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About Us
Who We Are
Our Vision
Our Team
Our Story
Why Us
Salalah Ecosystem
Awards and Recognition
Sustainability
Health Safety Security and Environment
Our Community
Investors
Shareholders info
Quarterly Reports
Annual Reports
Investor Relations
Our Business
Services
Container Terminal
General Cargo Terminal
Liquid Infrastructure
Marine Services
Value Added Services
E- Services
Register as a New Agent
Register as a New Supplier
Request for Gate Pass
Request Permit to work
Apply for Tenders
Customer Portal
Tariff and Terms
Media Center
Statistics
Press Releases
Customer Advisory
Port Map
Gallery
Our People
Our Values
Training & Development
Vacancies
Contact Us
Request Permit to work
Home
E-services
Request Permit to work
Services
Container Terminal
General Cargo Terminal
Liquid Infrastructure
Marine Services
Value Added Services
E- Services
Register as a New Agent
Register as a New Supplier
Request for Gate Pass
Request Permit to work
Apply for Tenders
Customer Portal
Tariff and Terms
Request Permit to work
Select Type of Contractor
Select One
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Non regular
Approved
Contractors Insurance details received?
Yes
No
Has the contractor method of work been approved by facility?
Yes
No
Contractor Company Name
Contractor Company Address
(if applicable)
Or
APMT Staff Name
APMT Staff Designation
Person In Charge (PIC)
Person In Charge Contact
Emergency Contact
Description of Work to be Carried out
Location of Work to be Carried Out
Number of Staff onsite
High Risk PTW requirement
Earth working/Digging
Confined Spaces
Working at Height
Hazardous Substances
Near Water
Hot Work
Stored Energy (electrical, pressure systems, LOTO)
Suspended Loads
Pre work Arrangements
Contractors received a site safety induction and briefed on hazards/ risks in the work area and local emergency procedures?
Activity preparation list checked in CSM?
Persons involved competent, trained and certificated to do their jobs?
Is the supervisor of the area aware of the contractors presence?
Have work area staff been briefed on the contractors presence?
On Site Arrangements
Activity Risk Assessments/JSA received for each activity and hazard identified?
Has the activity been assessed for impact on normal operations?
Agreed safe access/egress procedure?
Has work area been isolated or barriers placed for segregation?
Is Lock-out tag-out (LOTO) required?
LOTO Lock Identification
PPE Requirements
High Visibility clothing (Vest, coveralls etc...)
Feet protection; Safety Footwear
Head protection; Safety headwear, hard hat
Hand protection; Gloves ( liquids & chemicals)
Eye protection; Safety Glasses
Face protection; face mask
PPE continued
Hearing protection; Ear defenders/plugs
Respiratory protection; respirator/breathing apparatus
Body/Torso protection
Fall protection; safety harness
Fire/flame retardant clothing
Personal floatation device
Permit To Work Issue:
Authorizer Signature
Issuer Signature
Permit Holder Signature
Is Closed out by the issuer?
(If not closed out by the issuer, the closers name and signature must be entered)
Permit To Work Close Out:
Close Out Signature
Close Out Signature 2
Monitoring / Work area Inspections
Inspection 1 (Start of job) Time
Completed by name
Observation
Signature
Choose a file
Non-conformances reported in CMO?
Yes
No
N/A
Is the correct PPE being used?
Yes
No
N/A
Is the work area clean and tidy enough to minimize hazards?
Yes
No
N/A
Are correct method of work/risk controls being followed?
Yes
No
N/A
Are the PTW requirements being followed?
Yes
No
N/A
Any Changes? Review PTW
Yes
No
N/A
Inspection 2 (PI Handover) Time
Completed by name
Observation
Signature
Choose a file
Non-conformances reported in CMO?
Yes
No
N/A
Is the correct PPE being used?
Yes
No
N/A
Is the work area clean and tidy enough to minimize hazards?
Yes
No
N/A
Are correct method of work/risk controls being followed?
Yes
No
N/A
Are the PTW requirements being followed?
Yes
No
N/A
Any Changes? Review PTW
Yes
No
N/A
Inspection 3 (PI Handover) Time
Completed by name
Observation
Signature
Choose a file
Non-conformances reported in CMO?
Yes
No
N/A
Is the correct PPE being used?
Yes
No
N/A
Is the work area clean and tidy enough to minimize hazards?
Yes
No
N/A
Are correct method of work/risk controls being followed?
Yes
No
N/A
Are the PTW requirements being followed?
Yes
No
N/A
Any Changes? Review PTW
Yes
No
N/A
Completion, PTW Close out:
Has the activity stopped work for this permit?
Yes
No
N/A
Has all equipment and supplies been removed?
Yes
No
N/A
Has the work area been satisfactorily cleaned and tidied?
Yes
No
N/A
Work Area Inspection satisfactory?
Yes
No
N/A
Lock-out Tag-out: Lock removed/returned?
Yes
No
N/A
Close out comments (Record incidents, near miss reports and non-conformances) Enter details and CMO number:
Website Design
and
Website Development
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