PCL HSE OPERATING PROCEDURES
Grinders - HSEOP-25-01
Cutting Disc Approval Form
Project Name:
*
Please Select
2800048-PAVH
2800050-RCMP La Ronge
2800051-RCMP Southend
2800052-Virtual Health Hub
2820099-St. Pauls Power Plant
2820107-MN Learning-PA
2820113-SRC SXU TdDy Concrete and Steel
2820114-BourgaultMachineHQ
2820116-Cameco McArther River
2820118-St Johns Cathedral Repointing
2820119-Saskatoon City Hospital Acute Care Project
2820121-AAFC Roof Replacement
2820122-Innovation Sask Tenant Decanting
2820123-AAFC Seed Storage Building Expansion
2820125-YXE Arrivals Renewal
2840037-Theodore Spillway Upgrades
Your Cell Phone Number
*
So we can text you when the form has been approved.
Format: (000) 000-0000.
Email (copy of final approval will be sent here)
*
example@example.com
Date
*
/
Month
/
Day
Year
Date
Time Issued
*
Hour Minutes
AM
PM
AM/PM Option
Expiry Time
*
Hour Minutes
AM
PM
AM/PM Option
Company:
*
Cutting Disc: Describe in detail the work to be performed and the location/area where the task will be done:
*
Reasons the work can't be done other than by using a cutting disc: (band saw, reciprocating saw, plasma cutter, chop saw, or other)
*
Cutting Disc Operation: Does the RPM rating of the disc match the grinder being used?
*
Yes
No
2. How will the material be cut and secured?
*
Has the competency of the worker using the grinder been verified?
*
Yes
No
Years of experience
*
Trade level (Apprentice, Journeyman, etc.)
*
Has the worker seen "The Grind" training video?
*
Yes
No
Submitted by (First and Last Name)
*
Signature
*
Date Required
*
/
Month
/
Day
Year
Date
Approved by Project Superintendent
Project Superintendent Signature
Superintendent Signature Date
/
Month
/
Day
Year
Date
Approved by Project HSE
Project HSE Signature
Project HSE Signature Date
/
Month
/
Day
Year
Date
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Submit
Should be Empty: