| S.No. | Checkpoint | IS Requirement | Status |
|---|---|---|---|
| A. Permit Details | |||
| A1 | Permit Type - Select: (1) General Work Permit, (2) Hot Work Permit, (3) Confined Space Permit, (4) Height Work Permit, (5) Excavation Permit, (6) Electrical Work Permit, (7) Temporary Structure Permit Acceptance: Type clearly selected; determines which sections are mandatory | Mandatory | OK NC NA HOLD |
| A2 | Permit Validity - State valid from date and to date (and time). Example: Valid from 10-Mar-2026 06:00 AM to 10-Mar-2026 06:00 PM (12-hour permit). No work beyond validity period without permit extension Acceptance: Validity period realistic and bounded; timestamp included | Mandatory | OK NC NA HOLD |
| A3 | Validity Extension - If work extends beyond initial permit validity, complete extension section. New dates, reason for extension (e.g., work took longer than planned), additional safety precautions if conditions changed Acceptance: Extension documented with authorization; conditions re-assessed if duration changes significantly | Conditional | OK NC NA HOLD |
| B. Work Description | |||
| B1 | Activity Description - Detailed description of the hazardous work. Example for hot work: Structural steel welding of column base plate connection. Joint type: Fillet weld. Welding code: IS 801:2007. Equipment: Gas tungsten arc welder (GTAW), 250 A Acceptance: Description specific and technical; scope clearly bounded | Mandatory | OK NC NA HOLD |
| B2 | Exact Location - Precise location on site with grid/level reference. Example: Grid C/2, Level +5.5 m, North Face, Column C-2 connection area. Distance from other activities noted (e.g., 10 m away from concrete curing area) Acceptance: Location uniquely identifiable; traceable on drawings; hazard zones defined | Mandatory | OK NC NA HOLD |
| B3 | Equipment to be Used - List all equipment, machinery, and tools required. Specify model/specifications. Example: ESAB Warrior 500i Welder, Miller Bobcat 250 Generator, pneumatic angle grinder, bench vise, lifting lug Acceptance: Equipment list complete; specifications noted; condition verified | Mandatory | OK NC NA HOLD |
| B4 | Number of Workers & Supervisor - State number of workers performing the work. Name and designation of site supervisor/foreman overseeing the work. Supervisor must be present throughout permit validity period Acceptance: Headcount realistic; supervisor identified and authorized; continuous supervision confirmed | Mandatory | OK NC NA HOLD |
| C. Hazard Assessment (Reference Risk Assessment Form) | |||
| C1 | Identified Hazards - Reference the Risk Assessment form. List major hazards identified. Example for hot work: (1) Fire hazard from hot sparks and molten metal, (2) Eye/skin burn from arc radiation, (3) Inhalation of welding fumes, (4) Electrical hazard from equipment Acceptance: Hazards match risk assessment; critical hazards listed; no omissions | Mandatory | OK NC NA HOLD |
| C2 | Risk Level (from assessment) - State the overall risk level: Low / Medium / High / Extreme. High and Extreme risk work requires mandatory controls and hot work permit. Example: Welding at height and near wood formwork = High risk Acceptance: Risk level consistent with assessment; High/Extreme automatically triggers additional requirements | Mandatory | OK NC NA HOLD |
| C3 | IS Code References - List applicable IS codes and specific clauses. Example: IS 801:2007 (Structural Steel) - Clause 6.1 Welding Quality, IS 3043:1987 (Electrical Safety) - Clause 5.2 Welder Equipment Grounding Acceptance: Codes accurately cited with clause references; control measures tied to code requirements | Mandatory | OK NC NA HOLD |