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I have (1) highlighted the work at the Project Safety Coordination Committee Meeting and it has been coordinated.
(2) ensured that the hot-work area mentioned above and its surroundings are free of combustible and flammable materials.
(3) ensured compliance with the under-mentioned requirements prior to the commencement and during hot work.
Risk Assessment for the work has been carried out and briefed to the workers
Welding cables & electrode holders checked, and tested, welding sets earthed
Pre-job briefing will be conducted for all personnel involved in the operation
NAME :______________________________DESIGNATION:___________________________
COMMENTS: ______________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________
I have: (1) evaluated the hazards and the risks associated with the work
(2) coordinated the work activities on the project at the Project Safety Coordination Committee Meeting to ensure that no incompatible work will be carried out by all parties working on the
project.
(3) counter checked that all certificates issued earlier for incompatible operations have been withdrawn
(4) proper assessment of the hot-work area and its surroundings have been made so that the hot-work can be carried out safely.
I hereby acknowledge that I understand the briefing conducted by the applicant of the permit on the safety measures to be taken for the work and I shall ensure compliance. I also undertake to brief all
my workers before commencement of the work.
The above mentioned ‘hot-work’ was completed on _______ /______ /___________ at ___________________ hours
NAME: ____________________________________________________ SIGNATURE: _________________________ DATE: ________ /_______ /__________ TIME : __________________ HRS
DATE / TIME
SIGNATURE