20468421 work permit system

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WORK PERMIT SYSTEM

C O N T E N T S

----------------------------------------------------------------------------------------------------------------------------------SECTION DESCRIPTION

-----------------------------------------------------------------------------------------------------------------------------------1.0 Introduction

2.0 Scope

3.0 Definitions

4.0 Type of Work Permits

5.0 Procedure for Work Permit System

6.0 Specimen Work Permit Forms

7.0 Explanatory Notes to Work Permit Forms

8.0 References

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WORK PERMIT SYSTEM

1.0 INTRODUCTION

The Work Permit System is an important

tool for safety in hydrocarbon processing /handling. The recommended Work Permit

System is described covering various

aspects like when a work permit is required,

types of permits, responsibilities, check

lists, validity etc. The success of a Work

Permit System depends upon the training,

motivation and participation of all

individuals concerned with itsimplementation. Since several maintenance/

construction jobs are often carried out withassistance from contractors, it is essential to

provide sufficient exposure to contractor

and his employees as well.

If the work has to be performed in a

hydrocarbon processing/ handlinginstallation by any person other than the

operating personnel of that area, a duly

authorised written permit shall be obtained

by the person/agency executing the work

before commencement of the work.

However, even for operating personnel,

when work has to be performed outside

their normal routine, an exclusive permit to

that effect by the authorised person shall be

obtained.

2.0 SCOPE

The Work Permit System shall cover all

hydrocarbon processing / handling

installations such as onshore /offshore

processing platforms, gas treating units,

crude oil terminals, refineries, pipelines,marketing installations and LPG bottling

plants.

3.0 DEFINITIONS

a) Hot Work : Hot Work is an activity which

may produce enough heat to ignite a

flammable air - hydrocarbon mixture or aflammable substance.

b) Cold Work : Cold Work is an activity which

does not produce sufficient heat to ignite a

flammable air- hydrocarbon mixture or a

flammable substance.

4.0 TYPE OF WORK PERMITS

Based on the nature, the work shall beundertaken either under Hot Work Permit

or Cold Work Permit, for which formats are

exhibited in pages 17-38. Explanatory notes

to check-list items of the formats are

provided under Section 7.0.

The two types of permits, one for cold work

and the other for hot work are the minimum

requirements which must be fulfilled before

commencing work. For jobs like

excavation, road/dyke cutting, electrical

lockout / energising etc., where the work

permit issuing authority may have to take

clearances from other sections/ personnel,

organisations may introduce supplementary

formats for these purposes, if they considerit necessary. Format for electrical lockout/

energising is given in OISD-STD-137 on

"Inspection of Electrical Equipment".

Radiography must be carried out when

occupancy is least. For precautions to be

taken during radiography, refer OISD-STD-

155 on "Personal Protective Equipment".

In addition to the regular work permit,

supplementary permits as required by thelocal statutory bodies are also to be issued.

5.0 PROCEDURE FOR WORK PERMIT

SYSTEM

Following is the procedure for theimplementation of Work Permit System :

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(a) The Work Permit System shall always operate

on "Owner - In-charge" concept. (Example:

Process Unit-Shift In-charge; Laboratory-

Chief Chemist; Depot-Depot Manager;

Pipelines Installation- Shift In-charge). Theconcerned management shall issue the

appropriate authority limits for variousinstallations and type of permits based on

this concept.

(b) The permit shall be in printed form.

(c) Separate forms shall be used for Hot Workand Cold Work.

(d) A system of colour coding is recommended to

identify two types of permits. The

recommended colours are pink for Hot

Work Permit and yellow for Cold Work

Permit. All permits shall be serially

numbered.

(e) Hot Work Permit shall be in four copies. Theoriginal shall be in pink colour and other

copies shall have the word "COPY" printed

in large pink letters.

Cold Work Permit shall be in two copies. The

Original shall be in yellow colour and the

copy shall have the word "COPY" printed

in large yellow letters.

(f) It is recommended that both Hot Work Permit

as well as Cold Work Permit be made in theform of books with tear-off facility. In the

case of Hot Work Permit, the authorised

Original copy shall be given to the receiver,

the Duplicate to the Fire Section, Triplicate

to Safety Section and Quadruplicateretained in the book. In case of Cold Work

Permit, the authorised Original shall be

issued to the receiver, retaining the

Duplicate in the book.

It is recommended that plot plans of the

installation and the operating blocks should

be displayed in the Fire and concerned UnitControl Rooms respectively and site of hot

jobs under progress should be indicated onthese plot plans with red pins. This helps

the incoming supervisor /s (both in Fire and

Operating Departments) to get a quick idea

of the hot jobs being undertaken and help in

identifying the areas which require

inspection / attention, depending upon the

criticality of the area and the job.

The Safety Officer/Fire Officer / Officer

authorised will make periodic check of the

Hot Work Sites and see that the work is

being carried out as per conditions laiddown in the Hot Work Permit. At any point

of time, if he considers that the conditionsare not safe enough for the work, he may

suspend the work and inform the Work

Permit Issuing Authority to restore the safe

conditions so that work can be restarted.

(g) For simplification of procedure, Hot WorkPermit also covers permission for vessel

entry, vessel boxing-up and excavation. All

activities outside the scope of Hot Work

Permit shall be covered by Cold Work

Permit.

(h) No hot/cold work shall be undertaken without

a work permit except in the areas pre-determined and designated by the owner-in-

charge. All work permits shall be issued bythe person who is designated as responsible

person for the operation of the area where

work is to be carried out. In respect of work

permits for handling highly critical types of

work and also for long duration work such

as in construction jobs in a running

installation, the authorising level should be

elevated.

(i) The work may be planned to be done either

departmentally or through a contractor. Ineither case, the work permit should be

received and signed by the maintenance /

project /construction supervisor of the

company as he is responsible for the work

of the contractor also. Where no suchindependent

supervisor exists, for example in small

installations, the owner-in-charge can issue

the permit to the contractor's supervisor

directly and obtain his signature.

(j) Permit should be issued only for a single shift

and its validity should expire at thetermination of the shift. However, where

the work has to be continued, the samepermit may be revalidated in the succeeding

shift, by authorised person after satisfying

the normal checks.

In instances like plant turn around or an

activity where work is of continuous nature

involving round the clock activity, blanket

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(vi) Running water hose/Portable extinguisher

provided

Running water hose and portable fire

extinguisher are required respectively toflush / dilute in case of release of any

hazardous chemical or to quench sparks andto put out small fires immediately.

(vii) Fire water system checked for readiness

In order to meet any contingency, it should

be ensured that the fire water systemincluding fire water pumps, storage,

network etc. is checked and kept ready for

immediate use.

(viii) Equipment blinded / dis-connected / closed

/ isolated / wedge opened

Equipment / Vessel, on which the workpermit is being issued, should be

completely isolated from the rest of theplant with which it is connected during

normal operation, in order to ensure that

there is no change in the work environment

with respect to presence of toxic /

flammable gases, liquids, hazardous

chemicals etc. in the course of the work.

Blinding is one of the most effective waysof isolation. Blinds should be installed as

close to the vessel as possible. If lines

cannot be blinded, they should bedisconnected and the open ends should be

made safe by installing pipe caps/plugs,

blind flanges, mud packing etc.

(ix) Equipment properly drained /

depressurised

Equipment under pressure should be

depressurised after isolation.This will be

followed by draining / purging / water

flushing etc. as the case may be.

Equipment containing liquid hydrocarbonsshould be drained completely. There may

be a possibility of overlooking liquidcollected in pockets or inaccessible areas

such as level gauges, small nozzles /

bleeders on vessels, laterals in pipework

etc. All low point drains should be in

unplugged condition.

(x) Equipment properly steamed / purged

Purging of equipment (vessels, pipelines,

compressors etc.) is done to make them free

of flammable hydrocarbons and toxic gases.

Steam / Inert Gas is used for gas-freeing ofvessels and pipes in refineries and other

locations. Other means of purging is bydisplacement with water and final traces of

gas removed by air eductor. All high point

vents should be unplugged while purging.

Purging may be done continuously or in

batches to conserve purge medium. It

should be done in a systematic manner tocover the entire equipment/plant and

continued till the concentration of toxic /

flammable gas is lowered to allowable

level.

(xi) Equipment water flushed

Water flushing is an effective means ofcooling, cleaning and even gas-freeing of

equipment. It is also employed to removetraces of acids / chemicals. Equipment

metallurgy must be considered before using

sea / saline water. Sometimes, flushing with

demineralised water would be necessary

depending upon the metallurgy of the

equipment.

(xii) Gas / Oxygen deficiency test done and

found OK

Gas test includes measurement of :

(a) Hydrocarbons by Explosimeter

(b) Oxygen Deficiency by Oxygen Meter

(c) Use of Calibrated Meters

(d) Toxic gases like Hydrogen Sulphide,

Carbon Monoxide, Nickel Carbonyl,

Chlorine etc. by techniques like Indicator

Tube method, Lead Acetate Paper etc.

Measurement of lead in air is required forentering leaded tanks and personal

protective equipment shall be worn beforeentering the tank. Octel/Ethyl regulations

are to be followed while handling leaded

gasoline tanks.

Gas tests may be specified for vessel entry

including open excavation where head of a

man will be below ground level and when

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(xxii) Precaution against public traffic taken

In case hot work is to be carried out in

close proximity of a public road, for

example in the case of a trunk pipeline, itmay be desirable to block-off/divert public

traffic for the duration of the job as aprecautionary measure.

(xxiii) Clearance obtained for excavation from

Technical/ concerned departments

For any excavation work which may affectunderground sewers / telephone lines /

cables / pipelines etc., Technical Services

Dept. and / or other concerned departments,

should be consulted for obtaining the co-

ordinates and the depth to which excavation

can be resorted to, without damaging the

existing facilities. Markers should be put

around the area where excavation can bedone and the depth can be indicated in the

work permit.

(xxiv) Clearance obtained for road cutting from

Technical / Fire / concerned

departments

Since road cutting can hamper the

movement of the fire vehicles, initial

clearance should be obtained from FireDepartment and final approval from the

higher designated authorities. If the road is

wide, preferably the road should be cut halfat a time. Duration of road cut should be

restricted as far as possible.

(xxv) Clearance obtained for dyke cutting

When the dyke is cut, any mishap in the

tank farm can lead to a free flow of oil to

outside the bund. A high level authority

should be designated for authorising dyke

cutting. Further, it should be ensured that

dyke would be reconstructed in the shortest

possible time. For example, if pipes have to

be laid through the dykes, the pipes shouldbe laid quickly and plugged / capped so that

the dyke can be closed. Thereafter, balanceof pipe fabrication can continue without any

risk. Standby personnel should be available

at the work site, who should possess a

suitable size steel plate for blocking the

opening in case of mishap/tank failure. If no

work is undertaken in evening and night

shifts, invariably the gap should be closed

with steel plate and mud packing at the endof day's work.

(xxvi) Checked Flame / Spark arrestor on

mobile equipment

No vehicle / engine without flame / spark

arrestor is permitted in operating areas.

(xxvii) Checked for oil / gas trapped behind

lining in equipment

Before undertaking hot jobs, a check should

be done for oil / gas trapped behind lining

in the equipment. Many a times oil / gas

trapped behind lining depicts itself in the

form of swelling and can be confirmed byway of drilling holes.

(xxviii) Welding machine checked for safe

location

Welding machine should be located in a non-

hazardous and ventilated area. It should

have proper supervision while welding job

is in progress. It should be switched off

immediately on completion of the job.

(xxix) Checked for earthing/return connection to

the equipment being welded

Before commencing the welding job, ensure

that all the cables and earthing connections

are as per the standard welding codes /

practices.

(xxx) Oxygen and Acetylene cylinders kept

outside the vessel / tank

While performing welding / cutting jobs in

confined spaces like vessel / tank, ensure that

oxygen and acetylene cylinders are kept

outside and hoses for the gases are in goodworking condition, without any cracks or

wrinkles. Also, hoses should be tightlysecured at both the ends i.e. the torch and the

cylinder.

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(Yellow in colour)

ORIGINAL

(NAME OF COMPANY)

(LOCATION)

COLD WORK PERMIT

Sl.No.______________

AM / PM DATE AM / PM DATE

VALID FROM__________________________ TO__________________________________________

PERMISSION IS GRANTED TO SECTION/CONTRACTOR_____________________________________________

NAME__________________________________________________________________________________________

NATURE OF WORK______________________________________________________________________________

LOCATION OF WORK____________________________________________________________________________

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT

(Please put tick [ ] mark in the appropriate box)

--------------------------------------------------------------------------------------------------------------------------------------

S.No. Item Done Not Required--------------------------------------------------------------------------------------------------------------------------------------

1. Equipment / Work Area inspected [ ] [ ]

2. Surrounding area checked,cleaned [ ] [ ]

and covered

3. Equipment electrically isolated [ ] [ ]and tagged

4. Running water hose / Portable [ ] [ ]

extinguisher provided

5. Equipment blinded/disconnected / [ ] [ ]

closed / isolated / wedge opened

6. Equipment properly drained / [ ] [ ]

depressurised

7. Equipment water flushed [ ] [ ]

8. Equipment properly steamed / [ ] [ ]

purged

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(Yellow in colour)

Permit Extended upto SignaturesAdditional precautions

--------------------------- required, if any -------------------------------------

Date Time Issuer Receiver

------------------------------------------------------------------------------------------------------------------------------------------------

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

AM / PM DATE

WORK COMPLETED/STOPPED/AREA CLEARED AT ____________________________________

By___________________ By__________________________ Signature Signature

_____________________ __________________________

(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

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9. Iron Sulphide removed / kept wet [ ] [ ]

(White in colour)

10. Proper ventilation and [ ] [ ]lighting provided

11. Gas test done , found [ ] [ ]

gas free

12. Area cordoned off [ ] [ ]

(minimum 15m in case of

radiography)

13. Standby personnel provided [ ] [ ]

from Process / Maint. /

Contractor/Fire Deptt.

14. Radio-isotopes kept under [ ] [ ]

safe containers

-------------------------------------------------------------------------------- ---------------------------------------------------------------

SPECIAL INSTRUCTIONS

1. Following personal protective equipment are required (check all items required) :

Safety Helmet / Gloves / Goggles / Safety Shoes / Boiler Suit/ Welding Suit / Dust Respirator / Face Shield /

Fresh Air Mask/Apron / Lifeline / Safety Belt / Airline /Film Badges / Dosimeter.

2. In case of fire alarm, all work must be stopped. All personnel must leave work site and proceed to designated

areas.

3. Remarks on toxic/hazardous chemicals, if any:___________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

4. Alternate means of escape available/provided/not required.

5. This permit must be available at work site at all times.

6. Additional items, if any:_____________________________________________________________________

________________________________________________________________________________________

Name and_____________________ Name and_______________________

Signature of Receiver__________ Signature of Issuer____________

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(White in colour)

Permit Extended upto Signatures

Additional precautions

--------------------------- required, if any -------------------------------------

Date Time Issuer Receiver

------------------------------------------------------------------------------------------------------------------------------------------------

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

AM / PM DATE

WORK COMPLETED/STOPPED/AREA CLEARED AT ____________________________________

By___________________ By__________________________

Signature Signature

_____________________ __________________________



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(Pink in colour)

ORIGINAL

(NAME OF COMPANY)

(LOCATION)

HOT WORK/ VESSEL ENTRY/ VESSEL BOX-UP/ EXCAVATION

PERMIT


VALID FROM_____________________________ TO__________________________________

PERMISSION IS GRANTED TO SECTION/CONTRACTOR____________________________________________

NAME_________________________________________________________________________________________

NATURE OF WORK_____________________________________________________________________________

LOCATION OF WORK___________________________________________________________________________


(Please put tick [ ] mark in the appropriate box)-----------------------------------------------------------------------------------------------------------------------------------------------

S.No. Item Done Not required-----------------------------------------------------------------------------------------------------------------------------------------------


2. Surrounding area checked/cleaned [ ] [ ]

up: oil/ rags/grass etc. removed

3. Sewers , manholes , CBD etc. and [ ] [ ]

hot surfaces nearby covered

4. Considered hazard from other [ ] [ ]

routine / non-routine operations

and concerned persons alerted

5. Equipment electrically isolated [ ] [ ]

and tagged

6. Fire water hose / Portable [ ] [ ]


7. Fire water system checked for [ ] [ ]

readiness

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8. Equipment blinded/disconnected/ [ ] [ ]


(Pink in colour)

9. Equipment properly drained / [ ] [ ]depressurised

10. Equipment properly steamed/purged [ ] [ ]


12. Gas / Oxygen deficiency test [ ] [ ]

done and found OK

13. Shield against sparks provided [ ] [ ]

14. Proper ventilation and lighting [ ] [ ]

provided

15. Proper means of exit provided [ ] [ ]

16. Precautionary tags / boards [ ] [ ]

provided

17. Portable equipment / nozzles [ ] [ ]

properly grounded

18. Standby personnel provided for [ ] [ ]

vessel entry


fire watch from Process/Maint./Contractor / Fire Deptt.

20. Iron Sulphide removed/ kept wet [ ] [ ]


22. Precautions against public [ ] [ ]

traffic taken

23. Clearance obtained for excavation [ ] [ ]

from Technical/concerned deptts.

24.* Clearance obtained for road [ ] [ ]cutting from Technical / Fire /

concerned deptts.

25.* Clearance obtained for dyke [ ] [ ]

cutting

26. Checked Flame / Spark arrestor [ ] [ ]

on mobile equipment

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27. Checked for oil / gas trapped [ ] [ ]

behind lining in equipment

(Pink in colour)

28. Welding machine checked for [ ] [ ]

safe location

29. Check for earthing / return [ ] [ ]

connection to the equipment

being welded

30. Oxygen and Acetylene cylinders [ ] [ ]

kept outside the vessel/tank

------------------------------------------------------------------------------------------------------------------------------------------------

Note: For Items marked (*), clearance to be obtained from higher designated authority.


1. Following personal protective equipment are required

(Check all items required) :

Safety Helmet / Gloves / Goggles / Safety Shoes / Boiler Suit /Welding Suit, Dust Respirator/Face

Shield/Face Shield/ Fresh Air Mask/Apron/Life line/Safety Belt.

2. In case of fire alarm, all work must be stopped and running fire water must be closed. All personnel must

leave work site and proceed to designated areas.

3. In case of liquid / gas release, stop work and immediately advise concerned Operation Personnel.

4. Only certified vehicles/engines and permitted type of electrical equipment and tools are allowed in operating

areas.

5. Ensure proper grounding/earthing/insulation of cables.

6. For hot tapping, ensure continuous/sufficient flow in the line.

7. This permit must be available at the work site at all times.

8. No hot work shall be permitted unless the Explosimeter reading is zero.

9. Vessel entry, where no hot work is to be carried out, may be permitted if combustible gases are up-to 5% of

lower explosive limit (LEL). Entry with an air supplied mask may be permitted with LEL of upto 50%. Theoxygen level should be at least 19.5 % vol. and the concentration of toxic gases below the threshold limits.

10. Additional remarks, if any:___________________________________________________________________

________________________________________________________________________________________

Name and__________________________ Name and __________________________

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Signature of Receiver________________ Signature of Issuer____________________

Pink in colour

________________________________________________________________________________________________

GAS TEST(HYDROCARBON/ PERMIT ADDITIONALTOXIC GAS/OXYGEN EXTENDED PRECAUTIONS SIGNATURES

DEFICIENCY)DONE UPTO REQD.,IF ANY

-----------------------------------------------------------------------------------------------------------------------------------------------

DATE/ TAKEN TEST DATE/ ISSUER RECEIVER

TIME BY VALUE TIME

-----------------------------------------------------------------------------------------------------------------------------------------------INITIAL GAS

TEST

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

________________________________________________________________________________________________

NOTE: HOT WORK INCLUDES WELDING, BURNING, GRINDING, SOLDERING, SAND BLASTING,

CHIPPING, RIVETING, DRILLING, CAMERA FLASHING, POWER TOOLS, IC ENGINE

OPERATIONS/ENTRY, OPEN FLAME, VEHICLE ENTRY.

AM / PM DATEWORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________



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(White in colour)

DUPLICATE

(NAME OF COMPANY)

(LOCATION)


PERMIT


VALID FROM_____________________________ TO__________________________________


NAME_________________________________________________________________________________________

NATURE OF WORK_____________________________________________________________________________

LOCATION OF WORK___________________________________________________________________________



-----------------------------------------------------------------------------------------------------------------------------------------------S.No. Item Done Not required

-----------------------------------------------------------------------------------------------------------------------------------------------









5. Equipment electrically isolated [ ] [ ]and tagged




readiness

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(White in colour)


depressurised



12. Gas / Oxygen deficiency test [ ] [ ]done and found OK



provided


16. Precautionary tags / boards [ ] [ ]provided


properly grounded


vessel entry


fire watch from Process/Maint./

Contractor / Fire Deptt.




traffic taken



24.* Clearance obtained for road [ ] [ ]

cutting from Technical / Fire /concerned deptts.


cutting


on mobile equipment

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(White in colour)

28. Welding machine checked for [ ] [ ]safe location



being welded


kept outside the vessel/tank

------------------------------------------------------------------------------------------------------------------------------------------------



1. Following personal protective equipment are required(Check all items required) :






4. Only certified vehicles/engines and permitted type of electrical equipment and tools are allowed in operatingareas.






lower explosive limit (LEL). Entry with an air supplied mask may be permitted with LEL of upto 50%. The

oxygen level should be at least 19.5 % vol. and the concentration of toxic gases below the threshold limits.


________________________________________________________________________________________

Name and__________________________ Name and __________________________

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( White in colour)

________________________________________________________________________________________________GAS TEST(HYDROCARBON/ PERMIT ADDITIONAL

TOXIC GAS/OXYGEN EXTENDED PRECAUTIONS SIGNATURES

DEFICIENCY)DONE UPTO REQD.,IF ANY

-----------------------------------------------------------------------------------------------------------------------------------------------

DATE/ TAKEN TEST DATE/ ISSUER RECEIVER

TIME BY VALUE TIME-----------------------------------------------------------------------------------------------------------------------------------------------

INITIAL GAS

TEST

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

________________________________________________________________________________________________




AM / PM DATE

WORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________



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(White in colour)

TRIPLICATE

(NAME OF COMPANY)

(LOCATION)


PERMIT


VALID FROM_____________________________ TO__________________________________


NAME_________________________________________________________________________________________

NATURE OF WORK_____________________________________________________________________________

LOCATION OF WORK___________________________________________________________________________



-----------------------------------------------------------------------------------------------------------------------------------------------

S.No. Item Done Not required

-----------------------------------------------------------------------------------------------------------------------------------------------










and tagged




readiness



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(White in colour)


depressurised




done and found OK



provided




properly grounded


vessel entry






traffic taken




cutting from Technical / Fire /

concerned deptts.


cutting


on mobile equipment



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(White in colour)




being welded


kept outside the vessel/tank------------------------------------------------------------------------------------------------------------------------------------------------



1. Following personal protective equipment are required(Check all items required) :






4. Only certified vehicles/engines and permitted type of electrical equipment and tools are allowed in operating

areas.









________________________________________________________________________________________

Name and__________________________ Name and __________________________


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(White in colour)

QUADRUPLICATE

(NAME OF COMPANY)

(LOCATION)


PERMIT


VALID FROM_____________________________ TO__________________________________


NAME_________________________________________________________________________________________

NATURE OF WORK_____________________________________________________________________________

LOCATION OF WORK___________________________________________________________________________



-----------------------------------------------------------------------------------------------------------------------------------------------

S.No. Item Done Not required

-----------------------------------------------------------------------------------------------------------------------------------------------










and tagged




readiness



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(White in colour)


depressurised




done and found OK



provided




properly grounded


vessel entry






traffic taken




cutting from Technical / Fire /

concerned deptts.


cutting


on mobile equipment



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(White in colour)




being welded


kept outside the vessel/tank------------------------------------------------------------------------------------------------------------------------------------------------



1. Following personal protective equipment are required

(Check all items required) :

Safety Helmet / Gloves / Goggles / Safety Shoes / Boiler Suit /Welding Suit, Dust Respirator/FaceShield/Face Shield/ Fresh Air Mask/Apron/Life line/Safety Belt.




4. Only certified vehicles/engines and permitted type of electrical equipment and tools are allowed in operatingareas.









________________________________________________________________________________________

Name and__________________________ Name and __________________________


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(White in colour)

________________________________________________________________________________________________

GAS TEST(HYDROCARBON/ PERMIT ADDITIONAL

TOXIC GAS/OXYGEN EXTENDED PRECAUTIONS SIGNATURESDEFICIENCY)DONE UPTO REQD.,IF ANY

-----------------------------------------------------------------------------------------------------------------------------------------------DATE/ TAKEN TEST DATE/ ISSUER RECEIVER

TIME BY VALUE TIME

-----------------------------------------------------------------------------------------------------------------------------------------------

INITIAL GAS

TEST

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------________________________________________________________________________________________________




AM / PM DATEWORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________



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8.0 REFERENCES

(i) Work Permit Systems in India and abroad.

(ii) Oil Mines Regulations 1984.

20468421 work permit system

Documents