Appendix-B
EHS PTW1 1B.0

Shift

 Day
 Night

This Appendix to be submitted together with the approved Parent Permit for the week, submit separately for day & night shift

Parent Permit No         

1.Location (e.g ; Levels G/L 1-6 etc.)         

Description of works (e.g; Installation of cable tray)         

Sub PTW Ref No. /LOTO Ref No. (e.g; WAH/PSE/698)         

No. of Persons         

Name (Sub-con Task Supervisor)        

Sign (Sub-con Task Supervisor)        

2.Location (e.g ; Levels G/L 1-6 etc.)         

Description of works (e.g; Installation of cable tray)         

Sub PTW Ref No. /LOTO Ref No. (e.g; WAH/PSE/698)         

No. of Persons         

Name (Sub-con Task Supervisor)        

Sign (Sub-con Task Supervisor)        

3.Location (e.g ; Levels G/L 1-6 etc.)         

Description of works (e.g; Installation of cable tray)         

Sub PTW Ref No. /LOTO Ref No. (e.g; WAH/PSE/698)         

No. of Persons         

Name (Sub-con Task Supervisor)        

Sign (Sub-con Task Supervisor)        

4.Location (e.g ; Levels G/L 1-6 etc.)         

Description of works (e.g; Installation of cable tray)        

Sub PTW Ref No. /LOTO Ref No. (e.g; WAH/PSE/698)         

No. of Persons         

Name (Sub-con Task Supervisor)        

Sign (Sub-con Task Supervisor)