General - Permit to Work

NARAYANAN CHALLIYAH - 2024-03-18

ID 25743 Created by Securitas 09:42:22

DC Tuas Project
Selected Queue
Day Shift or Night Shift? Day Shift

Trade Contractor Name: Securitas

SECTION 1 – APPLICATION FOR PERMIT-TO-WORK

(To be filled up by the supervisor of the person conducting the task)

DataTouch Area: Site Utilization Plan_Feb

Location of Work: B1 Staircase 03 & 02

Validity of the Permit
From 2024-03-18 To Date/Time: 2024-03-24 Duration 7 Days
Date/Time:

Description of Works / Type of tools to be used: Conceal Conduits Installation Work for CCTV/ACS

No. of Workers involved in work activity: 2

Appointed Supervisor:
Name Added Photograph
MIAH LITON 2024-03-18 09:31:56

First Name: MIAH

Surname: LITON

City:

Additional individuals working on Permit who are

not associated to DataScope:
Appointed Safety Personnel:
Name Added Photograph
MIAH LITON 2024-03-18 09:32:09

First Name: MIAH

Surname: LITON

City:

Additional individuals working on Permit who are

not associated to DataScope:

SECTION 2 – PERMIT TO WORK REQUIREMENTS

Description Yes No N/A Remarks

1. Has the work crew

involved conducted
toolbox meeting? (Details: ✓
Using the DABS report,
attach TBM photo &
records)
2. Has the access to work
area is free from
obstruction? (Details: ✓
Check proper access is
available)

3. Has the access and

egress is clearly visible
and available? (Details: ✓
Clear demarcations of
walkways available with
signboards)

4. Has machineries
Mobilized are parked safely
and checked for ground ✓
stability? (Details: Attach
relevant checklist)

5. Has the work activity has FTZ/RA-03/02, FTZ/RA-

risk assessment (RA) and 02/02. FTZ-SWP-02
safe work procedure (SWP)
approved? (Details: ✓
Provide RA and SWP
Reference Number under
comments)

6. Has the RA and SWP

briefed to the working crew ✓
involved? (Details: Attach
briefing records)
7. Has the workers have
relevant training to perform ✓
the task? (Details: CSOC,
BCSS, WAH training, etc)

8. Has the tools used for

the work inspected and
color coded? (Details: ✓
Refer to the monthly color
code)

9. Has electrical tools used

are inspected by LEW?
(Details: LEW Inspection ✓
sticker shall be available
for the tool used)

10. Has lifting gears used

(if any) is of good condition
and has no ✓
defects?(Details: check the
condition of the LA, LG,
etc.)

11. Has the chemical used

has recently revised safety
data sheet (SDS) readily
available? (Details: SDS ✓
shall be revised every 5
years. See the latest
revision date.)

12. Has the SDS briefed to

working crew? (Details: ✓
Attach the briefing record)

13. Has the workers

equipped with standard
PPE for the project?
(Details: Safety helmet with
chin strap, Safety glass, ✓
reflective vest, arm band,
Full sleeve shirt, long
pants, cut resistant gloves,
safety boots, Mask and
Hand Sanitizer)
14. Has the Work crew
aware of HRA around the
work location? (Details: ✓
Check it from DABS
Report)

15. Has the work crew

made aware of Emergency
Assembly area? ✓
(Designated Emergency
assembly point)

16. Do you have adequate

resources to start work? ✓
(Details: Barricades,
Signboards, tools, etc.)

SECTION 3 – DECLARATION OF APPLICATION & VERIFICATION

I have checked the abovementioned area and I am satisfied that it is safe for
works to start. I understand all safety precautions to be taken under current ✓
legislation and all persons involved are informed of the hazards during Pre- task
Analysis

Applicant Name and Signature: Signature

Narayanan
General - Permit to Work - Trade Contractor EHS Evaluation

2024-03-18
ID 25754 Created by MIAH LITON - Securitas 09:48:45

Declaration:
I verified that the above-mentioned area has been checked and in circumstances ✓
noted, I am satisfied that it is safe to carry out work at this area.

Comments:

Name and Signature of Permit Assessor: Signature

Liton
General - Permit to Work - Obayashi EHS Evaluation

THIRUMOORTHY 2024-03-18
ID 25757 Created by ANANDAMURUGAN - Obayashi 09:49:52

Declaration:
I verified that the above-mentioned area has been checked and in circumstances ✓
noted, I am satisfied that it is safe to carry out work at this area.

Comments:

Name and Signature of Permit Assessor: Signature

Thirumoorthy
General - Permit to Work - Issue of Permit to Work

2024-03-18
ID 25838 Created by Robinson Go - Obayashi 13:01:36

To be filled by Obayashi project manager / authorised manager

Permit Status:
Approved ✓

Comments:

Name and Signature of Project Manager or Signature

Appointed Competent Person:

rg
Queue Move History
Document Reason Date Moved Moved By Moved From Moved To

General Permit General Permit

General - . Submitted to Work (Day
2024-03-18 Robinson Go to Work (Day
Permit to Work from mobile Shift) - Pending
13:01:38 (User Id: 8) Shift) - Issued
(25743) app. Obayashi Issue and Live
of Permit

THIRUMOORT General Permit General Permit

General - . Submitted HY to Work (Day to Work (Day
2024-03-18
Permit to Work from mobile ANANDAMURU Shift) - Pending Shift) - Pending
09:49:54
(25743) app. GAN (User Id: Obayashi EHS Obayashi Issue
133) Review of Permit

General Permit
to Work (Day General Permit
General - . Submitted Shift) Submitted to Work (Day
2024-03-18 MIAH LITON
Permit to Work from mobile - Pending Shift) - Pending
09:48:47 (User Id: 273)
(25743) app. Subcontractor Obayashi EHS
Safety Assessor Review
Review

General Permit
to Work (Day
Document
General - NARAYANAN Shift) Submitted
Submitted. 2024-03-18
Permit to Work CHALLIYAH - - Pending
Submitted from 09:42:25
(25743) (User Id: 272) Subcontractor
mobile app. Safety Assessor
Review