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10 Radiation Work Permit

This radiation work permit document outlines safety procedures and permissions for work involving radiation sources. It lists items that must be checked, including regulations, area cordoning, lighting, personal protective equipment, and safety briefings. The permit provides details of the work such as location, source strength, workers, and dates. Signatures are required from the radiography supervisor, permit issuer, and approver.

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1K views1 page

10 Radiation Work Permit

This radiation work permit document outlines safety procedures and permissions for work involving radiation sources. It lists items that must be checked, including regulations, area cordoning, lighting, personal protective equipment, and safety briefings. The permit provides details of the work such as location, source strength, workers, and dates. Signatures are required from the radiography supervisor, permit issuer, and approver.

Uploaded by

Nibha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MALLAVARAM-BHOPAL-BHILWARA-VIJAIPUR NATURAL GAS

PIPELINE PROJECT – RFCL CONNECTIVITY

Format No . HSE Format - 10


RADIATION WORK PERMIT
Rev. E Page 1 of 1

Project : Sr. No. :


Name of the work : Date :
Name of Contractor : Job No. :
Location of work : Cordoned Distance (m) :
Source Strength : Name of Radio-graphing agency :
No. Of workers engaged :

The following items have been checked & compliance shall be ensured during currency of the permit:
Sl. No. Item Description Done
1. Safety regulation as per BARC/AERB ensured while source in use/ in transit & during storage
2. Area cordoned/ safe working platform provided
3. Lighting arrangements for working during night ensured
4. Warning signs/ flash lights installed
5. PPEs like badges , dosimeters used
6. Job Safety Analysis and Tool Box Talk carried out (JSA No._________)

Additional precaution, If any______________________________________________________

(Radiography agency’s BARC/AERB authorized Supervisor) :

Permission is granted to (Receiver):

Permit is valid from ________AM/PM _____________ (Date) TO __________AM/PM _____________ (Date).

(Signature of permit issuing authority) (Signature of permit Approval authority VCS/GITL)

Name: Designation: Name: Designation:

Work completed / stopped /area cleared at_____________ Hrs of date _______________

(Signature of permit issuing authority)


Name & Designation:

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