Work Management System Permit Pack Requirements Matrix

Work/Job Activity

Permit Pack Requirements

Isolation

Mandatory for permit pack

To be reviewed and considered for Permit Pack

by Permit Holder, Area Authority, and PIC.

Work
Permit

LO/TO
Blinding
Defeat

Job Safety
Analysis

Safe Work
Practice
Checklist

Work
Procedure

Atmospheric
Test Record

Hot Work

Confined Space Entry

M*

General Work

Breaking Containment

Critical Lift

Working at Heights

Diving Operations

Ground Disturbance/Excavation

High Risk Electrical

Abrasive Blasting

Spark Potential

Working on Pressurized Systems

Over-the-Side Work

Working in Exposed Locations

Critical Work:

*Isolation requirements may not be needed for certain entry types (such as excavation). Positive isolation required for all entries where hazardous energy exists.

Permit Pack Required Documents:

Atmospheric Test Record

Cross Referenced Certificates:

Lifting Plan

Rescue Plan

Temporary Defeat

MSDS

SWP Checklist

Isolation Certificate

P&ID/Drawing

SIMOP Deviation

JSA/THA

Procedure

Work Aid

Type

Certificate/Permit Number(s)

Isolation:
Temporary Defeat:
Work Permit(s):

List Required Checklists:

Other (describe):

Section 2.3.2 Permit Pack Requirement Matrix

Version 1.1 April 2013