Permit to Work beyond Office Hours，Description of work

Permit to Work beyond Office Hours

image

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Date of Work

Location of work

Duration of work

Manpower

Description of work

To be filled by the Sub-Contractor

Name of Supervisor (Sub-Contractor)

Riggers

Yes

Name of Safety Supervisor (Sub-Contractor)

Signalmen

Yes

Is the any lifting activities involving crane?

Yes

LM no. of crane (s) Particulars of crane involved

Yes

If so, name of lifting personnel involved

Yes

Name of operator (s) Particulars of crane involved

Yes

Lifting Supervisor(s)

Yes

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 works 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 and 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。

Is there a valid lifting permit?if not attacth with this.

Yes

Is there any hot works involved?

Yes

Is there any use of Explosive powered tools

Yes

If so, Are there fire Extinguishers provided?

Yes

If so, name of the authorized EPT operator

Yes

Is there sufficient lighting provided at the work area?

Yes

name

Signature

designation

Date & Time

勤務時間外作業許可証

施工管理システム

手帳と教程

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Product

Company

Support

Product

Company

Support