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ACMAR International Hotel Work Permit

This document is a permit to work form for the ACMAR International Hotel Project in Bandar Baru Klang. It requests permission for night work, confined space work over 1.2 meters, blasting work, hot work, and work involving radiation. The form provides fields to document the permit number, description of work, location, equipment used, person in charge, number of employees, identified hazards, safety precautions, additional safety requirements, competent persons if needed, duration of the permit, requester, inspection by a safety officer, and confirmation that work is completed and the area cleaned.

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Kamil Arifin
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57 views1 page

ACMAR International Hotel Work Permit

This document is a permit to work form for the ACMAR International Hotel Project in Bandar Baru Klang. It requests permission for night work, confined space work over 1.2 meters, blasting work, hot work, and work involving radiation. The form provides fields to document the permit number, description of work, location, equipment used, person in charge, number of employees, identified hazards, safety precautions, additional safety requirements, competent persons if needed, duration of the permit, requester, inspection by a safety officer, and confirmation that work is completed and the area cleaned.

Uploaded by

Kamil Arifin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ACMAR INTERNATIONAL HOTEL PROJECT

BANDAR BARU KLANG

PERMIT TO WORK
NIGHT WORK CONFINED SPACE

EVACUATION WORK > 1.2M HEAVY LIFTING

BLASTING WORK HOT WORK


1.0 TYPE OF PERMIT
WORK INVOLVING PUBLIC RADIATION WORKS
ROAD

OTHER : ………………………………………………………………

2.0 PERMIT NO

DESCRIPTION OF WORK
3.0
LOCATION OF WORK AREA

4.0 EQUIPMENT USED

5.0 PERSON IN-CHARGE


( Name ) ( NRIC No )

6.0 NUMBER OF EMPLOYEES


( Attach Name List )

7.0 HAZARD IDENTIFIED

8.0 SAFETY PRECAUTIONS IMPLEMENTED

ADDITIONAL SAFETY REQUIREMENT


9.0
(IF ANY)
NAME OF COMPETENT PERSON (IF
10.0
ANY)
11.0 DURATION OF WORK PERMIT From: To:

12.0 PERMIT REQUESTED BY


(Name) ( Date ) ( Signature )
WORK AREA INSPECTED AND FOUND
13.0 TO COMPLY WITH ALL SAFETY
REQUIREMENTS (Name of Safety Officer) ( Date ) ( Signature )

WORK COMPLETED & WORK AREA


14.0
CLEANED
(Date) ( Date ) ( Signature )

NOTE: Any changes in the above conditions will immediately invalidate this permit.

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