Work Permit

Company information
Name of the company:
Emergency number:
Lead manager - name, signature:
Contact of the company:
Location information
Building:
Area:
Line:
Exact place of activity:
Activity Information
Start of activity:
End of activity:
P&G employee responsible for the project:
Work coordinator for operation (name, signature):
Working on class 1 chemical system?
Does the contractor use chemicals (glue, paint, thineer etc.)?
Work on electrical equipment:
Required checklist:
Work at hight?:
Required qualifications:
Power off equipment?
Switching on the electric equipment:
Will the contractor come in contact with enzymes?
Use knife:
Required OOP
Required workplace security
Waste disposal
Risk
Safety and operational measures