Eight major ticket templates

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Work Permit for Equipment Maintenance in the Plant Area
Name of equipment to be maintained:
Location of maintenance:
Start and end times of maintenance:
Contents of maintenance:
Serial number, main safety measures, signature of the person who confirms these measures:
1. Obtain the necessary safety permits as required.
2. Clean and replace the equipment; ensure that the equipment, processing procedures, and blind flanges meet the safety requirements for maintenance.
3. Provide safety training to all personnel involved in the maintenance work before starting.
4. Ensure that all tools and equipment used are safe for use.
5. Remove any flammable, explosive materials, obstacles, oil stains, or other items that could pose a risk to safety from the maintenance site.
6. Check and ensure that fire exits and access routes at the maintenance site are unobstructed.
7. Ensure that maintenance workers wear appropriate personal protective equipment.
8. Cut off the electrical power supply to the equipment being maintained.
9. Ensure that ladders, railings, platforms, and covers at the maintenance site are safe and reliable.
10. Fill in pits, holes, ditches, and steep slopes at the maintenance site, or cover them with surfaces at ground level; fences and warning signs can also be used.
11. Clean up the maintenance site after the work is completed.

Additional measures:
Hazard identification:
Opinions from the unit where the equipment is located, opinions from the construction company, opinions from the equipment department, approval from management:
Date: ________

Completion inspection:
Date: ________ Time: ________ Signature: ________

Work Permit for Welding in the Plant Area
Record number:
Applying unit:
Applicant:
Location and details of the welding equipment:
Person performing welding:
Type and number of special skills required:
Person responsible for monitoring welding:
Type of person responsible for monitoring welding:
Time of sampling:
Sampling points:
Analysis results:
Person who conducted the analysis:
Time of welding: From ________ to ________

Serial number, main safety measures, signature of the person who confirms these measures:
1. Clean the internal components of the welding equipment; ensure it is properly cleaned using steam or water, so that it meets the conditions for welding.
2. Cut off all pipelines connected to the welding equipment and install blind flanges (number: ________).
3. Remove all flammable materials from areas around the welding site within a radius of 15 meters; use covering, sand, or water seals to isolate these areas.
4. Do not perform dehydration operations on oil tanks within the same enclosure or within the fire safety distance from the welding site.
5. Take measures to prevent sparks from flying during high-altitude welding work.
6. Remove all flammable materials around the welding site.
7. The welding circuit should be connected to the welded piece; wires should not pass through sewers or connect to other equipment.
8. Acetylene cylinders (must not be placed horizontally), oxygen cylinders, and the source of fire must be kept at least 10 meters apart.
9. Provide fire extinguishers (number: ________), shovels (number: ________), and asbestos cloth (number: ________) at the site.

Additional measures:
Hazard identification:
Opinions from the unit applying for welding permission, approval from the safety department, approval from management:
Date: ________

Completion inspection:
Date: ________ Time: ________ Signature: ________

Work Permit for Excavation in the Plant Area
Permit number:
Construction company:
Owner of the project:
Location of excavation:
Power supply point:
Voltage:
Contents of the work:
Person who filled out the form:
Start time of work:

Serial number, main safety measures, signature of the person who confirms these measures:
1. Electric cables have been identified, and protective measures have been implemented.
2. Other cables have been identified, and protective measures have been implemented.
3. Underground water supply and drainage pipes, as well as process pipes, have been identified, and protective measures have been implemented.
4. Work has been carried out according to the construction plan.
5. Fences, warning signs, and night-time lighting have been installed as required at the work site.
6. Slope stabilization and wall support measures have been taken.
7. Construction activities on roads have been reported to the traffic, fire safety, dispatching, and safety supervision departments.
8. Measures have been taken to protect entry/exit points and areas where personnel may evacuate: A. Ladders； B. Slope repair: 9 is equipped with combustible gas detectors and toxic substances detectors; 10 ensures adequate lighting at the work site at night: A. Ordinary lights ； B. Solder resistant lamps: Workers must wear protective equipment. Additional measures: Hazard identification: Opinions of the person in charge of the construction work, opinions of the on-site supervisor, opinions of the units involved, approval from management. Date: Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: Permit for working in confined spaces within the factory area. Number, Construction company, Affiliated unit, Location of work, Existing substances, Main hazards, Nature of work. Person who filled out the form, Workers, Supervisors. Start time: Year Month Day, Hour Minute. Sequence number, Main safety measures, Signatures of those who confirmed them. 1. Analyze the risks associated with working in confined spaces before starting work. 2. Isolate all valves and pipelines connected to the confined space using blind flanges; create a list of these blind flanges and assign someone responsible for installing and removing them. 3. Purge, clean, and steam-clean the equipment. 4. Open vents in the equipment to allow natural ventilation; ensure the temperature is suitable for workers. If necessary, use forced ventilation or air respirators. Do not use oxygen to replenish oxygen when there is a lack of oxygen inside the equipment. 5. Treat related equipment properly; disconnect power to equipment with mixers and place “Do Not Switch On” signs. Assign someone to supervise this process. 6. Check the interior of the confined space to ensure it is suitable for work. Use explosion-proof tools when emptying tanks. 7. Check the entrances and exits of the confined space to ensure there are no obstacles that could prevent people from entering or exiting. 8. For confined spaces that have contained flammable or toxic liquids and gases, analyze the levels of these substances. 9. Workers must be aware of other hazards present in the confined space. 10. Safety measures during work: Fire-fighting equipment ( ), life-saving equipment ( ), gas protection equipment ( ). Additional measures: Hazard identification: Opinions of workers, opinions of on-site supervisors, approval from the safety department, approval from management. Date: Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: Permit for installing and removing blind flanges within the factory area. Name of equipment/pipelines, Temperature and pressure of the medium, Materials and specifications for blind flanges, Time, Person in charge. Diagram showing the location of blind flanges: Sequence number, Main safety measures, Signatures of those who confirmed them. 1. The materials used should be appropriate, flat, and smooth, with no cracks or holes. 2. The diameter of the blind flange should match the diameter of the pipe’s flange sealing surface, and its thickness should be determined based on strength calculations. 3. Blind flanges should have one or two handles to make them easy to identify and operate. 4. Choose appropriate materials for the gaskets used with blind flanges, depending on the nature of the medium, pressure, and temperature inside the pipeline. Additional measures: Hazard identification: Opinions of the person in charge of the project, opinions of the construction company, opinions of the equipment department, approval from management. Date: Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: Permit for working at heights within the factory area. Number, Construction company, Affiliated unit, Location of work, Nature of work. Person who filled out the form, Workers. Start time: Year Month Day, Hour Minute. Sequence number, Main safety measures, Signatures of those who confirmed them. 1. Workers must be in good physical condition. 2. Workers must wear appropriate clothing for the job. 3. Workers must wear safety belts. 4. Workers must carry tool bags. 5. Workers must wear A. Filter-type respirators ； B. Air respirators. 6. Scaffolds and protective fences erected on site comply with safety regulations. 7. There are isolation facilities between different working levels carried out vertically. 8. Ladders or rope ladders meet the requirements of safety regulations. 9. When working on non-load-bearing materials such as asbestos shingles, a fixed load-bearing platform must be used. 10. Sufficient lighting is provided for work at heights; temporary lights and explosion-proof lights should be installed. 11. For work at heights of over 30 meters, communication and contact devices must be provided. Additional measures: Hazard identification: Opinions of the construction project supervisor, opinions of the site manager, opinions of the safety department, approval from management. Date: Year Month Day, Year Month Day, Year Month Day, Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: Factory area lifting operation permit. Lifting location, name of lifting equipment, personnel involved in lifting, lifting supervisor (responsible person), time of operation, content of lifting, weight of the lifted item in tons. Sequence number, main safety measures, signature of the person who confirms them. 1. Install safety warning signs at the lifting site and assign someone to monitor the area. 2. Lifting workers must wear safety helmets that comply with GB2811 standards. 3. All lifting equipment, steel wires, ropes, chains, hooks, etc., must be inspected to ensure they are safe and reliable; they must not be used if they are damaged. 4. It is strictly prohibited to use pipes, pipe racks, utility poles, or mechanical equipment as lifting anchors. 5. A thorough safety check must be conducted on all parts of the lifting machinery, its safety devices, as well as the lifting gear and ropes. The safety devices of lifting equipment must be sensitive and reliable. 6. Lifting must be carried out within the specified load limits; lifting gear and ropes must be selected based on calculations. Overloading is strictly prohibited. 7. No one is allowed to stand, walk, or work under suspended heavy objects. 8. Follow the “Ten Prohibitions for Lifting”. Additional measures: Hazard identification: Opinions of the project manager, opinions of the construction company, opinions of the equipment department, approval from management. Date: Year Month Day, Year Month Day, Year Month Day, Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: Factory area temporary power usage permit. Number, company applying for the permit, name of the project, construction company, location of construction, electrical equipment and its power capacity, power connection point, working voltage, person responsible for temporary power usage, electrician’s license number. Temporary power usage period from Year Month Day, Hour Minute to Year Month Day, Hour Minute. Sequence number, main safety measures, signature of the person who confirms them. 1. Personnel installing temporary wiring must hold an electrician’s license. 2. Temporary power sources, electrical components, and wiring used in explosion-proof areas must meet the corresponding explosion-proof standards. 3. Temporary single-phase and mixed-phase wiring should use a five-wire system. 4. The height at which temporary wiring is installed above the ground should be at least 2.5 meters inside facilities and at least 5 meters on roads. 5. When temporary wiring is installed overhead, it must not be bare wire, and it must not be installed on trees or scaffolds. 6. Buried cables and underground wiring systems should have direction markers and safety signs; the depth of burial should be more than 0.7 meters. 7. Temporary power distribution panels and boxes at the site must have rain protection measures. 8. Temporary power facilities must be equipped with leakage protectors; portable tools and hand tools should each have their own dedicated switch and protection device. 9. Electrical equipment, wiring capacity, and load must meet the required standards. Additional measures: Hazard identification: Opinions of the company using temporary power, opinions of the person responsible for power supply, opinions of the person in charge of power supply, approval from management. Date: Year Month Day, Year Month Day, Year Month Day, Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: Factory area circuit interruption operation permit. Applying company: Sketch showing the location where the circuit will be interrupted, reason for interruption, time of interruption. Sequence number, main safety measures, signature of the person who confirms them. 1. Install signs indicating a circuit interruption at the affected intersection to guide vehicles to alternate routes. 2. Set up traffic barriers and signs indicating a circuit interruption at the intersection. 3. Install fences and traffic warning signs at the construction site; red lights should be hung at night. 4. After the circuit interruption is completed, the construction company is responsible for cleaning up the site. Additional measures: Hazard identification: Opinions of the project manager, opinions of the construction company, approval from management. Date: Year Month Day, Year Month Day. Completion inspection: Year Month Day, Hour Minute. Signature: