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    Bill no .- 58 Work permit

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    14 views12 pages

    Bill No . - 58 Work Permit

    Uploaded by

    sambit sarat satpathy

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 12
    ASM WORKS #464007 effective Date : 19.12.22 " vfevence Safely Standard 1. TSLISSIGEN-25 (Work Permit system) & 2. T PERMIT TO WORK FOR INDIVIDUAL AGENCY - To be filed in Tipicae Original (blue), Duplicate (white) a TATA ‘TATA STEEL LIMITED SL.No. 9PP23A.......-- pate F/101.25.. /SLISSIGEN-26 (Positive Isolation) & Triplicate (yellow) ase5at_ Permit to work format is valid for only one job in the $f (2)Ferrouineinonsoutin jobs, Shut down jobs andbreak dow obs (48.8 jobs) peritwibe renewed air one hit (eer MSD (48 Hrs | obs) parm may be renewed ater 24 Hes” specific area EBB. Original permit valid ast renewal valid 2nd renewal valid From (Time & Date). ‘Name / Description of 00 :. Recto. Name of Working Agency and ‘Work Order No.l}. var ot itted only forthe area / Equipment (Name / NO.): For insteuctio8/Chech For inst taecuting Agency rust verify before issue of Work Perl. [NECESSARY PRECAUTIC ses Harn permit taken (EHSMSM/WORKSHAGHOON Pertlen0 se t) confined Space permit taken (FHSMSM/WORKS/44007), Perm en 2) ete Power Cutting for category ob done EHSMSM/WORISHagATS ETE ipdone [EHSMSM/WORKS 46010), Permit no rn taken (CHSMSM/WORKS 464016), Permit NO ken (EHSMSM/WORKSAAGOI7),PEFMIE MO a rion/eading clearance (EHSMSM/WORKSA46HO18), Permit 1) Grounding & Oischarging for category ‘ey ydraulie Pneumatic energy isolation per §) Hot work permit From (Time & Date) eee foot floor: e fh) Electrical 3} itis on above job see overieaf. Work Section ; ore Meare oaeg SORZS TAM. we prem a bee 1023 ei Toirime & Dat). Cr] «) working t Haight Confined Space thers (Spectty) WAAL E ving Agency Toust verify all requirements by himself Hefo L_SEOETOB [fo he fed by Working Agency and verified by Eecuting ABDC (Use 7 oF x as appropriate): Ty Welding/Gas cutting [2] >) it 4) Hydraulie/Pneumatic FE) in eATROLS TAKEN FOR ABOVE J08 (Tobe file by Perm sve] Use VO" HE appropriate) onal. re applying Work Se f)Mecaised ov Par nate (CHSMSMORKSPAGEDIS : : : Herod ewe onset rng pee ag == rest ptruton ¥anyowner agener): (C22 Pri a Et =3“Fetinn Sof 1 FP orc iived ond have taken ol nearer ele ? Fei OST Teresa Ta | aegis | tad saunas] tame, | TE ote le el em omen ering aa Ox ee [ves esa 7 ar ca earl cn sea sey sey AE pS Lg HP rarvemavkd after job completion. Now, area Is safe for operation Tetarred by (workang Aseney or taken BV) Faceted (oxceing gency or eset] ae soe St ws $55 RE ag lue colour copy to be Fetaned by the Working AzenCY: fetained by the Fxecuting AECNCY. TB) White copy fo be retained by the Owner Agencyile) Yellow colour copy to be s 193519 AORKS/$464007 ‘TATA STEEL LIMITED SI.No. 9SP23A..... > veoate:191222 Date « JR LAGS. ae asa aiy Standard. TSLISSIGEN-25 (Work Permit System) & 2. TSLISSIGEN-26 (Positive isolation) “ERIM nO WORK FOR INDIVIDUAL AGENCY - Tobe filed in Tete, Original Wve), Duplicate (wit & Tepiene (yellow) Permit to work format Is valid for only one job in the specific area a) Forretnetonotine jobs Shu own abs and tres Gowns (Arse) pert wil rane ater on it (8) ForMD o48 Hes | obs) permit maybe renewed ate 24 Hs.” : SeetION | sane CAVES Department so ERP a - “ Original permit valid 5 cone) L2f10f23) FM ~ To time & date) 12]10]23 ep Astrenewnl vai From (Time & Date) _To{Vine & Date) . 2nd renewal val from (Time 2 Date) Jo (imp & Date) oy ane ee rigton of JOD eons LOK ee ec brieeal...2, Aled, Pane-bio 1, RSME cn ara eo orern NIK Been el Beat AY SSAC K 2. Name of Worn Aenean or Or A th eta sd regu frequen) Fink Floon Contnol stone FRc butlers. J «fapcorser eter weting agency and weed by Executing Agere) (Use v or « a4 fooronratl 2) ving cotng oF" tains oy ornate 3) Hydraute/Pneumatie ¢}Painting/Cleaning §) Confined Space ) Gos f) eect a ers aeciy Well and nore! Foe cvaciofcnehs on Fearon so overeat ose Aged mes vey al requremens by Nims before api hs Yok Fea ogency must wary before su of Work Fermi Sena ol cans TAKEN FONAOVEIOD Tobe ley Permit ue] se crx aapaonrs) arse Harr prm taken (CHSMSKUWORKSAGADO), Pro. serene rem ken e*SWSM/WORESAAGHCED) Perio aan cag orestegey ps dne(EHSMSM/WORKSAAGHOIS, Permit oo aa et puahnpaor ego eh dane eHSWSM/WORKSAKGH0I0 Permit Se arn gany water aen eASMSM/WORKSALGHDIS Pit oo era seat aan HSN WORKSAAGHOI?), Perm no. aan ee naten/gnsingcevanceEHSMSMY/WORESAAGH038, Permit no : Seed ten rSMSM WORKSHAGAO) : aoe eten ney leds) (Gro eke &peaoralickne) 6. pee struction, # anytowner ageney): [1&2 Prippsac ppE ZI Fa ie thetaarvoe and havetaken al irr preaorsteb a aa oo ad enna a rere | er | | ey oan EEE Jonatha Sac] enter fone se] uaa ae sr [er ares ae ie cm m2 Secon See Tape vane | ae Seger Bese oY Sa : See Tine | aya I Return of Pert: All men/materal removed after job completion. Now, areas safe for operation F Sc re Bes wade am at 7 BESET y we ow, Sere lD, x x J vaclay |toliel2? + \, {a} Blue colour copy td be retained by the Working Agency; {b) White copy to be 138 by the Owner Agency;(c) Yellow colour copy to be ‘tine bythe fxeuting Agency. \ ‘\ “y a . nv STEEL LIMITED 193518 ORK AAEROOT S.No. 9SP23A..... oe jo, spate 191222 pate BLOLBER. emt ety Standard 1. TSLISS/GEN-25 (Work Permit System) & © ‘TSLISSIGEN-26 (Positive Isolation) ‘anit 70 WORK FOR INDIVIDUAL AGENCY - To be filed in Plcee Original (blue), Duplicate (wiite) & Tripcate (yellow) ( amir wark format is valid for only ane job Inthe specific area | (Forotinton cute a Je Mom exw a8 spor be oenod aero t (Sheers vowgsaner24" ; . Department ; . oT yatog ng AMR. ated FomtTimeaoste IBN AA. Te roe 8 oatell3}iop3& PM 1st renewal valid From (Time & Date) = To (Time & Date) - ad renewal valid From (ime. Date 1 ime & Bate) psp sr Name / Description of Job One eg Tsk. wwed Sperm ed ny os sare dc working Agency and wrk Order No... AA Mano}... Ku: or oat ay YG [aREETTYS 5 Work Permitted only for the area / Eauioment (Name Fie) stattach extra sheet If required for equinment) a Control a frre al Od 5 ; 4 8 Return of Permit: All men/material rems ater job completion. Now, area Is safe for operation Cc Femamed by (Working Agency or taken by) Fasceived Teageyting Agency or requester) ap Tae? 3 ee We [a Sega , ce Beat wh: = Sgr Seen (D. 2 yasdorr lis] lola \ © Se decvenne by ne Wortngreecr()whre aPC Tad i on Reni TOBY esour cnr be a he vetng RESCH & ‘TATA STEEL LIMITED 683 apworksagH007 SUNO, 9PP23A.. seth oe 1831222 pate I .9)23% Date: 18.12 gy Standard 1. TSLISSIGEN-25 (Work Permit System) & 2. TSLISSIGEN-26 (Positive wolaton) PERMIT To WORK FOR INDIVIDUAL AGENCY - Tobe filed in Tripicate. Original bive) Duplicate whe) & ‘Triplicate (yellow) Permit to work format is valid for only one job in the specific area (2) Forrotnelnonoutne jos, Shut downjobe and breakdown ob (<4 js) orm wil be renewed ater one shit {0} For ASD (48 Hrs obs) permit may be renewed after 24 Hrs.” canine 2 : section: Laos See iccald. From tine & oat) 4[19|23 IUM~ yo Time & Date Wifes EP) ast renewal val From (Time & Date To {Time & Date) 2nd renewal valid From (Time, & Date) oe Fo (Time & Date) 1. Name / Description of Job :... kill: Panel “Ee tiitel AAO. ae rting Agency and work Orde We LY S482 ancy. oobi a re rrtted only forthe area Equipment (Name / No}: (Atath extra sheet if required for equipment) Fingt 4. TYPE OF JOB (To be filled by Working Agency ‘and verified by Executing Agency) (Use v or x as appropriate) : 3 ee renee 5 ba tte 9 q Working ght @) Hydraulic/Pneumati ¢)_ Painting/Cleaning Contin . @) Gas Electrical Domes (Speci) 2a LL pasoehing wore!) Fensrcsin/Checkiston ses job see overint Working Agency ra very al requirements by mse before sPrGhs Vor eed bucuting Agency must verify before Issue of Work Permit, Be rPmecauTion/CONTROLS TAKEN FOR ADOVE1OB Tobe dy Permitisuer Uke Vor sapmopsate) ce ards permit taten (EHEMSMAWORKSAAGHOOM, PEM MD nen en Fae Space ret taken (HSMSM/WORKSAAGADE PRR rn ota ener Coting or eategory |b done (eHSMSM/ WORKS AHSHOOS), Permi0~ See harper ener ob done (CHSMSM/WORESAAGADI Peri rvs ayes Preunatc energy lon eritaken CHSMSM/WORKSAAGHOIG), Perit. Seemann Sart prntatenEHSMSM/WORKSHAGHOI), Perm MD : ee honset atin ating leaance (CHSMSM/MORKSAAGAOI Permit. fypermito ump taken (EHSMSM/WORKSA4GHOI9) . cee rr alaton done (nergy olatd/ eased (Pl, Group LodkNe &persoral kno.) «6. He fstuction i anvowner agency): (Lo Drap ta PPE £ estentand te hazardinvoved and hive taken all neceary recat arm Orga Teroaval Fara were ream | et 7 a | eee | Tv ee [om eta nn sen [lower en rig fxs ae) [ower ever Tor er Far G cent eat cen ge sau ey =—hrigh ie Baia | O35, | Pee S oe eh Hootee| BAL ae Bs ev we _ bp y ; Yao ie Bast bSeePartson | se] Stile hc yoslanibteled als YS [eH ine Taal Ae an Wi pa ere Oe AE ow a FO ace ; ty ATA STEEL LIMITED WORKS/446/9007 ee SL.No. 9SP23A. oe pate de |hOlAB aro. eos 0H ay 1 TSLSSOENAS ln erm | qotros0eN 25 Posve toon ves Si eeguaL seen 92 etn Tee ET ate) 8 Tetzate eto le Permit to work format is valid Tor only ane [ob In the specific ave f — 193526 1a) Forrtntvon ute obs, Shut down oes Format Woe sobs) pata renewed ah OS it (ar oe eo emit may beens era Hs Department: a : Gearon cael eit rom crime & Dat) (e)tof23 Qpory on se onte 6 [t0}23 SP? at renewal vali from (Fie & Date) : To (Time & Date) a 2nd renewal valid Fe cmp ae Phos eo Ene se Name / Description of J0b routed cop Eee rug athe ehenrndty aor aps 1 Name Je orig Agancy and work Order NO.) ae ay OA ago00!44 2 2 Name ited ony or hear / ce e/a 2 a pol regu for eau _ Tink [icon —Conlnal atone | «. pcoarme ioral Wenn eee, nated) TESS abc ar xm want: OF eens ctng ere ng itis ise at Hehe ay Wels ypncuate 5) eee tearing 4} Centnea Sones ) Gas h) Electrical a canine gpedity LeU feu vert tats on see ie a eg, her Spe mal fore frac err gt Me A enn nc tsa nanan te tse) ee ‘2) Gas Hazards permit taken [exsmsMy/ WORKS /4464001), Permit no. ve - — sata an NON a ae ae AN Sn ea mak acon eer erornnvonsat Tee fete “Signature! seyhee - Date & Time pS. : al [esc ae SY Resear sero omen toa efor operation eins | Reel ET RTE ‘Name/, wr | Ds. yada i aces Designation? ° Ye Tew Dept 9 ol ¥ Soa] YOK See [D8 yoda : E Seer ined by the Worn “re owner Agenoyie) Yellow colour copy 10 Be [ay Blue colour ony ene (6) white copy 19 be retin Petsined by the Executing ABER : a ™ : TATA STEEL LIMITED 1 3 3 5 02 sonsescor S1NO, 98P28A wenn ola a owe wtelel2s Date 19122 standard 1, TSLSSIGEN25 (Work Perit System) & 2, TSLSSIGEN26 (Positive locator) Jenyrt TO WORK. FOR INDIVIDUAL AGENCY - To bo filed in Tpticate._ Original (O42). Duplicate (white) & Triplicate (yellow) 2 Permit to work format is valid for only one job in the specific area (a) Forename js, ut owns nd ea downs (vb) ewe rnewed ater oe shit (8) For MD (248 Hes obs) permit maybe enawed ater 24 Hrs” Department venom Pa ; Seetion + wing CY: se Original permit valid From (Time & date) 10] 10]2 Tr toiTime & date) lolielaz 6pm ast renewal valid From (Time & Date) veo To (Tinie & Date) i. 2nd renewal valid From (Timpe,& Date), 1, Name / Description of Job 3... Elects Ma 2. Name of Working Agency and Work Order No..N)4S.= Work Permitted only forthe area / Equipment (Name / No.) :(Atae Lenk Foon IL 2 )OP- _] Bate nhacrd veh and have token al near preeauforsortfejod.— tT Fermi na ireesal arene ST | en | peed [mesylate owner a Taian Te Pons te src oe [ower ener erg pac (meee Yon reg eer cata) eat cea rs te Pea D. ad A pe huge] re Ree geno sk : Le Te temo fr ob clean Now arena sale or opration Se TE Foon oan | acoder rey or Tequesta) [essed by [wre Rasneore ‘Name/ PN. ID. 3. a fais ee 1 Signature) @ Name a 0 1 {) Blue colour copy 14 be retained by the Working Agency; (b) White copy Telos retained by the Owner Agency,{c) Yellow colour copy to be fetained by the Executing Agency. asl ead. ij aie aeviaysabenvians , a ‘TATA ‘IATA STEEL LIMITED 178120 SLNo. 9SP23A.... AS/AAG4007 te 119.1222 Date E fhe O23. a wn Bey standard 1. TSLISSIGEN (Work Perm! SHH 4.2, TSLISSIGEN-26 (Positive Isolation) sae fonk FOR INDIVIDUAL AGENCY - Toe fled in PIES or at (ove), Dupcate (wht) & Tapa (eow ea err war Toate vad fr only one ob nie Pes he rennin tn, rut own es andreas mn HSPN Hob ibe renewos ater oneshit (Fo ease prmitmaybe renewed abe 24S Department : Se ee i Section wn oe nnnenentn original permit valid oP Sie) Elio) 2B Wm WUTme sO b/fe] : came rena any lila am “Totten 6fja/202 3... BEF 2nd renewal valid From (Tirp-&, Date Son go rime & Date es sre Name / Description of SOD fawn OK pee LA won. ae : 2 Name / ete gene and Work order No. Ad Z&.5 Mena}. Kun. fis SROCOlIA SA eqs 2 Work Permitted ey for therarea / Equipment (ame / Nod (attach extra: eet if required for equipment) [ Ejeat —fAooa Can ghowe a ‘4. TYPE OF JOB (To be filled by Working Agency ‘and verified by Executing ‘Agency) (Use v OF x 35 ‘appropriate) a) Welding/Gas cutting b) Rigging / Fittings ‘c) Working at Height dp Hydraulic/Pneumatic e) Painting/Cleaning | Confined Space ) Gas fh) Electrical } Gehers (Specify Neston NOTE : For instruction/Checklist OF above job see overteat. ‘Working Agency must verify all requirements by himse’ ‘before applying Work Fo nin agency st wey efor ts of WO eI ee enon como TAKE FOR ABONEIOB To PE 1 PT! enue) wae /orx se appropiate NCES priate (HSN M/WORSRAEHODD, TTT : Os a pera (SMSMY/WORESAAGOO?) PO . 2 conn eer ae on cone HSHMINOTS ST te] ee cpr ee eae 7 Bed Sto ery rte (EMSAMORTSA SH) PSY aa oo antsen (RMSM/ORESRAHON, FM Gel het nlendngcearee(ASHEMIWORSAAAO: SV 7? ool Fy Penitto dump taken (EHSMSM/WORKSA4SHO1S) c BS Herod rE tee) (LONER SS ets ptruton it anytowneragenct): [CASA oP Sci none ranean aaa Teen STS r Perit Ovanal ekrenewal w i 7 ee RE] ae, fone anonyp ones a eam | ES [oa tr] veincae] ome ay former at Tae ll oc nee four ce Name/ oe 7 1 pa of [eke tee tes : tea C etal wee ah ae ; Dept Fete | ae"e ‘ signature] 7 ies” & re Lean ect Amen/naerl reo afer onolsion Now 2 ale fr operation re aT Woringhaeneyorakar oy [_Raceveg SINE rorrequester™ csc Tame] ue 1 en DeS-ysdop 3% ad Designation! q &, Te Det pptince ¥ L Tena 7 SS See [ys vaacld Ou funl22 x se a) soni opy oe etaned ye Wing here: () HE cOP"E A ri Oven Rey) eH lure to Be Fetained by the Executing ABENCY a : ‘TATA, = ‘TATA STEEL LIMITED ate 19.12.22 deference Satety Standard 1. TSLISS/GEN-25 (Work Permit System) & 2. TSL/SS/GEN-26 (Positive teolation} «MIT TO WORK FOR INDIVIDUAL AGENCY - To be filed in Triplicate, Original (blue), Duplicate (white) & Triplicate (yellow) Permit to work format is valid for only one job in the specific area {2} For oure!nonoutine jobs, Shut down jobs and break doun obs (

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