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CAE - Excavation Permit

The document outlines the Permit to Work (PTW) process for excavation projects, detailing necessary preparations, safety precautions, and equipment usage. It includes sections for excavation details, safety equipment checks, and contractor declarations to ensure compliance with safety standards. The permit must be closed upon completion of the work, confirming that all safety measures were adhered to throughout the process.

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shahbaz ahmed usmani
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15 views2 pages

CAE - Excavation Permit

The document outlines the Permit to Work (PTW) process for excavation projects, detailing necessary preparations, safety precautions, and equipment usage. It includes sections for excavation details, safety equipment checks, and contractor declarations to ensure compliance with safety standards. The permit must be closed upon completion of the work, confirming that all safety measures were adhered to throughout the process.

Uploaded by

shahbaz ahmed usmani
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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Permit to Work (PTW)– Excavation

Permit No. Date


Project Contractor
Location
Job Description

Time Start: End:

A. Excavation Details:
Equipment and tools used
Excavation Length: ……………m Excavation Width: ……………m Excavation Depth: ……………m

B. Preparations:
1. Underground cables, pipelines, electrical lines etc. Checked ... Yes /No
2. Personnel protective equipment to be used is: a) Safety shoes … Yes/No
b) Safety helmets … Yes/No
c) Gloves … Yes/No
d) Eye protection … Yes/No
e) Ear protection … Yes/No
f) Dust mask … Yes/ No
G) Gumboot … Yes/No
C. Safety Precautions:
1. Proper access made with required no: of exits
2. Provide and use proper PPE’s
3. Barricade the area ,display caution boards
4. Ensure good housekeeping before and after the work
5. Ensure constant supervision
6. Use certified equipment and machinery
7. Check for underground utilities interference
8. Check operators driving license and reverse horn for the equipment used.
D. Additional preventive measure may be added if needed: (Use additional sheet if needed ):

Format No. L014-OHS-ExP-Fr-014/Rev07/Nov 2022


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Permit to Work (PTW)– Excavation

E. Permit Initiation & Issue

Declaration of Contractor:
a. All the above safety precautions have been put in place based on Job safety analysis provided
by my organization and verified by me on ground personally.
b. I shall ensure all the necessary precautions are in place till end of the work & I shall take full
responsibility in case of any deviations or lapses noticed on site.
Permit Initiator
(Contractor PM / Engineer)
Checked & Confirmed By
(Contractor Safety Officer)
Comments by PM/CM The contractor is expected to undertake work at site as per their
Safety Precautions and Job Safety Analysis. In case of any Non-
Conformance (NC) to the above noticed by PM/CM/ Consultant/Client
during site rounds, necessary actions as per Contract/Statutory
conditions shall be recommended to Client.

F. Permit Closure:

The above-mentioned job has been completed satisfactorily & the excavation area is closed and returned
to normal service. Date…………………………………. & Time ……………………………… this permit is closed

Details Name Signature, Date & Time


The work has been completed and can be closed
Permit Initiator
(Contractor PM / Engineer)
Checked & Confirmed By
(Contractor Safety Officer)
Comments by Contractor if
any

Format No. L014-OHS-ExP-Fr-014/Rev07/Nov 2022


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