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F-008/B-013/PHE020/2017-S9

JOB COMPLETED?
(Y/N)
SUSPENDED?
(Y/N)
TIME PTW RETURNED
PERFORMING AUTHORITY
TIME PTW ISSUED
Working Instructions NO.
OTHERS
CERTIFICATES NO.
SUPPLEMENTARY

ICC
L2RA

CROSS REFERENCE PTWs


FIRE & GAS INHIBITS?
(Y/N)
PTW REGISTER

WORK DESCRIPTION

AREA
LOCATION
COLD WORK
COLD WORK
BREAKING CONTAINMENT
HOT WORK
SPARK POTENTIAL
HOT WORK
NAKED FLAME
RE-ISSUED PTW?
NEW PTW?

PTW No.
LOCATION:

DATE

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