Loading Unloading PTW TVH As Per Simple
Loading Unloading PTW TVH As Per Simple
Loading Unloading PTW TVH As Per Simple
Crane/Hydra
Inspection prior to use yes Valid 3rd party certificate yes
Safe working load yes All limit switches working yes
mentioned
Crane operator / fork lift yes Safe access yes
competency ok
Site Condition
Access for crane yes Housekeeping acceptable yes
movement
Tools
Approved/Appropriate yes Tools in good condition ok
tools
Fitness of Personnel
Personnel suffering from safe Personnel under influence of no
illness including alcohol/heavy medication
cough/cold
Precautions
Warning notice & safety yes Unpacked material has been yes
signed provided disposed properly from sites
Special precautions are all ppes wareing after work start
Self Declaration
Declaration
I .sitaram singh..agree to work within the condition indicated on this permit & accept the responsibility as the person directly in
charge of the work. I declare a l the work at height or material or electrical wil be carried out in accordance with the requirements
of the work permit system.
Name of supervisor - signature
Authorization / Audit
Status Authorized Remarks approved
sr660012002
sr66012775