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    HSEP12F02 - Height Work Permit

    Uploaded by

    Sameer Hussain
    This height work permit document contains information for a proposed work project requiring work at heights. It lists 23 safety items that must be checked and confirmed before issuing the permit, including ensuring life lines, harnesses, scaffolding, lighting, barriers and fall protection. The permit is valid for 14 days and includes daily endorsements by both agency and BHEL representatives to confirm safety compliance. Extension periods can be added if needed. Upon work completion, the permit is closed and returned.

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

    HSEP12F02 - Height Work Permit

    Uploaded by

    Sameer Hussain
    50 views2 pages
    This height work permit document contains information for a proposed work project requiring work at heights. It lists 23 safety items that must be checked and confirmed before issuing the permit, including ensuring life lines, harnesses, scaffolding, lighting, barriers and fall protection. The permit is valid for 14 days and includes daily endorsements by both agency and BHEL representatives to confirm safety compliance. Extension periods can be added if needed. Upon work completion, the permit is closed and returned.

    Original Title

    HSEP12F02_Height Work Permit

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    This height work permit document contains information for a proposed work project requiring work at heights. It lists 23 safety items that must be checked and confirmed before issuing the permit, including ensuring life lines, harnesses, scaffolding, lighting, barriers and fall protection. The permit is valid for 14 days and includes daily endorsements by both agency and BHEL representatives to confirm safety compliance. Extension periods can be added if needed. Upon work completion, the permit is closed and returned.

    Copyright:

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

    HSEP12F02 - Height Work Permit

    Uploaded by

    Sameer Hussain
    This height work permit document contains information for a proposed work project requiring work at heights. It lists 23 safety items that must be checked and confirmed before issuing the permit, including ensuring life lines, harnesses, scaffolding, lighting, barriers and fall protection. The permit is valid for 14 days and includes daily endorsements by both agency and BHEL representatives to confirm safety compliance. Extension periods can be added if needed. Upon work completion, the permit is closed and returned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 2

    Permit No.

    & Date
    HEIGHT WORK PERMIT
    Project & Unit: Emergency Contact Nos
    HSEP:12-F02 Agency:

    Exact Location of Work: _________________________________________________________________________________________________


    Nature / Description of Work:
    Duration of Work Execution *: From Date: to Date: ____Daily from ______________ hrs. to ___________hrs.
    Name of Agency Performing the Work:
    Name of Agency’s Site Engineer (Permit Requesting Authority): Sign:
    Name of Agency’s Package In-charge: Sign: Date:
    The above described work will be done under all the safety precautions mentioned on this permit to work as under during the currency of the Permit.
    Not required /
    No. Item Yes Remarks
    1. All workers on job are competent and medically fit (No Height Phobia) for working at height
    2. Horizontal life lines are provided to cater to design specification of 2300 kg per person and are installed on a
    rigid & independent structure
    3. Safety harness with life line support/ fall arrester are checked and available in working condition
    4. Scaffolding soundness inspected is available for use with valid tag
    5. Work platform is not made of bamboo or weak material. Barricading is available with Top, Mid Rails and Toe Guard.
    6. Working platform is clean without any unwanted material. Floor openings are covered.
    7. Access and exit to workplace are safe, marked and without obstruction.
    8. Adequate lighting provided (for dark hours) as per applicable lux standards (Refer HSEP:13)
    9. Safety nets are provided below working area as secondary line of fall protection
    10. Area below the working platform has been cleared of all activity
    11. Ladders have been secured, inspected and provided as per BHEL standard/contract.
    12. Safety shoes (non-slip), Helmet with chin strip available with employees
    13. Visible Signboards provided on working platforms in workers’ understandable language
    14. All lifting / tightening tools, hand tools/equipment checked and in good condition
    15. ELCB provided for Electrical connections individually. Electrical cable, welding Hose/Compressed air hose
    properly secured and laid down without obstruction. Earth resistance is OK.
    16. Crane / Winch / Hydra operator and Rigger is qualified and experienced
    17. Emergency response team & Medical Facilities available.
    (To be printed on both sides of an A4 Sheet)

    18. Work hazards are identified, controlled and communicated to the worker in daily Safety Pep talk.
    19. Minimum two levels of fall protection have been ensured
    20. Method Statements/ Job Safety Analyses attached:
    21. Other:
    22. List of Other Permits Required for the Activity (Attached):
    23. Toolbox Talk Records with (preferably) list of workers involved in the Permit Activity (to be attached)

    The conditions mentioned in the above checklist are sufficient for safe completion of this activity. These have been checked and found complied before issuing the
    Permit, and shall be monitored and ensured throughout the currency of this Permit.
    A. Permit Requester/ Receiver (Agency):
    Site Engineer: Site HSE Officer:
    Signature: Signature:
    Name: Designation: Name: Designation:
    B. Permit Issuer (BHEL):
    Site Engineer/ Authorized Representative: Site HSE Officer/ Authorized Representative:
    Signature: Signature:
    Name: Designation: Name: Designation:
    C. Package-in-charge (BHEL):
    Signature:
    Name: Designation:
    (* Permit valid for 14 days as per overleaf format)
    Original: Permittee 2 nd Copy: Agency Deptt. HOS 3rd Copy: BHEL Site HSE

    P.T.O. Page 1 of 2
    Bharat Heavy Electricals Limited, Power Sector
    Permit No. & Date:
    All parameters from S.No. 1 to 23 on Page 1 of this Permit are to be checked physically. In case any deviation is observed, same is to be
    rectified, only then work is to be started
    Daily Work Area Condition Endorsement
    Remarks (if any) & Signature with Date & Time
    Day Date Agency Site Engineer Agency HSE Officer BHEL Site Engineer BHEL HSE Remarks
    * Officer *
    2

    10

    11

    12

    13
    14

    Permit Extension Beyond Initially Requested Hours


    Extension Period Signature with Date & Time
    Sl. No. From……. To…… Remarks Agency Site Agency HSE BHEL Site Engineer * BHEL HSE Officer*
    (Date, Time) (Date, Time) Engineer Officer
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    Permit Closure After Work Completion
    Permit is here by returned after completing the job, ensuring safe removal of men and material and proper housekeeping of the Area.

    Reason for Closure: Job complete Permit Validity Over


    Agency
    Site Engineer Site HSE Officer
    Signature: Signature:
    Name: Name:
    BHEL
    Verified as above and Permit is Closed In case job not complete, New Permit No. Issued:
    Site HSE Officer* Site Engineer*
    Signature: Signature:
    Name: Name:
    (* or authorized representative duly concurred by Region HSE)
    Bharat Heavy Electricals Limited, Power Sector Page 2 of 2

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