GEN CWP:

EX: GENCWP/Contract No/

GENERAL CONSTRUCTION Running No
WORK PERMIT (CWP)
GRID DEVELOPMENT ____(Click Here)____
GRID DIVISION, TNB Appendix 4 Doc No:
GD/CWP/GEN/REV2
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
Contract Completion Date: (Click Helre) Contract Insurance Expiry Date:
EOT/ DD (if any): (Click Here) (Click Here)
Contractor: (Click Here) Contract No.: (Click Here)
Please tick for the project type below (√).
Project Description: SUB (Click OHL (Click UGC (Click
(Click Here) Here) Here) Here)
Remarks: Greenfield/Brownfield/R&R (Strike where N/A)
SECTION 2: WORK DESCRIPTIONS
Work Scope: Location(s):
(Click Here) (Click Here)

(Task covers multiple locations (attach sketch if necessary)

Working within Live Area vicinity? YES/NO (If Yes) Grid Maintenance Permit To Work No: (Click Here)
SECTION 3: GENERAL
Please tick for the available documents (√). Please tick the high risk works involved (√).
Description YES NR High Risk Involved
Job Safety Analysis (JSA) Y/N Working at Height for OHL (WAH OHL)
(Click
Here)
Y/N (Click
HIRADC Working at Height (WAH)
Here)
Method Statement (MS) Y/N Scaffolding & Falsework
(Click
Here)
Y/N (Click
Approved Work Programme Lifting, Hoisting & Jacking-Skidding
Here)
Schedule of Specific Work Y/N Excavation
(Click
Here)
Requirement of Safe Access & Egress Y/N Confined Space
(Click
Here)
Approved Drawings/Supporting Y/N State number of CWP High Risk Certificate
Documents i.e. by Authorities involved for this General CWP:
Y/N (Click Here)
List of Equipment and Machineries
Copy of Calibration Certificate of Y/N
Equipment Used
List of Personal Protective Equipment Y/N
(PPE) required
Copy of valid CIDB & NTSP card Y/N
Emergency Response Procedure Y/N
i.e. Emergency Response Plan,
Emergency Response Team etc.
Planning and/or Schedule of Y/N (Click
Here)
Authorized Supervision Personnel for
RAA (for OHL Project)
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GENERAL CWP
 SECTION 4: ADDITIONAL PRECAUTIONS
Declare if any additional precaution applied other than Section 3.

SECTION 5: DECLARATION BY CONTRACTOR PROJECT MANAGER/PROJECT ENGINEER 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:

___ (Click Here) ____ __ (Click Here) ___

(Project Manager/Project Engineer) (Safety Health Officer/Site Safety Supervisor)
Name: (Click Here) Name: (Click Here)
Date: (Click Here) Date: (Click Here)
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 General
Construction Work Permit (CWP).

Name: (Click Here) Signature: (Click Here) Date: (Click Here)

(If required)
As a qualified replacement RAA for this project, 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 General Construction Work Permit (CWP).

Name: (Click Here) Signature: (Click Here) Date: (Click Here)

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 END: (Click Here)
DATE START: (Click Here) (Maximum of 3 months validity)

Name: (Click Here) Signature: (Click Here) Date: (Click Here)

SECTION 8: REVOKE OF CONSTRUCTION WORK PERMIT

I hereby revoke the General Construction Work Permit (CWP) due to the following Non- compliance:
(Click Here)

Name: (Click Here) Signature: (Click Here) Date: (Click Here)

SECTION 9: COMPLETION OF WORK (BY RAA) SECTION 10: CANCELLATION OF CWP (BY AA/AAR)
The above work has been completed and the location is The work site is in good condition and is ready to
in good condition. cancel this General CWP.

Remarks: (Click Here) Remarks: (Click Here)

Name: (Click Here) Name: (Click Here)

Signature: (Click Here) Signature: (Click Here)

Date: (Click Here) Date: (Click Here)

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GENERAL CWP