BP Permit To Dig

• Job / Document No.

• Site Address Where The Work Was Carried Out:

  Select

• Conducted on

  Date

• Prepared by

• Additional Information If Required:

Description of works

• Enter a FULL description of work including working area required

• Sketch details (where required and possible)

  Drawing

• Add photos

  Media

• Method of excavation i.e. hand, mechanical, powered

• Has a visual inspection been made of the work area

  Yes

  No

• Has the work area been surveyed with service locating equipment i.e. CAT and genny

  Yes

  No

• Has the site layout and service drawings been consulted

  Yes

  No

• Have any services that have been identified been clearly marked – Y/N/ N/A

  Yes

  N/A

  No

• Have all operatives been briefed on the permit

  Yes

  No

• Are utility providers emergency contact numbers available

  Yes

  No

• Any special remarks / recommendations

SIGNATURES (safe to proceed)

• Signature of person responsible for excavation

  Sign

• Signature of responsible person/site operator

  Sign

• This permit is only valid for the above works

Permit Sign Off

• Can this permit be closed off as work is now complete or has been made safe and work has ceased temporarily

  Yes

  No

SIGNATURES (sign off)

• Signature of Responsible person/ site operator

  Sign