DOC. REF. RAQ/HSE/PHP/RDI 164/012 DATE: 28-1 Risk Assessment Attached & Communicated to All Workers ‘Adequate lighting & general lighting for walkways/ access egress/ tower crane warning lights provided. nS Conenere otk General PPE & high visibility jackets & clear safety goggles provided for the task. Noise at maximum levels in the residential areas. ‘Machineries & generators properly maintained. Fire extinguishers & fire fighter available at ste, t aid box & fist aider available at site. Emergency evacuation arrangements are in place, NOC/Permission obtained from relevant authority/ dient. Ned QsA Vtg Banat Competent supervisor name: Duty supervisor mobile no. ‘Competent safety person name: Duty safety person mobile no. ©5646 B231y pacauest for Night Work Permit at The Location Specified Above. | Am Hereby Assuring That Al te Above HSE Requirement Mentionedin Section l Have Been Specified and Complied with. | Personally Verified the Above Mentioned Work Spot & Found Safe to Stat Work. Authored Recsiver Name & Sign: Eo g = <\yed, Nate B Sign of ub-Cont Project/Div.IN-Charge Mob: Of>~2 QEatED Mol | Have Personally Verified the Work Spot and Compliance of the Relevant Precautions Given in Section Il of This Permit Fr ‘Authorized Mr, ToSend_5c.___ Number of Werkmen to Work on the Above ‘Mentioned Location, The Permit IsValid from_200 p02 Hs.TO Ses eal Hrs. Special Precaution (ifAny): z ‘Authorid iver Nome & Signature: Sw ge « SAota a ( ) Mob: oS 238087 GO) Sign Of Authorized RECEIVER On Date Everyday Confirming Time the Comaliance of Signature SECTION U. ‘Sign of authorized ISSUER, on every day Time (Only by themain Signature LEY RaQ) Note ssuer Shouldn't Renew the Permit, There sa Poor Housekeaping & Improper Material Stacking in The Site Page 19 of 21hc DOC. REF.: Arcee ig RAQ/HSE/PHP/RDI 164/012 Declaration from the supervisor-In charge: - _ a ' have briefed the associate risks, hazards & hierarchy of control measures to all the engaged workers, I shall supervise the ‘workers and ensure that they abide by the SITE HSE & LEGAL REQUIREMENTS AT ALL TIMES. found any unsafe then | will stop ‘and rectify immediately prior to proceed the activity. ‘Conducted by: (supervisor In-charge) Name: "Se eS nos Sf Sa Ray Company/sub-Contractor: RLACS Signature: sae \ Sek Le — ‘Witnessed by: (safety supervisor in-charge) Namer Qymdeee 1D. Ne Company/sub-Contractor: QC Page 20 of 21