Permit to Work Major Hazard Standard - MIRMgate

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WMC EHS Management System Major Hazard Standard Permit to Work Question Details • Is a regular head or head/shoulders inspection performed on this space • How often will these inspections be undertaken? • Can the inspection be done without actually putting head/shoulders into the space? • Can the inspection be done using any other method? Inherent Hazards Is there a potential for atmospheric hazards to be present within the space? (Consider what is or has been stored in the space or the product or material that flows through the space) Hazard Yes No Details • Oxygen deficient or enriched • Combustible gasses or vapours • Toxic gasses or vapours • Fumes or particulates • Other Could there be any atmospheric hazards that could be released and/or enter the space? (Consider what is or has been stored in the space or the product or material that flows through the space) Hazard Yes No Details Contaminants that could be trapped in: • Sludge, scale, liquids, other deposits • Fittings, joints, bends in pipes, other Contaminants that could be caused by: Oxidisation, decomposition, leaks Are there other potential hazards inherent to the space? (Consider what is or has been stored in the space or the product or material that flows through the space) Hazard Yes No Details • Structural integrity, movement of the space, radiation • Moving parts, machinery or equipment, stored energy within the space WMC-EHS-MHS-007 DocsOpen Ref : 155520 Issued: 23/12/03 Page 42 of 59
WMC EHS Management System Major Hazard Standard Permit to Work • Potential for engulfment or introduction of materials, or suspended loads • Temperature extremes, noise or lighting • External hazards, exposure to elements, Snakes, insects, animals • Electrical equip., cables, services, impact of persons, plant, in area • Ergonomics, manual handling, slips, trips, falls • Fire, explosion • Hazardous substance (eg. chemicals, poisons) absorption, inhalation, ingestion) • Other (list) • Considerations Details Yes No Isolations required? Isolations: What services will be required to be isolated for safe occupancy? (list) Note- If the space requires a Level 2 isolation then the space must be recorded on the register as a High Risk Confined Space requiring a Work Permit and Entry Certificate Details Yes No Emergency Response Team Involvement Required: Emergency Response: If there is any concern about the ability to rescue persons from the space, detail the concerns below and contact Emergency Response Team to investigate and develop an emergency plan as required. WMC-EHS-MHS-007 DocsOpen Ref : 155520 Issued: 23/12/03 Page 43 of 59
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Permit to Work Major Hazard Standard - MIRMgate

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