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Location of work 施工位置

Machine Operator’s Name 吊车驾驶员姓名

Description of work 工作性质叙述

Piling Machine No. 吊车牌照

Permit validity Period 准证有效期(From)

Safe Working Load 安全负重量

Permit validity Period 准证有效期 (Till)

Piling Work(s) image

Valid LM Certificate available

MOM licensed crane operator available

Approved Examiner test certificate available for Lifting Gears f

Inspection checklist by crane operator & Lifting Supervisor available

Qualified Lifting Supervisor available

PE design available for underpinning, sheet piling, bracing or other means of shoring to support any adjacent structure or with worksite

Piling machine access in good condition

All bored hole properly barricaded

Safe Work Procedure, Risk Assessment and tool box meeting conducted/ briefed to all workers; records maintained

Spreader beam available (for lifting rebar cage) and in safe working condition

Method statement for lifting work available

Lifting Appliances are in good condition

All underground services (e.g. pipe or cables etc.) identified/check by designated person; cable detection drawings available

Sitting distance from overhead electrical cable Min 3 meters and roped off with warning sign

Piling / Lifting area cordoned off

Lifting gear color code system is implemented / followed

Warning signs are displayed at conspicuous location

All necessary PPE provided to work personnel e.g. ear muff, goggles etc…

Qualified Lifting Supervisor, Rigger & Signalmen are present and they are in proper attire

Engineers check on probable soil settlement and any damages induced and affect the surrounding buildings.

Piling operation process supervised by trade supervisor / designated person

Designated person is appointed for the inspection of piling equipment

name

Signature

designation

Date & Time