PORTSAID TUNNELS PROJECT

Permit For Excavations

(Work should not be started until stages 1 and 2 are completed)

Permit no.:
Project name : Commencement Date: Time:
Location: Completion Date: Time:

Stage 1: to be filled in by Excavation Engineer / Foreman

1. I have inspected the area / type of hazards and risks associated with above job

2. Measures taken:
 No underground utilities like sewers, water pipelines, Electrical cables/wires.
 Utilities like -------------------------------------------------------------------------------are in existence &
thoroughly barricaded with caution boards read as “keep off services” and explained to
excavating personnel.
 Trenches, ducts, & hallow surfaces are adequately supported and covered.
 Proper lighting is provided during night time.
 Trenches /pits are adequately shored / timbered
 Excavated areas have been provided with barricades fence.
 Danger signs displayed near excavated area
 Proper means of egress and access provided and marked
 Water is being removed from pit/trench
 Heavy equipment such as cranes, shovels, backhoe / dumpers etc are kept 6 m away from the
edge of excavated area.
 At least 1.5m area earmarked from the edge of the pit to keep excavated material away from pit.
 A person provided exclusively to keep strangers away from excavated area & to direct shovel.

Name Designation Signature Date Time

F-HSE-074 Page: 1 of 2
 PORTSAID TUNNELS PROJECT
Permit For Excavations

(Approval from Clients Rep:

Stage – 2 Site Managers
We have inspected the area earmarked for excavation and all the measures prescribed in Stage 1
are undertaken.
Excavation work can be started.

Client Rep
Name: Sign: Date: Time:
Site Managers
Name: Sign: Date: Time:
Site Engineers
Name: Sign: Date: Time:

Note: Site Manager to discuss along with clients rep in detail about real conditions of the excavated
area along with excavation engineer / foreman
- To prepare permit in triplicate.
- Original display copy to be displayed near excavation area.
- 2nd copy to be filed by HSE engineer.
- Permit can be issued for the time needed to finish the work.
- Daily inspection to be carried out by excavation engineer and HSE engineer and endorse on
permit.
- Any changes in site conditions would result in permit cancellation automatically.
- New permit to be issued after expiry.
- Only trained & experienced operatives to be used for excavation work. They shall wear proper
personal protection equipment needed for the site.

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