PCL HSE OPERATING PROCEDURES Grinders Procedure HSEOP-25-01
Cutting Disc Approval Form
Project Name:
*
Date:
*
-
Month
-
Day
Year
Date
Time Issued:
*
Hour Minutes
AM
PM
AM/PM Option
Expiry Time:
*
Hour Minutes
AM
PM
AM/PM Option
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 the disc match the grinder being used?
*
Yes
No
2. How will the material be cut and secured?
*
3. Has the competency of the worker using the grinder been verified?
*
Yes
No
Years of experience
*
Trade level
*
4. Has the worker seen the "The Grind" training video?
*
Yes
No
Submitted by:
*
Date Required:
*
-
Month
-
Day
Year
Date
STOP AND BRING THIS FORM TO PCL MANAGEMENT
Project Superintendent:
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Date
Project HSE
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: