Cutting Disc Approval Form
HSEOP-25-01
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Project Name
*
Please Select
Yard Facilities
Date
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Month
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Day
Year
Date
Time Issued
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Hour Minutes
AM
PM
AM/PM Option
Expiry Time
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Hour Minutes
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PM
AM/PM Option
Cutting Disc:
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 cant 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. Had 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
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e.g., Apprentice, Journeyman, Master, etc...
4. Has the worker seen the "The Grind" training video?
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Yes
No
Submitted by:
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Your first and last name
Submitted by:
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Company
Email (copy of your final approved form will be sent here)
example@example.com
Date required
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Month
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Day
Year
Date
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