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road-closure-permit

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    PAGE No 1 of 2 PACKAGE “P” POWER PLANT

    RAS AL KHAIR POWER AND DESALINATION PLANT REV 0 DATE

    Road Closure Request/Permit

    THIS PERMIT REQUEST MUST BE DISTRIBUTED TO ALL AFFECTED CONTRACTORS AND SAFETY DEPARTMENTS AT LEAST 5 DAYS OF INTENDED ROAD CLOSURE.

CONTRACTOR: ___________________________ DATE: ________________

    LOCATION OF ROAD: ____________________________________________________________________

    DATE / TIME CLOSED: FROM: _________________________ TO: _________________________

    ROAD WILL BE CLOSED BETWEEN INTESECTIONS __________________________________________

    _______________________________________________________________________________________

    REASON FOR CLOSURE: _________________________________________________________________

Refer to marked plot plan attached.

Safety Requirements:

    ; Sufficient Barricading or demarcation to be provided for construction activities

    ; Necessary Signage including signage for related hazardous construction activities e.g. Lifting

    ; SEPCOIII PPE requirements to be met by personnel involved:

    o Hard hats

    o High visibility Vests

    o Safety Shoes

    o Safety Glasses

    o Specialized PPE if required.

    ; Arrangements for detours to be made and should be visible

    ; Traffic control should be implemented to manage traffic flow around the closed area ( Flagmen)

    ; Access control to be managed unauthorized personnel not to be allowed into demarcated or

    barricade areas.

    ; SAFETY REQUIREMENTS to be communicated to all personnel involved in the road closure

    activity.

    Field superintendent: _____________________________________ Date: _______________

HSE Manager:____________________________________ Date: ________________

Construction Manager: ___________________________________ Date: ________________

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    PAGE No 2 of 2 PACKAGE “P” POWER PLANT

    RAS AL KHAIR POWER AND DESALINATION PLANT REV 0 DATE

    Road Closure Request/Permit

ALL CONTRACTORS:

    WOULD YOU PLEASE ENSURE ALL YOUR EMPLOYEES ARE MADE AWARE OF THIS ROAD CLOSURE AND USE ALTERNATIVE ROUTES?

    SHOULD THIS ACTIVITY INTERFERE WITH YOUR PRESENT SCHEDULE PLEASE CONTACT?

    ______________________________________________ BEFORE ________________ (DATE AND TIME)

TO ALLOW ALTERNATE ARRANGEMENTS TO BE MADE.

    IF THERE IS NO REPONSE FROM THIS MEMO THE ROAD CLOSURE WILL CONTINUE UNTIL THE WORK HAS BEEN COMPLETED.

CO-OPERATION AND CO-ORDINATION OF THIS MEMO IS EXPECTED.

SEPCOIII Responsible:

Signature:

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