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SAP Work Order №: As required (Optional to be filled if the job has an SAP order #).
If Applicable: ✔
Type of Permit: CWP. SPWP. ✔ HWP.
Type of Certificate: CSEC. EXC. RC. Scaffolding Cert. N/A ✔
Type of Isolation: EIC. MIC. N/A. ✔
PO & PA confirm that the task will be carried out as per the defined steps in this MS
Permit Originator
Name Signature
/ Performing Authority
IA accepts and endorses steps of work defined in this MS
Issuing Authority Name Signature
water, then drill to another 6m depth. Repeat the above steps 5 time to complete the total 50m Water tank truck