How to Make Work Permit? Cold Work Permit Template Example, Form

A cold work permit is a safety document used in workplaces, especially industrial settings, to ensure that tasks performed without the use of heat sources (such as welding or cutting) are done safely.

Guidelines to Make Work Permit.

Here’s a general guide on how to make a cold work permit:

1. Identify the Need: Determine if the task to be performed falls under the category of cold work. Cold work typically includes tasks like inspection, maintenance, repair, cleaning, or adjustment that don’t involve hot work processes.
2. Review Safety Procedures: Identify the safety procedures and precautions necessary for the specific cold work task. This might involve reviewing safety manuals, standard operating procedures (SOPs), or consulting with safety experts.
3. Create a Permit Template: Design a standard template for the cold work permit. This template should include fields for essential information such as:
   • Date and time of the permit issuance.
   • Description of the cold work task.
   • Location where the work will be performed.
   • Names and signatures of personnel involved.
   • Safety precautions required for the task.
   • Duration of the permit (start and end time).
   • Any special instructions or conditions.
   • Emergency procedures and contact information.
4. Fill Out the Permit: Complete the permit with specific details for the cold work task at hand. Ensure that all necessary information is accurately documented.
5. Review and Approval: The permit should be reviewed and approved by relevant personnel, such as supervisors, safety officers, or managers, to ensure compliance with safety standards and procedures.
6. Issue the Permit: Once the permit is reviewed and approved, it should be issued to the personnel responsible for carrying out the cold work task. Make sure everyone involved understands the conditions and requirements outlined in the permit.
7. Implement Safety Measures: Before commencing the cold work task, ensure that all required safety measures are in place. This may include providing personal protective equipment (PPE), implementing barricades or warning signs, and verifying the absence of potential hazards.
8. Monitor the Work: Supervisors or designated personnel should monitor the cold work activity to ensure that safety protocols are followed and any unforeseen risks are addressed promptly.
9. Completion and Closure: Once the cold work task is completed, the permit should be closed out. This may involve documenting any deviations from the original plan, confirming that all equipment is properly secured, and signing off on the completion of the task.
10. Review and Evaluation: After the cold work task is finished, conduct a review to assess the effectiveness of safety measures and identify any areas for improvement in future permits.
11. Documentation and Recordkeeping: Maintain records of all cold work permits issued, including any associated documentation, approvals, and reviews, for regulatory compliance and future reference.

By following these steps, you can create and implement cold work permits effectively to ensure the safety of personnel and the workplace. Remember that safety should always be a top priority in any work environment.

Cold Work Permit Template.

Sl. No.______________ TIME ____________AM / PM         DATE__________________________

VALID FROM__________________________     TO________________________________________

PERMISSION IS GRANTED TO SECTION / CONTRACTOR______________________________

NAME_______________________________ NATURE OF WORK_____________________________

LOCATION OF WORK________________________________

The following items shall be checked before issuing the work permit.

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S. No.	Item	Done	Not Required
1	Equipment / Work Area inspected.
2	Surrounding area checked, cleaned and covered.
3	Equipment  electrically isolated and tagged.
4	Running  water  hose /  Portable extinguisher provided.
5	Equipment blinded/disconnected/closed / isolated / wedge opened.
6	Equipment properly drained/depressurised.
7	Equipment water flushed.
8	Equipment properly steamed/purged.
9	Iron Sulphide removed / kept wet.
10	Proper ventilation and lighting provided.
11	Gas test done, found gas free.
12	Area cordoned off (minimum 15m in case of radiography).
13	Standby personnel provided from Process / Maint. / Contractor / Fire Deptt.
14	Radio-isotopes  kept under safe  containers.

SPECIAL INSTRUCTIONS

1.  Following personal protective equipment are required (check all items required) :
   • Safety Helmet / Gloves / Goggles / Safety Shoes / Boiler Suit/ Welding Suit / Dust Respirator / Face Shield  /  Fresh Air Mask/Apron / Lifeline / Safety Belt / Airline /Film Badges / Dosimeter.
2. In case of fire alarm, all work must be stopped. All personnel must leave work site and proceed to designated areas.
3. Remarks on toxic/hazardous chemicals, if any:__________________________________
4. Alternate means of escape available/provided/not required.
5. This permit must be available at work site at all times.
6. Additional items, if any:_________________________________________________________

Name and Signature of Receiver_______________________________________________

Name and Signature of Issuer__________________________________________________

Additional precautions

Permit Extended up to  —————————    required, if any ————————————-

WORK COMPLETED/STOPPED/AREA CLEARED AT     ____________________________________

Signature By (Name  of  Issuer):__________________________________________              

Signature By (Name  of  Receiver):_________________________________________

(PLEASE RETURN PERMIT TO ISSUER)

Read Also: Hot Work Permit of Vessel Entry, Vessel Box and Excavation Permit.

Cold Work Permit Form.