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SLP Alaska
πŸ“‹ MASTER PERMIT

Unit Work Permit

Master Permit - Coordinating All Work Activities

πŸ“‹ Section 1: Permit Information
πŸ”§ Section 2: Area Operator Requirements
⚠️ Complete this section with the Area Operator. Systems bypassed must be documented in DSD log.
🌬️ Section 3: Atmospheric Testing
⚠️ Section 4: Critical Hazard Categories
🚨 Check ALL applicable hazard categories. Each checked category requires specific controls and documentation.
πŸͺœ Heights / Fall Protection
🌊 Working Over Water
πŸ’¨ High Pressure Work
πŸ—οΈ Lifting Operations
πŸ₯Ά Low Temp / High Wind
πŸ“¦ Manual Material Handling (>50lb)
🚧 Excavation / Trenching
❗ Other High Hazard Work
πŸ“ Section 5: Task/Hazard/Mitigation Analysis
TaskHazardMitigation
βœ… Section 6: General Verification
ℹ️ All applicable items must be verified before work begins. Mark N/A if not applicable to this work.
V1: Work area/equipment compatible and safe for work
V2: ACWR/Pre-job safety review complete
V3: Correct tools and equipment for task
V4: Zero energy state verified (if applicable)
V5: Work may cause remote alarm or shutdown
V6: Work near halon/water mist discharge nozzle
V7: Hoses and cords properly secured
V8: All hazards discussed with workers
V9: Critical lift plan reviewed (if applicable)
V10: Flammable liquid transfer controls in place
☒️ X-Ray / Radiography Verification (if applicable)
XR1: Warning signs and lights posted
XR2: Boundary limits clearly delineated
XR3: UVs bypassed (if required)
πŸ‘· Section 7: Crew Sign-In
ℹ️ All crew members must acknowledge hazards before beginning work. Add each crew member below.
πŸ”— Section 8: Related Permits
ℹ️ Reference any related permits that apply to this work scope.
✍️ Section 9: Authorization
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