Permit to Work
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RWS/PTW/004 (Effect from June-2014) Permit to Work (PTW) 4. OSC Endorsement: __________________ 1.1 Particulars From (Date/Time) To (Date/Time) Estimated manpower Contractor Company Name Contractor Representative (CR). Name: Hp of CR Subcontractor Company Name (if any) Subcontractor Representative(SCR) Name: Hp of SCR Location of works/services to be Building/floor number Others Type of works/services to be carried out. Description (check if submitted) Permit / Document Required S/No. (if any) No. of Pages Supporting Documents Risk Assessment (Compulsory) Safe Work Procedure Drawings High Risk Permit to Work Required Hot Works & Sparks Yellow Tag (daily basis) Fire Protection System Impairment Red Tag (daily basis) MEWP MEWP Operator License (MOM) Decal No: Work at Height (≥3M) Certificate of WAH worker / assessor / supervisor / manager Scaffold (≥4M) 1 Certificate of scaffold erector; and 2 Certificate of scaffold supervisor From MOM approved scaffold contractor Confined Space Entry 1 Gas meter calibration certificate 3 Confined space assessor license 4 Manhole worker license 5 Manhole supervisor license 6 Confined space rescue plan Lifting Operation with Mobile Crane, Lorry Crane, etc. 1 Certificate of all lifting machine, equipment & appliances 2 License of rigger / signalman / lifting supervisor / operator Live Electrical Works LEW endorsement Live Gas Works LGSW (licensed gas service worker) or LGSW (R) (Restricted) Hazardous chemical involved SDS (Safety Data Sheet) Within 3M of Live Animal Exhibits Method statement on protection For LSS only Any other high risk activity and/or special equipment used (please specify) Environmental Impact Air 2. BU/s acknowledge the work or accepted and agreed on environmental impact Signatures : ___________________ Name/Date : ___________________ Noise Water 1.2 Contractor/Vendor Acknowledgement We hereby acknowledge: 1) to comply with all relevant safety requirements/regulations stipulated by government authorities; 2) to comply with all relevant RWS regulations and procedures; 3) to ensure housekeeping to be carried out during and after work; 4) to ensure proper barricade of working area as well as safety to public; 5) all work shall be stopped unconditionally if instructed by RWS staff; 6) to lay wooden platform on all tiles & finished flooring when using MEWP / lifting equipment; 7) to ensure no damage to water proofing layer if hacking or removal of tiles is required. Acknowledged By: Name (Contractor Supervisor): Signature: Contact Number: Company: Date: 2. RWS Project Coordinator or RWS Appointed PM or Tenant Representative RWS BU/Tenant: ___________________ Name: ____________________________ Mobile No.: ________________________ RWS Project Coordinator or Appointed RWS PM or Tenant Rep & contractor representative walk through location of work/services to be carried out Signature of RWS PC or Appointed PM or Tenant Rep 3. Approval of Permit to Work RWS FM&E Mgr/Authorized Engineer : ______________________ Signature/Date _________________________________________ LSS/Tech Svcs Authorized Personnel: ___________________ (for LSS/Tech Svcs only) Signature/Date _____________________________________ Note: For any inquiry and clarification of FM&E related works, please call hotline 6577-8448
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Transcript of Permit to Work
RWS/PTW/004 (Effect from June-2014)
Permit to Work (PTW) 4. OSC Endorsement: __________________
1.1 Particulars
From (Date/Time) To (Date/Time) Estimated manpower
Contractor Company Name Contractor Representative (CR).
Name:
Hp of CR
Subcontractor Company Name (if any) Subcontractor Representative(SCR)
Name:
Hp of SCR
Location of works/services to be Building/floor number Others
Type of works/services to be carried out.
Description (check if submitted) Permit / Document Required S/No. (if any) No. of Pages
SupportingDocuments
Risk Assessment (Compulsory)
Safe Work ProcedureDrawings
High RiskPermit toWorkRequired
Hot Works & Sparks Yellow Tag (daily basis)
Fire Protection System Impairment Red Tag (daily basis)
MEWP MEWP Operator License (MOM) Decal No:
Work at Height (≥3M) Certificate of WAH worker / assessor /supervisor / manager
Scaffold (≥4M)1 Certificate of scaffold erector; and2 Certificate of scaffold supervisorFrom MOM approved scaffold contractor
Confined Space Entry
1 Gas meter calibration certificate3 Confined space assessor license4 Manhole worker license5 Manhole supervisor license
6 Confined space rescue plan
Lifting Operation with MobileCrane, Lorry Crane, etc.
1 Certificate of all lifting machine,equipment & appliances2 License of rigger / signalman / liftingsupervisor / operator
Live Electrical Works LEW endorsement
Live Gas WorksLGSW (licensed gas service worker)or LGSW (R) (Restricted)
Hazardous chemical involved SDS (Safety Data Sheet)
Within 3M of Live Animal Exhibits Method statement on protection For LSS only
Any other high risk activity and/or special equipment used(please specify)
EnvironmentalImpact
Air 2. BU/s acknowledge the work or accepted and agreed on environmental impact
Signatures : ___________________ Name/Date : ___________________NoiseWater
1.2 Contractor/Vendor Acknowledgement
We hereby acknowledge: 1) to comply with all relevant safety requirements/regulations stipulated by government authorities; 2) tocomply with all relevant RWS regulations and procedures; 3) to ensure housekeeping to be carried out during and after work; 4) toensure proper barricade of working area as well as safety to public; 5) all work shall be stopped unconditionally if instructed by RWSstaff; 6) to lay wooden platform on all tiles & finished flooring when using MEWP / lifting equipment; 7) to ensure no damage to waterproofing layer if hacking or removal of tiles is required.
Acknowledged By:
Name (Contractor Supervisor): Signature:
Contact Number:
Company: Date:
2. RWS Project Coordinator or RWS Appointed PM or Tenant Representative
RWS BU/Tenant: ___________________ Name: ____________________________ Mobile No.: ________________________
RWS Project Coordinator or Appointed RWS PM or Tenant Rep & contractorrepresentative walk through location of work/services to be carried out
Signature of RWS PC or Appointed PM orTenant Rep
3. Approval of Permit to Work
RWS FM&E Mgr/Authorized Engineer : ______________________
Signature/Date _________________________________________
LSS/Tech Svcs Authorized Personnel: ___________________(for LSS/Tech Svcs only)
Signature/Date _____________________________________
Note: For any inquiry and clarification of FM&E related works, please call hotline 6577-8448
Contractor / Vendor RWS BU / Tenant FM&E Respective Section / LSS / Tech Svcs FM&E OSC
1.1 PTW Form
RWS PTW Procedure June 2014
1.4 Location of RWS FM&E OSC is atFCC (ground level between FestiveHotel and Hard Rock Hotel)
1.1 Contractor/vendor to submit atleast 1 day prior to work;For LSS, Contractor/vendor to submitat least 3 days prior to work.
1.1 Validity Period of PTW:a. For PM work done by appointed in-house contractor: up to 1 monthb. For A&A work, Ad-hocmaintenance and all other work: upto 1 week
3.1 LSS/Tech Svcs authorizedpersonnel to only approve work thatmeets both criteria below:a. Work conducted in LSS/Tech Svcsareas; andb. non FM&E related.Such work does not require approvalfrom FM&E nor endorsement byOSC.
RWS PTW Procedure
Control Document
4.1-4.5 For offsite location such asGC & PG, approval and filing shall bedone by BU and/or FM&E Section incharge. However electronic copyshall still be sent to OSC forcentralized filing
1.1 PTW applicable to all correctivemaintenance, preventativemaintenance, ad-hoc work, A&Awork, etc that is performed byappointed contractor / vendorwithin RWS operational premises(including RWS, DCP, GC & PG)
1.2 Contractor/Vendor to duly fillup PTW form Section 1.1:Particulars & Section 1.2:
Contractor/VendorAcknowledgement; to prepare
necessary supporting documents
2.2 Informationprovided is correct;and Environmental impact (if any)
acceptable;and site walk (if necessary)
conducted
2.1 BU/Tenant to validate informationprovidedby contractor;and evaluateenvironmental impact (if any); and to
conduct site walk (if necessary)
Yes
No
1.3 Contractor/Vendor to submitPTW forms (in duplicate) andall
necessary supporting documentsto relevant RWS BU / Tenant
representative
1.1* Contractor/Vendor toschedule work andprepare
all necessary documents
2.3 BU to input Section 2 on BU, coordinatoror appointedPM's name and contact; fortenanted units, Tenant representative to
input outlet name as well asrepresentative'sname andcontact
3.1* FM&E manager or authorizedengineer/ LSS/Tech Svcs authorizedpersonnel (for
LSS/Tech Svcs work that is non FM&E relatedonly) to look through PTW as well as all
supporting documents
3.2 Informationprovided iscorrect;
and all supporting documentsare in order
Yes
No
3.3 FM&E manager or authorized engineer /LSS / Tech Svcs authorized personnel to
approve the PTW by signing off both copiesof PTW forms at Section 3
4.1 OSC TMs to check through PTW oncompletenessof PTW as well as supporting
documents
1.4* Contractor/Vendor to bring approved PTW(both copies) as well as full set of supporting
documents to OSC for endorsement
4.2 All required fields are dulyfilled;
and all supporting documentsare in order
Yes
No
4.3 OSC TMs to endorse PTW with stampwith serial number at Section 4; 1 endorsedPTW to be returned to contractor/vendor;
1 endorsedPTW as well as full set ofsupporting documentsto be kept by OSC
4.4 OSC TMs to key in PTW details in PTW /RedTag / YellowTag Calendar in
Transformer FM&E Internal
4.5 OSC TMs to scan full set of PTWdocuments and archive in eRMS and file the
hard copy
End
1.5 Contractor/Vendor to carry out according todetails specified in the approved PTW; PTW
shall be available for inspection/checking uponrequest by RWS
1.6 Upon job completion, Contractor/Vendorto perform necessary T&C as well as handover
procedure
2.4 Handover completedandbought off by BU/Tenant
No
Yes
PTW: Section 1.1 & 1.2 PTW: Section 2 PTW: Section 3 PTW: Section 4
3.4 LSS/Tech Svsc workthat is non FM&E related? No
Yes
