Contract 1101
Design and Construction of Tengah Depot
‘And Associated Facilities fr Jurong Region Line
LETTER OF APPOINTMENT
TYPE OF APPOINTMENT
WSH Supervisor Excavator Operator |_|} Safety Coordinator
Lifting Supervisor [| Welder IWSH Officer
Rigger / Signaler [L] First aider Other (pls specify)
Scaffold Supervisor Forklift Operator =
_] Formwork Supervisor [/~] Crane Operator
UNDERTAKING
ee
chan you Lim (ame). F167LI0P RIC No
understand that as a, e: or (Appointment), It
is my duty and responsibility to ensure that the provision in the Workplace Safety
& Health Act and its subsidiary legislation and all requirements in regard to.
Environmental, Health & Safety issues as instructed by China Railway 11 Bureau Group
Corporation
With effect from [2105.23 (Date)
| fully understand that I shall be held responsible if | fail to discharge my duties and
responsibilty diligently.
| undertake to inform China Railway 11 Bureau Group Corpors
should I cease the above appointment for this workplace.
ion WSH Department
‘Signature By:
Appointed Person
‘Approved By: Apyroved By:
‘Sub-Contractor Project Manager PM CM (CRCC11)
‘China Raway 11 Bureau Group Corporation (Sngapore Branch)
Rev 01 -290120201 Paget
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