Magicsoft Asia day

PROJECT : 

DEMOLITION WORK PERMIT

Permit No. :

Part 1: Application

Validity Period (Date & Time of work) :

From: 09/08/2018 (Date) 07:00 (Time)

To: 09/08/2018 (Date) 19:00 (Time)
Contractor : Magicsoft Asia

No. of Supervisors : test

Description of work : test

No. of Workers : 10

Daily Check By Work Supervisor-In-Charge and/or Safety Assessor (Yes, No, “NA“ for Not Applicable)

Minimum Safety Requirements

Approved Risk Assessments available   Yes
Safe Work Procedures available   Yes
PTW/ Location Plan displayed at place of work   Yes
Workers are briefed on the hazards & corresponding control measures   Yes
Workers are medically fit to work/ not feeling unwell/ not overworked   Yes
Workers are reminded to do Last Minute Risk Assessment (LMRA) before start work   Yes
Safety barriers & warning signs erected to prevent unauthorised entry   Yes
Adequate safe access provided for workers access to workplaces   Yes
Safe work platform provided i.e. Min 500mm wide/ secured & of sound materials   Yes
Adequate edge protection provided – top rail/ mid rail/ toe board (Top rail ≥ 1m high / mid rail < 0.6m high / toe board ≥
90mm high)  Yes
Overhead protection/ debris netting provided   Yes
Demolition work properly scheduled to minimize inconvenience to public/tenant   Yes
Existing affected services identified & terminated or diverted & protected   Yes
Adequate lighting provided at workplaces   Yes
applicant/ SC Engr/ Sup to provide continuous monitoring & supervision on site   Yes
Competent Operator/ worker appointed & briefed on sequence of work   Yes
Regular removal of demolition debris to prevent overloading of structures   Yes
Safe access for machinery identified & demarcated on site   Yes
PE Design Calculation/ Drawings/ COS available for removal of load bearing structures   Yes
Inspection of work area after inclement weather – safe to work after inclement weather   Yes
Others :

Part 2: Check & Endorsement

a) I have read & understood this permit & agree to work in accordance with the provisions of the RA/ SWP/ Method Statement & the safety requirements stated in this permit.

b) I have checked the site & satisfied that reasonably practicable steps will or have been taken to safeguard the safety & health of the persons working & in the vicinity

a. Applicant / Work Supervisor
Name Admin
Signature
Time 17:10

b. Safety Assessor (Shimizu) WSHO/
WSHC/ Competent Person
Name Safety Assessor
Signature
Time 11:04

c. Shimizu Engineer/ Supervisor In-Charge
Name Engineer
Signature
Time 11:05

Part 3: Issued By

a) I am satisfied that proper evaluation of risk & hazards involved based on available information

b) I am satisfied that no incompatible works will be carried out

c) I am satisfied that all reasonably practicable measures will or have been implemented & enforced

d) The working personnel are informed of the hazards & protection counter measures to be taken

Site Overall In-Charge (SC PM /
Appointed Duty Personnel)
Name PM
Signature
Time 11:05

Part 4: Notice of Revocation or Closure

a) Work has been terminated/ completed

b) Housekeeping has been carried out

c) Work area is safe for other personnel

Applicant/ Work Supervisor
Name Applicant
Signature
Time 11:06

Part 5: Confirmation of Revocation or Closure

a) Work has been terminated/ completed

b) Housekeeping has been carried out

c) Work area is safe for other personnel

Site Overall In-Charge (SC PM /
Appointed Duty Personnel)
Name PM
Signature
Time 11:06

Photo Attachment

Safety barriers & warning signs erected to prevent unauthorised entry

Adequate safe access provided for workers access to workplaces

Safe work platform provided i.e. Min 500mm wide/ secured & of sound materials

Adequate edge protection provided – top rail/ mid rail/ toe board (Top
rail ≥ 1m high / mid rail < 0.6m high / toe board ≥ 90mm high)

Safe access for machinery identified & demarcated on site