Information
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Work Order # (scan bar code):
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Work Order Title
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Prepared on date
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Prepared by
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Estimated cost of work:
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Earliest material delivery or execution date:
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Work Description:
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The work is Job Jar work if the follow are true: 1) Work may require an orange LOTO to complete work. 2) People required to do the work are normally on site. 3) Materials required are on site or readily available on demand (i.e. Canadian Tire, Home Depot, etc...). 4) Work is ~1 h in duration but always less than 4 h.
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The work is Simple Plan if the following are true: 1) Work requires an orange LOTO and may require a white LOTO. 2) People required to do the work are normally on site. 3) Materials required are in stores or have a stock # from which they may be ordered. 4) Work is ~4 h in duration but always less than 12 h.
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The work is a Coordinated Plan if any of the following are true: 1) The work must have a white LOTO. 2) People whom are not normally on site are required to do the work. 3) Materials, other than consumables, must be purchased outside inventory. 4) Work duration is greater than 12 h.
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Type of Plan:
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Indicate the items included in this Planning Package:
- Preliminary LOTO
- OEM Work Package
- Equipment BoM
- List of required Consumables
- Preliminary MoC
- Drawings, diagrams & schematics
- Material staging details
- OEM calibration & set up specs
Job Planning Package
Work Execution Plan and Hazard Assessment
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Step
Step
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Hazards encountered when doing this step of work:
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Hazard Frequency Level
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Severity Category
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Controls Required to Mitigate Hazards:
Parts, Services & Special Tools
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Identify parts for the work. Identify the most likely parts to be required even if a restocking charge is incurred if they are not needed.
Part
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Part Description:
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OEM or After Market Vendor
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CPC Stock # or OEM Part#
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Estimated Cost in Canadian $ (attach screenshots of quotes).
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Identify the trades required to complete the work.
Service or Trade
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Select the trade required for the work.
- Electrician
- Instrumentation
- Controls
- Millwright
- Heavy Duty Mechanic
- Welder
- Insulator
- Scaffolder
- Labourer
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How many trades people are required for how many hours for what total (i.e. 2x6=12).
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What external services are required, include quotes.
External Service
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Name the external service provider.
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What special tools are required (crane, vacuum truck, etc...) and include cost estimate?
Special Tool
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Name tool (Attach screenshot of quote).