JWIL INFRA LIMITED
Loading Unloading Work Permit
Project: Make Up Water System and Ash Disposal Cum AWRS Package For NTPC Lara STPP-II (2X800MW)
Client: NTPC
Name of Sub-Contractor:
Name of Site Engineer Permit Number:
Date:
(Permit Requesting):
Exact location of Work: Duration of Work Execution (For one location)
Weekly From To
Nature / Description of Work: Date
Time
The above described work will be done under all the safety precautions mentioned on this permit to work as under during the currency of the Permit.
Not Required /
S# Requirement Yes
Remarks
1 Sufficient Area has been provided for material unloading.
Material loaded properly / Safety precautions taken - Unlashing can be undertaken,
2 (In case loosening the material lashes could lead to material falling in uncontrolled
manner.
3 Loading & unloading Cranes, TPI's are in order with valid TPI Certificate.
4 Workers involved are properly trained and Sensitized to the hazards.
5 Cranes operator is authorized and experienced rigger is available.
Communication methodology between rigger & operator is in place, Communication
6
gear (Whistel) provided where required.
7 Adequate supervision is in order.
8 Area barricaded including backside movement of Crane.
9 Job Safety Analyses attached:
Work Hazards are identified, controlled and communicated to the worker in daily
10
TBT meeting.
ToolBox Talk Records with (preferably) list of workers involved in the permit Activity
11
(to be attached)
The conditions mentioned in the above checklist are sufficient for safe completion of this activity. These have been checked and found complied before issuing the permit, and shall be
monitored and ensured throughout the currency of this permit.
A. Permit Requester / Receiver (Sub-contractor):
Site Repersentative:
Signature:
Name: Designation:
B. Permit Issuer (JWIL):
Site Repersentative: Site HSE Officer / Authorized Repersentative:
Signature: Signature:
Name: Designation: Name: Designation:
(*Permit Valid for 7 days only*)
All parameters from S.No. 1 to 12 of this Permit are to be checked physically. In case any devation is observed, same is to be recitified, only the work is to
be started
Daily Work Area Condition Endorsement
Remarks (if any) & Signature with Date & Time
Day Date Sub-Contractor Site
JWIL Site Engineer * JWIL HSE Officer * Remarks
Repersentative
2
3
4
5
6
7
Permit Closure After Work Completion
Permit is here by returned after completing the job, ensuring safe removal of men and material and proper housekeeping of the
area.
Reason for Closure: Job Complete Permit Validity Over
Sub-contractor
Site Repersentative:
Signature:
Name: Designation:
JWIL
Verified as above and permit is Closed
In case job not complete, New permit No. Issued:
Site Repersentative: Site HSE Officer / Authorized Repersentative:
Signature: Signature:
Name: Designation: Name: Designation:
