'V:f

rzlTENAGA
NASIONAL
GENERAL
GEN CWP: \
'fi,/.1-,r. 'fir!Jilv
CONSTRUCTION WORK PERMIT
GRID DEVELOPMENT (CWP)
Appendix 4 Doc No:
GRID DIVISION, TNB
GD/CWP/GENERAL/01
WORKS SHALL ONLY COMMENCE UPON APPROVAL OF THE GENERAL CWP.
THIS DOCUMENT SHALL BE DISPLAYED FOR THE DURATION OF THE APPROVED TASK AND REMOVED ONLY UPON
TASK COMPLETION OR UPON ITS EXPIRY. (3 MONTHS MAXIMUM VALIDITY).
SECTION 1: PROJECT DETAILS
Date Project Completion: � '6 fe- f'\,l ftYj )i)'}\ Contract Insurance Expiry Date: ?. I '().e,un., b/l...V' .:>-o�

Contractor: P-.{\i(\<-\S-1\ -ff\'1tn O\Sllllft;,/l>f /jl/ Contract No.: i IJ, 9-S t,{)10
� N. · �Ill), C,(l.,vl.Djv
�m
Type of Project:
Project Description: P�Po&t'b 13>1-4' Subs UGC
O\tL ll.�DN- f\11\Pt- Brownfield/R&R (Strike where N/A)
SECTION 2: WORK DESCRIPTIONS
Work Scope: Location(s): (l..'b'-\t °t"-'OL!t-lDfl-UON - I \)'l.6e, I�
f-u4N Difr\Otl \"lO� - �O(\(. �'O 1-iu(\..IY\�L �Oll-«\f\-'1.. r-OuNO�ll� - �p-:.qe,, {Hl-::>c»i
�1.1�0111\�
(Task covers multiple locations (attach sketch if necessary)
Working within Live Area vicinity? YES NO (If Yes) Grid Maintenance Permit To Work No:
SECTION 3: GENERAL
High Risk Involved
Job Safety Analysis (JSA) Working at Height for OHL
HIRADC Working at Height for Substation
Emergency Response Procedure Scaffolding & Falsework
(ERP)
Work Programme (Updated) Lifting and Hoisting
Work Procedures (Specific) Excavation
Safe Access & Egress Confined Space
Approved Drawings/Supporting {State number of CWP High Risk Certificate involved
Documents for this General CWP)
List of Equipment Used
Copy of Calibration Certificate of
Equipment Used
List of PPE required
List of workers with valid CIDB and
NTSP (Attached namelist)
SECTION 4: ADDITIONAL PRECAUTIONS
Declare if any additional precaution applied other than Section 3.
- PU\Wo 12.NI rn �"' N 11-<4i MJR �L\c.. Fo'-1�.:\-T\DN Ai- 1p .l.bQ;.I � .

SECTION 5: DECLARATION BY CONTRACTOR PROJECT MANAGER AND SHO/SSS

I hereby declare that I have checked the area and confirmed that all the required controls are implemented and
the work is safe to proceed.
Signature: Signature:

(Project Manager) (SHO/SSS)

Name: Name: v'/$1,<l'I' <!y,,YMA/41
Date & Time: Date & Time: .;o/N �C> & 8.30am
Page 1 of 2
GENERALCWP
 SECTION 6: CONTRACTOR CWP RECEIVING AUTHORIZED AUTHORITY (RAA)
I hereby declare that I understand and take responsibility of the hazard that may be present in the designated
area and have taken all the necessary precautionary actions as declared/ specified prior to the signing of the
Contractor Work Permit (CWP).
11

Name: JlrBnuL.. /VI.AJvttP t rYkMt I fy.,_ Signature: �

Date: 3D /1--z.../?.d1- 1
.51-: Time: 8.30am
SECTION 7: TNB CWP APPROVING AUTHORITY (AA)
I hereby accept with the controls in place for the work to be conducted safely and work shall be commenced.

DATE START:
,11
\\- Jf\l'('-ltlll...'f -UJ.\ DATE END: 41\\ '1i)rt1 L J..-O"l..\

(Maximum of 3 month validity)

Date:
Name: Signature:
Time
SECTION 8: REVOKE OF CONSTRUCTION WORK PERMIT
I hereby revoke the Construction Work Permit due to the following Non Compliance:

Date:
Name: Signature:
Time
SECTION 9: COMPLETION OF WORK (BY RAA) SECTION 10: CANCELLATION OF CWP (BY AAR)
The above work has been completed and the location has The work site is cleaned and ready to close this CWP.
been left in safe condition.

Remark: Remark:

Name: Name:

Signature: Signature:

Date: Date:
Time: Time:

Page 2 of 2
GENERALCWP
 I '{ I
SECTION 3: GENERAL
Safe Access & Egress provided Safe Surrounding Condition (Eg: Live
(use standard ladder) equipment, public, slopes, etc.)
Utility mapping conducted Note: Reassessment of site condition after adverse weather
�� is required.
SECTION 4: ADDITIONAL PRECAUTIONS
Declare if any additional precaution applied other than Section 3.

SECTION 5: DECLARATION BY CONTRACTOR PROJECT MANAGER AND SHO/SSS

I hereby declare that I have checked the area and confirmed that all the required controls are implemented and
the work is safe to proceed.
Signature: Signature:

c::--
(PROJECT MANAGER) (SHO/SSS)
Name: Name: ""'½I /41/ o/7"/'/l,v??�
Date & Time: Date & Time: ..,,9' l'&-1 .:J.(J & 8.30am
SECTION 6: CONTRACTOR CWP RECEIVING AUTHORIZED AUTHORITY (RAA)
I hereby declare that I understand and take responsibility of the hazard that may be present in the designated
area and have taken all the necessary precautionary actions as declared/ specified prior to the signing of the

J
Contractor Work Permit (CWP).

Date: so /1'"L./ 2.o1k,

Name: Ae,o:J '- �AtJl'tf f '2,,,_A 1+ 1'-n Signature:
Time: 8.30am
SECTION 7: TNB CWP APPROVING AUTHORITY REPRESENTATIVE (AAR)
I hereby accept with the controls in place for the work to be conducted safely and work shall be commenced.

DATE START: 4 \ 1 \2-c.)').l DATE END: i II 11.v'"l.J

(Maximum of 7 days validity)
Nuramirah Binti Saffel'.. Date: �u 111-1:>-0
Name: Signature: �
NIP : 10087088 Time I�' I°' P((\
SECTION 8: REVOKE OF CONSTRUCTION WORK PERMIT
I hereby revoke the Construction Work Permit due to the following Non Compliance:

Date:
Name: Signature:
Time
SECTION 9: COMPLETION OF WORK (BY RAA) SECTION 10: CANCELLATION OF CWP (BY AAR)
The above work has been completed and the location has The work site is cleaned and ready to close this CWP.
been left in safe condition.

Remark: Remark:

Name: Name:

Signature: Signature:

Date: Date:

Page 2 of 2
EXCAVATION
 I'
SECTION 3: GENERAL

I
Safe Access & Egress provided Safe Surrounding Condition (Eg: Live
(use standard ladder) 'i equipment, public, slopes, etc.)

�
Utility mapping conducted Note: Reassessment of site condition after adverse weather
is required.
SECTION 4: ADDITIONAL PRECAUTIONS
Declare if any additional precaution applied other than Section 3.

SECTION 5: DECLARATION BY CONTRACTOR PROJECT MANAGER AND SHO/SSS

I hereby declare that I have checked the area and confirmed that all the required controls are implemented and
the work is safe to proceed.
Signature: Signature:

(PROJECT MANAGER) (SHO/SSS)

Name: Name: ../"/f,VI' r�/�v
Date & Time: Date & Time: J'c/1:)./ r!)-<S &8.30am
SECTION 6: CONTRACTOR CWP RECEIVING AUTHORIZED AUTHORITY (RAA)
I hereby declare that I understand and take responsibility of the hazard that may be present in the designated
area and have taken all the necessary precautionary actions as declared/ specified prior to the signing of the
Contractor Work Permit (CWP).

Name: Ae:J::N L /\1AltJA f l&ltAH1M Signature:

J-
SECTION 7: TNB CWP APPROVING AUTHORITY REPRESENTATIVE (AAR)
Date: 5c) / 1 -,_/ '2,..CJ'),,c
Time: 8.30am

I hereby accept with the controls in place for the work to be conducted safely and work shall be commenced.

DATE START: l\-1 I \2<>1-1 DATE END: 'b I' \�'1,\

(Maximum of 7 days validity)
Date: 3o \ 11-\?o
�
Name: Nuramirah Binti Saffee Signature:
NIP· 10087088 Time I°:l • 7,u.Pr<\
SECTION 8: REVOKE OF CONSTRUCTION WORK PERMIT
I hereby revoke the Construction Work Permit due to the following Non Compliance:

Date:
Name: Signature:
Time
SECTION 9: COMPLETION OF WORK (BY RAA) SECTION 10: CANCELLATION OF CWP (BY AAR)
The above work has been completed and the location has The work site is cleaned and ready to close this CWP.
been left in safe condition.
Remark: Remark:

Name: Name:

Signature: Signature:
Date: Date:

Page 2 of 2
EXCAVATION