HKN JV HSE Department

Submitted on Date:
Scaffolding Erection and Dismantle Request Form
S/N Sub- Building Grid Item Level Description of scaffolding Inspection Remarks
Contractor Date Time
1
2

Ensure the following before proceeding the work

1. Below area to be codon off and appropriate signage to be placed
2. Overlapping tasks to be communicated with relevant party and parallel activity to be stopped at slab edge area
3. All operative from the working team need be worn an appropriate PPE including full body harness wherever necessary
4. Ensure required PTW available for task
5. Task brief to be delivered prior to by respective foreman

Note:

Submitted By: Approved by Acknowledge by

Sub-Company HKN Site Engineer HKN Scaffold inspector/Supervisor

Name: Name: Name:
Signature: Signature: Signature:

Waterfront integrated resort project