe type matching wahthe scape aha pvr wan? 3 [ithe Ps general information umber, TOP, lation, work eso, ‘utzontacto,] den weed nd ratchag wih he Performed won? 7 [rea the watt condtons& safety requvement Ete onthe permit 1 wok |__| prope tite? Answered? _ 5 [ rte woitaton perad cen andi covforance wth the PW poseaare [tis PTW has ben signed bya the involved pesos appicant esvedF 7 [proper Basttoched withthe PTW? Ard matting wih te orging wort? 3 [tthe Ia Atendance sheet signed by anvohed pant tached to PTW? 5 [ee tached ener appropri ote task and menionedeoreaiy nPTWP 10 | Atached inspection check checked and ged byte concerned penars? 11 | Are set contra menre and protective eaupment nding PPE appropra forthe wah nty? TH [ Ha oat saletyepecton ben onaLced prt The To Ge The aforesaid fety conv mesures? | isthe wtererene between corsvaion wd conmivonng wall managed win urPnw ape 7 isaequntespersson bing proved fortis wort sth sperv uaied noha enre personal and process sty wii his PTW seope? 15 | Are tnergeny/esaeproios where requred been accordingly aranged Tad _the work group aware of what to do in the event of an emergency? a ToulsA+8e compton ates ota! [15h = Temaria/Actions taken inspected by thre comoory seston Snaure HSE