You are on page 1of 1

HSL (TDP3) SCAFFOLDING REQUEST FORM

BY REQUESTOR
Project Title : Tuas Desalination Plant 3
Client Name : HSL Constructor Pte Ltd
Company of Requestor :
Name of requester :
Date & time of request :
Expected date of scaffold to be erected
by: (Best to have 3 days in advance in :
order to avoid disappointment)

Disciplinaries : Civil / Mechanical / Electrical / ICA / T&C / Maintainence

Purposes of erections:
(any existing scaffold around?)

Requested location of erection : Layout to be attached


Signature of requester / Date :

Verified by respective HSL In charge :

Acknowledged by Disciplinaries leads


Approved by PM / CM / T&C managers
:
representatives
Remarks:

BY SCAFFOLD COMPANY
Scaffold Company : CPR EVEREST
Type of Scaffold : ISE, SSE, FSE, STE, MOD, TPS
TAG NO:
Description of work : Erect Modification Dismantle
Scaffold Size ( FOR ERECTION) :
Manpower (FOR MODIFICATION ONLY) : To attached namelist signed by respective in charge
Drawing /Photo Reference
: Clear Photos to be showed in attachment
(if any)

Date of completion: :

Checked by respective HSL In charge /


:
Date
Approved by HSL PM / CM / T&C
:
managers representatives / Date
Remarks:

You might also like