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    2s Work Permit (Editable)

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    trstnllegado76

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    © All Rights Reserved
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    2s Work Permit (Editable)

    Uploaded by

    trstnllegado76
    9 views1 page

    Original Title

    2s Work Permit (Editable) (2)

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    Copyright:

    © All Rights Reserved
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    9 views1 page

    2s Work Permit (Editable)

    Uploaded by

    trstnllegado76

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Forms must be duly Noisy Hours Control No: ______________

    signed by the unit


    owner or authorized 9:30am - 11:30am FMD-F-11-02.14.4
    representative. 2:30pm - 4:30pm Work Permit
    Hot Work Permit

    TENANT/UNIT/ESTABLISHMENT: ____________________________ BUILDING: ____________________________


    WORK TO BE DONE (SPECIFY): ___________________________________________________________________
    DATE(S): __________________________________________ TIME (FROM): ______________ (TO) ____________
    PERSONNEL TO BE ADMITTED INTO THE PREMISES:
    Project Engineer/Supervisor: Contact No. :
    Name of Contractor/Company: Emergency No. :
    PERSON-IN-CHARGE:

    LIST OF POWER TOOLS/EQUIPMENTS QUANTITY CHARACTERISTIC

    FOR HOT WORK PERMIT


    Fire watch Personnel: Welder:
    Portable Fire Extinguisher (Qty.): (Oxygen-Acetylene) Welder:
    Prepared by: Designation:
    (Contractor)
    I hereby certify that all works to be done within the duration of this permit will be in accordance with the HOUSE RULES&
    REGULATIONS/CONSTRUCTION GUIDELINES set by ALI/APMC. I have understood all provisions and rules in the pre-work SAFETY
    ORIENTATION as conducted by the Admin personnel.

    The information contained in this form is confidential and shall be used exclusively for the above - stated purposes. Under no
    circumstance shall Two Serendra/SCC be liable for any illegal or unauthorized use of the information contained herein.

    MANAGER/TENANT/OWNER CONTRACTOR REPRESENTATIVE/PROJECT LEADER

    SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

    APPROVED BY ASSISTED BY (MOD):


    (PM/EM/BE):
    COMMENTS:

    Received by: Date Received:


    SIGNATURE OVER PRINTED NAME
    INSPECTED BY:

    Guard on Duty Property Manager/ Building Engineer


    (To record workers time of entry/exit (For inspection the following morning)
    and equipment at logbook)

    1. Dedicated fire watch personnel must be at job site 30 minutes before and after scheduled hot work.
    2. At least one (1) 20lb. ABC fire extinguisher should be available at the work area.
    3. There should be no combustible materials and if there are, they should be covered with metal sheet or non- combustible cover.
    Appropriate ventilation should be provided when working with flammable gas.
    4. The contractor and the Project Engineer/Supervisor shall make sure that there will be no damage to the surrounding area.
    5. Any damage to the surrounding area caused by negligence shall be charged to the contractor.
    6. Contractor must clean up the area after work.
    7. Hot Work Permit should be filed everyday for the whole duration of the work.
    * Accomplish this form in two copies: (1) Tenant's/Establishment Copy and (2) Security/APMC Copy Rev.03

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