Safe Working Load，安全负重量，Permit for Lifting Operation Location of work

Permit for Lifting Operation

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举吊准证

Location of work 施工位置

Safe Working Load 安全负重量

Description of work 工作性质叙述

Permit validity Period 准证有效期 (From)

Crane Operator’s Name 吊⻋驾驶员姓名

Permit validity Period 准证有效期 (To)

Lifting Machine No. 吊⻋牌照

This permit is valid only for the period stated above. The conditions of issue must be complied with throughout the duration of work. This permit may be revoked at any time. You are responsible for the copy of this permit to display at work location till completion of the above work or expiry or revocation of permit and must produce it on request. 此准证以上述准证期为限。在工作期严格遵守所有工作条件与规格否则此准证将以作废论。你须承担此准证所述的责任,保存此准证并随时出示以供检验之用。

STAGE 1 – Application for Permit to Work (PTW) by the permit requester (STRAITS Engineer/Site Supervisor or Sub contractor Supervisor) 阶段 1–准证申请者 (海峡工程师/工地管工或二手承包商吊⻋举吊监督)

I have checked and confirmed that the following WSH measures have been taken to ensure safety and health of persons at work and fully understand the nature of work and the WSH compliances.本人已检查与确认以下所列项目皆遵照相关安全条规,并充分明瞭上述工作性质与所需遵照的安全条规。I will supervise & continuously monitor the lifting operations and undertake to stop/cease the operation should there be any unsafe condition or potentially hazardous situation arose during the course of work. I undertake to report immediately if there is any incompatible work found in /around the vicinity.本人将监督所有举吊工作并担保一旦发现任何导致工地意外的危险性举动或环境将即刻停工。

Warning signs are displayed 展示警示牌

Yes

Lifting area cordoned off 封锁举吊覆盖范围

Yes

Valid LM Certificate available 举吊机械有效合格证书 (吊⻋等)

Yes

MOM licensed crane operator available 吊⻋驾驶员须注册于劳工部

Yes

Qualified Lifting Supervisor available 合格举吊监督(在旁监督)

Yes

Qualified Rigger and Signalman available 合格索具装配工与讯号员

Yes

Lifting Appliances are in good condition 举吊器具装置符合标准,无破损

Yes

Lifting gear color code system is implemented 实行索具颜色区分系统

Yes

Lifting Gears are in good condition 举吊索具符合标准,无破损等 (吊钩,索链,绳索等)

Yes

Method statement for lifting work available 任何举吊行动须配有相关举吊步骤与程序说明书

Yes

Crane access in good condition and PE design available 良好的吊⻋脚路(平坦,坚实)

Yes

Lifting Supervisor, Rigger & Signalmen are in proper attire 举吊监督,索具装配工与讯号员须穿戴适宜的服饰

Yes

Approved Examiner test certificate available for Lifting Gears 举吊索具有效合格证书(吊钩,索链,绳索等)

Yes

Confirmed with crane operator that limit switches are functioning properly 吊⻋终点限制电⻔正常运作

Yes

Inspection checklist by crane operator & Lifting Supervisor available 吊⻋驾驶员与举吊监督须定期填写相关检查表

Yes

Confirmed with crane operator that load radius indicator is in good condition ⻋负载半径显示表正常运作

Yes

Checks are conducted to ensure that the lifting machine is in good working order 举吊机械正常运作(吊⻋等)

Yes

Confirmed with crane operator that warning blinker lights and alarms re in good condition 警示灯与警报装置正常运作

Yes

Sitting distance from overhead electrical cable Min 3 meters and roped off with warning sign 吊⻋与高挂电缆须保持至少3米的距离

Yes

Tool box meeting / briefing by Lifting Supervisor to his lifting crew on safe lifting procedures 举吊监督须向所有的举吊工作人员简述相关举吊步骤与程序

Yes

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Signature

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Date & Time

揚重作業許可証

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