Cutting Disc Approval Form
Project Name:
*
Company Name:
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Issued:
*
Hour Minutes
AM
PM
AM/PM Option
Time Expiry
*
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:
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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 "The Grind" training video?
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Yes
No
Submitted by:
*
Date Required
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Approved by: Print Project Superintendent
*
Superintendent Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Print Project HSE
*
Project HSE Signature
*
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preview PDF
Submit
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