Get Permit To Work Form

Filling out the Permit To Work Form online is essential for ensuring compliance and safety when conducting work related to water and wastewater management. This guide provides step-by-step instructions for users to easily complete the form with all necessary information.

Follow the steps to successfully complete the Permit To Work Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the contact details of the head contractor and subcontractor. Include the name, mobile number, and email address of each party.
3. Provide the name and contact information of the authorized water supply installer or drainlayer supervising the work, specifically for water supply and wastewater reticulation permits.
4. Indicate the worksite or location where the work will take place, and select the reason for the work from the provided options.
5. Describe the work clearly, attaching any necessary plans for proposed network modifications, and reference any applicable contract or project numbers.
6. Select which parts of the CCC network will be affected by the work, indicating the expected duration of any interruptions.
7. Specify timing details by entering the start and finish date and time for the work, and indicate if flow diversion measures are required during wet weather or outside of work hours.
8. Detail the steps that will be taken to eliminate or control hazards in safety areas, including worker, plant, public, and environment safety.
9. Explain how the shutdown or modifications will be executed. Choose methods such as remote electronic shutdown or isolation and lockout.
10. Complete the declaration section by confirming the accuracy of all provided details, printing your name, signing, and dating the form.
11. Email the signed Permit To Work Form to the appropriate contact at CCC, ensuring to label the email subject as ‘Permit to Work’.
12. Finally, save your changes, and consider downloading, printing, or sharing the completed form as necessary.

Complete your Permit To Work Form online today to ensure your project is compliant and safe.