WORK PERMIT
CWC DESIGN CENTER
Control No.:
Tenant : Type of Work:
Floor / Unit No. : Major Works Minor Works
Name of Contractor : Category:
Name of Supervisor : Civil Mechanical
Work Schedule : Electrical Plumbing
Time of Work : to Electronics Others:
List of Authorized Personnel Work Description
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 and Approved by:
________
___________
Contractor Tenant Representative Building Engr./Property Manager
Important Reminders:
1. Fully accomplish the Work Permit Form in duplicate copies (Admin/Security and Tenant) signed by the Contractor and Tenant's
Authorized Representative.
2. Maximum validity of the Work Permit is seven (7) days.
3. 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.
4. 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.
5. Workers are prohibited to use the Passenger Elevators.
6. Compliance to Building House Rules and Fit Out Guidelines is a must.
7. Supervisor and workers must log IN upon entry or log OUT prior to exit at Service Entrance (Back Door Area).
8. Ensure that workers use appropriate safety measures, including the required PPE, to minimize risks during the job.