Structural Steel Erection Work Permit
Permit Information
Date:
Permit No.:
Project Name:
Location:
Requestor Details
Name:
Department/Company:
Contact Number:
Work Details
Description of Work:
Date & Time of Work:
Specific Structural Area:
List of Personnel Involved:
Hazard Identification & Controls
Hazard
Control Measures
PPE Requirements
Helmet
Safety Harness
Gloves
Safety Shoes
Goggles
Emergency Arrangements
First Aid Location:
Emergency Contact:
Approvals
Requested By:
Name & Signature:
Date:
Safety Officer:
Name & Signature:
Date:
Authorized Person:
Name & Signature:
Date: