Permitting Portal
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PLANT/ FACILITY WORK PERMIT & PERMIT REQUEST
What is/are the permit type(s) you are applying for?
Control System and Automation
Confined Space
Hot Work
General Work
Working At Heights
Electrical
Lockout/ Tagout
Pneumatic System Isolation
Waste Compactor & Conveyor
Waste Pipes and Valves
Excavation and Trenching
Odour & Ventilation System
Structural
Underground
WORK DETAILS
Date of Request
Requested By (Full Name)
Requestor's Email Address
Organization/Company
Supervisor Name
Location (Specify Plant/Area of Work)
Work Description
Proposed Start date and time:
Proposed End date and time:
Personnel Involved:
Remove
Add Person
HAZARD ASSESSMENT
Potential Hazards (Select all that apply)
Biological Hazard
Confined Space
Electrical Shock
Fire / Explosion
Pneumatic Pressure
Mechanical Hazard
Chemical Hazard
Falling Objects
Controls Implemented (Select all that apply)
Gas Test
Forced Ventilation
Natural Ventilation
Appropriate Personal Protective Equipment (PPE)
Fire Watch
Lockout / Tagout (LOTO) Procedures in Place
System Isolation
Safety Officer
Bleed Valves
Emergency Stop Test
Complete System Shut-down
Warning Signs Posted
Control System Disabled
Rescue Harnesses Available
Radio Communication
Hard-line Communication
Rescue Team On Site
Fall Protection
Decontamination Supplies Available
Requestor Signature:
Clear
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