Title Page
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Project Name and Number
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Subcontractor
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RAMS Ref.
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Classification. Green = Low risk, minimal services all clearly identified and located. Amber = high risk, lots of services, poor weather, out of hours, high voltage etc. Red = very high risk, public domain, significant effect to others. Planning meeting required.
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Permit No.
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This permit is valid from
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This permit is valid to
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Works Description (must state excavation method)
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How will services be visually identified on site?
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Intended mechanical excavation equipment:
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Attached Drawings (Number)
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Attached Drawings Issued By (Name)
Stage 1 – Buried Services Records & Identification<br>All available service plans must have been appraised for the work area. At this stage, a CAT and Genny survey must be completed on site to identify and mark known services with biodegradable utility marking spray.
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Do utility plans identify any known services in the work area?
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Have buried service locations been confirmed via scanning and marked on existing plans?
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Have all buried services in the work area been marked with utility marking paint?
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Have all existing services been isolated (where possible) and a certificate issued?
CAT & Signal Generator Competency - Operatives responsible for utility scanning on site must be listed in the section below. If a different person will be completing progressive utility scans during excavation works, they must be clearly listed below.
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Name of CAT & Genny Surveyor - Stage 1
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Name of CAT & Genny Surveyor - Stages 2 &3
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Type of CAT & Genny Equipment - Stage 1
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Type of CAT & Genny Equipment - Stages 2 &3
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Details of Operator Training - Stage 1
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Details of Operator Training - Stages 2 & 3
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CAT & Genny Serial Number - Stage 1
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CAT & Genny Serial Number - Stages 2 & 3
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CAT & Genny Calibration Date - Stage 1
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CAT & Genny Calibration Date - Stages 2 & 3
Hold Point: Ventry Manager must visually check the area to ensure:
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Known buried service locations are clearly marked with utility marking paint
Stage 1 - Authorisation
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Ventry Authorisation - Permit must be authorised by a Ventry Manager after these checks have been completed
Stage 2 – Trial Holes - Completing this section allows trial holes to be dug by hand or VAC ex only. This section only permits the use of insulated hand tools. No mechanical excavating is permitted at this stage (with the exception of vacuum excavation).
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Are there any known services within a 5 meter radius of the work area?
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If No, provide detail/reason as to why there are no known services
Records Of Services
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Foul Sewer
- Present
- Absent
- Checked
- Attached
- Marked
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Surface Water
- Present
- Absent
- Checked
- Attached
- Marked
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Water Mains
- Present
- Absent
- Checked
- Attached
- Marked
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Gas Main
- Present
- Absent
- Checked
- Attached
- Marked
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Electricity Cables
- Present
- Absent
- Checked
- Attached
- Marked
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Other/Unidentified/Unclear
- Present
- Absent
- Checked
- Attached
- Marked
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Have all known services within a 5 meter radius been marked on the attached drawings, and traced and marked on site?
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Has vacuum excavation been authorised for trial holes?
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Number, Location and Frequency of trial holes
Hold Point: Ventry Manager must visually check the area to ensure:
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Trial hole locations are clearly marked
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Utility detection equipment is available on site
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Exposed services in trial holes are protected (split duct, timber board etc)
Stage 2 - Authorisation. At this stage you are permitted to excavate trial holes by hand to locate any known buried services. NO MECHANICAL EXCAVATION ALLOWED AT THIS POINT (except vacuum excavation if marked above).
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Permit must be authorised by the Ventry manager responsible for the full duration this excavation work. Only authorised to proceed to Stage 3 once the above checks have been completed and checked
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Contractor Acceptance (Subcontractor works supervisor). - I confirm that the precautions specified above will be complied with. - I will ensure the the persons carrying out the work have been briefed, understand, and comply with the safe method of work. - Permit must be accepted by the Subcontractor supervisor/manager responsible for the full duration of this excavation work.
Stage 3 – Mechanical Excavation - Completing this section allows mechanical excavation to proceed.
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Have agreed protective measures been taken to all known services?
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Have exposed services been adequately identified, supported and protected?
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On completion of all above checks being completed, is the intended mechanical excavating equipment the most suitable and safe option for the task?
Stage 3 - Authorisation. Excavation by mechanical means may proceed providing the following precautions are observed. No mechanical excavation within 0.5m of any known service or as stated within this permit. Progressive utility scan must be undertaken every 300mm excavation depth, the person responsible for this utility scan must be listed in Section 1 of this permit.
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Permit must be authorised by a Ventry manager after these checks have been completed
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Checked:
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Contractor Acceptance (to be signed by subcontractor works supervisor, operatives and banksman). - I confirm that the precautions specified above will be complied with. - I will ensure that the persons carrying out the work have been briefed, understand, and comply with the safe method of work. - Permit must be accepted by the Subcontractor supervisor/manager responsible for the full duration of this excavation works.
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Supervisor/Manager
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Banksman
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Plant Operator
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Operative 1
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Operative 2
Daily Permit Review & Signoff - Must Be Completed For Each Day The Permit Is Live - I am satisfied that that it is safe to do the work stated, provided that the above control measures are carried out . Daily start and finish times to be entered by Ventry Manager
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Start Time
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Finish Time
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Authorised By Ventry
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Start Time
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Finish Time
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Authorised By Ventry
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Start Time
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Finish Time
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Authorised By Ventry
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Start Time
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Finish Time
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Authorised By Ventry
Permit Closure - Confirms that works have been completed/suspended
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Ventry Permit Cancellation - All copies of this permit are hereby cancelled. The work has been completed and the work area if left in a safe condition.
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Contractor Acceptance (subcontractor works supervisor). I can confirm that the work for which this permit was issued is now complete. All operatives under my control have been withdrawn, and tools/materials removed from the work area. All barriers and any protection measures have been replaced and area left safe/reinstated.
Plans/Sections/Sketches/Additional Information
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Show plan details (including known services), setting out details and trench details as applicable.
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Completed By:
Workplace Inspection
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I can confirm that I have checked the work being carried out as described on this permit and I am satisfied that it is being carried out in compliance with the permit requirements. (Checks must be made at least once per shift).
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