Covid-19 Close Working Permit

Project name

For YIT

valid Date from:

Datum

valid Date to:

Datum

Location of works:

Extent of works to be completed:

(limit to 15 mins. if possible):

Expected duration of task (limit to 15 mins. if possible):

Names of operatives working in close proximity (max 4no.)

Names of operatives working

Sisk Covid 19 Compliance Officer:

SISK responisble supervisor

Task Supervisor

name and company

RAMS NO.

name and company

SPA ID.

name and company

Other relevant information

This task cannot be done at a later stage

This task cannot be carried out with > 2m social distancing

The work sequence cannot be altered to eliminate close contact

the task cannot be done any quicker than the duration specified above

The operatives been directly consulted

The operatives been briefed on Covid-19 and the best hygiene pratices to minimise spread

The appropriate additional PPE detailed in the SPA is availble

Specific control measures for close contact work are included in the SPA

That the operatives involved in the task do not have any symptoms of covid-19

comments

Task Supervisor: I understand the provisions of this Permit and the associated RAMS and SPA and will ensure works proceed in

accordance with these requirements. I will carry out a briefing at the workface on the contents of this Permit and ensure a copy is kept

Print Name:

Signature

Date:

Datum

Sisk Responsible Supervisor: I have reviewed the contents of this Permit and the associated SPA and confirm the works can proceed:

Print Name:

Signature

Date:

Datum

John Sisk & Son (Holdings) Ltd.

John Sisk & Son (Holdings) Ltd. 2019

symp

Covid-19 Close Working Permit

Stage 1 – Permit Information (Task Supervisor)

Stage 2 – Provisions (Task Supervisor)

IF YOU HAVE TICKED ANY RED BOXES ABOVE DO NOT PUT PEOPLE TO WORK AND CONTACT THE SISK PACKAGE MANAGER

Stage 3 – Issue of Permit