General / Access Work Permit
The permit is valid for 8 hours or one shift. If the work is extended, a new permit must be obtained for the second shift. The permit copy
Note: should be submitted one day in advance and collected the next morning from PMC. A copy of the permit should be displayed at the site. For
height work, hot work, excavation, and confined space, a separate work permit is required.
Project Name: Permit No.: AWP/________________________________
Contractor Name: Trade:
Permit Validity
Date:
________ / ______ /20______________ (am/pm) :
Location: Other Location if
Tower Number / Name: Any
Manager/Engineer
Managing the job for the
day.
Work or Activity planned Location: Name of the Supervisor / Foreman
Total Skilled Worker Total Unskilled Worker
for the day: Floor Number/Grid No: Monitoring the job.
Potential Risk Involved in the work:
The work area must be inspected prior to start of the work. Yes No NA
Work Area is free from any obstruction / hazards & hygienic -
Adequate Illumination arrangement provided -
Scaffold / Ladder / Stairs Inspected -
Energy Source Isolated / Disconnected If Any -
Electrical power supply, RCCB, Earthing and connection Checked "ok"
Fire extinguisher Provided and working -
Is the area display with of Signage and Posters -
Equipment / Tools Inspected and tagged -
Dedicated Supervisor deployed -
Job briefing done to all workers and recorded -
Are the workers gone through the Induction & Specific training -
Is PPE available and verified in good condition for use? (Hard Hat, Safety Shoes & Reflective Vest hand
Gloves, Mask and goggles as per minimum requirement and Job Specific PPE.)
All workers are Medically Fit to carry out the job.
Any special equipment and permits needed that must be complied to carry out the activity:
CONTRACTOR AUTHORISED PERSON (i.e.Site Eng./Supervisor) - (PERMIT GENERATOR )
Name Signature Date
COLLIERS REPRESENTATIVE (i.e.Site Eng./Manager) - (PERMIT ISSUER)
To be filled by the Permit Issuer: (Any specific precautionary measures proposed while carrying out activity)
Permitted to Carry Out Work With Above Safety Precautions:
Name Signature Date
Version: 01 Access Work Permit 03-11-2023
