HIC - Excavation PTW

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Permit for Excavation Permit no.

1. Application must be submitted at least one day in advance prior to work commencement.

2. This permit is valid for the date of issuance from 08:00 am to 06:00 pm only. Unless specified otherwise by the approver.

Part 1: Application – To Be Completed By HIC

Work Performed by:

Name of Supervisor in Charge: Contact No.:

Location of work: (Sketch Attached)

Date of Excavation: From: To: No. of workers:

Time of Excavation From: To:

Safety Requirements to be complied with prior to application of Excavation permit:

 Copies of latest cable detection plan available  Shoring or slope to be provided for excavation
& checked. >1.5meter deep.
 
 Cable detection equipment required for the job.   Railing barricade & signage to be provided for

 Checked for underground services prior to excavation.
excavation area.

  P.E designs available for excavation>4meter.
 Trial holes done before excavation. 
  Attach sketch of excavated area to permit.
 Workers have proper P.P.E /tools for the job.  
  Certified excavator operator performing the job.
 Workers briefed on the RA/SWM. 
  Banksman/watchman to be provided for excavator.
 Proper access/egress to be provided for excavation area. 
 Excavation Checklist

Description of Work:

Requested by HIC Construction Manager/Site Engineer Requested by HIC Safety Person

Name: Name:

Signature: Signature:

Date/Time: Date/Time:
Part 4: Approval By HIC
Part 2: Endorsement By Aragen Project Engineer Construction Manager

Acknowledge work to be done The above mentioned work is


Checked and confirmed location of intended work APPROVED / NOT APPROVED

Name / Signature Date / Time Name / Signature Date / Time

Part 3: Compliance Inspection By Aragen Safety Lead

Other safety requirements:

Date /
Name: Signature:
Time:

All the appropriate signatures must be obtained before work starts.

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