P2Z Work Authorization (CMT)

P2Z Work Authorization (CMT)
Issuer*

First NameLast Name
Date of Issue*

MonthDayYear
Date
Time Issued*

Hour Minutes
Person receiving permit*

First NameLast Name
Company*
Description of Work*
Block # where work will be performed*
Mandatory Access Permit*

Permit by OthersTWA/Work Area definedOther
Additional Permits Required*

N/AExcavation PermitHot WorkSoil Handling & DisposalCurrent locates and sweepsOther

Safety Conditions

JSA review, Tailboard attendance and FLHA completion are required for all workers at site.

All ground disturbance activities to be performed by trained individuals using current line locates and sweeps of existing utilities.
Additional Safety conditions for activities covered under this work authorization
Construction Conditions

Work permit only applies to work listed within the "Description of Work" above.

All work must be performed within the TWA for the Block listed above.
Additional Construction conditions for activities covered under this work authorization
Environmental Conditions

All construction setbacks for wetland areas must be noted and adhered to.

All spills must be reported immediately to WATCO CMT.
Additional Environmental conditions for activities covered under this work authorization

General Information