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    Work Permit Application V.201909 ENG

    Uploaded by

    Michael Yip
    This document is a work permit application for contractors working at the International Commerce Centre in Hong Kong. It requests information about the company, number of workers, work location, description of work activities including any that require hot work or confined space entry permits. It notes that tenants must be notified if work will affect them and that workers must be trained and certified in safety requirements. The contractor and tenant signatures are required to approve the permit, along with approval from the building representative.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Work Permit Application V.201909 ENG

    Uploaded by

    Michael Yip
    53 views1 page
    This document is a work permit application for contractors working at the International Commerce Centre in Hong Kong. It requests information about the company, number of workers, work location, description of work activities including any that require hot work or confined space entry permits. It notes that tenants must be notified if work will affect them and that workers must be trained and certified in safety requirements. The contractor and tenant signatures are required to approve the permit, along with approval from the building representative.

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    This document is a work permit application for contractors working at the International Commerce Centre in Hong Kong. It requests information about the company, number of workers, work location, description of work activities including any that require hot work or confined space entry permits. It notes that tenants must be notified if work will affect them and that workers must be trained and certified in safety requirements. The contractor and tenant signatures are required to approve the permit, along with approval from the building representative.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views1 page

    Work Permit Application V.201909 ENG

    Uploaded by

    Michael Yip
    This document is a work permit application for contractors working at the International Commerce Centre in Hong Kong. It requests information about the company, number of workers, work location, description of work activities including any that require hot work or confined space entry permits. It notes that tenants must be notified if work will affect them and that workers must be trained and certified in safety requirements. The contractor and tenant signatures are required to approve the permit, along with approval from the building representative.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    1 Austin Road West, Kowloon, Hong Kong Tel: 27300300 Fax: 27300390

    Work Permit Reference Number :


    Name of the Building : International Commerce Centre
    Part A : Completed by Applicants

    Company Name: No. of Workers: (On List)


    Representative's Name: No. of Workers: (Day Max.)
    Work Location: Contact Phone No.:

    * Proposed Working Time (Time and Date): From: To: (Work Day/Work Day and Public Holiday)

    08:00-20:00 08:00-14:00 14:00-20:00 20:00-08:00 00:00-23:59

    Work Description:

    Electrical Live Work Confined Space Lifting / Rigging Operation 　 Work at Height (>=2m)
    Scaffold / Ladder Power Operating Platform / Spider BMU / Gondola
    Powered Equipment / Machinery Inflammable / Chemical / Hazardous Material Hot Work (Welding / Flame Cutting, etc.)
    Electrical Tools (Please complete the Hot Work Permit application)
    Others, please specify:

    Affected Floors and Equipment involved:

    Isolation of Fire Service System Needed: Yes No If yes, please complete the "Request For Isolation Form"

    Tenants Notification Needed: Yes No If yes, please specify details:

    Declaration:

    All workers have been trained, fully understand and will work with compliance to the attached ICC safety requirements
    and all other statutory requirements Yes No
    Method statement and risk assessment completed and all safety measures & controls will be implemented Yes No
    All workers possess valid licenses & certificates under the relevant statutory requirements and competent for their work Yes No
    V.201909

    Notes:

    Contractor's Name and Signature Signature Tenant's Name & Signature Signature 2 Approval by Kai Shing's Representative Signature 3
    1
    Shift IC / Officer / Manager; Safety Manager

    Part B : Completed by Control

    Actual Working Period (Time and Date): From: To:

    Tenant's Acknowledgement: Yes No N/A

    Control's Representative Name & Signature Signature 4

    Notes：

    * Application must be received 7 days in advance if the abovesaid work will affect our tenants. Immediate application will only be considered for the case of emergency

    This permit valid for 7 days maximum from the date of commencement, unless otherwise mutually agreed
    Tenant and contractor shall undertake to review the validity of submitted worker list (eg. worker quit, no need to enter premises, etc) within the permit period and inform
    Management Services Office immediately for any change
    Tenant and contractor shall undertake to report to Management Services Office if over 50 workers entered into the unit
    V.201909

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