NRP PROJECTS PRIVATE LIMITED HOT WORK PERMIT

Doc No. 1134-NRP-SF-FF-CO-P1-GN-SF- HWP-0030 Rev.00 Date:

Permit No ………………………………………
Project Name: Development of ATF fuel farm & Hydrant Refuelling system facility at AAIAL
Work Order No: PROC/AMD/22-23/LOA/019
Work Performed by Agency Name:

Work Location
Start Date Start Time Valid up to date Valid up to Time

Describe work to be Done ……………………………………………………………………...........................................

……………………………………………………………………………………………………………………………………………………….
SL.No PRECAUTIONS COMPLIANCE STATUS REMARKS
Yes No NA
1 Equipment / work area inspected
2 Considered Hazard from other routine / non-routing operation
3 ELCB provided for electrical connection
4 Proper lighting provided
5 Area cordoned off.
6 Has water hose connection been made for continuous water
spray?
7 Have fire extinguishers been kept handy at site?
8 Has the area immediately below the work spot, been cleared /
removed of oil, grease & waste cotton etc.?
9 Has tin sheet/ wet gunny bag/ fire retardant cloth / sheet been
placed to prevent sparks from causing fire?
10 All Person Provided With Proper Mandatory PPE’s
11 Has Gas concentration been tested in case there is gas valve/gas
line nearby?
12 Any other precautions taken
Any Additional Suggestion: …………………………………………………………………………………………………………...
WORK PERMIT APPROVAL (Completed by NRP Project Site Manager/ Permit Issuer)

Name Sign Date Time

I Checked all the precautions listed are in place as indicated I Conform that all the precautions listed are in place

Name Of Permit Receiver …………………………………… Name of HSEO ………………………………………………

Company …………………………….. …….Sign ……………… Sign ………………………………………………………………..

Date …………………………………………Time ……………….. Date ……………………………………….. Time …………….

INSPECTION OF WORK PLACE (Completed By Permit Receiver and NRP HSE OFFICER)

REMARK IF ANY: …………………………………………………………………………………………………………………………………………………………………

PERMIT CLOSURE (Completed by Permit Receiver and NRP Permit Issuer)

The Work is Complete. The area has been Cleared of barricades, and height work Permit Closed for filling
equipment. The area is safe.
Permit Receiver Name ………………………………………………… Permit Issuer Name …………………………………………………

Company……………………………………….Sign…………………….. Sign …………………………………………………………………………

Date ……………………………………………..Time………………...... Date …………………………………………………..Time…………….