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PTW Excavation

The document is a Permit to Work for excavation activities, detailing the necessary precautions and requirements that must be met before excavation begins. It includes sections for the site engineer to fill out, as well as a checklist of safety measures to ensure compliance with health and safety regulations. The permit must be signed by relevant personnel and returned to the approving authority upon completion of the work.

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mhmdabdelghany36
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25 views1 page

PTW Excavation

The document is a Permit to Work for excavation activities, detailing the necessary precautions and requirements that must be met before excavation begins. It includes sections for the site engineer to fill out, as well as a checklist of safety measures to ensure compliance with health and safety regulations. The permit must be signed by relevant personnel and returned to the approving authority upon completion of the work.

Uploaded by

mhmdabdelghany36
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OHS MOD PTW 05

PERMIT TO WORK EXCAVATION REV. 0

Project Date:

Permit No Time:
Section I, II and IV to be filled by Site Engineer / Supervisor

SECTION I – (REQUEST FOR PERMIT)

CONTR. Subcontractor: Plant / Equipment to be used


Location / Area: (Attach Drawing) 1
Kind of Activity: 2
Depth of Excavation: 3
Slope: 4

SECTION II
Prior to excavation on site please comply to the following:

1) Check MS / RA. 7) Barriers to prevent person falling.

2) Check permanent services (Local Authorities) 8) Barriers if vehicle crossing.

9) Excavation not undermines other structure, scaffold or


3) Is cable detector used to verify above.
foundation.
4) Emergency Management included & personal 10) All Drivers and operators are in possession of valid
trained. licence / competency certificate.
5) Work-in-charge and operatives aware of risk
11) Plant & Equipment got valid third-party certification.
involved and control measures to follow.
6) Prevention to stop sides collapse is on site
12) Flagman / Signalman provided.
(battering / safe angle)

• The above precautions / requirements are in place.


•  CONTR.  Subcontractor Risk Assessment No. ……………………... Dated …………………… was addressed to the
team and work in-charge on (Date)………………., and they are fully aware of the same.

Site Manager / Engineer(Name): Signature:

HSE Officer(Name): Signature:

Section III
This Permit is valid till (Date): Time: Hrs.

Contractor Site Manager / Engineer Contractor HSE Officer


Name: Name:
Signature: Signature:

Section IV
This permit should be returned to the approving authority after completion of works signed by Site Engineer / Work In-charge.

Name: Signature

Date: Time

NB: Drawing indicating proposed excavation to be attached to Excavation Permit.

Consultant HSE Engineer


Name:
Signature:

Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-2835


Revision Number: 00
Date: 05 January 2020
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