Overview
Complete
General Permit to Work Template
2208 / Sheebrejo Inc. / 10 Oct 2018 / Deepankar Dang
Inspection score
6 / 8 (75%)
Flagged items
2
Created actions
0
Permit No.
2208
Contracting Company
Sheebrejo Inc.
Location
681A, Gandhibagh, Nagpur, Maharashtra 440018, India
googleStaticMap
Conducted on

10 Oct 2018

12:17 PM GMT+8

Prepared by
Deepankar Dang
Flagged items
2
Audit / Hazards and Precautions to be taken
Is the area clean and free from hazards?
No
Notes
messy area
Photos
Audit / Hazards and Precautions to be taken
Are PPE available and in good working condition?
No
Notes
Worn out boots, dented hard hat and torn gloves
Photos
Audit
2
6 / 8 (75%)
General details
Job details
unclogging main sewer line
Tools to be used
Tripod and fall arrestor, air blower, full body harness, movable fences, toxic gas meter, breathing apparatus, resuscitator
Is any other work currently being undertaken that may interact or affect this permit?
Yes
Specify other work
There is a nearby excavation area.
Hazards and Precautions to be taken
2
6 / 8 (75%)
Are the weather conditions acceptable?
Yes
Is the area clean and free from hazards?
No
Notes
messy area
Photos
Is the plant or system isolated and free from every source of danger?
N/A
Have all feed valves been closed and locked?
N/A
Is adequate signage displayed?
Yes
Have all workers been assessed as competent or closely supervised by someone who is competent?
Yes
Are tools repaired or replaced when needed.?
Yes
Have atmospheric tests been satisfactorily carried out?
Yes
Has the electrical supply been switched off?
N/A
REFERENCE: Electrical supply switched off [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]
Is breathing apparatus available?
Yes
Are PPE available and in good working condition?
No
Notes
Worn out boots, dented hard hat and torn gloves
Photos
Authorization and Acceptance
I confirm that I have verified the above information and ensured that the necessary precautions have been taken. It is safe to carry out the work as defined above and the permit information has been explained to all workers involved. I accept responsibility for this work.
Full Name and Signature of Person in Charge
Deepankar Dang
10 Oct 2018 1:02 PM GMT+8
Full Name and Signature of Authorizing Person
Udit Singh
10 Oct 2018 1:02 PM GMT+8
Date and Time

10 Oct 2018

12:45 PM GMT+8

Hand Back and Cancellation
I confirm that the work has been completed/partially completed, checked by myself and the area left in a safe and tidy condition.
Full Name and Signature of Person in Charge
Deepankar Dang
10 Oct 2018 1:02 PM GMT+8
Full Name and Signature of Authorizing Person
Udit Singh
10 Oct 2018 1:02 PM GMT+8
Date and Time

10 Oct 2018

5:30 PM GMT+8

Media summary
2 Media files