Dig Excavate Permit

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Acknowledgement Required

I confirm that this request to obtain a Permit to Work complies with Relevant Legislation and Curtin University Policies.
Prior to starting work: I will inspect the workplace, determine and put into place appropriate control measures to minimize health, safety and operational risks, and I agree to accept full responsibility for these risks.
I have completed a "Dial Before You Dig" enquiry.
I have downloaded, read and understood the contents of:
Contactor Safety Handbook
Applying for a Permit to Dig/Excavate

I accept and acknowledge all of the above.

Documents Required

Only standard document types accepted. Please name files appropriately.
NOTE - Combined document filesize limit is only 14MB.

1. Attach a Excavation Location Plan with Excavation Details

2. Attach a Services Location Plan

3. Attach a Work Methodology

4. Attach a Risk Management Plan

Works Details

The Curtin project number or project name

Expected start date of excavation

Expected end date of excavation

Brief description of works (plant & equipment used):

Your Details Your Company's Name

Your Name

Your email address. We send important administration notices to this address

Your Contact Number

Curtin Permit Manager Details Your Curtin Permit Manager name

The information gathered from this form will be sent to this Curtin email address

Your Curtin Permit Manager phone number

I confirm that all of the supporting documentation and information contained in this permit request is complete and accurate.