To download the word and editable format, click the link given at the end.
The following precautions are to be taken;
- Identify existing under & above utility services
- Proper Access / Exit is available for the work area.
- Daily housekeeping of the work area is completed on a priority basis.
- Vehicles' safe worthiness checked/filled all vehicles daily checklist before start.
- Excavated material kept away from the excavated edge or removed from the location.
- Ensure that flag man is available at vehicles movement area.
- Proper and compacted vehicle access is provided.
- Shoring/ sloping/ benching provided to the inside of soft/collapsible excavation area.
- Soft & Hard barricade provided around excavation area.
- Safety Sign board display at site / Excavation area.
- Warning (Barrication) tape/flashlight during night provided around the excavation.
- A competent Engineer / Supervisor in place.
- Ensure to use certified machinery.
- Ensure overall vision for machine operators.
- Ensure the operator is competent and has a valid driving license.
- If a ladder is placed securely.
- Ensure to provide HIRA/ Tool Box talk/ Job-specific training to all engaged workers.
- PPEs provide safety Helmets, Safety goggles, safety shoes, hand gloves, and a dust mask.
- If a ladder is placed securely.
Other Precautions Required:
I understand the precaution to be taken as described above and per project requirement & hereby confirm that work will be executed under my supervision by following all precaution & safety Rules.
B: Permit request by Area in Charge.
C: Permit Authorized by Client/ Consultant representative Engineer, In-Charge.
D: Permit Requestor requested for Extension / Closing
I hereby declare that all persons under my charge have been Extended/withdrawn and all materials, tools, and other equipment have been removed.
I have reviewed and verified that the Method statement & Risk Assessment (MSRA) is suitable. All necessary safety precautions about the hazards identified in the assessment have been taken.
E: Permit Authorized By - Acknowledge the Extension / Closing request Client/ Consultant representative Engineer In-Charge.
HSE Documents-Excavation Work Permit |
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