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  • Excavation Work Permit

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    Khadar Basha
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    This excavation work permit details the project, contractor, supervisor, and hazards associated with excavation work taking place from [DATE] at [LOCATION]. It outlines 16 safety precautions and requirements that must be met, including inspection of adjacent areas, protection of loose materials, clearance of equipment, barriers around excavations, utility location, inspection after rain, and emergency preparedness. The contractor's authorized person and a Colliers representative must confirm the listed precautions are followed before the permit is issued to authorize the one shift of work.

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    This excavation work permit details the project, contractor, supervisor, and hazards associated with excavation work taking place from [DATE] at [LOCATION]. It outlines 16 safety precautions and requirements that must be met, including inspection of adjacent areas, protection of loose materials, clearance of equipment, barriers around excavations, utility location, inspection after rain, and emergency preparedness. The contractor's authorized person and a Colliers representative must confirm the listed precautions are followed before the permit is issued to authorize the one shift of work.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    1K views1 page

    Excavation Work Permit

    Uploaded by

    Khadar Basha
    This excavation work permit details the project, contractor, supervisor, and hazards associated with excavation work taking place from [DATE] at [LOCATION]. It outlines 16 safety precautions and requirements that must be met, including inspection of adjacent areas, protection of loose materials, clearance of equipment, barriers around excavations, utility location, inspection after rain, and emergency preparedness. The contractor's authorized person and a Colliers representative must confirm the listed precautions are followed before the permit is issued to authorize the one shift of work.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Excavation Work Permit

    Project Name: Location

    Contractor Name: Trade

    Supervisor Name: Permit No. ExWP/

    Details of Excavation Date : ________/________/20______


    and Purpose:
    Permission Time

    Permit Valid from: am/pm

    Permit up to: am/pm

    Hazards are associated with this work: Yes No NA Hazards are associated with this work: Yes No NA
    Vehicle Movement Utilities/ Overhead Electric Cables
    Unguarded Edges Uneven Floor Surfaces
    Manual Handling of Loads Falling Objects / Debris
    Lack of Space Hazardous Atmosphere
    DESCRIPTION OF RISK YES NA COMMENTS & ACTIONS
    1 Design and method of excavation approved from the consultant according to risk.
    Adjacent areas and protective systems inspected & ensured by a competent person before the
    2
    start of work.
    3 Protection arrangements done on loose rock/soil that could pose a hazard by falling into
    excavation.
    4 Materials, and equipment set back at least 2mtr from the edge.
    5 Physical Barriers provided at all located excavations, wells, pits, shafts… etc.
    Warning system established and utilized for mobile equipment operating at edge of excavation.
    6

    7 Utility companies contacted and/or utilities located. Exact location of utilities marked.
    8 Underground utility, installations identified & protected, supported, or removed.
    Energized electrical systems (at underground and overhead) are de-energized (locked out)
    9

    Surface water or runoff diverted or controlled to prevent accumulation in the excavation.


    10

    11 Inspections are made after every rainstorm or other hazard increasing occurrence.
    Adequate precautions adopted for personnel from exposure to an oxygen deficiency,
    12
    combustible/harmful contaminant exposure and/or to other hazardous atmospheres.
    13 Emergency preparedness plan & requirements readily available.
    Materials and equipment of support systems selected based on soil analysis, trench depth and
    14
    expected loads.
    15 Plant and Equipment's inspected & verified for the job and in good condition.
    Protective systems installed without exposing personnel to the hazards of cave-ins, collapses,
    16
    or threat of being struck by materials or equipment.
    Does the work involve any of the following? Yes / No - (If Yes, use appropriate permits in addition)
    Hot Work Work at height Isolation (LOTO) Confined Space
    In the event an emergency, call (Phone):
    CONTRACTOR AUTHORISED PERSON (i.e.Site Eng. / Supervisor) - (PERMIT GENERATOR )
    Requesting and confirming by contractor’s representative: I confirm that the precautions specified above is complied with and the persons
    carrying out the work are fully briefed on the safe method of work.
    Name Signature Date

    CONTRACTOR COMPETENT PERSON WITH COLLIERS REPRESENTATIVE (i.e.Site Eng. / Manager) - (PERMIT ISSUER)
    Confirmation:
    I understand and certify that the precautions are adopted for excavation work according to above check points and approved SWMS.
    Name Signature Date

    Name Signature Date

    1. This completed Excavation Work Permit is to be hanged at the work to be conducted and along with approved SWMS.
    Note: 2. The work cannot be allowed, if the permit is not signed from authorized person.
    3. The Permit is valid for one shift / for 8hrs, If the work extends beyond the shift, new permit to be generated.

    V01: 22-03-2021 Page 1 Work Permits.xlsx

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