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HSE PROCEDURE Doc. No. NUS-HSE-PTW/01
Rev 01
PERMIT TO WORK PROCEDURE Date 10/11/2014
HOT WORK PERMIT
N :________
o
PERMIT INITIATION
Initiator: ID No :
Date: Start: Finish:
Location: No of workers: Vehicle No:
Work Description : Tools:
Rig Manager Rig Manager
Remarks : Signature :
PRE WORK INSPECTION & HSE REQUIREMENTS
Presence of flammable/combustible Should fire system be bypassed
materials nearby Yes
No
Is Energy Lock- out Implemented : Yes Will gas be vented to atmosphere
(pneumatic/hydraulic/capacitance) N/A Yes
No
Fluid transfer Present : Should H2S precations be taken
Yes Yes
N/A No
Special precautions : (Always wear proper PPE)
Operator (doing the Fire Watchman Responsible Supervisor HSE Officer
Work) Signature : Signature: Signature:
Signature :
COMMUNICATION
Responsible Supervisor Phone No :
Operator Phone No :
CLOSE OUT
Job complete Yes Area cleaned Yes Safety system Yes
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HSE PROCEDURE Doc. No. NUS-HSE-PTW/01
Rev 01
PERMIT TO WORK PROCEDURE Date 10/11/2014
No No Reconnected No
Original Rig Manager Copy- Supervisor Copy- HSE Officer
Copy- designate person
Any person can invalidate this Work Permit if conditions are considered as unsafe.
1) Inform the manager in charge
2) Remove the site copy of permit
3) Return to manager in charge
CHECK LIST
1. Adequate escape route
2. Remove flammable & combustible materials
3. Trash removed
4. Isolation checked
5. Welding equipment grounded
6. Check fire equipment
7. Consider fire watch
8. Proper & Adequate ventilation
9. Check communications
10.Correct equipment identification
11.Check ladders/scaffolds
12.Proper PPE
Close out Permit with the Supervisor When Work is Complete