Egyptian Drilling Company

WORKING AT HEIGHT PERMIT CHECKLIST

Rig: Work Permit Ref.#: Precautions 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. SJA prepared , Revised and issued Work permit displayed IC issued and cross referred to work permit Pre-Job safety Meeting held Stabbing board check list (when applicable) Pre-manriding check list filled in and signed by the STP Barriers/Notices required (special attention to area below the personnel working at heights) Correct tools and equipment available and suitable for work aloft (And tied properly) Lifting equipment in good condition with valid certificates Falling objects prevented Stages and ladders in safe condition (Keep 3 body Points of contact at all times) Lifting arrangement safe, if cranes and work basket/stage used Safety harness and lifeline to be worn by personnel working aloft Sufficient light rigged if work has to be performed during hours of darkness Necessary communication arranged and checked e.g. between Crane Operator/Winch Operator and Person working aloft Condition of Scaffold / Scaf-tag green Time: Date: Yes No N/A

KAMOSE
Comment

Supervisor Name: Title: Signature:

Safety Manual, Ch.17 Work Permit Procedure, 3.4.5 Work at Height Permit Checklist Rev. KAM-01/MAI10