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    PermitToWork Form152202331024

    Uploaded by

    ChowKC03
    This permit is required for any non-routine work at IFKM premises, such as renovation, repair, maintenance, and installation. It does not authorize work involving confined spaces or open flames, which require separate permits. The document provides details of a request for underground fire protection pipe installation work from February 17 to May 12, 2023. It lists the work requestor, service provider, on-site supervisor, work description, location, tools/systems affected, and potential hazards. Multiple levels of approval are required, including from the area owner, system owner, and environmental safety and health team, to ensure compliance with security, environmental, and safety protocols.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PermitToWork Form152202331024

    Uploaded by

    ChowKC03
    115 views1 page
    This permit is required for any non-routine work at IFKM premises, such as renovation, repair, maintenance, and installation. It does not authorize work involving confined spaces or open flames, which require separate permits. The document provides details of a request for underground fire protection pipe installation work from February 17 to May 12, 2023. It lists the work requestor, service provider, on-site supervisor, work description, location, tools/systems affected, and potential hazards. Multiple levels of approval are required, including from the area owner, system owner, and environmental safety and health team, to ensure compliance with security, environmental, and safety protocols.

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    PermitToWork_Form152202331024

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    This permit is required for any non-routine work at IFKM premises, such as renovation, repair, maintenance, and installation. It does not authorize work involving confined spaces or open flames, which require separate permits. The document provides details of a request for underground fire protection pipe installation work from February 17 to May 12, 2023. It lists the work requestor, service provider, on-site supervisor, work description, location, tools/systems affected, and potential hazards. Multiple levels of approval are required, including from the area owner, system owner, and environmental safety and health team, to ensure compliance with security, environmental, and safety protocols.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    115 views1 page

    PermitToWork Form152202331024

    Uploaded by

    ChowKC03
    This permit is required for any non-routine work at IFKM premises, such as renovation, repair, maintenance, and installation. It does not authorize work involving confined spaces or open flames, which require separate permits. The document provides details of a request for underground fire protection pipe installation work from February 17 to May 12, 2023. It lists the work requestor, service provider, on-site supervisor, work description, location, tools/systems affected, and potential hazards. Multiple levels of approval are required, including from the area owner, system owner, and environmental safety and health team, to ensure compliance with security, environmental, and safety protocols.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Permit To Work

    Text Box, allow site specific message


    This permit is mandatory for any non-routine work in IFKM premises such as, but not limited to, renovation, repair, maintenance, installation, refurnishing,
    dismantling, retrofitting, modification, etc.
    This permit does not authorise work:
    Involving confined spaces such as, but not limited to, tunnel, duct, shafts, sewers, tank, pits, containers or any spaces which have limited openings for entry and
    exit, and unfavourable natural ventilation.
    Another separate permit called CONFINED SPACE ENTRY PERMIT is required and must be attached with this Permit.
    Involving open flames or producing heat and/or sparks such as, but not limited to, brazing, cutting, grinding, soldering, thawing pipe, torch applying
    roofing/flooring, welding, etc Another separate permit called HOT WORK PERMIT is required and must be attached with this Permit.

    Work Requestor
    Full Name: Kamarudin Lina (IFKM FE Designation:
    FM PM / External)
    Contact No: Department: FM DPS Department KUL

    General Information
    Service Provider's Company Name: International Facility Office Tel No: 04 402 6203
    Engineering (M) Sdn Bhd
    On-site person in charge of work: AHMAD BIN ISMAIL H/P No: 0192171635
    Supervisor/Superior: KHOR BOON YIK H/P No: 0134412628
    Description of work: UNDERGROUND FIRE PROTECTION PIPE INSTALLATION WORK
    Location of work: GROUND FLOOR
    Area/Room: EXTERNAL
    Level/Floor: GROUND FLOOR
    Start Date Time: 17-FEB-23 08:00 AM End Date Time: 12-MAY-23 08:00 PM
    Extended End Date Time:
    Extension Remark:
    Clean Room will be affected?: No
    Tools / Utilities System Affected ( If Yes, Specify the system / Tools ID):
    Potential Impact to Fab Operation. What is Precautionary Measures?:
    Works at a Height of 2m and above? Yes

    Required Attachment Workplace (Qualitative) Risk Assessment


    Special Tool / Equipment Cranes/Hoister, Backhoe, Ladder, Electrical Power Tools, Scaffold, Toolbox
    Potential Hazard Biohazard, Electrical, Mechanical, Physical, Work at Height
    Personal Protective Equipment Protective Gloves, Safety Goggles /Face Shied, Safety Harness!, Safety Helmet , Safety
    Shoes

    Work Approval

    Approval level Approver name Approved Date Remark


    Area Owner Jamian@Jaapar 14-FEB-23 Please follow security protocol and EHS protocol all the time
    Asmadi (IFKM FE
    FM PM)
    System Owner Umar Hasbullah 14-FEB-23 As per team discussion the revise MOS and WRA shall be submitted thru email since K3
    (IFKM FE FM ES) team need to start the work on 15th Feb 2023. Thus the updated MOS and WRA shall be
    referred to the email document.
    ESH Umar Hasbullah 15-FEB-23 Strictly follow IFKM EHS safety requirements and approved WMS
    (IFKM FE FM ES)

    Completion Of Work

    In case of Emergency, please call FMCS Control Room / Emergency Centre - 044278111

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