Title Page
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AMC Temporary Works Location
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Conducted on
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Prepared by
Permit
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PERMIT TO LOAD/UNLOAD
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Project Name
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Project Number
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Permit number
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Temporary works item
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Design Def (drawing)
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Permit to access
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The item of work described has been inspected and approval is given for use as temporary works. (Includes requirement to access during erection of the temporary works where instability may occur, or any other circumstance where the TWC deems a hold point is appropriate.)
Permit to Load
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Date:
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Permit to Load
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The temporary works described have been erected in accordance with design data, method statements, associated task sheets and risk assessments and all necessary checks carried out
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Any minor variances between erected scheme and design information to be recorded here:
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Authorised by (name) : Signature:
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Name:
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Date:
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TWC Signature:
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Name:
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Date:
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Copy to TWC/Supervisor
Permit to Unload
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Permit to Unload
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(Note: TW must not be unloaded unless both stage 1 and stage 2 have been signed off)
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Stage 1 - All safety measures in accordance with method statements, task sheets and risk assessments have been executed and checked, e.g. Hole protection, leading edge, etc
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Supervisor Signature:
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Name:
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Date:
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Stage 2 - All necessary checks have been carried out and the temporary works described may be unloaded in accordance with the method statement, risk assessment and task sheets
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TWC Sign:
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Name:
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Date:
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Copy to TWC/Supervisor
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Verifying documents:
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Notes/special instructions:
