'B' Details of Responsible Person Carrying Out Work
'B' Details of Responsible Person Carrying Out Work
'B' Details of Responsible Person Carrying Out Work
Name 0f the Person Working Gate Pass No Name 0f the Person Working Gate Pass No
I hereby declare that the necessary precaution have been put into place and that work specified in part 'A' is
authorised to commence.
'E' ACCEPTANCE
I hereby declare that I accept responsibility for carrying out the holiday work detailed in part 'A' of this permit and
that no attempt will be made by me or by persons under my control to work in any areas. Appropriate safety
precautions will be taken at all time.