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    General Work Permit Format

    Uploaded by

    prabhu
    This general work permit form contains information about a work order including the date, location, working hours, name of the vendor/contractor and supervisor, nature of work, safety equipment checklist, work and material descriptions, contractor declarations, and notes about permit requirements and closure. The form requires signatures from the contractor, safety officer, client, and security to authorize and track the work order from start to finish.

    Copyright:

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

    General Work Permit Format

    Uploaded by

    prabhu
    261 views1 page
    This general work permit form contains information about a work order including the date, location, working hours, name of the vendor/contractor and supervisor, nature of work, safety equipment checklist, work and material descriptions, contractor declarations, and notes about permit requirements and closure. The form requires signatures from the contractor, safety officer, client, and security to authorize and track the work order from start to finish.

    Copyright

    © © All Rights Reserved

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    XLSX, PDF, TXT or read online from Scribd

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    This general work permit form contains information about a work order including the date, location, working hours, name of the vendor/contractor and supervisor, nature of work, safety equipment checklist, work and material descriptions, contractor declarations, and notes about permit requirements and closure. The form requires signatures from the contractor, safety officer, client, and security to authorize and track the work order from start to finish.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    261 views1 page

    General Work Permit Format

    Uploaded by

    prabhu
    This general work permit form contains information about a work order including the date, location, working hours, name of the vendor/contractor and supervisor, nature of work, safety equipment checklist, work and material descriptions, contractor declarations, and notes about permit requirements and closure. The form requires signatures from the contractor, safety officer, client, and security to authorize and track the work order from start to finish.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    General Work Permit Form

    Date : Floor : Location :

    Working Hours Start Date End Date

    Start Time End Time

    Name of the Vendor /


    Contractor
    Name of the Vendor
    Mobile No.
    Supervisor

    Nature of Work

    No. of Labourers: Checked for PPE Yes o No o

    Work Description (in brief)

    Material Description (TO BE ENTERED BY THE SECURITY DURING VENDOR'S ENTRY)

    1) 4)

    2) 5)

    3) 6)

    Company Name Signature


    Declaration of initiator /Contractor :
    a. All the above safety precautions have been put in place, based on Job safety analysis as per method statement and verified by me
    on ground personally.
    b. I shall ensure all the necessary precautions, till end of the work & I shall take full responsibility in case of any deviations or lapses
    noticed on site.

    Checked & Confirmed By(Contractor Safety


    Permit Initiator (Contractor PM /
    Officer)
    Engineer)

    Client

    NOTE:
    1. Vendor / Contractor will not be permitted without Work Permit Form
    2. Signature to be obtained from the security after completion of the work.
    3. Permit form to be renewed, if Date/Time gets expired, else will not be permitted for work
    4. A copy of Work Permit Form to be maintained at the security desk.

    Security Supervisor

    Remarks & Comments of


    Security (if applicable)

    This permit is closed on …………..…hrs. Date……………........Name & Signature of Permit Initiator/ Contractor:______

    Checked & Confirmed By


    (Contractor Safety Officer)

    Signature of Client Remarks & Comments of Security


    (if applicable)

    Page 1 of 1

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