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Utico Utico: Permit To Work On Tower Crane

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sami gorsi

This document is a permit to work on a tower crane that requires filling out sections with details of the personnel involved, activities, safety checks, and approvals. It collects information such as the project name, permit number, date, time, crane details, names and designations of personnel, type of activity, safety checks like training and PPE, and signatures for approval from the work in-charge, podium manager, and UTICO representative issuing the permit. Upon completion, the permit is valid for a specified time period and date.

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© All Rights Reserved
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Utico Utico: Permit To Work On Tower Crane

Uploaded by

sami gorsi
27 views2 pages
This document is a permit to work on a tower crane that requires filling out sections with details of the personnel involved, activities, safety checks, and approvals. It collects information such as the project name, permit number, date, time, crane details, names and designations of personnel, type of activity, safety checks like training and PPE, and signatures for approval from the work in-charge, podium manager, and UTICO representative issuing the permit. Upon completion, the permit is valid for a specified time period and date.

Original Description:

tower crane Inspection checklist

Original Title

005 Tower Crane

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© © All Rights Reserved

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This document is a permit to work on a tower crane that requires filling out sections with details of the personnel involved, activities, safety checks, and approvals. It collects information such as the project name, permit number, date, time, crane details, names and designations of personnel, type of activity, safety checks like training and PPE, and signatures for approval from the work in-charge, podium manager, and UTICO representative issuing the permit. Upon completion, the permit is valid for a specified time period and date.

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
27 views2 pages

Utico Utico: Permit To Work On Tower Crane

Uploaded by

sami gorsi
This document is a permit to work on a tower crane that requires filling out sections with details of the personnel involved, activities, safety checks, and approvals. It collects information such as the project name, permit number, date, time, crane details, names and designations of personnel, type of activity, safety checks like training and PPE, and signatures for approval from the work in-charge, podium manager, and UTICO representative issuing the permit. Upon completion, the permit is valid for a specified time period and date.

Copyright:

© All Rights Reserved
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Utico

Section I, II (To be Filled by Work-In Charge)


PERMIT TO WORK ON TOWER CRANE UTICO/TC/005
REV. 0

Project: Tower Crane Details


Permit No: Name of Company :
Date: Location / Area(To be Precise) :

Time: Hrs Type of Crane or No.

Section I
Details of Personnel
Induction
No. Name Designation Signature

Kind of Activity (To be precise)

Section II
YES NO N/A

A) The above teams are fully trained, competent and aware of activity.

B) Personnel are aware of Method Statement and Risk Assessment.

C) Personnel are equipped with Personal Protective Equipment required for activity.

D) Wind speed is below the speed recommended by the manufacture.

E) Affected area barricaded, caution signs placed and watcher provided

F) Hot work permit taken for hot works.

G) Work permit (Shaft etc) where applicable taken.

  UTICO.  Subcontractor Risk Assessment No. …………………….. Dated …………………… was addressed to the
team and work in-charge on (Date)……………….. , and they are fully aware of the same.

Foreman or Work in charge:

Name: ............................................................... Signature: ......................................................... Contact No ……………………………..

Section III Permission from podium (Where applicable)

Podium Manager / Engineer (Name): …………………………………………………… Signature:


………………………………….

Section IV Permits Issued By ( UTICO)

Name: ........................................................ Designation: …………………………….. Signature: …………………………………….

Date: ........................................................ Time: ……………….. Hrs

This permit is valid up to - Time: ………… Hrs On Date: ………………………....

Revised on Page 1 of 2
Revised on Page 2 of 2

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