CONSTRUCTION WORK HIGH RISK CERT NO:

EX: HRCWP/WAH/Contract No/

PERMIT (CWP) Running No

HIGH RISK CERTIFICATE _______________________

GRID DEVELOPMENT
WORKING AT HEIGHT Doc No:
GRID DIVISION, TNB
(WAH) Appendix 6 GD/CWP/WAH/REV2
INVALID WITHOUT AN ACCOMPANYING GENERAL CWP FOR ALL ACTIVITY.
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. (7 CALENDAR DAYS MAXIMUM VALIDITY).
SECTION 1: APPLICATION
CWP High Risk Certificate Validity Date:
Accompanying General CWP No:
(Max 7 calendar days)
Contract Completion Date:
Contract Insurance Expiry Date:
EOT/DD (if any):
Contract No.:
Contractor:
Please tick for the project type below (√).
SUB OHL UGC
Project Description:
Remarks: (Strike where N/A)
SECTION 2: WORK DESCRIPTIONS
Work Scope: Location(s):

(Task covers multiple locations (attach sketch if necessary)

Working within Live Area vicinity? (If Yes) Grid Maintenance Permit To Work No:
Method of Working at Height (WAH) (*for WAH using any type of scaffold, please use CWP High Risk Certificate
for Scaffolding) Please tick for the type below (√).

(….) (….)
(….)
S
Ladder (please specify type): MEWP (Sky lift, scissors lift etc.) WAH on PMU Equipment
Y
(Transformers, gantry etc.):
Y
(….) Other methods (please specify):
R
S
G SECTION 3: GENERAL
Please tick for the available documents
A (√).
Description YES
G NR Description YES NR
S PPE inspection (with suitable safety
Job Safety Analysis (JSA)
F glove/safety shoes/safety helmet)
Use of approved harness anchorage
S
HIRADC point including lifeline, work restraint
G
etc.
J
Emergency Response Procedure
H Safe Access & Egress and assembly
i.e Emergency Response Plan,
G point provided
Emergency Response team etc.
Reassessment after long X
closure/abandonment of site and S Assess safe site surrounding
adverse weather is required. J
Copy of valid CIDB & NTSP card H
Working at height awareness G
training given to workers by H
G
E Page 1 of 4
S WAH
ff
ff
certified training provider/
trainer
SECTION 4: ADDITIONAL PRECAUTIONS
Please tick where applicable(√)
NO. ITEMS YES NO NR REMARKS
Working At Height Gears Inspection
Full Body Harness
Standard : EN 361 (full body harness) and EN
1
358 (safety belt) – must have at least 3 hook
point
Double lanyard for fall arrest
2
Standard : EN 354
Work Positioning Lanyard
3
Standard : EN 358
Shock Absorber
4
Standard : EN 355 – breaking strength 20kN
Snap hook
5
Standard : EN 362
Webb sling / strap (for looping at anchor point as
hook accessory as alternative to direct looping of
6
lanyard)
Standard : EN 566
Carabiner
7
Standard : EN 362
Mobile Fall Arrester
8
(EN 353 or EN 12841 Type A)
Descender (Optional for work positioning)
9
Standard : EN341
Semi Static Rope for Lifeline & Safety Line
Standard : EN 1891 Type A (Nylon or Polyester)
10 Usage : Lifeline or Work Restraint MUST be
attached for each worker when working at the
edge of structure/equipment etc.
Ladder
Ladder inspected and in good working condition
1
(frame, rung, anti-slip footing, spreader etc.)
Approved / standard type
2
(non self-made ladder)

3 Ladder to be used is suitable for the job

MEWP (Mobile Elevating Work Platform)

Valid PMA (PMA No.: ___________________ /
1
Vehicle Plate No. if any: _________________)
Trained driver / operator with valid certification
2
from certified training provider
Machine inspected and in good working
3
condition
4 Safe placement / parking of machine identified

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WAH
 5 Layout plan provided

Notes:

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:

(Project Manager/Project Engineer) (Safety Health Officer/Site Safety Supervisor)

Name: Name:
Date: Date:
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 High Risk
Certificate for Working at Height.

Name: Signature: Date:

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 High Risk Certificate for Working At Height.

Name: Signature: Date:

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: DATE END

(Maximum of 7 calendar days validity)

Name: Signature: Date:

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

Name: Signature: Date:

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

Name: Name:

Signature: Signature:

Date: Date:

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