OISD-STANDARD-105

Amended Edition
July 1998

FOR RESTRICTED
CIRCULATION

WO R K PE R M IT SYSTE M

Prepared by

COMMITTEE ON

REVISION OF WORK PERMIT SYSTEM

Oil Industry Safety Directorate

II Floor, Kailash
26, Kasturba Gandhi Marg
 New Delhi - 110 001

NOTE

OISD publications are prepared for use in the oil and gas industry under Ministry of
Petroleum & Natural Gas. These are the property of Ministry of Petroleum & Natural Gas
and shall not be reproduced or copied or loaned or exhibited to others without a written
consent from OISD.

Though every effort has been made to assure the accuracy and reliability of the data contained
in these documents, OISD hereby expressly disclaims any liability or responsibility for loss of
damage resulting from their use.

These documents are intended to supplement rather than replace the prevailing statutory
requirements.

2
 FOREWORD

The oil industry in India is over 100 years old. As such, various practices have been in vogue
because of collaboration/association with different foreign companies and governments.
Standardisation in design philosophies and operating and maintenance practices at a national level
was hardly in existence. This, coupled with feed back from some serious accidents that occurred
in the recent past in India and abroad, emphasised the need for the industry to review the existing
state of art in designing, operating and maintaining oil and gas installations.

With this in view, the Ministry of Petroleum and Natural Gas in 1986 constituted a Safety Council
assisted by the Oil Industry Safety Directorate (OISD), staffed from within the industry,
formulating and implementing a series of self regulatory measures aimed at removing
obsolescence, standardising and upgrading the existing standards to ensure safer operations.
Accordingly, OISD constituted a number of functional committees comprising of experts
nominated from the industry to draw up standards and guidelines on various subjects.

The first document on "Work Permit System" was prepared in February 1988 by the Functional
Committee on "Process Design and Operating Philosophies" based on the accumulated knowledge
and experience of industry members and various national and international codes and practices.
The experience gained during its application has been very helpful in amending the first
document. The amended document incorporates permit system for Radiography also. The role of
the Safety Officer has also been clarified in this edition.

This document will be reviewed periodically for improvements based on the experience and better
understanding.

Suggestions from industry members may be addressed to :

The Coordinator,
Committee on "Revision of Work Permit System",
Oil Industry Safety Directorate,
II Floor, Kailash,
26, Kasturba Gandhi Marg
New Delhi - 110 001

3
 COMMITTEE

ON

PROCESS DESIGN AND OPERATING PHILOSOPHIES

(First Edition - February 1988)

----------------------------------------------------------------------------------------------------------------------------------
NAME ORGANISATION
----------------------------------------------------------------------------------------------------------------------------------

LEADER

Shri T.C.Varghese Hindustan Petroleum Corporation Limited

MEMBERS

Shri V.S.Save Hindustan Petroleum Corporation Limited

Shri G.Raghunathan Hindustan Petroleum Corporation Limited

Shri S.V.Puthli Hindustan Petroleum Corporation Limited

Shri N.Lal Oil & Natural Gas Corporation Limited

Shri V.K.Ramesh Oil & Natural Gas Corporation Limited

Shri M.N.Gogoi Oil India Limited

Shri M.A.Sreekumar Cochin Refineries Limited

CO-OPTED MEMBERS

Shri A.Sinha Oil India Limited

Shri A.Varadarajan Madras Refineries Limited

MEMBER CO-ORDINATOR

Shri B.K.Trehan Oil Industry Safety Directorate

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

(In addition to the above, several other experts from industry contributed in the preparation,
review and finalisation of this document).

4
 COMMITTEE

ON

REVISION OF WORK PERMIT SYSTEM

(Amended Edition - July 1998)

NAME ORGANISATION
________________________________________________________________________________________________

LEADER

Shri T.K.Anjaneyulu Hindustan Petroleum Corporation Limited,

(Refinery)

MEMBERS

Shri R.N.Sharma Indian Oil Corporation Limited,

(R&P Division)

Shri T.S.Raghavan Madras Refineries Limited

Shri E.Nandakumar Cochin Refineries Limited

Shri K.V.Seshadri Bharat Petroleum Corporation Limited,

(Refinery)

Shri K.V.Moorthy Oil & Natural Gas Corporation Limited

Shri A.K.Sharma Bongaigaon Refinery & Petrochemicals

Limited

MEMBER CO-ORDINATOR

Shri S.N.Mathur Oil Industry Safety Directorate

________________________________________________________________________________________________

(In addition to the above, several other experts from industry contributed in the preparation,
review and finalisation of this document).

5
 WORK PERMIT SYSTEM

CONTENTS

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

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

6
 WORK PERMIT SYSTEM

1.0 INTRODUCTION air - hydrocarbon mixture or a flammable

substance.
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, b) Cold Work : Cold Work is an activity which
types of permits, responsibilities, check does not produce sufficient heat to ignite a
lists, validity etc. The success of a Work flammable air- hydrocarbon mixture or a
Permit System depends upon the training, flammable substance.
motivation and participation of all
individuals concerned with its 4.0 TYPE OF WORK PERMITS
implementation. Since several maintenance/
construction jobs are often carried out with Based on the nature, the work shall be
assistance from contractors, it is essential to undertaken either under Hot Work Permit or
provide sufficient exposure to contractor Cold Work Permit, for which formats are
and his employees as well. exhibited in pages 17-38. Explanatory notes
to check-list items of the formats are
If the work has to be performed in a provided under Section 7.0.
hydrocarbon processing/ handling
installation by any person other than the The two types of permits, one for cold work
operating personnel of that area, a duly and the other for hot work are the minimum
authorised written permit shall be obtained requirements which must be fulfilled before
by the person/agency executing the work commencing work. For jobs like
before commencement of the work. excavation, road/dyke cutting, electrical
However, even for operating personnel, lockout / energising etc., where the work
when work has to be performed outside permit issuing authority may have to take
their normal routine, an exclusive permit to clearances from other sections/ personnel,
that effect by the authorised person shall be organisations may introduce supplementary
obtained. formats for these purposes, if they consider
it necessary. Format for electrical lockout/
2.0 SCOPE energising is given in OISD-STD-137 on
"Inspection of Electrical Equipment".
The Work Permit System shall cover all
hydrocarbon processing / handling Radiography must be carried out when
installations such as onshore /offshore occupancy is least. For precautions to be
processing platforms, gas treating units, taken during radiography, refer OISD-STD-
crude oil terminals, refineries, pipelines, 155 on "Personal Protective Equipment".
marketing installations and LPG bottling
plants. In addition to the regular work permit,
supplementary permits as required by the
3.0 DEFINITIONS local statutory bodies are also to be issued.

a) Hot Work : Hot Work is an activity which may

produce enough heat to ignite a flammable
5.0 PROCEDURE FOR WORK PERMIT Following is the procedure for the
SYSTEM implementation of Work Permit System :

7
(a) The Work Permit System shall always
operate on "Owner - In-charge" concept. The Safety Officer/Fire Officer / Officer
(Example: Process Unit-Shift In-charge; authorised will make periodic check of the
Laboratory-Chief Chemist; Depot-Depot Hot Work Sites and see that the work is
Manager; Pipelines Installation- Shift In- being carried out as per conditions laid
charge). The concerned management shall down in the Hot Work Permit. At any point
issue the appropriate authority limits for of time, if he considers that the conditions
various installations and type of permits are not safe enough for the work, he may
based on this concept. suspend the work and inform the Work
Permit Issuing Authority to restore the safe
(b) The permit shall be in printed form. conditions so that work can be restarted.

(c) Separate forms shall be used for Hot Work (g) For simplification of procedure, Hot Work
and Cold Work. Permit also covers permission for vessel
entry, vessel boxing-up and excavation. All
(d) A system of colour coding is recommended activities outside the scope of Hot Work
to identify two types of permits. The Permit shall be covered by Cold Work
recommended colours are pink for Hot Permit.
Work Permit and yellow for Cold Work
Permit. All permits shall be serially (h) No hot/cold work shall be undertaken
numbered. without a work permit except in the areas
pre-determined and designated by the
(e) Hot Work Permit shall be in four copies. owner-in-charge. All work permits shall be
The original shall be in pink colour and issued by the person who is designated as
other copies shall have the word "COPY" responsible person for the operation of the
printed in large pink letters. area where work is to be carried out. In
respect of work permits for handling highly
Cold Work Permit shall be in two copies. critical types of work and also for long
The Original shall be in yellow colour and duration work such as in construction jobs
the copy shall have the word "COPY" in a running installation, the authorising
printed in large yellow letters. level should be elevated.

(f) It is recommended that both Hot Work (i) The work may be planned to be done either
Permit as well as Cold Work Permit be departmentally or through a contractor. In
made in the form of books with tear-off either case, the work permit should be
facility. In the case of Hot Work Permit, the received and signed by the maintenance /
authorised Original copy shall be given to project /construction supervisor of the
the receiver, the Duplicate to the Fire company as he is responsible for the work
Section, Triplicate to Safety Section and of the contractor also. Where no such
Quadruplicate retained in the book. In case independent
of Cold Work Permit, the authorised supervisor exists, for example in small
Original shall be issued to the receiver, installations, the owner-in-charge can issue
retaining the Duplicate in the book. the permit to the contractor's supervisor
directly and obtain his signature.
It is recommended that plot plans of the
installation and the operating blocks should (j) Permit should be issued only for a single
be displayed in the Fire and concerned Unit shift and its validity should expire at the
Control Rooms respectively and site of hot termination of the shift. However, where the
jobs under progress should be indicated on work has to be continued, the same permit
these plot plans with red pins. This helps may be revalidated in the succeeding shift,
the incoming supervisor /s (both in Fire and by authorised person after satisfying the
Operating Departments) to get a quick idea normal checks.
of the hot jobs being undertaken and help in
identifying the areas which require In instances like plant turn around or an
inspection / attention, depending upon the activity where work is of continuous nature
criticality of the area and the job. involving round the clock activity, blanket

8
 Hot Work Permit could be given if the
owner-in-charge is fully satisfied that the (i) Equipment / Area inspected
conditions are totally safe for the multiple
jobs to be performed. But this should not be Equipment or area where work is to be
resorted to, especially in highly integrated conducted, should be inspected to ensure
units. that it is safe to carry out the work and
assess other safety requirements /
Even when construction activity has to be stipulations. In case of vessel box-up
undertaken in non-operating areas in permit, it should be ensured that the work is
integrated units, it is recommended that complete, all personnel are out, no
approval be obtained from designated maintenance gear is left behind and debris
senior management for issuing blanket Hot removed.
Work Permit.

(k) As a pre-requisite to issue permit, (ii) Surrounding area checked / cleaned

particularly in the case of hot work/vessel
entry permit, gas test for hydrocarbons / Unsafe conditions for performance of work
oxygen deficiency / toxic gases shall be may arise from surrounding area. It should
conducted as applicable. be cleaned-up to remove flammable
material such as oil, rags, grass etc.
(l) Where gas-free conditions are not fully
ensured for the duration of hot work, a
system of monitoring either by automatic or (iii) Sewers, Manholes, CBD etc. and Hot
by manual periodic verification shall be Surfaces covered
resorted to depending upon the prevalent
conditions of the operating area. Flammable gases may be released from
nearby sewers. Hot un-insulated
(m) After completion or stoppage of the job, the surfaces/pipelines may provide a source of
person to whom the permit was issued, ignition. Therefore, these are to be properly
should thoroughly check the area for covered to prevent fires.
clearing of debris, removal of temporary
electrical installations etc. and then shall (iv) Considered hazard from other routine /
sign the work permit and return it to the non-routine operations and persons
issuer. alerted

(n) The issuer on receiving back the permit Other activities (routine / non-routine)
would satisfy himself regarding completion being carried out near-by which can create
of the job and that the area has been conditions unsafe for performance of the
cleaned. Then he shall also sign the permit permit work, should be taken into
and keep the records for one month. consideration and the concerned persons
should be alerted accordingly.
6.0 SPECIMEN WORK PERMIT FORMS
(v) Equipment electrically isolated and
Specimen Work Permit forms for the two tagged
types of the permits illustrating the
suggested colour code, layout and size are Before issuing permit for mechanical /
exhibited in pages 17-38. electrical work in the operating area, it
should be ensured that electrical switches
7.0 EXPLANATORY NOTES TO WORK are locked-out and cautionary tags duly
PERMIT FORMS signed with date and time are attached.
Wherever local locking arrangement is
The check-listed items in the Work Permit provided in the field, the same should be
Forms are elaborated below to amplify the used. Refer format for electrical lockout /
underlying concepts and highlight their energising given in OISD-STD-137 on
significance: "Inspection of Electrical Equipment".

9
(vi) Running water hose/Portable (x) Equipment properly steamed / purged
extinguisher provided
Purging of equipment (vessels, pipelines,
Running water hose and portable fire compressors etc.) is done to make them free
extinguisher are required respectively to of flammable hydrocarbons and toxic gases.
flush / dilute in case of release of any Steam / Inert Gas is used for gas-freeing of
hazardous chemical or to quench sparks and vessels and pipes in refineries and other
to put out small fires immediately. locations. Other means of purging is by
displacement with water and final traces of
(vii) Fire water system checked for gas removed by air eductor. All high point
readiness vents should be unplugged while purging.
Purging may be done continuously or in
In order to meet any contingency, it should batches to conserve purge medium. It
be ensured that the fire water system should be done in a systematic manner to
including fire water pumps, storage, cover the entire equipment/plant and
network etc. is checked and kept ready for continued till the concentration of toxic /
immediate use. flammable gas is lowered to allowable
level.
(viii) Equipment blinded / dis-connected /
closed / isolated / wedge opened (xi) Equipment water flushed

Equipment / Vessel, on which the work Water flushing is an effective means of

permit is being issued, should be cooling, cleaning and even gas-freeing of
completely isolated from the rest of the equipment. It is also employed to remove
plant with which it is connected during traces of acids / chemicals. Equipment
normal operation, in order to ensure that metallurgy must be considered before using
there is no change in the work environment sea / saline water. Sometimes, flushing with
with respect to presence of toxic / demineralised water would be necessary
flammable gases, liquids, hazardous depending upon the metallurgy of the
chemicals etc. in the course of the work. equipment.

Blinding is one of the most effective ways (xii) Gas / Oxygen deficiency test done and
of isolation. Blinds should be installed as found OK
close to the vessel as possible. If lines
cannot be blinded, they should be Gas test includes measurement of :
disconnected and the open ends should be
made safe by installing pipe caps/plugs, (a) Hydrocarbons by Explosimeter
blind flanges, mud packing etc.
(b) Oxygen Deficiency by Oxygen Meter
(ix) Equipment properly drained /
depressurised (c) Use of Calibrated Meters

Equipment under pressure should be (d) Toxic gases like Hydrogen Sulphide,
depressurised after isolation.This will be Carbon Monoxide, Nickel Carbonyl,
followed by draining / purging / water Chlorine etc. by techniques like Indicator
flushing etc. as the case may be. Tube method, Lead Acetate Paper etc.

Equipment containing liquid hydrocarbons Measurement of lead in air is required for

should be drained completely. There may be entering leaded tanks and personal
a possibility of overlooking liquid collected protective equipment shall be worn before
in pockets or inaccessible areas such as entering the tank. Octel/Ethyl regulations
level gauges, small nozzles / bleeders on are to be followed while handling leaded
vessels, laterals in pipework etc. All low gasoline tanks.
point drains should be in unplugged
condition. Gas tests may be specified for vessel entry
including open excavation where head of a

10
 man will be below ground level and when provided like "No Entry" sign on roads or
hot work is being carried out. The person "Caution-Men at Work Inside" on the
carrying out gas test must wear proper manhole of a vessel.
protective gear.

No hot work shall be permitted unless the (xvii) Portable equipment / Hose nozzles
Explosimeter reading is zero. properly grounded

Vessel entry, where no hot work is to be As a precaution against static electricity

carried out, may be permitted if generation, portable equipment / hose
combustible gases are up-to 5% of lower nozzles e.g. nozzle of a shot / sand blasting
explosive limit (LEL). Entry with an air gun, are to be grounded. Use of
supplied mask may be permitted with hydrocarbon lines for earthing should be
LEL of upto 50%. avoided.

The oxygen level should be at least 19.5 % (xviii) Standby person provided for vessel
vol. and the concentration of toxic gases entry
below the threshold limits.
Whenever a person is entering a vessel or
(xiii) Shield against sparks provided work is being carried out in confined space,
it may be necessary to keep standby persons
In order to protect against welding sparks (minimum two) at the manhole or entry
which can provide ignition in operating point holding the rope connected to the
areas, shields are to be provided. The shield safety belt of the person inside. In case of
material should be non-flammable and any emergency inside or outside the vessel,
should be kept wet with water. the standby will be able to pull the person
out.
(xiv) Proper ventilation and lighting
provided (xix) Standby personnel provided for fire
watch from Process / Maintenance /
Where natural ventilation is not available, Contractor / Fire Department
fans/air eductors are provided. Some types
of work like welding may generate fumes. Depending on the criticality of the job,
Facilities may be required for the speedy work permit issuer shall decide the type of
dispersal of these fumes. Only approved standby to be provided i.e. from which
reduced voltage extension lights (not department, of which level, how many and
exceeding 24 volts) are to be allowed for also additional fire fighting support
work inside vessels from consideration of facilities.
personal safety.
(xx) Iron Sulphide removed / kept wet
(xv) Proper means of exit provided
Pyrophoric substances may be present in
Proper means of exit is required in case of operating area / equipment handling
emergencies developed on account of the hydrocarbon. Iron sulphide scales is the
work or otherwise. Availability of an most common pyrophoric substances
alternate route of escape should be encountered. These should be either
considered. removed to safe locations or kept wet all the
time to prevent their auto-ignition.
(xvi) Precautionary tags / boards provided
(xxi) Area cordoned off
To prevent any unwarranted entry in the
work area and also to caution other In order to prevent the un-authorised entry
personnel taking actions which may of people and to avoid accidents during
endanger people working on the permit job, excavation jobs, work area is to be
precautionary tags/boards are to be cordoned off.

11
 suitable size steel plate for blocking the
(xxii) Precaution against public traffic taken opening in case of mishap/tank failure. If no
work is undertaken in evening and night
In case hot work is to be carried out in shifts, invariably the gap should be closed
close proximity of a public road, for with steel plate and mud packing at the end
example in the case of a trunk pipeline, it of day's work.
may be desirable to block-off/divert public
traffic for the duration of the job as a (xxvi) Checked Flame / Spark arrestor on
precautionary measure. mobile equipment

(xxiii) Clearance obtained for excavation from No vehicle / engine without flame / spark
Technical/ concerned departments arrestor is permitted in operating areas.

For any excavation work which may affect (xxvii) Checked for oil / gas trapped behind
underground sewers / telephone lines / lining in equipment
cables / pipelines etc., Technical Services
Dept. and / or other concerned departments, Before undertaking hot jobs, a check should
should be consulted for obtaining the co- be done for oil / gas trapped behind lining
ordinates and the depth to which excavation in the equipment. Many a times oil / gas
can be resorted to, without damaging the trapped behind lining depicts itself in the
existing facilities. Markers should be put form of swelling and can be confirmed by
around the area where excavation can be way of drilling holes.
done and the depth can be indicated in the
work permit. (xxviii) Welding machine checked for safe
location
(xxiv) Clearance obtained for road cutting from
Technical / Fire / concerned departments Welding machine should be located in a
non-hazardous and ventilated area. It should
Since road cutting can hamper the have proper supervision while welding job
movement of the fire vehicles, initial is in progress. It should be switched off
clearance should be obtained from Fire immediately on completion of the job.
Department and final approval from the
higher designated authorities. If the road is (xxix) Checked for earthing/return connection to
wide, preferably the road should be cut half the equipment being welded
at a time. Duration of road cut should be
restricted as far as possible. Before commencing the welding job, ensure
that all the cables and earthing connections
(xxv) Clearance obtained for dyke cutting are as per the standard welding codes /
practices.
When the dyke is cut, any mishap in the
tank farm can lead to a free flow of oil to (xxx) Oxygen and Acetylene cylinders kept
outside the bund. A high level authority outside the vessel / tank
should be designated for authorising dyke
cutting. Further, it should be ensured that While performing welding / cutting jobs in
dyke would be reconstructed in the shortest confined spaces like vessel / tank, ensure that
possible time. For example, if pipes have to oxygen and acetylene cylinders are kept
be laid through the dykes, the pipes should outside and hoses for the gases are in good
be laid quickly and plugged / capped so that working condition, without any cracks or
the dyke can be closed. Thereafter, balance wrinkles. Also, hoses should be tightly
of pipe fabrication can continue without any secured at both the ends i.e. the torch and the
risk. Standby personnel should be available cylinder.
at the work site, who should possess a

12
 (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

13
 9. Iron Sulphide removed / kept wet [ ] [ ]
(Yellow 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____________

14
 (Yellow 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

_____________________ __________________________
(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

15
 (White in colour)

DUPLICATE

(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

16
 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____________

17
 (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

_____________________ __________________________
(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

18
 (Pink in colour)

ORIGINAL

(NAME OF COMPANY)

(LOCATION)

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

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 [ ] [ ]

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 [ ] [ ]

extinguisher provided

7. Fire water system checked for [ ] [ ]

readiness

19
8. Equipment blinded/disconnected/ [ ] [ ]
closed / isolated / wedge opened

(Pink in colour)

9. Equipment properly drained / [ ] [ ]

depressurised

10. Equipment properly steamed/purged [ ] [ ]

11. Equipment water flushed [ ] [ ]

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

19. Standby personnel provided for [ ] [ ]

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

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

21. Area cordoned off [ ] [ ]

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

20
 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.

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/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%. The
oxygen 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 __________________________

21
Signature of Receiver________________ Signature of Issuer____________________

Pink 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
------------------------------------------------------------------------------------------------------------------------------------------------

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

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 DATE
WORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________
(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

22
 (White in colour)

DUPLICATE

(NAME OF COMPANY)

(LOCATION)

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

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 [ ] [ ]

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 [ ] [ ]

extinguisher provided

7. Fire water system checked for [ ] [ ]

readiness

8. Equipment blinded/disconnected/ [ ] [ ]
closed / isolated / wedge opened

23
 (White in colour)

9. Equipment properly drained / [ ] [ ]

depressurised

10. Equipment properly steamed/purged [ ] [ ]

11. Equipment water flushed [ ] [ ]

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

19. Standby personnel provided for [ ] [ ]

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

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

21. Area cordoned off [ ] [ ]

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

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

behind lining in equipment

24
 (White 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.

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/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%. The
oxygen 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 __________________________

Signature of Receiver________________ Signature of Issuer____________________

25
 ( 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
------------------------------------------------------------------------------------------------------------------------------------------------

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

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 DATE
WORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________
(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

26
 (White in colour)

TRIPLICATE

(NAME OF COMPANY)

(LOCATION)

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

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 [ ] [ ]

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 [ ] [ ]

extinguisher provided

7. Fire water system checked for [ ] [ ]

readiness

8. Equipment blinded/disconnected/ [ ] [ ]
closed / isolated / wedge opened

27
 (White in colour)

9. Equipment properly drained / [ ] [ ]

depressurised

10. Equipment properly steamed/purged [ ] [ ]

11. Equipment water flushed [ ] [ ]

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

19. Standby personnel provided for [ ] [ ]

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

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

21. Area cordoned off [ ] [ ]

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

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

behind lining in equipment

28
 (White 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.

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/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%. The
oxygen 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 __________________________

Signature of Receiver________________ Signature of Issuer____________________

29
 (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
------------------------------------------------------------------------------------------------------------------------------------------------

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

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 DATE
WORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________
(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

30
 (White in colour)

QUADRUPLICATE

(NAME OF COMPANY)

(LOCATION)

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

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 [ ] [ ]

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 [ ] [ ]

extinguisher provided

7. Fire water system checked for [ ] [ ]

readiness

8. Equipment blinded/disconnected/ [ ] [ ]
closed / isolated / wedge opened

(White in colour)

31
9. Equipment properly drained / [ ] [ ]
depressurised

10. Equipment properly steamed/purged [ ] [ ]

11. Equipment water flushed [ ] [ ]

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

19. Standby personnel provided for [ ] [ ]

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

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

21. Area cordoned off [ ] [ ]

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

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

behind lining in equipment

(White in colour)

32
 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.

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/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%. The
oxygen 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 __________________________

Signature of Receiver________________ Signature of Issuer____________________

(White in colour)

33
________________________________________________________________________________________________
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
------------------------------------------------------------------------------------------------------------------------------------------------

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

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 DATE
WORK COMPLETED / STOPPED / AREA CLEARED AT ________________________________________

By____________________________ By____________________________

Signature Signature

____________________________ ____________________________
(Name of Issuer) (Name of Receiver)

(PLEASE RETURN PERMIT TO ISSUER)

34
8.0 REFERENCES

(i) Work Permit Systems in India and abroad.

(ii) Oil Mines Regulations 1984.

35