Permit to Work Major Hazard Standard - MIRMgate

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WMC EHS Management System Major Hazard Standard Permit to Work • A 6 monthly review of the risk assessment of a low risk inspection confined space to ensure that no foreseeable risk of an atmospheric hazard existing or occurring that will change the assessment. WMC-EHS-MHS-007 DocsOpen Ref : 155520 Issued: 23/12/03 Page 36 of 59
WMC EHS Management System Major Hazard Standard Permit to Work APPENDIX E2 E2 CONFINED SPACE ENTRY CERTIFICATE Plant / Area : Register No. : Work Permit No.: SPECIAL PRECAUTIONS AND CONDITIONS CONFINED SPACE ENTRY CERTIFICATE This certificate must be accompanied by a Work Permit Isolation Certificate No.: Equipment No.: No: Self-contained BA Safety Harness Secure from engulfment Airline respirator Life line Rescue Plan Ventilation extraction Lighting Audible alarm Communications equipment NOMINATED STANDBY PERSON Name Signature On Time Signature Off Time Atmospheric Testing required : Yes No Continuous monitoring required : Yes No Initial Atmospheric Testing Gas Test Analysis Date Gas Test Analysis Date Toxic gas : ppm Oxygen content % Toxic gas : ppm LEL % Toxic gas : ppm Other Toxic gas : ppm AUTHORISED GAS TESTER Name: Signature: Date: Time: Is repeat gas testing required : Yes No Required every ........................................... Repeat gas tests results on rear of form. WMC-EHS-MHS-007 DocsOpen Ref : 155520 Issued: 23/12/03 Page 37 of 59
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