Appendix-A

EHS PTW1 1A.0

Shift

 Day
 Night

This Appendix to be attached with Parent Work Permit, 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)        

Applied PTW & Ref No. (e.g; WAH/PSE/698)        

No. of Persons        

Name (Sub-con Task Supervisor)        

Sign (Sub-con Task Supervisor)        

Remarks        

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

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

Applied PTW & Ref No. (e.g; WAH/PSE/698)       

No. of Persons       

Name (Sub-con Task Supervisor)        

Sign (Sub-con Task Supervisor)

Remarks        

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

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

Applied PTW & Ref No. (e.g; WAH/PSE/698)       

No. of Persons       

Name (Sub-con Task Supervisor)       

Sign (Sub-con Task Supervisor)       

Remarks       

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

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

Applied PTW & Ref No. (e.g; WAH/PSE/698)       

No. of Persons       

Name (Sub-con Task Supervisor)       

Sign (Sub-con Task Supervisor)       

Remarks       

Endorsement by M+W System Supervisor/Engineer
Note; Sub-contractors are instructed that any new / add-on jobs must be notified through Appendix-B to the M+W System Sup/Engr, EHS Department & Authorized Manager.