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CWP Cert PDF
CWP Cert PDF
PERMIT REQUEST (JOB ORIGINATOR - JO / JOB PERFORMER - JP) PTW No: PTW-2018-908492
ADCO Area: NEB Emergency Number: 02-6046999
Exact Location of Work: CORRIDOR A1,ISOLATION JOINT-03
Anticipated Start 06:30 Hrs Date: 31/12/2018 Finish 17:30 Hrs Date: 07/01/2019 No. Of Days 8
A. Hazards Identified
B. Additional Certificates/Permits
This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492
C. Work Site Precautions (Required)
Body rescue stick Eye wash / body shower H2S Personal Monitor ;
Breathing apparatus sets (SCBA) Face screen / shaded glasses for Impervious disposal coverall (For
welding NORM)
Chemical mask Face shield Lifeline & harness for rescue
Chemical resistant apron (battery room) FFP3 Mask (For NORM) Mandatory standard PPE ;
Dosimeters for radiation Full body safety harness ; Safety glasses ;
Dust mask ; Full chemical suit Shielding for radiation
Ear protection Gloves Welder's suit
Normal cotton gloves ;
This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492
Precautions AA IA
Goggles
Other Precautions
E. Approval
Asset:
Section:
Gas test ; Gas test to be repeated every Hrs Continuous gas testing required Yes No
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Job Performer
Initial
I have personally checked the work requirement and precautions identified by the Area Authority, I have discussed these with the Job Performer and
I certify that the work site is safe for the requested work proceed.
Approved start of work date Time Hrs
This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492
Job Performer (JP)
I will abide by the conditions /precautions stated in this permit, and I will conduct a tool box talk prior to commencing the work covering the hazards and
safety precautions required.
Name (JP) Prakasan Thadathil
Signature Date :
Note: This permit is automatically suspended in case of emergency, at the end of working day, or if the conditions
mentioned in this permit change. On suspension, the permit must be returned to the Permit Office.
REVALIDATION
1 2 3 4 5 6 7
IA Revalidation
Date
Time Of Issue
GAS TESTING
Date Time Oxygen (19.5-22.5%) Combustibles (<5% LEL) H2S (<10ppm) Name
SITE VISIT
This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492