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PPC Lifting Permit

1) The document is a lifting permit for a plastic company that details safety precautions and procedures for lifting activities. 2) It requires inspection of the lifting area and equipment, training of workers, proper barricading and signage, and authorizations from supervisors for any lifting work. 3) The permit must be requested, issued, and closed out properly with inspections and sign-offs at each stage to ensure lifting operations are carried out safely.

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188 views2 pages

PPC Lifting Permit

1) The document is a lifting permit for a plastic company that details safety precautions and procedures for lifting activities. 2) It requires inspection of the lifting area and equipment, training of workers, proper barricading and signage, and authorizations from supervisors for any lifting work. 3) The permit must be requested, issued, and closed out properly with inspections and sign-offs at each stage to ensure lifting operations are carried out safely.

Uploaded by

imranul haq
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SECTION HSSE

STATUS CONTROLLED

LIFTING PERMIT REFERENCE PPC/HSSE Permit 003

‫شركة التغليف الرئيسة‬ REVISION 0 DATE 13/04/2019


Premier Plastic Company SHEET 1

BUSINESS UNIT :
DATE
PERMIT FOR (Company) : PERMIT NO. :
APPLIED :

SECTION I:

Location of work : __________________________________________________________


Description of work : __________________________________________________________
Approx. duration of work : From(time) ____________ am/pm To(time) ______________ am/pm
Name of task in-charge : __________________________________________________________

SECTION II (Precautions to avoid Potential hazards):


1. Pre check has been done for the erection area. Yes / No / NR
2. Mobile crane / Tower crane is positioned properly. Yes / No / NR
3. Load is known Yes / No / NR
4. Shape of the load is accepted for lifting Yes / No / NR
5. Load is visible by the crane operator Yes / No / NR
6. Trained Banks man provided Yes / No / NR
7. Guide rope is provided with the load Yes / No / NR
8. Lifting area is barricaded Yes / No / NR
9. Commissioning area has adequate platform to work Yes / No / NR
10. Erectors must have safety harness and anchored always Yes / No / NR
11. No other equipments working within the barricaded area Yes / No / NR
12. S.W.L. / Load chart at the crane is known to the operator Yes / No / NR
13. All limit switches at the crane / hoist are functioning Yes / No / NR
14. Crane is checked and fit for working (Tower / Mobile) Yes / No / NR
15. Third party certificate for the crane / hoist & lifting appliance are available Yes / No / NR
16. Crane operator license is valid Yes / No / NR
17 Lifting operation is being carried out under the Supervisor / Engineer Yes / No / NR
18. Ground status is checked and found suitable for lifting by crane Yes / No / NR
19. Out riggers of the crane are placed properly Yes / No / NR
*NR – Not Relevant

SECTION III (Permit requested by): Task In-charge

 Maintenance
 Production
 Others (Specify) ______________________________

PPC Lifting Permit/004/3/Rev 0 Dated 13th April, 2019


SECTION HSSE
STATUS CONTROLLED
REFERENCE PPC/HSSE Permit 013
LIFTING PERMIT
REVISION 0 DATE 13/04/2019
‫شركة التغليف الرئيسة‬
Premier Plastic Company SHEET 1

I request for a permit for the above mentioned work at the location specified above. I have personally inspected the work place to ensure that
requirements needed as precautionary measures as mentioned above have been complied with.

Name (Person Requesting): ____________________________________ Signature: _______________________ Time: _______________

SECTION IV (Permit issued and authorized by):


Work shall be carried out only after complying with the requirements of section II and the following below (if any):

This is valid upto: Time ____________________ Date ______________________

HSSE In-charge: Name __________________________ Sign. _________________ Phone ______________

Plant Manager: Name __________________________ Sign. _______________ Phone ______________

SECTION V (Extension of Permit):


We approve the extension of the above work after personal inspection, conditions mentioned in Sec. II are ensured.

From: _____________________ hrs. To: ________________________ hrs.

Requester: Name _________________________________ Sign. ________________________ Time _____________


Issuer: Name _________________________________ Sign. ________________________ Time _____________
Authorizer: Name _________________________________ Sign. ________________________ Time _____________

SECTION VI (Closing of Permit):


The work has been completed and the area has been cleaned.
Time: ____________________________ Date: _________________________
Name (Person Requesting): _____________________________________ Signature: _____________________________
(Name as in Section III)

To be returned to the HSSE Department.


Name of person involved in activity.

PPC Lifting Permit/004/3/Rev 0 Dated 13th April, 2019

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