Cutting Disc Approval Form
PCL HSE OPERATING PROCEDURES
Grinders
Procedure HSEOP-25-01
Project Name
*
Date
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Month
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Day
Year
Date
Time Issued
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Expiry Time
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Describe in detail the work to be performed and the location/area where the task will be done:
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Reasons the work can't be done other than by using a cutting disc: (band saw, reciprocating saw, plasma cutter, chop saw, or other)
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Cutting Disc Operation:
1. Does the RPM rating of the disc match the grinder being used?
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Yes
No
2. How will the material be cut and secured?
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3. Has the competency of the worker using the grinder been verified?
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Yes
No
Years of experience
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Trade level
*
4. Has the worker seen "The Grind" training video?
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Yes
No
Submitted by:
Name
*
Name of person submitting form
Company
*
Name of company submitting form
Date Required
*
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Month
/
Day
Year
Date
Approved by:
Project Superintendent
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Name
Signature
*
Date
*
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Month
/
Day
Year
Date
Project HSE
*
Name
Signature
*
Date
*
/
Month
/
Day
Year
Date
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