0% found this document useful (0 votes)
121 views56 pagesGeneral Cold Work Permit
Uploaded by
Mohammed Amer PashaCopyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
0% found this document useful (0 votes)
121 views56 pagesGeneral Cold Work Permit
Uploaded by
Mohammed Amer PashaCopyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
/ 56
| GENERALICOLD WORK PERMIT = +—
a
Pent
oe aT RT
= Wren [Description of Work:
Period of permit: days rromto 1p /o# /, vad ore: 2.» /o# Ae
“TYPE OF WORK PERSONAL PROTECTIVE EQUIPMENT
General work [7] cozstes/shies
Z__] Testinginspection Z| cover ats
Z Brush Painting ZZ] housekeeping
and tools wor Z| Dust mask
and Excavation less than 4. Z| Safety harness
Z__] Genera cleaning by Air Compressor 7] stoves
7Z___] manual cleaning Safety Shoos
Inspections Z| Headear,eyeprotection/
‘Approved By Name ‘Signature Date
[MAPA Area Supervisor/Eng Tegan 2 Gow 18 Jo # ozo
IMAP site Manager
ENDORSEMENT BY PERMIT RECIVER
Verify thatthe safety measures are implemented and it is safe to commence work.
ioe: A valli )pak [oesignation: [fe
a ee rape Sep
ERO RSET OY PERMIT ISSUER
vey ae tay meres inlnered sa fet comer wrk
= ae |
i Sears tape
Roce oe On
hereby approved the work to be carried out. No incompatible work will be carried out atthe same time
me: 2 Ray ot tam Designation: HSE OFF) cge.
stern: 18 D4 2089 Signature: ay ;
‘PERMIT CLOSURE BY PERMIT APPLICANT.
rhe work is completed on
Designs
werine ay Joy [take Sera:
ivering excellence in Health & safety in the way we behave and work”
MAPA. HSE-F-016 Felayes
romto_1) /o
‘Crypt oF work
General work Goneles/shela
Testiog/inspetion
feushPainting [7] Househeoping
Mand tools work [pus mast
Hand Exeavaton less than 4 [sty harness
Genera asrng by Ai Compressor [7] otoves
manus clearing [A ssteysroes
Inspections [_}eod,ear.eve protection!
‘Approved By
Name Date
IMAPA Area Supervisor/Eng. TE yond -P life # Jacao |
|MAPA Site Manager
ENDORSEMENT BY PERMIT RECIVER
ame: Ramo Rojabi agcan Desenation: oe OPE ILL A
ett 03 Ja ede Signature: ,
time: _ 19. &o Pry
efTime: IF. 99 = Dado Signature:
‘Delivering excellence in Health & safety in the way we behave and work” MAPA- HSE-F-016 General work
Testing/inspection
Brush Painting
Hand tools work
‘manual cleaning
Inspections
‘Approved By
Hand Excavation less than 4 ft.
‘General Clearing by Air Compressor
Z| Goseles/shiets
Cover als
Housekeeping
[7] vn mask
Safety harness
Gloves
Safety Shoes
Head,ear,eye protection/
IMAPA Area Supervisor/Eng
IMAPA Site Manager
ENDORSEMENT BY.
PERMIT RECIVER
| verify that the safety measures are implemented and itis safe to commence work.
eerie
PERMIT ISSUER
hr verity that the safety measures are implemented and it is safe to commence work.
lame: LEGA N~R
Time: Bd
Desation |
Signature: eat
ENDORSEMENT BY SITE SAFETY
hereby approved the work to be carried out. No Incompatible work will be carried out at the same time
we: Losrron Rejoctinga ™
pastine: 04 0 -cdov0
Designation: 1c OFFICER
Signature: Dr .
PERMIT CLOSURE BY PERMIT APPLICANT.
fhe workiscompetedon Jn 1p 2 J 2nalo
Time:
owes fpr mtan
paterrime: Jy Jp 2 Jotogter
Signature: =a
+
|‘Detivering excellence in Health & safety in the way we behave and work”
MAPA. HSE-F-016 Name: 77 cHPEL EF Se pe
“THIS COPY MUST GE DISPLAYED AT WORK!
ot Wore:
erreme:From 2H ob | 3090 em % Y/ OW, a vetoes 4/0 7/2eL°
TYE OF WORT PROTECTIVE EQUIPRENT
Cone Ve —
[7 ressnomepacon (27F cover ato
ar (ZF traeteonig
Han tote work (ET ect mane
C7 ent eaten ts tn 4 ZT cetera
7 eras cna yr Compressor CT ote
reas ear ET sete see
(ZF) topectons (77 Headtearye protectin
APPROVAL
‘Approved By Name ‘Signature Date
IMAPA area Superisoring | COS]ceiy Guitire 22/ob/ede
"A Site Manager Lesko ee 1a-9/06 /o0.
ENDORSEMENT
vty thatthe fey menoures aro implemented and fs safe to commence work.
fiw: 772A) pewste: Opener Forman
_ L__|
a
fine: Cason Pesanation: TI7Z Telos wom OT at tn wien: 03 Jo )otaro
7 TPE OF WORK PERSONAL PROTECTIVE EQUIPMENT
General work Goggles/shield
Testing/inspection ‘Cover alls
Brush Painting Housekeeping
Hand tools work Dust mask
Hand Excavation less than 4 ft. [Tsatey harness
General Cleaning by Air Compressor Gloves
manual cleaning Safety Shoes
Inspections endear eye protection!
‘Approved By Name Signature Date
PA Area Supervisor/Eng TE want R | Roc ZY- 06.2020)
|MAPA Site Manager
3 ENDORSEMENT BY PERMIT RECIVER.
I verity tha the safety measures are implemented and its safe to commence work.
Nome: Aurhon ) Pay [Designation bez.
otertime: 9 ob Darn Signature: ee
ENDORSEMENT BY PERMIT ISSUER
I verify thatthe safety measures are implemented and itis safe to commence work.
Name: TE gon k signtion:
a Signature: Rie
ENDORSEMENT BY SITE SAFETY ¥
Tereby approved the work tobe carried out. No incompatible work wil be carled aut at the same time
wme: “Komow Ronjauinga Desienation: LEP pF PEL
|Date/Time: oe x low (were ‘Signature: <
PERMIT CLOSURE BY PERMIT APPLICANT
ye work is completed on, 98 |oy \n we Timi
tame: Afi ys Design:
losteyrime: oD \ oY \nin Signature:
["Delivering excellence in Health & safety in the way we behave and work”
MAPA- HSE-F-016 Sood Peng bce Ne Feng wl boi a ae 0 Date
pa ae aa
woes lean — loess |
ae
Nene: ZAG Pasion [> oazal iad
te Time “40 [Signatire =
cere
erly a the saoty measures are implemented and its safe to commence work.
2 Cee [Besonatons 72
2h aate L0 fill —rer
nereby approved the work obo cared ut. Noinoompable work wil be cared Out a the sama Ema,
wne: FADAL. Har ATL penta Soply Superviser [maraPermit]
HAA pert We
WN GENERAL/COLD WORK PERMIT [== -
Const Project No;
THIS COPY MUST BE DISPLAYED AT WORK LOCATION
tion: -
bescrpton of Work:
:
eriod ofpermit: "fdas Fromto Jo Job | Valid 94
7 TyPE OF WORK PERSONAL PROTECTIVE EQUIPMENT
Z General work Goggles/shield
‘Testing/inspection Cover alls
37] brush Painting Mousekeeping
and tools work Dust mask
and Excavation less than 4 [2 sotety narness
Zz General Cleaning by lr Compressor Gloves
Z mania deoning safety Shoes
Inspections Headear.eyeprotection/
Approved By Name ature Date
IMAPA Area Supervisor/Eng. Tern -B ea ei
IMAPA Site Manager
ENDORSEMENT BY PERMIT RECIVER
lI verify that the safety measures are implemented and it is safe to commence work.
Name: NuyQ in 1p@ie [Designations fo
pa eae pawwies fare ap
ENDORSEMENT BY PERMIT ISSUER.
verify that the safety measures are implemented and it is safe to commence work.
ame: Bk Designation: 7
es JoJo fm ISenetures fo
ENDORSEMENT BY SITE SAFETY
[hereby approved the work to be carried ou. No Incompatible work wl be carried out atthe same tne
ame: maw Rofotinar Designation: F/SE™ OAFILER
steltine: 25 Job [9020 Signature: Dyer
‘PERMIT CLOSURE BY PERMIT APPLICANT
1e work is completed on Time: _[S} -8en y
lami IW reddon Designs
sterrine: J Jota tad, Signo
|“Deliverir u MAPA- HSE-F-016
excellence in Health & safety in the way we behave and wor | | GENERALICOLD WORK PERMIT [iS jrnaza
Pocme |]
——————
rem TDG Job /asie versace Si ony
PERSONAL PROTECTIVE EQUIPMENT
corm wer [ZZ) coosennsses
(TT restrastrspectisn 7) coverete
CT one J] tnsetoosna
CEE) stra
[hereby epproved the wok o be cared ot, Nolncompalble work wil be cared outa he same ino,
iaharmnac! Pos8 a ai
te Dol 69-9
very al the eafely measures ae implemen and its safe o commence work
ea tan ao
Seren arniccteetom 7
nian files
vats oa: /F 0 6 / AoFo
osotramt: /3/06/ 3-030 bald
oan TOTO JPERSONAL PROTECTIVE EQUIPMENT
[a retnanapcton cover ats
CZF oat Pants Howskoesing
J) an ot ot COT eats
7 ane excavation tse an ZT sate hemese
(corre cinaning yar Compressor CZT ete
ZF at teatng [ZT sate ste
— a ZT tteasearye protection!
APPROVAL
Approved By Name Signature Date
Area Su | Cercle e229 -
MAPA Sito WV CrSshho 13-06-20 Ze
rey approved the work tobe cared cut Mo Incompatible wrk wl be carid aut atthe etme tne,
2 Ahahammorel MD
Docigraion: SE ‘Approved| Signature
7 ae Lille
EROORSEENT BY PERNT RECENER
at Sat ey meme need nt tne ere ak I
(hereby approved the work tobe cared ou. No lncompable work wil bo cared out atthe same time,
. oor KYORGIED’ fears
W No Zia Ppy me
[ea
Toe
must | pAT
Wort: \
item: orfebfeoe From Te (Pfo6/Joco _esddaw Lie Day)
TYPE OF WOR POTEET
re [EZ] coooteantia
(TT rewtngtrapocton TT cove ate
| [7] twinning
(Tanta wore at mack
7 tena exci toe than 4. [J setety names
[7 canerat cleaning by Ar Compressor (ED coves
(rt toring ZF sctety ses
a EZ} Hesteorye prtetond
‘APPROVAL
: ara
[ost ti ey mi eid it to cane we.
P= PeBoT — [Ferree
[tome 09 Zo, Le Bean? = z
I vety fat he euflty measures ere implemented and iis wae to carmence work.
a ;
in: es
aby ape bo wet b be aed ot. No nce wrk wi boca ut tm eae te.
2 Muthermmacl 'NAK Name ‘Signature Date
MAPA Area Supervisorting | “O<¢/¢o 1) Guile 2&1 of | 2070
fen in tar Cosken ie dnd |
vse that the eaely measures are implemented and It safe to commence work.
Rene: __Adaesan Pesomaton: [7p eave) formar
Tine 7 2
erty hat he safety measures are implemented and itis safe to commence work
ean per ener
ereby approved the work tobe caried out. No incompatible work wl be cared outa the same Emo,
FRDAL- Mtrlir? Designate: opty Sopernion
0806/3090 Foomn Description of Work:
Ff days
romte 06 /06 hero
esi /9 Job fawn
‘TYPE OF WORK
General work
Testing/inspection
Brush Painting
Hand tools work
Hand Excavation less than 4 ft.
General Cleaning by Ale Compressor
PERSONAL PROTECTIVE EQUIPMENT
Goggles/shield
Cover alls
Housekeeping
=
Approved By
poem | Teal CB ks a
implemented and itis safe to commence work.
[Designation:
Signature:
ENDORSEMENT BY PERMIT ISSUER
| verify that the safety measures are Implemented and it is safe to commence work.
Name: TEooN 2 Designation
(Date/Time: O Signature: } ao it
ENDORSEMENT BY SITE SAFETY
fame: Romar Rapa stan
paterim: 06 /ob ore
I hereby approved the work to be carried out. No incompatible work will be carried out at the same time
Desiestion. a forty of vc
senate: <2 one t
loste/time: | -/ 0b) oz,
“Delivering excellence in Health & safety in the way we behave and work”
PERMIT CLOSURE BY PERMIT APPLICANT.
‘work is completed on Tir
lame: Design: oe
Signatur
MAPA- HSE-F-016 7
‘TYPE OF WORK
paoy
General work
‘Testing/inspection
rush Painting
Hand tools wor
Hand Excavation less than 4 ft.
General Cleaning by Air Compressor
Inspections
FromTo yn woe valde: Jo My fro oe
PERSONAL PROTECTIVE EQUIPMENT
Gopgles/shield
cover atts
Housekeeping
Dust mask
L)
Safety harness
Gloves
ve
‘Safety Shoes
[Z| meo.eareye protection
‘Approved By ‘Name
[MAPA Area Supervisor/Eng JSEYAN PL qh ob/ob Jmeo
\PA Site Manager
ENDORSEMENT BY PERMIT RECIVER
verity that the safety measures are implemented and it is safe t
commence work.
Name: Avrattin Designation: Tne
pachine “ot Jot Jou Semone — cet
a
verify that the safety measures are implemented and itis safe to commence work.
Name: TEton B Designation: i
pateftime: 4 2 hb Jy o20 Signature:
ENDORSEMENT BY SITE SAFETY
| hereby approved the work to be carried out. No incompatible work wil be carried out at the same time
pee Laman Regoctinea ms
Perrin: 08 Soe /e ody
vesienaton: // 3 of FLUL R
Senet Dany
PERIMIT CLOSURE BY PERMIT APPLICANT
he work is completed on : se
lame:
Time:
Designz
Date/Time:
topl@o
‘Delivering excellence in Health & safety in the way we behave and work”
Signature:
MAPA. HSE-F-016 vissrent: 06 log /rove Sara vaio (to frome
ee “Tot core Bolokf rr Creng
| Ce ena ware
{_——— hereby approved the wer: tobe comied out, Noincompatbie work wil be cared out it
Hpbi HuReereE ty (onstatin
ane AAPA
on:
Description of Work:
reriod of permit: “
f
"T¥#e OF WORK
PERSONAL PROTECTIVE EQUIPMENT
General work [Zweite
Testing/inspection Cover als
Z__] brush paeting Housekeeping
Hand tools work Dust mask
Hand Excavation less than 4 ft [7] satety harness
General Cleaning by Air Compressor LZ] stoves
manual cleaning Z| Safety Shoes
Inspections Head,ear,eye protection/
‘Approved By Name
IMAPA Area Supervisor/Eng TE yea
semtre: 207,
ENDORSEMENT BY PERMIT ISSUER /
i verify that the safety measures are implemented and it is safe to commence work.
are: Tease oeseraton: we
pterime eee Sereure:
ENDORSEMENT BY SITE SAFETY.
hereby approued he warkto be cried oN neampte wor wil becared ot at he same tive
Komen Rejotingan Designation: 1/61 DFC 0
20-0S.2020 Sener: yes
PERMIT CLOSURE BY PERMIT APPLICANT
he work is completed on Time:
Inspections
‘Approved By Name
IMAPA Area Supervisor/Eng ae yauk
IMAPA Site Manager
ENDORSEMENT BY
tame: Designs
Date/Time: Signature: A AL.
7.
‘Delivering excellence in Health & safety in the way we behave and work” MAPA- me wa
a
GENERAL/COLD WORK PERMIT F="—>z7->},
Cran reieener |
THIS COPY MUST BE DISPLAYED AT WORK LOCATION
Location:
Description of Work:
a Aol lrg
riod of permit: doy, «rom To pon M2 [05 [rude
TYPE OF WORK PERSONAL PROTECTIVE EQUIPMENT
General work ogles/sit
‘esting/inspection Cover as
Brush Painting Housekeeping
Hand tools work Dust mask
Hand Excavation ess than 4 ft.
General Cleaning by Air Compressor
‘manual cleaning
Inspections
‘Approved By
APA Area Supervisor/Eng
APA Site Manager
ENDORSEMENT BY
verify thatthe safety measures are implemented and itis safe t
we Dyhen Az
tos
Date/Time:
ENDORSEMENT BY
verify that the safety measures are implemented and it is safe to commence work.
[Designatior
[Signatur
f=
ere proved ve workip be cate
sees olaantat’ thier
Pawling: as/os) gaat
PERMIT CLOSURE BY PERMIT APPLICANT
‘work Is completed on Time:
Designe
ft
livering excellence in Health & safety in the way we behave and work” HSE-F-016 presenta lore re bins
Wem OF WOR
A ome ir
a)
= 44,
erly thatthe safty mesaures ao plored nd is safe to commence work
~ Pesionaion
Time 2
wat tat the safety measures ere implemented end is eae to commence work,
=T a
a oS]ror [Sanane: é
- [hebr eerre tee be cane. Nocatee cate ema
ine: m4 mien Desgnaicn | 3 ik
eves ‘Stonatura:
work is ompetod on tine: SZ Jo. 2A Aroa Supervisorfeng | 125 /ce 1 ULOT/Ie%,
MAPA Sito Manager Leelee LosTpe9s
rece
very that the aafety measures ere mpemeted andi ste to commence work
Rane: AZO Petontns | Peal eam
peti 7 mane = 7
ay
[LOO RTE RET RST th cee er
ie Cesar [Designation [7 Aigner ¥
alii = i
: fk Cota BOOBS Ey aTE OA
hereby approved th work to be cared out. No inorpatt work wil be cated out at the same fa,
: FAZAL— HANAN) mine
Cotutin
Valid te: 2.9.05 .202
PERSONAL PROTECTIVE EQUIPMENT
© | ogetes/shieta
fromto (b oS. Doon
‘TYPE OF WORK
General work
Testing/inspection cover alls
Brush Painting. Housekeeping
Hand tools work Dust mask
Hand Excavation less than 4 fe. Safety harness
‘General Cleaning by Air Compressor Gloves
manual cleaning Safety Shoes
Head,ear,eye protection/
NIM NIN
Inspections
"APPROVAL
Approved By Name Signature
IMAPA Area Supervisor/eng JE yan Be a 16.05 220
MAPA Site Manager a
CL ENDORSEMENT BY PERMIT RECIVER:
verify that the safety measures are Implemented and Its safe to commence work
ime: Ayan At.gp0 Designation: tical
te/Time: [> 2 [signature Ay
NDORSEMENT BY PERMIT ISSUER
erly thatthe safety measures are implemented and itis safe to commence work.
[Designation:
Signature:
ENDORSEMENT BY SITE SAFETY
Thereby approved the work tobe carried out. No incompatible work will be carried outa the same time
Designation: L) cr p FFje ER
ime: jalngaro
serine) / see Si30 an} Sermes _5
PERMIT CLOSURE BY PERMIT APPLICANT
L .O5l
‘work is completed on Description of Work:
peridot perme: “Zhe homte (bn,
TYPE OF WoRK PERSONAL PROTECTIVE EQUIPMENT
‘Goggles/shield
ZZ] cover ats
Housekeeping
General work
Testing/inspection
Brush Painting
Hand tools work Dust mask
Hand Excavation less than 4 ft. Safety harness
General Cleaning by Air Compressor Z| stoves
manual cleaning Safety Shoes
Head,ear,eye protection/
Inspections
(MAPA Site Manager
ENDORSEMENT BY PERMIT RECIVER
verify that the safety measures are implemented and it ls safe to commence work.
fame: eye Aria Designation: Foun an
Pate/time:_/ />/ len (Signature: =
ENDORSEMENT BY PERMIT ISSUER
verify thatthe safety measures are implemeted and tis safe to commence work.
7 an Ro [Designation: 2.
ime: Ip Jas Signature: 3
ENDORSEMENT BY SITE SAFETY
Tereby approved the work tobe caved out. Noincompatibe work willbe carried out atthe sme time
Designation: 2g pEFIe EE
lame: naw 0
wm Ib /oS]20 Sen yy man
PERMIT CLOSURE BY PERMIT APPLICANT
he work s completed on 2.2. 9 S-_ 27 -
m Aphetsa i2g12 owen Cae
a ZL, ZB,
behave and work” (MAPA. HSE-F-016 __ fearon _]
GENERALICOLD WORK PERMIT —="*= |_|
es
[Tee
THCY
‘APPROVAL
‘Approved By Name ow
[MAPA Area Supervisorfeng [Kadi Gn Se han ae 7o-03- ode
pesenen Kadi Gn Sshon Daa 16-05-2o
Soa Pon RET
vey hat he safety mosses ar implored ad af fo commence work.
Krave FzzaT Ee TT
Time: /6foS ror > Si3cA0t Sionature:
aaa
vey tat he safety measures are implemented aR af to commence work,
u Kaoliy Con Rho Pesionaton: [OE
TS 6. 05-200.8:00 A077
ENDORSEMENT BY SITE GAFETY
hereby epproved the work o be carted cu. No Incompatible work wil be cared out ot th same ime.
Mukamaed hess Designation: | SL
8:20-407 Sioneure:
PERT CLOSURE BY PERMIT APPLICANT
work complete on Tne.
Kel nee Siaphnn —__ Designation
shad Comune construction.
Yer atthe suty mesoure are inplemenied and Is safe commence work
7 z
Time: so
etl at salty mance ee ieforenid and Rie elo conmenco work
eT
mea he ‘Noleompale or wl be canied ota he eae tae
mer) Desionatn:
Stoner
isis aa]
ed of Part LIT 20 From 10/6/4720 Woda
TPE OF WORK [PERSONAL PROTECTIVE EQUIPMENT
(Cover wore Gooleststils
(ST testcotnspection 7 cover ate
(ena Ptting TZ Howseteeping
Hand te wrt dita
(CT ant cation foe than (7) sett names
(canara caring a Conger dae
art ering
Inspections Head oxere proecton
APPROVAL
‘Approved By Name ‘Signature Date
|MAPA Area SupervisoriEng
tem Oe as EP
very tat the safety measures ar implemented and ita safe o commence work. T
fame: Afemser Ecco ame Pesination: LPTOR.
atlTins: | /75 5720 (soreure =
By PER SUER
very hatte ely esr arinploneiedardt seats conmencework.
i Tr sen:
P jSignature :
horeby approved the work to be cari eu. No ncompabble work wil be cared out at tho same Smo.
Youre KIRSCH Desimaton: cE OER
foi /}
FR GENERAL/COLD WORK PERMIT ee : —
LesZz2i2 |
fProject Wo: [|
O9-05-2o.0 _ PA Te/f-05-2o20
Approved By Name Dats
MAPA Area Supervisorieng | Kade Can SC yen Te 29/eS/rar0
IMAPA Sito Kadir Cor Seiten] 42 fp — oY oS/eo2e
oe SORSEENT BY PERT REETER
vet at the walt moesurs are inplemeniad and af to commence work
Fazal os
TO Yes poje S:v0 Ast =
vey hl he elo mens oe plead andi af commence work,
Tale Ca Seana TLE
[Dearne 0705 ede Picea 2k
era approved he web creda No eampatbe war wba cried ol ee Ee.
2 ptatammae! bar
Designation: ASE nem
Cstutin
ltocation:
[Description of work:
peiodotpemt: “J lays Frame 30 [of ho val
ate: Jos fre re
‘F7ryPe oF WORK PERSONAL PROTECTIVE EQUIPMENT
General work Goggles/shield
Z Testing/inspection [ZZ] cover ats
x Brush Painting [7] wousekeeping
Hand tools work ust mask
Zo Hand Excavation less than 4 ft. Safety harness
Z General Cleaning by Air Compressor [Z] cioves
manual cleaning Safety Shoes
oa Inspections Head, ear eye protection/
‘Approved By ‘Name nature Date
IMAPA Area Supervisor/Eng Teav R pa. do stare; Zz
[‘Delivering excellence in Health & safety in the way we behave and work”
(MAPA- HSE-F-016 a)
i wt | GENERAL/COLD WorK PERMIT [=|
es
Mas vie. Boo hove
[Description of Work: i te use hos’
alas r =
pmo
period of perme: “7 loys tromto OF Vos Jopep Vadoe/s Jos [2026
Tee OF WORK PERSONAL PROTECTIVE EQUIPMENT
General work ogeles/sild
Testing/nspection cover ts
Z_] trash Painting Z| wousekeeping
Hand tools work Z_] Dust mask
Hand bxcavation less than Z| satety harness
7] General cesring by Air Compressor Gloves
7] mama cig [ster soe
Inspections 7] Heaseareyeprotecton/
‘Approved By Name rm Date
IMAPA Area Supervisor/Eng TE. R we O09JoS)roro
|MAPA Site Manager
ENDORSEMENT BY PERMIT RECIVER
verify that the safety measures are implemented and it i safe to commence work.
tame: Aylan Azgin [Designation: Poean.
Date/Time 0. og ob Signature:
ENDORSEMENT BY PERMIT ISSUER
verify that the safety measures are implemented and it Is safe to commence work.
= Tiyan -R Designation: fa E49
Date/Time: A. 50 [Signature: 7
ENDORSEMENT BY SITE SAFETY
Thereby approved the work to be carried aut, No Incompatible work willbe carried out at the seme time
ont: Rama gor Desinaton: [Wei po CER
Petertime: 09 Jos (22 ‘Stensturet ayn
PERMIT CLOSURE BY PERMIT APPLICANT
]the workis completed on _(5/05/2 o time: $0 9
Jame: 4 A Design: 5 e,
Jpate/time: Signature: Li, a
Delivering excellence in Health & safety in the way we behave and work” MAPA- HSE-F-016 3 ESA) [besionaion? Ties
eaten 9/057 P0987 SG aM) — y
vet hat the safety measures er implemented and itis safe fo commence wor.
7 =
WeS/ 030 S$ bbALT. [Sonate os
hereby approved the work be cared out Noicompate wrk wl be cand outa te eae ime
SHAZAL. HAariAr!
Deaignton: Supervise
YeS[Pr30: S:otpm sirotre: .
‘PERMIT CLOSURE BY PERMIT APPLICANT
= nL
oki conpiindon L357 ido. otatn,
| 7
Sa ST LSE
lar a, AF 5 e
tram: 10077. 097 24 9090 ram te vatsowe: §/ 0 F/ 3690
TYPE OF WORK |PERSONAL PROT VE EQUIPMENT
eS. See
Ee] ern CZ tents
FF ttt ZT eutmane
7 rd eon stan CT settee
ZZ) cone ae At compre [ZT come
manu lanng ZT tet tows
— 7 nacre pete
APPROVAL
Date
MAPA Area SupervisorfBag | / o51,
pateftine: 0 JO5/2e 70 stenature_ JZ
"Deli
excellence in Health & safety in the way we behave and work” (MAPA. HSI GENERAL/COLD WORK PERMIT
Date: 2
(oso Peaster To
"THIS COPY MUST BE DISPLAYED AT WORK LOCATION
cation: ye p.
escription of Wark: ,
\ 7
erlod of permit: 1 any From To sob vatd bee: 08 05-202.
‘OF WORK PERSONAL PROTECTIVE EQUIPMENT
‘General work Z| Gogsies/shieta
Testing/inspection Z] cover ais
x brush Paoting [Housekeeping
Hand tools work Dust mask
Hand Excavation lass than 4 ft. Z| safety harness
Z ‘General Cleaning by Ale Compressor Z| stoves
manual dezning Z| safety shoes
Inspections "| Head,ear,eye protection
‘Approved By Name. Sigrature Date
PA Area Supervisor/Eng. Etpan -R 6 02 0G » 202
\PA Site Manager
ENDORSEMENT BY PERMIT RECIVER
verify thatthe safety measures are implemented and its safe to commence work.
mre _Aylaa Azan bestrasons | Cgc a
ate/Time: 09. 962020 Signature: Li, Z
ENDORSEMENT BY PERMIT ISSUER
very that he fey measure ar implemerted nds safe to commence work
ame . Designation: Ts
aa eae ee
PRN GEE
ee
ome: “Qa sma Rego ingam Designation: HSE O FFILER
ateltie: 2. OF. 2e26 Somme, Ene
PERMIT CLOSURE BY PERMIT APPLICANT
work's ompletedon O) [oS /Jo 2.0 Time: 1 220
Ahan Az ara Design
eltime: 0¢1 05) 2n2u2 store: 17)
Delivering excellence In Health & safety in the way we behave and work” PERSONAL PROTECTIVE EQUIPMENT
very that te eaety nousures ore inpleetod and its eae to commence work.
ee CP emzent
CZF ramet Pal
A ert Teng
a oyanen
7 rt on nt ne
cnr tee At Conpreser yan
a a
TT pectin [TF teateore priest
APPROVAL |
Approved By Name. si Dato
MAPA Area Supervisoneng | ( [age Fo
A Site Manager Loskon Sm IL04/, 30,
ENDORSEMENT BY PgRINIT RECEIVER ee
erty tat the safely measures are Implemented and itis safe to commence work,
fe Aaa yeaa foal
EE Lote 257 uh bade Leet
fame 2 You might also like