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Cleaning Services Permit to Work on Steam Systems/ Pressure Vessel Mobile App

Commercial cleaning service companies and industrial janitorial subcontractors can use the Cleaning Services Permit to Work on Steam Systems/ Pressure Vessel mobile app with a Smartphone or tablet to request a permit to work on steam systems/ pressure vessel. This permit is only valid when all sections are complete. If you are in doubt or don’t understand, then please ask. Please ensure that you sign this permit to work. Do not proceed with your work until your permit has been authorized by the relevant member of staff. The stored energy in pressurized systems has the potential to cause serious personal injury, significant damage to property and loss of time and money. Similarly, vacuum systems have the potential to cause personal injury through catastrophic failure (implosion). The Canvas app creates a PDF of the cleaning services permit and stores a copy securely in your Canvas Account for your professional cleaning company’s safety records.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Cleaning Services Permit to Work on Steam Systems/ Pressure Vessel Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Permit to Work No:

  • Ico textbox

    Site/Building/Area

  • Ico multiline

    Exact location:

  • Ico multiline

    Job Details:

  • Ico dropdown

    ) Are you qualified /trained to undertake this work?

  • Ico dropdown

    ) The Pressure System has been isolated from all connected pipework?

  • Ico multiline

    If yes please give details of method used to isolate system.

  • Ico dropdown

    ) The Pressure System has been purged with air.

  • Ico dropdown

    ) The Pressure System is electrically isolated and locked out?

  • Ico multiline

    If yes please give details of method used to isolate system.

  • Ico dropdown

    ) The Pressure System is mechanically isolated and locked off so as top prevent re-energisation?

  • Ico multiline

    If yes please give details of method used to isolate system.

  • Ico dropdown

    6) The Pressure System is below 30°C on full cooling

  • Ico multiline

    If the answer to any of questions 1-6 is no, please give full details of the methods being used...

  • Ico dropdown

    Has a corresponding Entry to Confined Space Permit been taken out for this task?

  • Ico textbox

    If yes please state number.

  • Ico dropdown

    Has a corresponding Hot Work Permit been taken out for this task?

  • Ico textbox

    If yes please state number.

  • Ico multiline

    Other precautions required:

  • Ico multiline

    Other safety equipment required:

  • Ico statictext

    I verify the above location has been examined, the precautions on the checklist have been taken, ...

  • Ico textbox

    Person responsible for work:

  • Ico signature

    Signed:

  • Ico textbox

    Authorised Permit Issuer:

  • Ico signature

    Signed:

  • Ico date

    Date:

  • Ico time

    Time:

  • Ico time

    Time of Expiry:

  • ...and More!

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