Ryobi Kiso (S) Pte Ltd

PARENT / GENERAL WORK PERMIT

Permit Attach Permit No: no.: This permit is valid for 7 days from the time of approval. Application must be submitted at least 3 day in advance. Work on Saturday Sunday and !onday must be applied by Friday. Sketch to be attached Part 1: Application To B !o"pl t d By #$%&!ontractor Work Performed by : Name of Supervisor in $har&e: 'ocation: (ate ) Time of Work: *rom: 0
Sta. Si&n

"name of Sub#$ontractor%

+,S -e.uirements Prior Application of /eneral Work permit by Permit Applicant S 0 1 3 2 3 4 5tems Provision of ade.uate PP+ Provision of Si&na&e Sufficient li&htin& *all ,a6ards eliminated +nvironment Aspects eliminated Ade.uate ventilation Status Si&n

No. of Workers: In'p ction By E(# P r'onn l d$rin) co$r' o* +or, 1 3 2 3 4 To:
Sta. Si&n Sta . Si&n Sta. Si&n Sta . Si&n Sta. Si&n Sta .

7
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-yobi 7iso Supr8+n&r8,9( W5S $omply (escription of Work:

Part -: !. c, / Endor'

By Ryo%i Ki'o E(# 0 part" nt

Work area is safe. +nvironment aspects eliminated. -easonably practicable steps have been taken to safe&uard the safety and health of the :orkin& personnel and preservation of the environment
Name8Si&nature: Part 1: Endor' By Ryo%i Ki'o #$p r2i'or/En)in r (ate8Time:

A:are of the :ork to be done and ensure that all safe :ork procedures to be complied :ith. (ate8Time:

Name8Si&nature: Part 3: Appro2al By Ryo%i Ki'o ( ad o* 0 part" nt

5;m satisfied that all reasonably practicable measures have been implemented and enforce and the :orkin& personnels are informed of the safety ha6ards ) environmental impacts and protection counter measures to be taken. The above mentioned :ork is: Name8Si&nature: Part 4: Noti*ication O* !o"pl tion O* Wor, By #$%&!ontractor Approved 8 Not Approved (ate8Time:

Work has completed.

,ousekeepin& has been carried out. r

Work area is safe for other personnel.

Name8Si&nature: Part 5: !on*ir"ation By Ryo%i Ki'o #$p r2i'or/En)in Work has completed.

(ate8Time:

,ousekeepin& has been carried out.

Work area is safe for other personnel.

Name8Si&nature:

(ate8Time:

Note: 0. 9ri&inal $opy < to be displayed at :ork location 1. 5f permit is to be reapplied for :ork not completed :ithin 7 days part 3 ) 4 does not apply.

Legends: = OK/Good X = Not OK/Bad NA = Not Appli able

EOHSMS-02-F01_Rv 0

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Issued on 15 Sept 2010