Information

  • Permit To Work No.

  • PTW Description

  • SITE CODE

  • Performing Engineer

  • Conducted on

SECTION I: Details of Proposed Work

  • System/Sub-System Impacted

  • Floor Level

PROPOSED SCHEDULE OF WORK

  • Proposed Schedule of Works

  • Start Date and Time
  • Proposed Start Date and Time

  • Proposed End Date and Time

Brief Description of Proposed Work

  • PTW Category

  • Please provide Cabling Licence Details

  • Photographic evidence of cabling license registration details (Optional)

RISK ASSESSMENT

SECTION II: RISK ASSESSMENT

  • Risk Assessment Table

    Risk Assessment Table
  • Risk Score

  • Documentations Provided

  • Media/Attachments (Optional) * Due to app limitation, it is recommended to submit documents ticked above separate from this App. Please have these documentations ready when required by the Approver. IMPORTANT: All documentations provided must be current.

ATTENDEES

SECTION III: CONTRACTOR DETAILS

  • Contact Details

  • Contact
  • Full Name

  • Company

  • Immediate Contact Details while onsite (For emergency purposes)

Constraints (if any)

  • Prerequisites before start of work(if any)

  • Date and Time

APPROVALS

APPROVAL

  • Work Authorisation (Work Approval in Accordance with Section 3, above):
    The procedures, control measures and precautions appropriate for the safe execution of hot work have been implemented and the persons required to work have been advised of and understand the requirements of the Risk Assessment & Hot Work Permit.
    The personnel listed in above may access the areas identified in Section 1.

Cloudspace Facilities Engineer

  • Signed

Senior Management Approval

  • Signed

  • IMPORTANT: Document only valid with signature from senior management.

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