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    Demolition

    Uploaded by

    Manoj Yadav
    1. The document is a demolition work permit for a contractor company to conduct demolition work at a specified location over a given duration with a certain number of workers. 2. It lists safety observations that must be checked to ensure glass, utilities, and adjoining structures are protected and safe access, barricades, and signs are provided along with debris removal and dust controls. 3. The contractor and P&G safety supervisors must review and approve that all reasonably practical health, safety, and environment provisions are or will be implemented before demolition can proceed.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Demolition

    Uploaded by

    Manoj Yadav
    25 views2 pages
    1. The document is a demolition work permit for a contractor company to conduct demolition work at a specified location over a given duration with a certain number of workers. 2. It lists safety observations that must be checked to ensure glass, utilities, and adjoining structures are protected and safe access, barricades, and signs are provided along with debris removal and dust controls. 3. The contractor and P&G safety supervisors must review and approve that all reasonably practical health, safety, and environment provisions are or will be implemented before demolition can proceed.

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    Former

    Original Title

    3. Demolition

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    1. The document is a demolition work permit for a contractor company to conduct demolition work at a specified location over a given duration with a certain number of workers. 2. It lists safety observations that must be checked to ensure glass, utilities, and adjoining structures are protected and safe access, barricades, and signs are provided along with debris removal and dust controls. 3. The contractor and P&G safety supervisors must review and approve that all reasonably practical health, safety, and environment provisions are or will be implemented before demolition can proceed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views2 pages

    Demolition

    Uploaded by

    Manoj Yadav
    1. The document is a demolition work permit for a contractor company to conduct demolition work at a specified location over a given duration with a certain number of workers. 2. It lists safety observations that must be checked to ensure glass, utilities, and adjoining structures are protected and safe access, barricades, and signs are provided along with debris removal and dust controls. 3. The contractor and P&G safety supervisors must review and approve that all reasonably practical health, safety, and environment provisions are or will be implemented before demolition can proceed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    DEMOLITION WORK PERMIT

    Ahmedaba
    d
    Name of Contractor Company:

    Name of Contractor Supervisor:

    Demolition Work location:

    Duration From Date: To Date: Number of


    of Work: Workers:
    Time: Time:

    Description of Work:

    Sr Observations Yes No NA
    No.
    1 Glass, cladding & external architectural fittings removed.

    2 Gas, electric, water & utilities lines/energy sources isolated/


    relocated & protected, LOTO provided where applicable,
    Drawing attached.

    3 Adjoining structures protected & made safe.

    4 Structural demolition certified by PE.

    5 Provision of safe access.

    6 Barricade & warning signs.

    7 Safe zone demarcated.

    8 Safe removal of debris & loading on remaining structure


    made safe.

    9 Dust/ oil leak controls in place.

    10 Recycling of demolished materials.

    11 Approved and inspected PPEs as per mentioned in


    JSA/JSP/SWP arranged.

    12 Tools to be used in activity are inspected from approved


    person and properly tagged.

    VV-QUAL-887949/T6/00
    DEMOLITION WORK PERMIT
    Ahmedaba
    d
    Contractor Safety Supervisor/ Contractor Initiator:
    Checking, Evaluation, Assessment & Review of HSE Requirements

    □ Work personnel briefed on risk-impact assessment of the work scope.


    □ Work area is safe. Environment aspects eliminated.

    Name: Sign/Date:

    P&G Initiator/CMO:
    □ Is aware of the intended works and all reasonably practically HSE provisions are/ will be in
    place and safe work procedures to be compiled.

    Name: Sign/Date:

    P&G Area owner (Existing areas):

    □ I have reviewed the risk assessment and HSE requirements for the work and instructed
    subcontractors to eliminate or critically reduce the risks and impacts. Work shall be stopped if
    there is a change in work conditions.

    Name: Sign/Date:

    P&G HSE / CMO Leader:


    (Approved By)
    □ I’m satisfied that all reasonably practicable measures are/will be implemented and enforced,
    and the working personnel are informed of the safety hazards & environmental impacts and
    protection counter measures to be taken. Contractors are instructed that any work not stated in
    the work description shall not proceed.

    Name: Sign/Date:

    Closure of Permit to Work by Contractor Supervisor:


    □ Work has completed. □ Scrap removed from area.
    □ Housekeeping has been carried out. □ Work area is safe for others.

    Contractor Supervisor/ Contractor Initiator: Safety Supervisor/P&G


    Approver:

    Name: Name:
    Sign/Date: Sign/Date:

    VV-QUAL-887949/T6/00

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