VEHICLE ENTRY CHECK LIST

PART -A (To be filled by Permit Applicant)

Area Station/Facility:

Driver Name Permit No:

Vehicle Plate No/Fleet No Type of vehicle

Vehicle Permit No Validity From

PDO Driving Permit No Validity From

Date From
Duration of Vehicle entry required
Time From

Work Description

Justification For vehicle entry

Sl.No. ITEMS
1 Is vehicle entry necessary for the job?

2 Any other means of transport is not applicable?

3 Is the vehicle diesel engine?

4 No leakage observed? (Fuel,water, lube hydraulic oils,coolents,etc.,

5 Is the vehicle in good condition?

6 Is clear route map indicating the shortest route attached with permit?

7 Is the vehicle free of mobile phones or other sources of ignition? (e.g Matches or lighters)

8 Are vacuum provided with 2 earting leads and are in good condition?

9 Are vehicle with portable welding machines provided with earthing leads and are in good condition?

10 Is flame arrstor fixied?

Name Ref.Ind Copy

PART -B (To be finished by Area Authority)

Sl.No. ITEMS
1 Is vehicle entry necessary for the job?

2 Any other means of transport is not applicable?

3 Is the vehicle diesel engine?

4 No leakage observed? (Fuel,water, lube hydraulic oils,coolents,etc.,

5 Is the vehicle in good condition?

6 Is clear route map indicating the shortest route attached with permit?

7 Is the vehicle free of mobile phones or other sources of ignition? (e.g Matches or lighters)

Is gas test conducted along the route before entry?(The gas test shall be to check for an explosive or
8 flammable atmosphere)

9 Are the hazards present in the area & the rules inside the facility discussed with driver ?

10 Is the emergency procedure explained & understood by the driver ?

11 Is the enterance gate fully controlled by area authority?

 12 Is the GSM transmission in IVMS disabled?

13 Are vacuum tankers provided with 2 earting leads and are in good condition?

14 Are vehicle with portable welding machines provided with earthing leads and are in good condition?

15 Is flame arrstor fixied?

Name Ref.Ind
(AREA AUTHORITY)

Ifany of the above question is with answer NO,the vehicle entry shall be denied.

Sl.No Date Time In Time out Sign (PH) Time In Time out
ST

mit No:

e of vehicle

To

To

To

To

Y N

r lighters)

e in good condition?

Sign
 Y N

r lighters)

k for an explosive or

driver ?
e in good condition?

Sign

Sign (PH) Remarks