Essential elements of a permit-to-work form

Appendix 6.4 - Essential elements of a permit-to-work form 

Should have any reference to other relevant permits or Isolation certificates.  

Description of work to be done and Its limitations. 5 Description of Work 

Hazard Identification Including residual hazards and hazards Introduced by the work. 6 Hazard Identification 

Precautions necessary - person(s) who carry out precautions, e.g. Isolations, should sign that precautions have been taken. 7 Precautions necessary 7 Signatures 

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