WORK PERMIT

Control No.:

Tenant : Maker and Made Type of Work:

Floor / Unit No. : Ground floor/Maker and Made Major Works Minor Works
Name of Contractor : HDK Construction Inc. Category:
Name of Supervisor : Arjay Castro Civil Mechanical
Work Schedule : Jan 10 - 17 , 2024 Electrical Plumbing
Time of Work : 1:00 pm to 5:00 am Electronics Others:

List of Authorized Personnel Work Description

Arjay Castro Samuel Murias
Jomar Catipay Reymond Sumicad
Jhenella Manjares Rober Sumicad Installation of Panel
Renz Charles Esparrago Romeo Catipay Megger Testing (
Randy Gregorio Joel Gomez Roughing Ins (piping works)
Leomat Ebagat Wilfred Aguilar Wiring Ins (Cable Pulling)
Jude Balansag Oliver Roluna Replacement of Panel Board
Leomar Ebagat Kevin Katubig
Norman Arbolida Jayson Dayto
Benedick Domingo Mark Anthony Verano
Romeo Catipay Jr.
Alvin Navarroza
Mark Alute
Provide attachment(s) if necessary.

OTHER REQUIREMENTS COMPLIANCE REMARKS

Contractor Induction / Safety
Briefing Complete Scope of Work
Bar Schedule/Gantt Chart
Job Hazard Statement
Form Hot Works Permit
Fire System Isolation Request Form
Gate Pass
Plan (Layout, Installation Details, etc.)

Requested by: Noted by: Reviewed by: Approved by:

Arjay Castro
Contractor Tenant Representative Building Engineer Property Manager

Important Reminders:
1. All activities in the building must have an Approved Work Permit at least one (1) day for minor works and three (3) days for major s
work prior to the actual Work Schedule.
2. Fully accomplish the Work Permit Form in duplicate copies (Admin/Security and Tenant) signed by the Contractor and
Tenant's Authorized Representative.
3. Maximum validity of the Work Permit is seven (7) days.
4. Submission/Approval of Gate Passes is Monday to Friday from 9:00AM to 11:00AM and 2:00PM to 5:00PM at the Reception Area.
5. The Contractor's Supervisor/Authorized Representative must be present at the work area at all times. Absence of the
Contractor's Supervisor/Authorized Representative shall mean revocation of the Work Permit. Workers will be asked to vacate
the area.
6. Workers are prohibited to use the Passenger Elevators.
7. Compliance to Building House Rules and Fit Out Guidelines is a must.
8. Supervisor and workers must log IN upon entry or log OUT prior to exit and present valid ID in exchange of "Worker ID" at
Service Entrance (Back Door Area).
9. Workers must display their "Worker ID" at all times and must be in their proper complete uniform.