project : confirmed work at height on mobile elevated …
TRANSCRIPT
Magicsoft Asia night
PROJECT : Confirmed
WORK AT HEIGHT ON MOBILE ELEVATED WORK PLATFORM (MEWP- SCISSOR LIFT/ BOOM LIFT) Permit No. : AAG-PTW-WH_WEWP-18-00007
Part 1: Application
Validity Period (Date & Time of work) : From: 10/08/2018 (Date) 19:00 (Time) To: 11/08/2018 (Date) 07:00 (Time)
Contractor : LP No. : test
Description of work : test LP Expiry Date : 29/08/2018
Daily Check By Work Supervisor-In-Charge and/or Safety Assessor (Yes, No, “NA“ for Not Applicable)
Minimum Safety Requirements
Approved Risk Assessments available Yes
Safe Work Procedures available Yes
Job Specific Fall Prevention Plan available Yes
Traffic Management Plan established and available Yes
PTW/ Location Plan displayed at place of work Yes
Workers are briefed on the hazards & corresponding control measures Yes
Workers are medically fit to work/ not feeling unwell/ not overworked Yes
Workers are reminded to do Last Minute Risk Assessment (LMRA) before start work Yes
Adequate safe means of access/ egress provided. Yes
Adequate lighting provided at workplaces & along access/ egress Yes
Safety harness with double lanyard & shock absorber provided/ used as fall arrest-eqpt or Safety belt provided & used asfall-restrain eqpt
Yes
Monthly Inspection & colour coding of PPE implemented Yes
LP certificate valid for 6 months Yes
Competent mechanics appointed Yes
Monthly maintenance done authorised mechanics Yes
Competent operator appointed & name list with photo displayed Yes
Pre-operation check carried out by authorised operator Yes
Comply with safe working load; no overloading of platform Yes
Barricades and signages provided below; area clear of incompatible works Yes
Good housekeeping maintained - no storage of unused materials/ debris on platform Yes
Banksman deployed & station on site when in operation/ work in progress Yes
Inspection of work area after inclement weather - safe to work after inclement weather Yes
Others :
Part 2: Check & Endorsement
a) I have read & understood this permit & agree to work in accordance with the provisions of the RA/ SWP/ Method Statement & the safety requirements stated in this permit.
b) I have checked the site & satisfied that reasonably practicable steps will or have been taken to safeguard the safety & health of the persons working & in the vicinity
a. Applicant/ Work Supervisor (Work atHeight Supervisor)
Name Applicant
Signature
Time 12:19
b. Safety Assessor (Sub-con) (WSHO/ WAHAssessor)
Name Safety Assessor
Signature
Time 12:21
c. Safety Assessor (Shimizu) (WSHO/ WAHAssessor)
Name Safety Assessor
Signature
Time 12:21
d. Shimizu Engineer/ Supervisor In-Charge(Work at Height Supervisor)
Name Engineer
Signature
Time 12:21
Part 3: Issued By
a) I am satisfied that proper evaluation of risk & hazards involved based on available information b) I am satisfied that no incompatible works will be carried out e.g no concurrent activities@ same elevation, etc
c) I am satisfied that all reasonably practicable measures will or have been implemented & enforced d) The working personnel are informed of the hazards & protection counter measures to betaken
Site Overall In-Charge (SC PM / WAHManager/ Manger with CSCPM Certificate)
Name PM
Signature
Time 12:22
Part 4: Notice of Revocation or Closure
a) Work has been terminated/ completed b) Housekeeping has been carried out c) Work area is safe for other personnel
Applicant/ Work Supervisor (Work atHeight Supervisor)
Name Applicant
Signature
Time 12:22
Part 5: Confirmation of Revocation or Closure
a) Work has been terminated/ completed b) Housekeeping has been carried out c) Work area is safe for other personnel
Site Overall In-Charge (SC PM / WAHManager/ Manger with CSCPM Certificate)
Name PM
Signature
Time 12:22
Photo Attachment
Adequate safe means of access/ egress provided. Competent operator appointed & name list with photo displayed
Barricades and signages provided below; area clear of incompatibleworks
Good housekeeping maintained - no storage of unused materials/debris on platform
Banksman deployed & station on site when in operation/ work inprogress