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CM CBA 108Demolition

Construction Safety User Manual

Demolition Permit
PLANT Date Permit Requested: Person Requesting Permit: Project or Plant Work Order #: Description of Job Intended: Area for Sketch: (Use back side for larger sketches) Expiration Date:

Safety Check: Is this a high-risk job? Special shoring required? Special dewatering required? Were plant drawings used to verify risk? Are lockouts required? Are hot work permits required? Is pathogen pail needed? Submitted By:

Yes

No

(Contractor Planner) Site Sign-OffResponsible Person, by Area: Electrical Piping Fire Mains Yard/Miscellaneous Confined Space Power, control, camera, and lighting conduit/wire Water, sewage, storm, process piping Sprinkler systems/alarms Miscellaneous yard/building items Air monitoring/safety watch for working in critical excavations (required by law)

Contractor Site Manager/Date (for approval)

P&G Construction Manager/Date (for authorization)

108-1

October 2000

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