Permit for Pilling Work

Permit for Pilling Work(s)

Image

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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

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 PTW by the permit requester (STRAITS Engineer/Site Supervisor or Sub contractor Piling 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车举吊监督)

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 piling 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。

Valid LM Certificate available

Yes

MOM licensed crane operator available

Yes

Approved Examiner test certificate available for Lifting Gears f

Yes

Inspection checklist by crane operator & Lifting Supervisor available

Yes

Qualified Lifting Supervisor available

Yes

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

Yes

Piling machine access in good condition

Yes

All bored hole properly barricaded

Yes

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

Yes

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

Yes

Method statement for lifting work available

Yes

Lifting Appliances are in good condition

Yes

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

Yes

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

Yes

Piling / Lifting area cordoned off

Yes

Lifting gear color code system is implemented / followed

Yes

Warning signs are displayed at conspicuous location

Yes

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

Yes

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

Yes

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

Yes

Piling operation process supervised by trade supervisor / designated person

Yes

Designated person is appointed for the inspection of piling equipment

Yes

name

Signature

designation

Date & Time

打桩作业许可

施工管理系统

手册和教程

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