Permit to confined_space_work
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This document is a permit for confined space work. It provides information such as the work location, job description, dates and times of validity for the permit, and a checklist of safety items that must be checked and addressed before work can begin. The checklist includes requirements like ventilation, isolation of machines, acceptable gas readings, use of safety equipment, and having standby personnel on site. Authorized signatures are needed to issue the permit after inspection and to terminate it after work is completed or stopped due to a safety violation.
Permit to confined_space_work
- 1. Tamer Sharaki For Training & Consultancy TSTC www.tstc.com.eg Permit to Confined Space work المحصورة األماكن فى العمل تصريح Permit for: Confined space تصريحدخولتـنكات/مكانمحدود Sr. No. Permit No. Date: Validity period: FROM:_____Hours on Date:_________ UNTIL:_____Hours on Date:__________ Work location: Job description: I declare that it is safe and human worthy for carrying out the work in this enclosed space. Name of Gas inspector: Signature: Time: Date: The following items must be checked and the area made safe for the job prior to issuing the permit Item Done N/A Item Done N/A Safety Toolbox Briefing talk conducted Metal / Rope Ladders ساللممعدنية/حبال Depressurised &/or Drained تمالتفريغ/التصفية Lifting Basketسلةانزاللالفراد Steamed &/or Water Flushed تمالغسيلبالبخار/بالماء Goggles نظاراتسالمة Ventilated by natural draft properly تمتالتهويةالطبيعية الكافية PVC Gloves قفازاتمطاطية Isolated by Blinding/Disconnecting تمالعزلبواسطة السد/الفصل B.A.Sets اجهزةتنفسنقالة Machines & Devices inside isolated & tagged تمعزلاالالتواالجهزةبالداخلووضعتالبطاقات Face Visors اقنعةحمايةالوجهة Temp. Humidity. Air Velocity within Safe Limits الحرارة-الرطوبة-سرعةالهواءفيالحدوداالمنة Air Supplied Masks اجهزة تنفسبالهواء Air Blower to be kept Running for Ventilation تلزم التهويةبتشغيلمروحةباستمرار Chemical Resistant Clothing مالبسمضادةللكيماويات Process & Maint. Stand by Personnel on Site تمتوفير اشخاصمنالتشغيلوالصيانةبالموقع Safety Harness & Lifelines احزمةسالمةوحبالانقاذ Repeated / Continous Gas Monitoring needed يلزم اجراءاختباراتغازاتدوريمستمرة / Radio Sets اجهزةاتصال Lifting Machine Tested on Recommended time تم اختبارالةالرفعفيالموعدالمقرر Lighting Lines > 50 V خطوط اضاءةاقلمن50فولت Area Clean & Safe المنطقةنظيفةوامنة Other Safety Require or Action: Name / ID of Watchman Name / ID of: Supervisor Name / ID of the appointed Safety Inspector for this section of the structure: I am satisfied that it safe to carry out the work described above and the permit is issued. I Certify that I have inspected the Site and it is Safe for Entry Work to Start Name of authorizing authority: Signature: Time: Date: The work is completed / stopped due to a safety violation / and the permit is terminated. Name of job / inspection authority Signature: Time: Date: Signe In/Out Sheet to be located in job location with Gas Test Records الغاز إختبار Gases الغازات Acceptable Readings المقبوله القراءات Actual Readings الفعليه القراءات Signed by Competent Person, Gas Testing إختبار , المؤهل الشخص طريق عن موقعه الغاز Toxic سامه Zeroصفر Flammable لإلشتعال قابله Zero صفر Oxygen األكسجين Between 19.5% and 21% بين19.5%و21%