Permit to confined_space_work
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This document is a permit for confined space work. It provides information such as the work location, job description, dates and times of validity for the permit, and a checklist of safety items that must be checked and addressed before work can begin. The checklist includes requirements like ventilation, isolation of machines, acceptable gas readings, use of safety equipment, and having standby personnel on site. Authorized signatures are needed to issue the permit after inspection and to terminate it after work is completed or stopped due to a safety violation.
Permit to confined_space_work
- 1. Tamer Sharaki For Training & Consultancy TSTC www.tstc.com.eg Permit to Confined Space work 悋忰惶惘悸 悋悖悋 悋惺 惠惶惘忰 Permit for: Confined space 惠惶惘忰惆悽惠悋惠/悋忰惆惆 Sr. No. Permit No. Date: Validity period: FROM:_____Hours on Date:_________ UNTIL:_____Hours on Date:__________ Work location: Job description: I declare that it is safe and human worthy for carrying out the work in this enclosed space. Name of Gas inspector: Signature: Time: Date: The following items must be checked and the area made safe for the job prior to issuing the permit Item Done N/A Item Done N/A Safety Toolbox Briefing talk conducted Metal / Rope Ladders 愕悋惺惆悸/忰惡悋 Depressurised &/or Drained 惠悋惠惘愃/悋惠惶悸 Lifting Basket愕悸悋慍悋悋惘悋惆 Steamed &/or Water Flushed 惠悋愃愕惡悋惡悽悋惘/惡悋悋悄 Goggles 惴悋惘悋惠愕悋悸 Ventilated by natural draft properly 惠惠悋惠悸悋愀惡惺悸 悋悋悸 PVC Gloves 悋慍悋惠愀悋愀悸 Isolated by Blinding/Disconnecting 惠悋惺慍惡悋愕愀悸 悋愕惆/悋惶 B.A.Sets 悋悴慍悸惠愕悋悸 Machines & Devices inside isolated & tagged 惠惺慍悋悋悋惠悋悋悴慍悸惡悋惆悋悽惷惺惠悋惡愀悋悋惠 Face Visors 悋惺悸忰悋悸悋悴悸 Temp. Humidity. Air Velocity within Safe Limits 悋忰惘悋惘悸-悋惘愀惡悸-愕惘惺悸悋悋悄悋忰惆惆悋悋悸 Air Supplied Masks 悋悴慍悸 惠愕惡悋悋悄 Air Blower to be kept Running for Ventilation 惠慍 悋惠悸惡惠愆愃惘忰悸惡悋愕惠惘悋惘 Chemical Resistant Clothing 悋惡愕惷悋惆悸悋悋惠 Process & Maint. Stand by Personnel on Site 惠惠惘 悋愆悽悋惶悋惠愆愃悋惶悋悸惡悋惺 Safety Harness & Lifelines 悋忰慍悸愕悋悸忰惡悋悋悋悵 Repeated / Continous Gas Monitoring needed 慍 悋悴惘悋悄悋悽惠惡悋惘悋惠愃悋慍悋惠惆惘愕惠惘悸 / Radio Sets 悋悴慍悸悋惠惶悋 Lifting Machine Tested on Recommended time 惠 悋悽惠惡悋惘悋悸悋惘惺悋惺惆悋惘惘 Lighting Lines > 50 V 悽愀愀 悋惷悋悄悸悋50惠 Area Clean & Safe 悋愀悸惴悸悋悸 Other Safety Require or Action: Name / ID of Watchman Name / ID of: Supervisor Name / ID of the appointed Safety Inspector for this section of the structure: I am satisfied that it safe to carry out the work described above and the permit is issued. I Certify that I have inspected the Site and it is Safe for Entry Work to Start Name of authorizing authority: Signature: Time: Date: The work is completed / stopped due to a safety violation / and the permit is terminated. Name of job / inspection authority Signature: Time: Date: Signe In/Out Sheet to be located in job location with Gas Test Records 悋愃悋慍 悒悽惠惡悋惘 Gases 悋愃悋慍悋惠 Acceptable Readings 悋惡 悋惘悋悄悋惠 Actual Readings 悋惺 悋惘悋悄悋惠 Signed by Competent Person, Gas Testing 悒悽惠惡悋惘 , 悋悗 悋愆悽惶 愀惘 惺 惺 悋愃悋慍 Toxic 愕悋 Zero惶惘 Flammable 悒愆惠惺悋 悋惡 Zero 惶惘 Oxygen 悋悖愕悴 Between 19.5% and 21% 惡19.5%21%