Safe work permit. What do you use?
SAFE WORK PERMIT
Work Permit Type 0 Cold Work 0 Hot Work 0 Confined Space Entry 0 Multiple Contractor Coordination
0 Ground Disturbance 0 Vehicle/Site Entry
DATE: Sour Operation: 0 Yes0No __%
Date:
LOCATION:
General Description of Work:
Contractor(s)/Employer(s):
No of Workers
REVIEW SAFE WORK PERMIT HAZARD CHECKLIST
SEE NEXT PAGE for a list of general hazards you may wish to discuss as part of the work permit. Specify the job specific hazards below
Risk WORK PERMIT HAZARDS
(Risk assess each hazard with the matrix) RISK CONTROLS/SAFETY PRECAUTIONS/WORK PLANS TO DEAL WITH EACH HAZARD IDENTIFIED (Reference procedures & standards reviewed)
RISK ASSESSMENT MATRIX PROCESS (see Company Name Matrix Criteria for Descriptions)
LIKELIHOOD
Increasing 6 III II I I I I
5 III III II I I I
FOUR BASIC RISK QUESTIONS 4 IV III III II I I
What can go wrong? Identify the Hazards. 3 IV IV III III II I
How bad can it be? Impact /Consequence/Severity 2 IV IV IV III III II
What is the Probability/Likelihood of it happening? 1 IV IV IV IV III III
What can I/we do about it? Risk controls, Work Plan 1 2 3 4 5 6
CONSEQUENCE Increasing
SAFE WORK PERMIT HAZARD CHECKLIST
NOTE: CHECK OFF HAZARDS AND OTHER REQUIREMENTS REVIEWED AS PART OF THIS WORK PLAN
HAZARDS
Fire & Explosio Toxicity Mechanical Energy Effluents
0 Flammable Material
0 H2S
0 Kinetic
0 Emissions
0 Explosive (perf. Guns.TNT etc)
0 O2 Deficiency
0 Equipment
0 Dusts
0 Natural (e.g. forest fires)
0 Carbon Monoxide
0 Suspended / Potential
0 Spills
0 Vapors/liquids
0 Fumes / Vapors
0 Trenching/Excavation
0 Wastes
0 Flammable atmosphere
0 Absorption
0 Working at Heights
Weather Conditions
Ignition Sources Chemical 0 Slips /Trips
0 Temperature
0 Welding
0 Process
0 People
0 Visibility
0 Spark causing tools/motors
0 Treating chemicals
Physical Energy 0 Site Conditions
0 Internal combustion engines
0 Corrosives
0 Noise/Light exposures
0 Precipitation
0 Diesel Positive Air Shutoff
0 Oxidizer/reactive
0 Electrical
0 Wind direction / speed
0 Pilot Lights
0 Test Fluids
0 Electromagnetic
Biological
0 Static electricity
0 Paints / Sealers etc.
0 Pressurized
0 Wildlife /animals
0 Identified/Controlled
0 Asbestos
0 Radiation (x-ray)
0 Insects
0 MSDSs
0 NORMS
0 Bacteria/Molds/Viruses
0 Body fluids
RISK CONTROLS
PROCEDURES Confined Space Entry 0 Other
0 Overhead Power Lines
Emergency Response 0 Work / Rescue plan
0 Gas Test Required
0 Identified / Clearances
0 Emergency Phone List
Trenching/Excavation 0 Intermittent _______min.
Hazards Related to Other Work
0 Site First Aid Plan
0 Work/Rescue Plan
0 Continuous
0 Underway __ No __Yes, Specify_____
0 Alarms/Conditions
Isolation 0 Gas Detection Equipment
0 Planned __No __ Yes, Specify_______
0 Egress/Muster
0 Process/Pressure
0 Bump Tested
0 Other___________
0 Rescue Procedures & /Equip
0 Bleeds & Drains
0 Building Entry
Miscellaneous
0 Plan Review
Comments (5)
Yeah I haven't seen anything like this before...We train our employees and contractors on site before any work is permitted ...We have standardized job specific worksheets and must be filled out before any work can start...It's great maybe for you want, but most companies follow local,state,fed,osha and epa requirements.
That’s interesting! I haven’t seen permitting approached as a risk assessment exercise. I’m familiar with permitting based on a series of questions and check boxes arranged into different categories.
Does your document have a place to document gas testing for confined space entry and/or hot work?