Information

  • Pre-notification Reference (DDMMYYYY - Site)

  • Document No.

  • Client

  • Conducted on

  • Prepared by

Section A - Description

  • Site

  • If Other:

  • Description of work.

  • Description of ground conditions where works are to be carried out.

  • Start time

  • Estimated finish time

Section B - Weather Conditions (2 reds, do not complete works)

  • Weather Risk Assessment

  • Is there a machinery movement ban in the shire. If yes do not complete works.

  • Temperature

  • Wind Levels

  • Are there flammable materials within 10m

Section C - Machinery Protection

  • Machinery has been isolated and danger tags attached to main isolator.

  • Surrounding equipment has been isolated and airborne dust allowed to settle.

  • Any spouts or floor openings in the vicinity have been blocked to prevent hot materials falling through.

  • Has a suitable fire blanket been placed over any susceptible machinery.

  • If cutting in to an elevator or chute are the elevator buckets empty and the inside surfaces washed down.

Section D - Preventing fire ignition and escape

  • What suitable fire fighting equipment is present

  • Has someone been designated to stand as fire watch. This, CBH inducted, person will be on watch for accidental combustion.

  • Who from CBH Operations has been notified of the issue of this permit?

  • Company performing works?

  • Spotter

  • Pre-notification issued by

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