RAPID Project PTW NO :

CONTRACTOR REQUEST FOR EXTENDED HOURS

NB. Overtime request to be issued for the following hours :
Monday to Saturday after 18:30 - Request to be submitted before 12PM to EPCC
Company
Applicant Date
Period From : To :
Area of Activity (Attach drawing and highlight specific work area to request;one request per Area of Activity)
Tick Area Specific Area Tick Area Specific Area
U1410 U5150
U1440 LOT 72
U1450 Others
Activity

CONTRACTOR
Designation Name Pax Contact Number
Area Manager
Area Supervisor
HSSE
Chargeman
First Aiders
Direct Manpower N/A N/A
TOTAL MANPOWER N/A N/A
EPCC
Designation Name Pax Contact Number
Construction
HSSE
UPT
Designation Name Pax Contact Number
Construction
HSSE
Equipment, Machinery and Mobile Plant
Item Quantity Remarks
Generator
Tower Light

Supporting Documents, Plants, etc

Items Yes No Details/Remarks
JHA
Method Statement
Lighting Required
RCP/TMP Required
Permits Required
Others
Approval and Acknowledgement
EPCC Approval Name Signature
Construction
PTW Cood. / Rep.
UPT Acknowledgement Name Signature
Discipline Supt. / Rep.
HSSE Manager / Rep.
Construction Manager / Rep.
OURS

y)
Specific Area

Contact Number (HP)

N/A
N/A

Contact Number (HP)

Contact Number (HP)

Remarks
Date

Date