Cutting Disc Approval Form

Cutting Disc Approval Form

PCL HSE OPERATING PROCEDURES (Procedure HSEOP-25-01)
Project #(Wrong Project # = Invalid Submission)
Project Name
Submitted by
Your Name
Trade Contractor Name

First NameLast Name
Time Issued

Hour Minutes

AM/PM Option
Expiry Time

Hour Minutes

AM/PM Option
Work Area
Note: This field determines who your request will be sent to. Please ensure that this Area lines up with your approving PCL authority.
Detailed Task Location
Email
your_email@example.com
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Date Required

MonthDayYear
2 digit month, 2 digit day, 4 digit year
IMPORTANT: Once approved, you will receive a watermarked PDF of this form to be used as a permit. The permit will be valid for 24h from the Date Required.
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
1. Does the RPM rating of disc match the grinder being used?
2. How will the material be cut and secured.a question
3. Has the competency of the worker using the grinder been verified?
Years of Experience
Trade level
4. Has the worker seen the “The Grind” training video?
Should be Empty:

Cutting Disc