LOA Form

Name:_________________________ Date: __________________
NRIC/FIN/WP No. : _______________
Company: ______________________
APPOINTMENT OF PROJECT DIRECTOR
You have been appointed and authorized to act on my behalf of the occupier for the above project and it is your responsibility
to ensure that the provisions under the WSH (Construction) Regulations, WSH Act and it's subsidiary legislations are complied
with as follows:
 So far as is reasonably practicable, such measures as are necessary to ensure the safety and health of persons who
may be affected by any undertaking carried on by him in the workplace;
 To provide adequate resources and facilities in managing WSHE management system;
 To provide facilities and resource to managing workers welfare;
 To provide the support and involvement in the WSHE management program;
 Participate in the MR meeting, review safety plan and provide support in the implementation of control program for
any revision required;
 To ensure that:
1. Workplace
2. all means of access to or egress from the workplace; and
3. any machinery, equipment, plant, article or substance kept on the workplace,
are safe and without risks to health to every person within those premises, whether or not the person is at work or is
an employee of the occupier;
 Ensuring that those persons at work have adequate instruction, information, training and supervision as is necessary
for them to perform their work;
 Appointing of overall person in charge to manage the above mentioned project;
 Diligently discharging the roles and responsibilities as stipulated in the WSHE management system.
Please acknowledge the official appointment as the Project Director by signing below.
Yours faithfully,
____________________________
Name:
Designation:
Company:
______________________________________________________________________________________________________
ACKNOWLEDGEMENT OF APPOINTMENT
I hereby acknowledge the contents stipulated above.
___________________________ ______________________________
Name/ Signature Company stamp
Witnessed/ translated by: ________________________

Name/ Signature
LETTER OF APPOINTMENT
PROJECT: CERTIS CENTRE REDEVELOPMENT
APPOINTMENT OF PROJECT MANAGER
It is your responsibility to ensure that the provisions under the WSH (Construction) Regulations, WSH Act and its subsidiary
legislations are complied with as follows:
1. Take, so far reasonably practicable, such measures as are necessary to ensure that a permit-to-work system in
accordance with this Part is implemented for the worksite;
2. Issue a permit-to-work in relation to any high-risk construction work which is to be carried out in the worksite is you
are satisfied that there has been proper evaluation of the risks and hazards involved in the carrying out of the work
based on the available information;
3. Ensure no incompatible work which may pose a risk to the safety and health of other persons at work in the worksite
will be carried out at the same time in the same vicinity as the high risk construction work;
4. Ensure all reasonably practicable measures will or have been taken to ensure the safety and health of the persons who
carry out or are to carry out the high risk construction work;
5. Ensure all persons who are to carry out the high risk construction work are informed of the hazards associated with it;
6. Retain a copy of the permit-to-work;
7. Exercise all due diligence when performing your function in relation to the issuance of a permit-to-work;
8. Continually review the progress of all high risk construction work being carried out in the worksite to ensure that the
high risk construction work is carried out with due regard to the safety, health and welfare of the persons carrying out
the high risk construction work in the worksite;
9. Order the high risk construction work to cease immediately and revoke the permit-to-work if it is of the view that the
carrying out of the high risk construction work poses or is likely to pose a risk to the safety, health and welfare of
persons at work in the worksite;
10. Familiarize yourself with the Project permit-to-work system;
11. Ensure that method statement, approved risk assessment and safe work procedures are available prior to endorsement of
the permit-to-work;
12. Ensure that the works are carried out by appointed competent person under the regulations;
13. Inform Occupier of any deviation or non-conformance; and
14. Stop all outdoor works during adverse weather conditions.
___________________________________________________________________________________________________________________
I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),
from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

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Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

Project Manager Personnel Senior Project Manager
_________________________ _________________________ _________________________ _________________________

Signature Signature Signature Signature
Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________
Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________
Note: Appointed personnel’s relevant competency certification must be attached with this letter of appointment
APPOINTMENT OF CONSTRUCTION MANAGER
It is your responsibility to ensure that the provisions under the WSH (Construction) Regulations, WSH Act and it's subsidiary
1. Take, so far reasonably practicable, such measures as are necessary to ensure that a permit-to-work system in
accordance with this Part is implemented for the worksite;
2. Issue a permit-to-work in relation to any high-risk construction work which is to be carried out in the worksite is you
are satisfied that there has been proper evaluation of the risks and hazards involved in the carrying out of the work
based on the available information;
the high risk construction work in the worksite;
11. Ensure that method statement, approved risk assessment and safe work procedures are available prior to endorsement of
the permit-to-work;
12. Ensure that the works are carried out by appointed competent person under the regulations;
13. Inform Occupier of any deviation or non-conformance; and
14. Stop all outdoor works during adverse weather conditions
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APPOINTMENT OF SAFETY COMMITTEE CHAIRMAN
It is your responsibility to ensure that the provisions under the WSH (WSH Committees) Regulations 2008, WSH Act and its
subsidiary legislations are complied with as follows:
1. Ensure that WSH committee carries out the general inspection of workplace and inspection after accident or dangerous
occurrence;
2. Ensure that all inspections observations are discussed in the meeting;
3. Record in a report the lack of any measure, or any deficient measure, taken to ensure the safety and health of person at
workplace;
4. Record in a report its recommendations on the actions to be taken in the workplace to ensure the safety and health of a
person at work in the workplace;
2. Ensure that every report of his workplace safety and health committee put up is furnish to the occupier of the
workplace;
3. Familiarize yourself with the Function of the project WSH Committee;
4. Ensure that approved proposed actions to safe-guard the safety, health and environment in the workplace are
implemented; and
5. Inform Occupier of any deviation or non-conformance
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APPOINTMENT OF SAFETY COMMITTEE MEMBER
It is your responsibility to ensure that the provisions under the WSH (WSH Committees) Regulations 2008, WSH Act and its
1. As a WSH committee member carries out the general inspection of workplace and inspection after accident or
dangerous occurrence;
2. Involved in all inspections, observations and discussion in the meeting;
3. Record in a report the lack of any measure, or any deficient measure, taken to ensure the safety and health of person at
work in the workplace;
4. To ensure the communication of the safety matter discussed from the meeting;
5. Familiarize yourself with the Function of the project WSH Committee; and
6. Ensure that approved proposed actions to safe-guard the safety, health and environment in the workplace are
implemented;.
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APPOINTMENT OF RISK MANAGEMENT (RM) TEAM LEADER
It is your responsibility to ensure that the provisions under the WSH (Risk Management) Regulations, Code of Practice of
Risk Management, WSH (Construction) Regulations, WSH Act and its subsidiary legislations are complied with as follows:
1. Ensure that risk assessment is conducted and approved prior to commencement of work;
2. Identifying unit(or “Boundary”) for assessing and controlling risks at work place;
3. To determine the most appropriate method of identifying hazard;
4. To consider hazard beyond their immediate work;
5. To review the hazard of the work activity monthly;
6. Review the risk assessment least once within 3 years;
7. Revise the risk assessment if necessary;
8. The Risk assessment is communicated;
9. Risk control measures are implemented and monitor the effectiveness;
10. Risk records are in placed;
11. Recommend appropriate risk control measures to reduce or eliminate the risks identified;
12. Prepare a record of the risk assessment for the employer after completion of the assessment; and
13. Assist management in monitoring the effectiveness of risk control measures after their implementation.
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APPOINTMENT OF RISK MANAGEMENT (RM) TEAM MEMBER
It is your responsibility to ensure that the provisions under the WSH (Risk Management) Regulations, Code of Practice of
Risk Management, WSH (Construction) Regulations, WSH Act and it's subsidiary legislations are complied with as follows:
1. Ensure that risk assessment is conducted and approved prior to commencement of work;
2. Identifying hazard of the work activities;
3. Consider hazard beyond their immediate work;
4. Review the hazard of the work activity as required;
5. Review the risk assessment least once within 3 years;
6. Revise the risk assessment if necessary;
7. The Risk assessment is communicated;
8. Risk control measures are implemented and monitor the effectiveness;
9. Risk records are in placed;
10. Actively participate in the conducting of the risk assessment;
11. Input the best knowledge in the risk assessment exercise;
12. Assist and cooperate with the team leader; and
13. Actively participate with the implementation of the control measure.
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APPOINTMENT OF PERMIT TO WORK SAFETY ASSESSOR
1. Assess whether all reasonably practicable measures have been taken to ensure the safety and health of the persons who
will be carrying out the high risk construction work in the worksite;
2. Inspect the site (including its surroundings) where the high risk construction work is to be carried out together with the
supervisor of the person who is to carry out the work to ensure that the high risk construction work can be carried out
with due regard to the safety and health of the person or any other person at work in the worksite who may be affected;
3. Endorse the application for the permit-to-work and forward the endorsed application to Project Manager of the worksite
if you are satisfied that the high risk construction work can be carried out in the worksite with due regard to the safety
and health of the person or any other person at work in the worksite who may be affected;
4. Exercise all due diligence when performing your functions in relation to the evaluation and endorsement of an
application for a permit-to-work;
6. Ensure that method statement, risk assessment and safe work procedures are available prior to endorsement of the
permit-to-work;
7. Monitor the high risk construction activities and inform Project Manager of any deviation or nonconformance;
8. Maintain site WSHE permit-to-work records; and
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APPOINTMENT OF PERMIT TO WORK APPROVING MANAGER
It is your responsibility to ensure that the provisions under the WSH (Construction) Regulations, WSH Act and its subsidiary
1. Ensure that there has been a proper evaluation of the risks and hazards involved in the carrying out of the work based
on the available information;
the high risk construction work in the worksite; and
10. Ensure that method statement, risk assessment and safe work procedures are available prior to endorsement of the
permit-to-work;
11. Inform Project Manager of any deviation or non-conformance; and
12. Stop all outdoor works during adverse weather conditions
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APPOINTMENT OF WORKPLACE SAFETY, HEALTH AND ENVIRONMENTAL (WSHE) MANAGER/

OFFICER
It is your responsibility to ensure that the provisions under the WSH (Workplace Safety & Health Officer) Regulations, WSH
Act and its subsidiary legislations are complied with as follows:
1. Shall advice and assist the project team in complying with the Workplace Safety and Health (WSH) Act, Work Injury
Compensation Act (WICA), regulations covering factories and other WSH legislation;
2. Monitor the overall WSHE performance of the project, identify unsafe conditions and procedures and recommend
corrective actions;
3. Responsible to report all work injuries as stipulated in Work Injury Compensation Acts (WICA) to insurance and
ensure closure of all cases reported;
4. Recommend to the Project Manager/ Site Manager for cessation of work that carried out in a safe manner;
5. Liaise with the relevant Authorities with regards to any WSHE matters;
6. Responsible for full implementation of all the provisions in the Project WSHE Management System and maintenance of
all WSHE record keeping;
7. Compile weekly and monthly WSHE reports and submit to Corporate WSHE Department on a regular basis;
8. Secretary to the monthly WSHE meeting and preparing of WSHE minutes;
9. Lead and organize investigations following the occurrence of workplace accidents;
10. Issue WSHE instructions, general correspondences and penalties internally to sub-contractors;
11. Establish and provide training to staffs and workers on WSHE issues;
12. Conduct WSHE promotional activities for the project sites.
13. Carry out regular checks on the health of the workers;
14. Conducting/ assisting in external or internal workplace WSHE inspections and audits, follow up on the effective
implementation and closure of associated corrective/remedial action;
15. In the absent of WSHE Manager, carry out design and implement emergency preparedness and contingency plans;
16. Attend client meeting and
17. Diligently discharging the roles and responsibilities as stipulated in the WSHE management system.
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APPOINTMENT OF ENVIRONMENTAL CONTROL OFFICER (ECO)
It is your responsibility to ensure that the provisions under the Environmental Public Health (Registration of Environmental
Control Officers) Regulations and code of practice for Environmental Control Officer as follows:
1. Prepare and submit the Site Environmental Control programme as specified in the code of practice, before the start of
the construction works to PD/ PM for endorsement.
2. Submit to the PD/ PM a site environmental control report, as specified in the code of practice, every 2 weeks after the
commencement of the construction works.
3. Inspect the construction site to ensure all facilities and equipment relevant to the maintenance of environmental health
are in proper working condition and do not pose any environment health hazard.
4. Inspection areas of concern as follows:
(a) Disease bearing insects and rodents;

(b) Noise, air and water disposal;
(c) Proper disposal of construction waste/ marine clay;
(d) Earth littering;
(e) Siltation of drains;
(f) Proper maintenance of septic tank(s)/ holding tanks(s), chemical / portable toilet(s) and other sanitary facilities;
(g) Food hygiene; and
(h) Any other environmental health matters
5. Point out and discuss environmental health irregularities such as mosquito and fly breeding, rodent infestation, noise/
dust/ smoke water pollution and poor housekeeping;
6. Attend to all feedback on such irregularities and inform the PD/ PM of the construction accordingly; and
7. Organize campaigns, training courses and other activities.
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APPOINTMENT OF WSHC COORDINATOR/ SUPERVISOR
1. Familiarize yourself with the Project WSHE Management System;

2. Assist to identify and rectify any unsafe condition or unsafe work practice;
3. Recommend to your PM, reasonably practicable measures to be implemented to remedy the unsafe condition/act;
4. Ensure that method statement, risk assessment and safe work procedures are available for your work before
commencement of site work;
5. Ensure all your staff and workers have attended the Project WSHE induction before starting work;
6. Ensure that the risk assessment control measures are implemented for your activities;
7. Ensure that all works are carried out in accordance to approved method statement, risk assessment and SWP;
8. Communicate to your colleagues and workers on the nature of risks involved and the measures implemented to control
these risks through daily toolbox meeting and safe work procedure briefings;
9. Ensure all equipment and machinery brought into site are in good and safe working condition;
10. Conduct and keep record of daily WSHE inspection;
11. Carry out daily joint WSHE inspection together with sub-contractor’s WSH Coordinator/ Supervisor and timely rectify
any unsafe acts or conditions;
12. Carry out all safety & health environmental measures as recommended by the WSHE Manager/ Officer promptly;
13. Monitor closely all high risk construction activities and inform your PM of any deviation or non-conformance;
14. Inform WSHE Manager/ Officer and Project Manager immediately upon knowledge of any site incident;
15. Investigate into every incident or accident and develop corrective measures;
16. Report all injuries no matter how slight it may seems;
17. Ensure good housekeeping is practiced on site;
18. Maintain site WSHE records;
19. Conduct WSHE talks and daily toolbox meetings;
20. Promote WSHE awareness among your colleagues and workers;
21. Attend all WSHE meetings and activities;
22. Ensure issuance of Personal Protective Equipment is properly recorded and documented;
23. Supervise the erection of safety & health and environmental measures; and
24. Stop all outdoor works during adverse weather and
25. Diligently discharging the roles and responsibilities as stipulated in the WSHE management system.
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APPOINTMENT OF PUBLIC RELATIONSHIP OFFICER (PRO)
You have been appointed as Public Relationship Officer for the project and your responsibilities is as follows:
1. Handle and resolve conflicts and feedbacks from public and stakeholders pertaining to the project.
2. Conduct regular visits to residents/ stakeholders affected by the works to gather feedback, preparing circulars. Letter
and flyers to keep stakeholders abreast and update on the site activities and progress.
3. Responsible in preparation of monthly notice to residents/ building management (Community relations report and
service feedback, notice to residents/ building management and other printer materials for the residents/ building
management).
4. Attend dialogue sessions with the Client, Resident Committees, Town Councils and any party as directed by the
Project Management Team or the client.
5. Prepare and submit weekly updates, monthly reports and other programme pertaining to public relations works.
6. Provide administrative support and assistance to Project Management Team and liaise with government authorities,
public and lessee of the property in relation to project work in progress.
7. To be contactable 24/7 as and when necessary to facilitate the project.
8. Any other tasked assigned by Project Management Team.
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APPOINTMENT OF SUB CONTRACTOR WSH COORDINATOR/ SUPERVISOR
You have been appointed as a WSH Coordinator/Supervisor for the above project and it is your responsibility to ensure
that the provisions under the WSH (Construction) Regulations, WSH Act and it's subsidiary legislations are complied
with as follows:
1. Familiarize yourself with the Project WSHE Management System;

2. Assist to identify and rectify any unsafe condition or unsafe work practice;
3. Recommend to your PM, reasonably practicable measures to be implemented to remedy the unsafe condition/act;
4. Ensure that method statement, risk assessment and safe work procedures are available for your work before
commencement of site work;
5. Ensure all your staff and workers have attended the Project WSHE induction before starting work;
6. Ensure that the risk assessment control measures are implemented for your activities;
7. Ensure that all works are carried out in accordance to approved method statement, risk assessment and SWP;
8. Communicate to your colleagues and workers on the nature of risks involved and the measures implemented to
control these risks through daily toolbox meeting and safe work procedure briefings;
9. Ensure all equipment and machinery brought into site are in good and safe working condition;
10. Conduct and keep record of daily WSHE inspection;
11. Accompany WSHE personnel in the WSHE inspection of any work areas and timely rectify unsafe acts and
conditions;
12. Carry out all safety & health environmental measures as recommended by the WSHE personnel promptly;
13. Monitor closely all high risk construction activities and inform your PM of any deviation or non-conformance;
14. Inform WSH personnel immediately upon knowledge of any site incident;
15. Investigate into every incident or accident and develop corrective measures;
16. Report all injuries no matter how slight it may seems;
17. Ensure good housekeeping is practiced on site;
18. Maintain site WSHE records;
19. Conduct WSHE talks and daily toolbox meetings;
20. Promote WSHE awareness among your colleagues and workers;
21. Attend all WSHE meetings and activities;
22. Ensure issuance of Personal Protective Equipment is properly recorded and documented;
23. Supervise the erection of safety & health and environmental measures; and
24. Stop all outdoor works during adverse weather.
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APPOINTMENT OF WORK AT HEIGHTS SUPERVISOR
You have been appointed as a Work at Heights Supervisor for the above project and it is your responsibility to ensure that
the provisions under the WSH (Work a Heights) Regulations, Code of Practice for Working Safety at height, WSH Act
and it's subsidiary legislations are complied with as follows:
1. Apply the application for a permit to work to carry out any hazardous work at height;
2. Make in such form and manner as may be required by the authorized manager;
3. State the measures which will be taken to ensure the safety and health of the person who is to carry out the
hazardous work at height;
4. Be addressed to the authorized manager and submitted to the work-at-height safety assessor where the hazardous
work at height is to be carried out;
5. Clearly post, at the work area where the work is carried out, a copy of the permit-to-work issued in respect of that
hazardous work at height, including (where reasonably practicable) a sketch of any area where the hazardous work
at height is permitted;
6. Ensure that the copy is not removed until the date of expiry or date revocation of the permit-to-work, or on
completion of the hazardous work at height, whichever is the earlier;
7. Ensure that the measures necessary to ensure the safety and health of the person at work are taken and are in place at
all times during the validity period of the permit-to-work; and
8. Inform the authorized manager upon completion of the hazardous work at height.
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APPOINTMENT OF WORK-AT-HEIGHT SAFETY ASSESSOR
You have been appointed as a work-at-height Safety Assessor for the above project and it is your responsibility to ensure
that the provisions under the WSH (WORK AT HEIGHTS) Regulations, Code of Practice for Working Safety at height,
WSH Act and it's subsidiary legislations are complied with as follows:
1. Inspect the anchorage and anchorage line of the travel restraint system or fall arrest system at the start of every work
shift to ensure that they are in good working condition and are safe for use;
2. Immediately remove from service any such anchorage or anchorage line which is found to be defective;
3. Immediately enter the results of every inspection into a register containing such detail as may be required by the
Commissioner;
4. Provide the register to the responsible person before the end of the shift;
5. Assess whether all reasonably practicable measures have been taken to ensure the safety and health of the person
who will be carrying out the hazardous work at height; and
6. Inspect the site (including its surroundings) where the hazardous work at height is to be carried out together with
supervisor of the person who is to carry out the work, to ensure that the hazardous work at height ca be carried out
with due regard to the safety and health of the person and any other person at work in the workplace who may be
affected.
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APPOINTMENT OF AUTHORISED MANAGER FOR THE HAZARDOUS WORK AT HEIGHT
You have been appointed as a Work at Height Authorised Manager for the above project and it is your responsibility to
ensure that the provisions under the WSH (Work At Heights) Regulations, Code of Practice for Working Safety at height,
WSH Act and it's subsidiary legislations are complied with as follows:
A. Issue a permit to work if you are satisfied that:
1. There has been a proper evaluation of the risks and hazards involved in the carrying out of the work based on
the available information;
2. No incompatible work which may pose a risk to the safety and health of other persons at work in the workplace
will be carried out at the same time in the same vicinity as the hazardous work at height;
3. All reasonably practicable measures will or have been taken to ensure the safety and health of the persons who
carry out or are to carry out the hazardous work at height; and
4. All persons who are to carry out the hazardous work at height are informed of the hazards associated with it.
B. Monitoring of work:
1. Shall continually review the progress of all hazardous work at height being carried out in the workplace to
ensure that hazardous work at height is carried out with due regard to the safety and health of the person
carrying out the hazardous work at height in the workplace.
C. Daily review and revocation of permit to work:
1. To review and assess the need to continue the hazardous work at height on a daily basis, and to revoke the
permit to work issued in respect of the hazardous work at height if you thinks fit to do so; and
2. You may order the hazardous work at height to cease immediately and revoke the permit to work should the
carrying out of the hazardous work at height poses or is likely to pose a risk to the safety and health of the
persons at work in the workplace.
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APPOINTMENT OF LIFTING SUPERVISOR
You have been appointed as a Lifting Supervisor for the above project and it is your responsibility to ensure that the
provisions under the WSH (Operation of Cranes) Regulations, WSH (Construction) Regulations, WSH Act and it’s
subsidiary legislations are compiled with as follows:
1. Have successfully completed a training course acceptable to the Commissioner to equip you to become a lifting
supervisor;
2. Have relevant experience in lifting operations for a period of not less than one year before the appointment as a lifting
supervisor;
3. Co-ordinate all lifting activities in accordance with the lifting plan;
4. Supervise all lifting operation under your charge by a mobile crane or tower crane in accordance with the lifting plan
referred to the WSH (Operation of Cranes) Regulation;
5. Ensure that only registered crane operators, appointed riggers and appointed signalmen participate in any lifting
operation involving the use of a mobile crane or a tower crane;
6. Ensure that the ground conditions are safe for any lifting operation to be performed by any mobile crane;
7. Brief all crane operators, riggers and signalmen on the lifting plan of the WSH (Operation of Cranes) Regulation, safety
lifting procedure and it’s approved risk assessment;
8. Take such measures to rectify the unsatisfactory or unsafe condition as reported to you by any crane operator or rigger,
or otherwise ensure that any lifting operation is carried out safely;
9. Be present during all lifting operations;
10. Prepare a lifting plan for every hoisting operation;
11. Not allow hoisting to commence unless lifting permit has been issued;
12. Ensure that all lifting machines, lifting appliances and lifting gears used on site are suitable for the task and used within
their rated load capacity and must be in good condition;
13. Ensure that any lorry loader on site is used only for delivery to site and collection/removal from site of
materials within its rated lifting capacity;
14. Ensure that lorry loader is not used for lowering/lifting any materials into/out of a trench or for raising any
materials to a higher level;
15. Ascertain the weight of load and radius for every hoist;
16. Ensure that all lifting gears have been inspected & sprayed with the monthly lifting gear colour code;
17. Ensure that the lifting zone area is cordoned off where necessary to do so;
18. Ensure that all lifting operations are carried out in accordance with the WSH (Construction) Regulations,
WSH (Operation of Cranes) Regulations and all other relevant standards and code of practice;
19. Stop all lifting works during adverse weather conditions; and
20. Ensure that the crane is not operated in wind speeds in excess of those given in the instruction manual for the
crane
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APPOINTMENT OF RIGGER
You have been appointed as a Rigger for the above project and it is your responsibility to ensure that the provisions under the
WSH (Operation of Cranes) Regulations, WSH (Construction) Regulations, WSH Act and it’s subsidiary legislations are
complied with as follows:
1. Have successfully completed a training course acceptable to the Commissioner to equip you to be a rigger;
2. Be in attired in such a way as would distinctively identify you as a rigger, such as red helmet and high visibility vest with
the word rigger printed at the back;
3. Check the slings to be used for slinging the loads to ensure that the slings are of good construction, sound and suitable
material, adequate strength and free from patent defect;
4. Ensure that an adequate number of legs of the sling are used and that the slinging angle is correct so as to prevent the sling
from being overloaded during the hoisting;
5. Ascertain the weight of the load which is to be lifted and inform the crane operator of the weight of the load;
6. Ensure that only proper lifting gears are used in conjunction with the sling;
7. Ensure that the load to be lifted is secure, stable and balanced;
8. ensure that any loose load (which includes any stone, brick or tile) is placed in a receptacle to prevent the load or part
thereof from falling during the lifting operation;
9. Place adequate padding at the edges of the load which come in contact with the sling so as to prevent the sling from being
damaged;
10. Report any defect in the lifting gear to the lifting supervisor;
11. Ensure that all lifting gears have been inspected and sprayed with the monthly lifting gear colour code;
12. Ensure lifting gears are not overloaded;
13. Ensure that the load initially be lifted just clear of the supporting surface and be brought to rest while the slings, balance of
the load, etc. are checked before proceeding;
14. Provide tagline and use it;
15. Maintain all lifting gears in good conditions and stored them neatly when not in use; and
16. Stop all lifting works during adverse weather conditions.
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APPOINTMENT OF SIGNALMAN
You have been appointed as a Signalman for the above project and it is your responsibility to ensure that the provisions under
the WSH (Operation of Cranes) Regulations, WSH (Construction) Regulations, WSH Act and its subsidiary legislations are
1. Have successfully completed a training course acceptable to the Commissioner to equip him to be a signalman;
2. Be attired in such a way as would distinctively identify him as a signalman, such as red helmet and high visibility vest with
the word signalman printed at the back;
3. Ensure or verify with the rigger that the load is properly rigged up before you gives a clear signal to the crane operator to lift
the load;
4. Give correct and clear signals to guide the crane operator in the maneuver of the load safely to its destination;
5. Maintain eye contact with the hoisted load at all times;
6. In the event that your view is obstructed, require 2 or more signalman or the use of other means of communication as stated
in the lifting plan;
7. Blow whistle before hoisting to warn others;
8. Ensure that the hoisting travel path is clear of personnel and warn others whenever necessary; and
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APPOINTMENT OF CRANE OPERATOR
You have been appointed as a Crane Operator for the above project and it is your responsibility to ensure that the provisions under the WSH (Operation of
Cranes) Regulations, WSH (Construction) Regulations, WSH Act and it’s subsidiary legislations are complied with as follows:
1. Before the start of every work shift, to carry out operational tests on all limiting and indicating devices under no load conditions before any lifting
operation is carried out and shall enter the results of such tests in a log book or log-sheet;
2. To ascertain whether the ground conditions, in particular the ground surface on which a mobile crane is to be operated, are safe for travel or any lifting
operation; and if you are of the opinion that it is not safe for travel or any lifting operation, you shall report this to the lifting supervisor;
3. To ensure that any outrigger when it is required is fully extended and secured;
4. Not to carry out any lifting operation unless you have been briefed by the lifting supervisor on the lifting plan referred to WSH (Operation of Cranes)
Regulation;
5. Not to hoist any object if you are unable to ascertain the weight of the load;
6. Not to hoist any load unless you have received a clear signal from a signalman when this is required under regulation of the WSH (Operation of Cranes)
Regulation;
7. Not to engage in any act or maneuver which is not in accordance with safe and sound practice;
8. Not to hoist any load if there is any obstruction in the path of maneuver and if there is any such obstruction, you shall report this immediately to the
lifting supervisor;
9. Not to maneuver or hold any suspended load over any public road or public area unless that road or area has been cordoned off;
10. Not to operate a mobile crane/ tower crane within 3 meters of any live overhead power line;
11. Not to use the crane for any operation for which it is not intended, including pulling or dragging a load;
12. To ensure that any stationary truck mounted or wheel mounted crane is adequately and securely blocked while it is on a slope;
13. To report any failure or malfunction of the crane to the lifting supervisor and to make an appropriate entry of the failure or malfunction in the log book or
log-sheet of the crane;
14. Ascertain the weight of the load and radius before hoisting;
15. Avoid lifting of loads over highways, railways, rivers or other places to which the public have access;
16. Ensure that crane is not used for tandem lifts, grabbing, lifting by magnet, balling operation and pile driving or extraction;
17. Ensure that the hoist rope is vertical at the start of and throughout the hoisting operation. Care should be exercised to avoid shock or side loadings on the
jib or structure. Care should also be taken to avoid the hook or lifting accessories coming into contact with the structure;
18. Maintain the crane log book;
19. Inform the mechanic when it is due for preventive maintenance;
20. Not attempt to repair, alter or modify the crane;
21. Not leave the crane unattended at all times and if there is a need to do so, removed all keys and access to the operation controls of the crane and hoist
down any suspended load;
22. Not remove or bypass the crane’s safety devices;
23. Stop the hoisting if unsafe condition is present;
24. Not work more than 12 hours at a stretch;
25. At the end of the shift, maneuver the boom away from public area or nearby structure/building and lower the boom as far as practicable;
26. Put the crane out of service in accordance with the crane manufacturer’s instructions;
27. Lock the cabin and remove all keys before calling it a day;
28. Ensure that all lifting operations are carried out in accordance with the WSH (Construction) Regulations, WSH (Operation of Cranes) Regulations and all
other relevant standards and code of practice;
30. Ensure that the crane is not operated in wind speeds in excess of those given in the instruction manual for the crane.
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF TOWER CRANE APPOINTED PERSON
You have been appointed as the Tower Crane Appointed Person for the above project and it is your responsibility to ensure that the provisions under the WSH
(Operation of Cranes) Regulations, WSH (Construction) Regulations, SS559 Code of Practice for Safe use of tower cranes, WSH Act and it’s subsidiary
1. Establish and implement a programme for the safe installation/dismantling/use of tower crane
2. Select appropriate crane based on the weight of the load to be lifted, including crane hook block and any lifting tackle, the maximum height of lift and the
maximum radius required
3. Ensure that an Approved Crane Contractor is appointed for the installation and dismantling of tower crane;
4. Plan all lifting operations to ensure that they are carried out safely and that all foreseeable risks have been taken into account;
5. Establish rescue arrangement for the rescue of personnel from the tower crane;
6. Ensure alternate crane access via a gangway is designed by the professional engineer who designed the crane external tie-back;
7. Ensure that the load imposed by the crane can be sustained by the ground or any means of support by obtaining the assessment of a professional engineer;
8. Ensure establishment of a lifting plan;
9. Ensure establishment of a competent lifting crew;
10. Ensure risk assessments and safe work procedures for the installation, dismantling and use of the tower cranes are developed and adhered to;
11. Ensure implementation of permit-to-work system for lifting operation;
12. Ensure there is a plan for inspection and maintenance of the cranes;
13. Ensure inspections are conducted to ensure lifting operations are carried out safely on site;
14. Ensure that there is a procedure for reporting defects, incidents and taking any necessary corrective action;
15. Ensure that the crane is not operated in wind speeds in excess of those given in the instruction manual for the crane;
16. Ensure that the crane has been thoroughly maintained and checked before use;
17. Select appropriate lifting accessories, including their method of attachment to the load and any protection used to prevent damage;
18. Ensure that lifting accessories are thoroughly examined, at least within the previous six months, inspected and checked before use;
19. Designate a person to check the lifting accessories and any lifting points that are provided on the load to ensure they are free from any obvious defect before
attaching the load to the crane;
20. Brief all persons involved in the lifting operation to ensure that the safe system of work described in the method statement is understood;
21. Instruct all persons involved in the lifting operation to seek advice from you if any change is required to the lifting operation or if any doubts about safety
arise;
22. Designate persons to handle taglines;
23. Check, if numerous loads are to be lifted over a long period, that no changes are required in the safe system of work;
24. Ensure that there is a crane coordinator designated to direct personnel and that the operation is carried out in accordance with the method statement;
25. Investigate all hazards in the operating area, including any areas required for access or erection/dismantling of the crane;
26. Liaise with any other person or authority as required to overcome any hazard, by including any necessary corrective action or special measures in the safe
system of work;
27. Consider the effect of the lifting operation on surrounding property or persons, including the general public. This should include arranging for appropriate
action to minimize any adverse effects and to give appropriate notice to all persons concerned; and
28. Stop all lifting works during adverse weather condition
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APPOINTMENT OF CONFINED SPACE ATTENDANT
You have been appointed as the Confined Space Attendant for the above project and it is your responsibility to ensure that the
provisions under the WSH (Confined Spaces) Regulations, WSH Act and it's subsidiary legislations are complied with as
follows:
1. Remain outside the confined space in order to:

(a) monitor persons entering into and working in the confined space;
(b) maintain regular contact with the persons in the confined space and when necessary assist them to evacuate should the
need arise; and
(c) alert the persons appointed to carry out rescue work in the event of an emergency.
6. Ensure that all persons display their names and identification badges at the entrance to the confined space before entry into
the confined space;
7. Report immediately to your supervisor, WSH Officer, WSH Coordinator or authorized manager for the confined space if
you notice any incompatible work being carried out in the confined space; and
8. Not leave the confined space unless the person(s) entering or working in the confined space has/have left the confined
space after achieving the purpose of entry or completing the work.
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APPOINTMENT OF CONFINED SPACE/MANHOLE SUPERVISOR
You have been appointed as a Confined Space/Manhole Supervisor for the above project and it is your responsibility to ensure that the
provisions under the WSH (Construction) Regulations, WSH (Confined Spaces) Regulations, WSH Act and it's subsidiary legislations are
1.
Ensure workers entering the confined space have undergone the SOC tunneling / manhole course;
2.
Conduct daily toolbox meeting and brief all workers on the nature of the risk involved and the measures implemented to control the risk;
3.
Understand the emergency rescue procedure;
4.
Ensure that the entrance cover of a confined space containing any substances under pressure greater than atmospheric pressure is not
removed unless the confined space is depressurized and rendered safe for opening;
5. Ensure any opening to the confined space is barricaded or guarded by railings to prevent any person or object from falling into the
confined space;
6. Ensure that there is sufficient and suitable lighting for entry into or work in the confined space;
7. Ensure a sufficient supply of breathing apparatus, safety harness and ropes, suitable rescue equipment and suitable reviving apparatus
are kept available, properly maintained and thoroughly examined by a competent person at least once a month;
8. Apply for confined space entry permit prior to work;
9. Verify that all tests and measurements required in the permit to work form have been made by the Confined Space/ Manhole Safety
Assessor before allowing entry;
10. Ensure that the atmosphere in the confined space is monitored continuously with a suitable gas detector when there are 2 or more
persons present in the confined space;
11. Get all persons in the confined space to vacate the confined space immediately when a hazardous atmosphere is detected in the confined
space;
12. Display a copy of the approved confined space entry permit at the entrance of the confined space;
13. Ensure that the control measures indicated in the risk assessment have been implemented;
14. Monitor the work area to ensure all safety & health hazards are identified and preventive measures have been implemented;
15. Ensure that the work is carried out in accordance to the working in confined space safe work procedures;
16. Ensure that all confined spaces are prominently sign posted with the appropriate warning signs;
17. Ensure an attendant/safety watch man is appointed and he remains outside the confined space;
18. Ensure adequate and effective ventilation is provided and maintained;
19. Ensure the air supply for the ventilation is from a source free from contaminants and directed to the area where a person is or will be
present in the confined space;
20. Ensure exhaust air from the ventilation system is exhausted to a location outside the confined space where it does not present a hazard to
any person;
21. Ensure proper personnel protective equipments are issued to the workers where applicable;
22. Stop all works when there are drastic changes in the working environment or condition and request for re-inspection/certification by
Confined Space Safety Assessor; and
23. Allow work to resume only upon clearance given by Confined Space/ Manhole Safety Assessor.
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APPOINTMENT OF CONFINED SPACE/ MANHOLE SAFETY ASSESSOR
You have been appointed as a Confined Space/ Manhole Safety Assessor for the above project and it is your responsibility to
ensure that the provisions under the WSH (Construction) Regulations, WSH (Confined Spaces) Regulations, WSH Act and its
1. Ensure that all confined space works are carried out in accordance to SS568;
2. Ensure that all gas measuring instruments are calibrated as per manufacturer’s specifications and in working condition
prior to any testing of atmosphere;
3. Ensure that the control measures indicated in the risk assessment are implemented;
4. Act as safety assessor for the confined space permit to work;
5. Be authorized to cancel the confined space permit to work and terminate the entry whenever you detect a condition which
is not acceptable in the permit to work form;
6. Ensure that a safe work procedure for working in confined space is established;
7. Check that the oxygen level in the confined space is within the range of 19.5 & 23.5%;
8. Check that the level of the flammable gas is less than 10% of the lower explosive limit;
9. Check that the level of the toxic substance in the atmosphere does not exceed the permissible exposure level;
10. Take effective steps to prevent any ingress of dangerous fume/substance into the confined space;
11. Assess the confined space and ensure controlled measures in the entry permit are implemented;
12. Ensure an attendant/safety watch man is appointed ;
13. Ensure effective ventilation is provided;
14. Conduct gas check before commencement of work, after lunch or a long break period and late afternoon if work inside
confined space is to be continued till evening;
15. Record and tabulate Gas check result in the Permit-To-Work;
16. Keep proper records of all tests and measurements taken;
17. Ensure proper personnel protective equipment, such as suitable respirator and cartridge, ear muff, goggles and etc are in
place where applicable; and
18. Verify that rescue services and equipments are available and operational.
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF CONFINED SPACE RESPONSIBLE PERSON (MANAGERIAL)
You have been appointed as the Responsible Person for Confined Space for the above project and it is your responsibility to
ensure that the provisions under the WSH (Confined Spaces) Regulations, WSH Act and it's subsidiary legislations are complied
with as follows:
1. Ensure workers entering the confined space have undergone the SOC tunneling / manhole course;
2. Ensure person conducting oversight or supervisory work in a confined space has undergone the SIC (manhole) for
supervisor course;
3. Ensure all workers are briefed on the nature of the risk involved and the measures implemented to control the risk;
4. Establish a written rescue plan for the purpose of rescuing persons in the confined space in the event of an emergency;
5. Appoint persons to carry out rescue work and ensure that such persons have first received adequate training in rescue
operation including first-aid and the proper use of PPE and other equipment necessary for carrying out a rescue operation
in the confined space;
6. Ensure a sufficient supply of breathing apparatus, safety harness and ropes, suitable rescue equipment and suitable reviving
apparatus are kept available, properly maintained and thoroughly examined by a competent person at least once a month;
8. Monitor the work area to ensure all safety & health hazards are identified and preventive measures have been
implemented;
10. Ensure an attendant/safety watch man is appointed for each confined space;
12. Ensure proper personnel protective equipment, such as suitable respirator and cartridge, ear muff, goggles and etc are
issued to workers where applicable;
13. Stop all works within the confined space when there are drastic changes in the working environment or condition and
request for re-inspection/certification by Confined Space/ Manhole Safety Assessor; and
14. Allow work to resume only upon clearance given by Confined Space/ Manhole Safety Assessor .
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF FIRST AIDER
You have been appointed as a First Aider for the above project and it is your responsibility to ensure that the provisions under
the WSH (First Aid) Regulations, WSH Act and it's subsidiary legislations are complied with as follows:
1. Maintain a record of all treatment rendered by you;

2. Assess the situation related to injured employee;
3. Identify injuries;
4. Give casualty early and appropriate first aid treatment;
5. For serious injuries, arrange immediate transportation to hospital, doctor or home, as appropriate;
6. Remain with casualty, until help arrives;
7. Report observations and give further assistance to paramedic, if required;
8. Protect yourself, the casualties and others;
9. Report to WSH Department of all treatment rendered by you;
10. Participate in all emergency drills; and
11. Inspect and maintain the first aid boxes and equipment at least once a month.
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APPOINTMENT OF SCAFFOLD SUPERVISOR
You have been appointed as a Scaffold Supervisor for the above project and it is your responsibility to ensure that the
provisions under the WSH (Scaffold) Regulations, WSH Act and it's subsidiary legislations are complied with as follows:
1. Ensure that the scaffold is erected, altered or dismantled in accordance to the scaffold design/drawings;
2. Coordinate all site scaffold erection/dismantling activities;
4. Conduct daily toolbox meeting and brief all scaffold erectors on the nature of the risk involved and the measures
implemented to control the risk;
5. Supervise the erection/dismantling of scaffold and ensure that it is erected/dismantled in accordance to the safe work
procedures;
6. Make a thorough inspection to ensure the scaffold is safe and enter the results of such inspections in a register
containing details as required by the Commissioner;
7. Inspect the scaffold, braces and other supports regularly while in use;
8. Rectify any unsafe condition discovered during inspection;
9. Keep all records of such inspections on site;
10. Display “ safe for use’ tag if scaffold is safe after inspection or “ Unsafe For Use” tag if the scaffold is unsafe after
inspection;
11. Display “scaffold erection/dismantling “ tag if in progress;
12. Re-inspect all scaffolds immediately after any adverse weather;
13. Display safe working load (SWL) on scaffold;
14. Wear proper PPE including safety harness; and
15. Stop all external scaffold erection and dismantling works during adverse weather conditions.
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF RIGGER
You have been appointed as a Rigger for the above project and it is your responsibility to ensure that the provisions under the
WSH (Operation of Cranes) Regulations, WSH (Construction) Regulations, WSH Act and it’s subsidiary legislations are
17. Have successfully completed a training course acceptable to the Commissioner to equip you to be a rigger;
18. Be in attired in such a way as would distinctively identify you as a rigger, such as red helmet and high visibility vest with
the word rigger printed at the back;
19. Check the slings to be used for slinging the loads to ensure that the slings are of good construction, sound and suitable
material, adequate strength and free from patent defect;
20. Ensure that an adequate number of legs of the sling are used and that the slinging angle is correct so as to prevent the sling
from being overloaded during the hoisting;
21. Ascertain the weight of the load which is to be lifted and inform the crane operator of the weight of the load;
22. Ensure that only proper lifting gears are used in conjunction with the sling;
23. Ensure that the load to be lifted is secure, stable and balanced;
24. ensure that any loose load (which includes any stone, brick or tile) is placed in a receptacle to prevent the load or part
thereof from falling during the lifting operation;
25. Place adequate padding at the edges of the load which come in contact with the sling so as to prevent the sling from being
damaged;
26. Report any defect in the lifting gear to the lifting supervisor;
27. Ensure that all lifting gears have been inspected and sprayed with the monthly lifting gear colour code;
28. Ensure lifting gears are not overloaded;
29. Ensure that the load initially be lifted just clear of the supporting surface and be brought to rest while the slings, balance of
the load, etc. are checked before proceeding;
30. Provide tagline and use it;
31. Maintain all lifting gears in good conditions and stored them neatly when not in use; and
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APPOINTMENT OF SIGNALMAN
You have been appointed as a Signalman for the above project and it is your responsibility to ensure that the provisions under
the WSH (Operation of Cranes) Regulations, WSH (Construction) Regulations, WSH Act and its subsidiary legislations are
10. Have successfully completed a training course acceptable to the Commissioner to equip him to be a signalman;
11. Be attired in such a way as would distinctively identify him as a signalman, such as red helmet and high visibility vest with
the word signalman printed at the back;
12. Ensure or verify with the rigger that the load is properly rigged up before you gives a clear signal to the crane operator to lift
the load;
13. Give correct and clear signals to guide the crane operator in the maneuver of the load safely to its destination;
14. Maintain eye contact with the hoisted load at all times;
15. In the event that your view is obstructed, require 2 or more signalman or the use of other means of communication as stated
in the lifting plan;
16. Blow whistle before hoisting to warn others;
17. Ensure that the hoisting travel path is clear of personnel and warn others whenever necessary; and
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF CRANE OPERATOR
You have been appointed as a Crane Operator for the above project and it is your responsibility to ensure that the provisions under the WSH (Operation of
Cranes) Regulations, WSH (Construction) Regulations, WSH Act and it’s subsidiary legislations are complied with as follows:
31. Before the start of every work shift, to carry out operational tests on all limiting and indicating devices under no load conditions before any lifting
operation is carried out and shall enter the results of such tests in a log book or log-sheet;
32. To ascertain whether the ground conditions, in particular the ground surface on which a mobile crane is to be operated, are safe for travel or any lifting
operation; and if you are of the opinion that it is not safe for travel or any lifting operation, you shall report this to the lifting supervisor;
33. To ensure that any outrigger when it is required is fully extended and secured;
34. Not to carry out any lifting operation unless you have been briefed by the lifting supervisor on the lifting plan referred to WSH (Operation of Cranes)
Regulation;
35. Not to hoist any object if you are unable to ascertain the weight of the load;
36. Not to hoist any load unless you have received a clear signal from a signalman when this is required under regulation of the WSH (Operation of Cranes)
Regulation;
37. Not to engage in any act or maneuver which is not in accordance with safe and sound practice;
38. Not to hoist any load if there is any obstruction in the path of maneuver and if there is any such obstruction, you shall report this immediately to the
lifting supervisor;
39. Not to maneuver or hold any suspended load over any public road or public area unless that road or area has been cordoned off;
40. Not to operate a mobile crane/ tower crane within 3 meters of any live overhead power line;
41. Not to use the crane for any operation for which it is not intended, including pulling or dragging a load;
42. To ensure that any stationary truck mounted or wheel mounted crane is adequately and securely blocked while it is on a slope;
43. To report any failure or malfunction of the crane to the lifting supervisor and to make an appropriate entry of the failure or malfunction in the log book or
log-sheet of the crane;
44. Ascertain the weight of the load and radius before hoisting;
45. Avoid lifting of loads over highways, railways, rivers or other places to which the public have access;
46. Ensure that crane is not used for tandem lifts, grabbing, lifting by magnet, balling operation and pile driving or extraction;
47. Ensure that the hoist rope is vertical at the start of and throughout the hoisting operation. Care should be exercised to avoid shock or side loadings on the
jib or structure. Care should also be taken to avoid the hook or lifting accessories coming into contact with the structure;
48. Maintain the crane log book;
50. Not attempt to repair, alter or modify the crane;
51. Not leave the crane unattended at all times and if there is a need to do so, removed all keys and access to the operation controls of the crane and hoist
down any suspended load;
52. Not remove or bypass the crane’s safety devices;
53. Stop the hoisting if unsafe condition is present;
54. Not work more than 12 hours at a stretch;
55. At the end of the shift, maneuver the boom away from public area or nearby structure/building and lower the boom as far as practicable;
56. Put the crane out of service in accordance with the crane manufacturer’s instructions;
57. Lock the cabin and remove all keys before calling it a day;
58. Ensure that all lifting operations are carried out in accordance with the WSH (Construction) Regulations, WSH (Operation of Cranes) Regulations and all
other relevant standards and code of practice;
60. Ensure that the crane is not operated in wind speeds in excess of those given in the instruction manual for the crane.
______________________________________________________________________________________________________________________________

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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF TOWER CRANE APPOINTED PERSON
You have been appointed as the Tower Crane Appointed Person for the above project and it is your responsibility to ensure that the provisions under the WSH
(Operation of Cranes) Regulations, WSH (Construction) Regulations, SS559 Code of Practice for Safe use of tower cranes, WSH Act and it’s subsidiary
29. Establish and implement a programme for the safe installation/dismantling/use of tower crane
30. Select appropriate crane based on the weight of the load to be lifted, including crane hook block and any lifting tackle, the maximum height of lift and the
maximum radius required
31. Ensure that an Approved Crane Contractor is appointed for the installation and dismantling of tower crane;
32. Plan all lifting operations to ensure that they are carried out safely and that all foreseeable risks have been taken into account;
33. Establish rescue arrangement for the rescue of personnel from the tower crane;
34. Ensure alternate crane access via a gangway is designed by the professional engineer who designed the crane external tie-back;
35. Ensure that the load imposed by the crane can be sustained by the ground or any means of support by obtaining the assessment of a professional engineer;
36. Ensure establishment of a lifting plan;
37. Ensure establishment of a competent lifting crew;
38. Ensure risk assessments and safe work procedures for the installation, dismantling and use of the tower cranes are developed and adhered to;
39. Ensure implementation of permit-to-work system for lifting operation;
40. Ensure there is a plan for inspection and maintenance of the cranes;
41. Ensure inspections are conducted to ensure lifting operations are carried out safely on site;
42. Ensure that there is a procedure for reporting defects, incidents and taking any necessary corrective action;
43. Ensure that the crane is not operated in wind speeds in excess of those given in the instruction manual for the crane;
44. Ensure that the crane has been thoroughly maintained and checked before use;
45. Select appropriate lifting accessories, including their method of attachment to the load and any protection used to prevent damage;
46. Ensure that lifting accessories are thoroughly examined, at least within the previous six months, inspected and checked before use;
47. Designate a person to check the lifting accessories and any lifting points that are provided on the load to ensure they are free from any obvious defect before
attaching the load to the crane;
48. Brief all persons involved in the lifting operation to ensure that the safe system of work described in the method statement is understood;
49. Instruct all persons involved in the lifting operation to seek advice from you if any change is required to the lifting operation or if any doubts about safety
arise;
50. Designate persons to handle taglines;
51. Check, if numerous loads are to be lifted over a long period, that no changes are required in the safe system of work;
52. Ensure that there is a crane coordinator designated to direct personnel and that the operation is carried out in accordance with the method statement;
53. Investigate all hazards in the operating area, including any areas required for access or erection/dismantling of the crane;
54. Liaise with any other person or authority as required to overcome any hazard, by including any necessary corrective action or special measures in the safe
system of work;
55. Consider the effect of the lifting operation on surrounding property or persons, including the general public. This should include arranging for appropriate
action to minimize any adverse effects and to give appropriate notice to all persons concerned; and
56. Stop all lifting works during adverse weather condition
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF CONFINED SPACE ATTENDANT
You have been appointed as the Confined Space Attendant for the above project and it is your responsibility to ensure that the
provisions under the WSH (Confined Spaces) Regulations, WSH Act and it's subsidiary legislations are complied with as
follows:
1. Remain outside the confined space in order to:

(d) monitor persons entering into and working in the confined space;
(e) maintain regular contact with the persons in the confined space and when necessary assist them to evacuate should the
need arise; and
(f) alert the persons appointed to carry out rescue work in the event of an emergency.
9. Ensure that all persons display their names and identification badges at the entrance to the confined space before entry into
the confined space;
10. Report immediately to your supervisor, WSH Officer, WSH Coordinator or authorized manager for the confined space if
you notice any incompatible work being carried out in the confined space; and
11. Not leave the confined space unless the person(s) entering or working in the confined space has/have left the confined
space after achieving the purpose of entry or completing the work.
________________________________________________________________________________________________________________

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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF CONFINED SPACE/MANHOLE SUPERVISOR
You have been appointed as a Confined Space/Manhole Supervisor for the above project and it is your responsibility to ensure that the
provisions under the WSH (Construction) Regulations, WSH (Confined Spaces) Regulations, WSH Act and it's subsidiary legislations are
24.
Ensure workers entering the confined space have undergone the SOC tunneling / manhole course;
25.
Conduct daily toolbox meeting and brief all workers on the nature of the risk involved and the measures implemented to control the risk;
26.
Understand the emergency rescue procedure;
27.
Ensure that the entrance cover of a confined space containing any substances under pressure greater than atmospheric pressure is not
removed unless the confined space is depressurized and rendered safe for opening;
28. Ensure any opening to the confined space is barricaded or guarded by railings to prevent any person or object from falling into the
confined space;
30. Ensure a sufficient supply of breathing apparatus, safety harness and ropes, suitable rescue equipment and suitable reviving apparatus
are kept available, properly maintained and thoroughly examined by a competent person at least once a month;
31. Apply for confined space entry permit prior to work;
32. Verify that all tests and measurements required in the permit to work form have been made by the Confined Space/ Manhole Safety
Assessor before allowing entry;
33. Ensure that the atmosphere in the confined space is monitored continuously with a suitable gas detector when there are 2 or more
persons present in the confined space;
34. Get all persons in the confined space to vacate the confined space immediately when a hazardous atmosphere is detected in the confined
space;
35. Display a copy of the approved confined space entry permit at the entrance of the confined space;
36. Ensure that the control measures indicated in the risk assessment have been implemented;
37. Monitor the work area to ensure all safety & health hazards are identified and preventive measures have been implemented;
39. Ensure that all confined spaces are prominently sign posted with the appropriate warning signs;
40. Ensure an attendant/safety watch man is appointed and he remains outside the confined space;
41. Ensure adequate and effective ventilation is provided and maintained;
42. Ensure the air supply for the ventilation is from a source free from contaminants and directed to the area where a person is or will be
present in the confined space;
43. Ensure exhaust air from the ventilation system is exhausted to a location outside the confined space where it does not present a hazard to
any person;
44. Ensure proper personnel protective equipments are issued to the workers where applicable;
45. Stop all works when there are drastic changes in the working environment or condition and request for re-inspection/certification by
Confined Space Safety Assessor; and
46. Allow work to resume only upon clearance given by Confined Space/ Manhole Safety Assessor.
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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF CONFINED SPACE/ MANHOLE SAFETY ASSESSOR
You have been appointed as a Confined Space/ Manhole Safety Assessor for the above project and it is your responsibility to
ensure that the provisions under the WSH (Construction) Regulations, WSH (Confined Spaces) Regulations, WSH Act and its
19. Ensure that all confined space works are carried out in accordance to SS568;
20. Ensure that all gas measuring instruments are calibrated as per manufacturer’s specifications and in working condition
prior to any testing of atmosphere;
22. Act as safety assessor for the confined space permit to work;
23. Be authorized to cancel the confined space permit to work and terminate the entry whenever you detect a condition which
is not acceptable in the permit to work form;
24. Ensure that a safe work procedure for working in confined space is established;
25. Check that the oxygen level in the confined space is within the range of 19.5 & 23.5%;
26. Check that the level of the flammable gas is less than 10% of the lower explosive limit;
27. Check that the level of the toxic substance in the atmosphere does not exceed the permissible exposure level;
28. Take effective steps to prevent any ingress of dangerous fume/substance into the confined space;
29. Assess the confined space and ensure controlled measures in the entry permit are implemented;
30. Ensure an attendant/safety watch man is appointed ;
32. Conduct gas check before commencement of work, after lunch or a long break period and late afternoon if work inside
confined space is to be continued till evening;
33. Record and tabulate Gas check result in the Permit-To-Work;
34. Keep proper records of all tests and measurements taken;
35. Ensure proper personnel protective equipment, such as suitable respirator and cartridge, ear muff, goggles and etc are in
place where applicable; and
36. Verify that rescue services and equipments are available and operational.
____________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF CONFINED SPACE RESPONSIBLE PERSON (MANAGERIAL)
You have been appointed as the Responsible Person for Confined Space for the above project and it is your responsibility to
ensure that the provisions under the WSH (Confined Spaces) Regulations, WSH Act and it's subsidiary legislations are complied
with as follows:
15. Ensure workers entering the confined space have undergone the SOC tunneling / manhole course;
16. Ensure person conducting oversight or supervisory work in a confined space has undergone the SIC (manhole) for
supervisor course;
17. Ensure all workers are briefed on the nature of the risk involved and the measures implemented to control the risk;
18. Establish a written rescue plan for the purpose of rescuing persons in the confined space in the event of an emergency;
19. Appoint persons to carry out rescue work and ensure that such persons have first received adequate training in rescue
operation including first-aid and the proper use of PPE and other equipment necessary for carrying out a rescue operation
in the confined space;
20. Ensure a sufficient supply of breathing apparatus, safety harness and ropes, suitable rescue equipment and suitable reviving
apparatus are kept available, properly maintained and thoroughly examined by a competent person at least once a month;
22. Monitor the work area to ensure all safety & health hazards are identified and preventive measures have been
implemented;
24. Ensure an attendant/safety watch man is appointed for each confined space;
26. Ensure proper personnel protective equipment, such as suitable respirator and cartridge, ear muff, goggles and etc are
issued to workers where applicable;
27. Stop all works within the confined space when there are drastic changes in the working environment or condition and
request for re-inspection/certification by Confined Space/ Manhole Safety Assessor; and
28. Allow work to resume only upon clearance given by Confined Space/ Manhole Safety Assessor .
________________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF FIRST AIDER
You have been appointed as a First Aider for the above project and it is your responsibility to ensure that the provisions under
the WSH (First Aid) Regulations, WSH Act and it's subsidiary legislations are complied with as follows:
12. Maintain a record of all treatment rendered by you;

13. Assess the situation related to injured employee;
14. Identify injuries;
15. Give casualty early and appropriate first aid treatment;
16. For serious injuries, arrange immediate transportation to hospital, doctor or home, as appropriate;
17. Remain with casualty, until help arrives;
18. Report observations and give further assistance to paramedic, if required;
19. Protect yourself, the casualties and others;
20. Report to WSH Department of all treatment rendered by you;
21. Participate in all emergency drills; and
22. Inspect and maintain the first aid boxes and equipment at least once a month.
____________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF SCAFFOLD ERECTOR
You have been appointed as a Scaffold Erector for the above project and it is your responsibility to ensure that the provisions
under the WSH (Scaffold) Regulations, WSH Act and it's subsidiary legislations are complied with as follows:
 Ensure that the scaffold is erected, altered or dismantled in accordance to the scaffold design/drawings;
 Ensure that the control measures indicated in the risk assessment are implemented;
 Inspect the scaffold, braces and other supports regularly while in use;
 Rectify any unsafe condition discovered during inspection;
 Display “ safe for use’ tag if scaffold is safe after inspection or “ Unsafe For Use” tag if the scaffold is unsafe after
inspection;
 Display “scaffold erection/dismantling “ tag if in progress;
 Wear proper PPE including safety harness; and
 Stop all external scaffold erection and dismantling works during adverse weather conditions.
____________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF FORMWORK SUPERVISOR
You have been appointed as a Formwork Supervisor for the above project and it is your responsibility to ensure that the
provisions under the WSH (Construction) Regulations, WSH Act and it's subsidiary legislations are complied with as
follows:
1. Supervise all formwork structures that is constructed, erected, altered or dismantled in the worksite;
2. Take, so far as is reasonably practicable, such measures as are necessary to ensure that during the erection of a
formwork structure in a worksite, all the components of the formwork structure are properly erected, seated,
connected, braced and tied so as to maintain its position and shape;
3. Inspect the formwork structure upon the completion of the formwork structure to ensure that the formwork structure is
in accordance with the design and drawings for that formwork structure;
4. Regularly inspect the formwork structure during the placement of concrete to monitor the stability and soundness of
the formwork structure;
5. Inspect all reshoring and enter the results of such inspection into a register;
6. Notify immediately Project Manager upon discovering any unsafe condition during any inspection made;
7. Enter the results of every inspection referred to above into a register;
8. Keep the register of such inspections of the formwork structure at the worksite;
9. Produce the register for inspection upon request by an inspector;
10. Ensure that all formwork erection, alteration, dismantling and during concreting are carried out in accordance with the
WSH (Construction) Regulations and SS 580;
12. Coordinate all site formwork/ falsework construction activities;
13. Inspect the formwork, shores, braces and other supports during the placing of concrete;
14. Rectify any unsafe condition discovered during inspections; and
___________________________________________________________________________________________________________________

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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF FORKLIFT OPERATOR
You have been appointed as a Forklift Operator for the above project and it is your responsibility to ensure that the
provisions under the WSH Act and it's subsidiary legislations are complied with as follows:
1. Conduct forklift pre-use check using the relevant checklist;

2. Observe the speed limit and operate the forklift in a safe manner;
4. Not attempt to repair, alter or modify the forklift;
5. Check the ground condition for any depression or opening;
6. Not leave the forklift unattended at all times and if there is a need to do so, remove the key to the operation controls of
the forklift and lower down any suspended load;
7. Not remove or bypass the forklift’s safety devices;
8. Not use the forklift for man riding or hitchhiking;
9. Not use the forklift for any operation of which it is not intended for, such as to pull or drag the load;
10. Ensure that the forklift is maintained in a safe working condition;
11. Report to his supervisor if the forklift is defective or has malfunctioned;
12. Comply with all WSHE rules and regulations while operating the forklift;
13. Stop all outdoor works during adverse weather conditions; and
14. Wear your safety helmet and safety shoes while working on site.
_______________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF EXPLOSIVE POWERED TOOL OPERATOR

You have been appointed as an Explosive Powered Tool Operator for the above project and it is your responsibility to ensure
that the provisions under the WSH (Explosive Powered Tools) Regulations, WSH Act and it's subsidiary legislations are
1. Not willfully do any unsafe act which may cause injury to yourself or to others;
2. Not tamper, modify, alter nor repair a tool so as to render the tool unsafe;
3. Ensure tool is of a model acceptable to the WSH Commissioner;
4. Ensure serial number and model identification of the tool is legibly engraved or embossed upon it ;
5. Ensure that the projectile from the tool cannot be discharged accidentally if the tool is dropped from a height or while
being handled;
6. Ensure charge used is of a standard/ quality compatible with the manufacturer specifications ;
7. Ensure that the strength of charge is marked either at the top or bottom with a colour scheme acceptable to the WSH
Commissioner;
8. Dismantle and inspect the tool daily before use;
9. Ensure tool is not used nor cause or permit to be used unless it has been inspected, examined and maintained in
accordance with the manufacturer’s recommendations and is free from any patent defect;
10. Ensure tool has been inspected and tested by a recognized testing body acceptable to the WSH Commissioner at least
once in every 3 years;
11. Report any defective tool, projectile or charge to your supervisor immediately and shall not use, cause or permit any
other person to use that tool, projectile or charge;
12. Ensure tool is not used for any purpose other than that for which it was made for;
13. Ensure tool is not used in any area where the charge is likely to explode or be rendered dangerous by the presence of
heat, flammable or explosive gas/ dust/ vapour;
14. Not fire a tool in such a manner as to cause a projectile to fly freely;
15. Ensure that the area beneath you has been cleared and is kept clear for a distance of 6m in every direction beneath the
place where you are working when using the tool on a roof;
16. Not leave your tool unattended and keep the tool in a locked container when not in use;
17. Ensure that a protective shield or device is attached to the tool muzzle end ;
18. Comply to all instructions or recommendations provided by the manufacturer;
19. Keep every part of your body clear of the muzzle end of a loaded tool;
20. Ensure that a loaded tool is not pointed at anyone nor carried from place to place;
21. Ensure tool is not loaded other than at the place at which it is to be used;
22. Ensure that you are in a safe and well balanced position before firing the tool;
23. Examine and remove from the tool any piece of explosive charge or any foreign matter that may be present after every
firing; and
24. Wear your safety spectacles/ goggles, ear plugs, safety helmet and any other PPE that will protect you from injury.
_______________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF HAZARDOUS CHEMICAL CONTROLLER
You have been appointed as a Hazardous chemical controller for the above project and it is your responsibility to ensure that
the provisions under the WSH (Construction) Regulations, Environmental Protection and Management Act, WSH Act and
it's subsidiary legislations are complied with as follows:
1. Familiarize yourself with the control of movement and use of hazardous substances and chemicals;
2. Ensure that these chemicals are stored at proper designated area and that appropriate warning signs are placed at storage
area;
3. Ensure that proper records of all incoming chemicals and issuance of such chemicals are kept;
4. Ensure that all users have been briefed on the hazards as indicated in the Safety Data Sheet;
5. Ensure the proper disposal of all chemicals and its end products; and
6. Ensure an emergency preparedness plan is implemented for chemical spillage.
___________________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF DESIGNATED COMPETENT PERSON FOR PILING WORK
You have been appointed as the designated competent person for piling work in the above project and it is your
responsibility to ensure that the provisions under the WSH (Construction) Regulations, WSH Act and it's subsidiary
1. Inspect all piling equipment before the start of any piling work for the day and that every defect is corrected before the
piling machine is used;
2. Ensure that when the pile driver is not in use, the hammer is choked or blocked in the leads or lowered to the ground;
3. Ensure that the testing of piles in the worksite is conducted under your direct supervision;
4. Take reasonably practicable measures to warn persons not to approach the pile test area in the worksite;
5. Not allow any person to approach a pile test area while the process of increasing or decreasing test loading is not in
progress except under your direct specific instruction;
6. Not allow any person to approach a pile test area in the worksite while the process of increasing or decreasing test
loading is being carried out; and
7. Take reasonably practicable measures as are necessary to ascertain that the pile testing system in the worksite is in a
stable condition and is safe for approach.
________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF DESIGNATED COMPETENT PERSON FOR EXCAVATION WORK
You have been appointed as the designated competent person for excavation work in the above project and it is your
responsibility to ensure that the provisions under the SS562 CP for safety in trenching, pits and other excavated areas, TR26
Technical Reference for deep excavation, WSH (Construction) Regulations, WSH Act and it's subsidiary legislations are
1. Inspect the excavation in the worksite and its vicinity after every rainstorm or other hazard increasing occurrences;
2. Immediately inform the Project Manager of the unsafe conditions if the excavation is not safe for entry;
3. Take reasonably practicable measures as are necessary to ensure that any inspection carried out is conducted properly;
4. Ensure notices are put up at appropriate and conspicuous positions to warn persons about the excavation in the
worksite;
5. Ensure open side of any excavation in the worksite which exceeds 2m in depth is provided with adequate guard-rails to
prevent persons from falling into the excavation;
6. Ensure excavated material or other superimposed loads are so placed away from the edge of excavation in the worksite
to prevent the materials or other loads from falling into the excavation or cause the banks to slip or cause the upheaval
of the excavation bed;
7. Take all reasonably practicable measures to prevent any person from being struck by an object, such as an excavating
machine or by material dislodged by the machine; and
8. Prevent any person inhaling or otherwise being exposed to, carbon monoxide or another impurity of the air in the
excavation.
___________________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF DESIGNATED PERSON FOR CANTILEVERED AND MATERIAL PLATFORM
You have been appointed as the designated person for cantilevered and material platform for the above project and it is your
responsibility to ensure that the provisions under the WSH (Construction) Regulations, WSH Act and it's subsidiary
1. Inspect every cantilevered platform or material platform in the worksite at least once every 7 days;
2. Rectify immediately any unsafe condition discovered during the inspection;
3. Ensure that the result of the inspection is entered into a register;
4. Keep the register at the worksite and produce it for inspection upon request by an inspector; and
5. Take reasonably practicable measures as are necessary to ensure that the inspection was properly conducted .
_______________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF BOOM LIFT/ SCISSOR LIFT OPERATOR
You have been appointed as Boom Lift Operator/ Scissor Lift Operator for the project and your responsibilities is as follows:
1. Only trained and competent operator can use the machine.

2. Ensure the aerial platform is inspected by an Approved Person at least once every 6 months.
3. Ensure aerial platform is used on strong, level and firm foundation.
4. Ensure aerial platform mobilization and hoisting shall be carried out under the supervision of competent personnel.
5. Ensure aerial platform shall be marked with identification number, safe working load and maximum number of
passengers.
6. Comply with manufacturer’s instructions in accordance with the operator’s handbook, other information sources and
applicable legislations, if any.
______________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF PASSENGER / MATERIAL HOIST OPERATOR
You have been appointed as Passenger/ Material Hoist Operator for the project and your responsibilities is as follows:
1. To inspect passenger/ material hoist before start of passenger/ material hoist for the day and that every defect is
corrected by the supplier before start to operate.
2. To ensure the passenger/ material hoist inspected by an Approved Person at least once every 6 months.
3. To ensure no over loading of passenger/ material hoist at all time.
4. To ensure good housekeeping inside the hoist.
5. To enter the result of the inspection into a register and keep the register in the hoist cabin.
6. To stop work and rectify or notify WSHE Department is any WSHE deviation is observed.
_________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF MACHINERY/ EQUIPMENT OPERATOR
You have been appointed as Machinery/ Equipment Operator for the project and your responsibilities is as follows:
1. Only authorized and trained operators are allowed to operate any machinery and equipment.
2. Must conduct pre-use check and operate the machinery/ equipment in a safe manner.
3. Ensure that the machine/ equipment is maintained in a safe working condition.
4. Must comply with all safety rules and regulations while operating the machinery/ equipment.
5. Must don the required PPE at all times while working at site.
6. Where required, ensure lifeline and fall arrestor is in place for securing of safety harness.
7. Ensure that banksman is assigned to guide reversing and turning of the machine / equipment.
8. Ensure that area is barricaded and cordoned off when any stationery machine/ equipment is in operation.
_______________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF PERMIT-TO-WORK APPLICANT
It is your responsibility to ensure that applicable provisions under Part III: Permit-To-Work systems under the WSH
(Construction) Regulations are complied with. You are also accountable to ensure that the activities for which the Permit-To-
Work is applied for is compliant with applicable provisions of the Workplace Safety and Health Act, its subsidiary legislations .
_______________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF WELDER
You have been appointed as a welder for the above project and it is your responsibility to ensure that the provisions under the
WSH (Construction) Regulations, WSH Act and its subsidiary legislations are complied with as follows::
1. Ensure that the welding connections are proper and well insulated.
2. Ensure that proper ear thing provided for the equipment and inserted deep into ground before start of welding work.
3. Ensure that the cables and joints are in good condition and well insulated without any exposed wires.
4. Ensure that the size of cable used is of correct rating to power supply.
5. Ensure that the cables are properly laid to prevent tripping hazard.
6. Ensure that the cables are not in contact with oil, sharp edges and water.
7. Ensure that the electrode holders are in good working condition and properly hung up after use.
8. Ensure that the electrode holder is not in contact with any metal parts or structures.
9. Ensure that the electrodes are detached after welding works.
10. Ensure that the gas cylinders are secured in café or trolley.
11. Ensure that the twin hose is in good condition and joints/fittings are secured with approved clips.
12. Ensure that the flash back arrestor is attached with cutting torch and regulator and are in good working condition.
13. Ensure that the gas flow regulators are fixed with gas cylinders and are in good working condition.
14. Ensure that the no smoking signage is present near hot work area.
15. Ensure that the hot work area is free form combustible materials and fire extinguisher available at easily accessible
location.
16. Ensure to carry out work only after obtaining approved hot work permit for the day.
17. Ensure to abide strictly to the approved method statement and safe work procedures on all maintenance and repair
works.
18. Ensure that all in house safety rules are followed strictly upon entering the workplace.
_______________________________________________________________________________________________________

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_________________________ _________________________ _________________________ _________________________

APPOINTMENT OF WINCH OPERATOR
You have been appointed as Winch Operator for the project and your responsibilities are as follows:
1. Ensure as an operator, you have attended the necessary training to operate the particular winch.
2. To inspect winch before operation on a daily basis.
3. To operate the winch in accordance to the operators manual and SWP.
4. Ensure LM cert is available and up to date.
5. To ensure no over loading of winch at all time.
7. To ensure that provision of the Workplace Safety & Health Act, Subsidiary Legislation, Singapore Standards &
relevant Codes of Practices.
_________________________________________________________________________________________________________

.

_________________________ _________________________ _________________________ _________________________


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Name:_________________________ Date: __________________

NRIC/FIN/WP No. : _______________

APPOINTMENT OF PROJECT DIRECTOR

I hereby acknowledge the contents stipulated above.

Witnessed/ translated by: ________________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF PROJECT MANAGER

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF CONSTRUCTION MANAGER

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF SAFETY COMMITTEE CHAIRMAN

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF SAFETY COMMITTEE MEMBER

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF RISK MANAGEMENT (RM) TEAM LEADER

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF RISK MANAGEMENT (RM) TEAM MEMBER

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Date: ___________________ Date: ___________________ Date: ___________________ Date: ___________________

PROJECT: CERTIS CENTRE REDEVELOPMENT

APPOINTMENT OF PERMIT TO WORK SAFETY ASSESSOR

I, ______________________________________________(Name), __________________________ (NRIC/WP/FIN No),

from ___________________________________________(Company), hereby acknowledge the contents stipulated above.

Appointed Personnel Approved by Sub-Contractor Verified by Hexacon EHS Acknowledge by Hexacon

_________________________ _________________________ _________________________ _________________________

Name: ___________________ Name: ___________________ Name: ___________________ Name: ___________________

Name:_______ Date:

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________

I, ____________________(Name), (NRIC/WP/FIN No),

_____________ _ _ _____________

Name: _________ Name: _ Name: _ Name: _________

Date: _________ Date: _ Date: _ Date: _________