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Area Station/Facility:
Date From
Duration of Vehicle entry required
Time From
Work Description
Sl.No. ITEMS
1 Is vehicle entry necessary for the job?
6 Is clear route map indicating the shortest route attached with permit?
7 Is the vehicle free of mobile phones or other sources of ignition? (e.g Matches or lighters)
8 Are vacuum provided with 2 earting leads and are in good condition?
9 Are vehicle with portable welding machines provided with earthing leads and are in good condition?
6 Is clear route map indicating the shortest route attached with permit?
7 Is the vehicle free of mobile phones or other sources of ignition? (e.g Matches or lighters)
Is gas test conducted along the route before entry?(The gas test shall be to check for an explosive or
8 flammable atmosphere)
9 Are the hazards present in the area & the rules inside the facility discussed with driver ?
13 Are vacuum tankers provided with 2 earting leads and are in good condition?
14 Are vehicle with portable welding machines provided with earthing leads and are in good condition?
Name Ref.Ind
(AREA AUTHORITY)
Ifany of the above question is with answer NO,the vehicle entry shall be denied.
Sl.No Date Time In Time out Sign (PH) Time In Time out
ST
mit No:
e of vehicle
To
To
To
To
Y N
r lighters)
e in good condition?
Sign
Y N
r lighters)
k for an explosive or
driver ?
e in good condition?
Sign