Nippon Paint (Coatings) Philippines, Inc. Hot Work Permit: General Information

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NIPPON PAINT (COATINGS) PHILIPPINES, INC.

No. 4 Hologram St. Light Industry & Science Park I, Diezmo, Cabuyao, Laguna, Philippines

HOT WORK PERMIT


Permit Control No:
GENERAL INFORMATION
Contractor's Company Name:
Site Address:
Contact No:

Description of Work to be performed ( be specific):


REPAINTING AND STRUCTURAL REINFORCEMENT WELDING WORKS OF NPCP TOWER

Work Area:
Permit Date Issued: Permit Date Needed:
Start Time :
End Time : Extended Time:

PRE INSPECTED
Pre inspected by Maintenance Supervisor/Personnel. (Mark with Yes or No)
Yes No
Sprinkler and fire system is operational. Note: No Installed FSS aside from fire extinguisher on the area
Floors and surfaces clean of combustibles.
Combustibles and flammable liquid protected with fire proof tarp or removed.
For wall or ceiling work, combustibles moved away from opposite side.
For equipment work, equipment cleaned of all combustibles.
For equipment work, there is adequate air flow through equipment.
Display hot work signage board at the working area.
I have notified the operator to contact me immediately upon completion of this job.
Reading of combustible gas at the "hot area".__________ (< 10% of LEL propane)
A fire watch is required. Name : RDelMundo / Ngregorio
Note: If a fire watcher is not required, I will ensure that the work site operator has access to fire equipment.

Comments: ENSURE PROPER EXTENSION CORDS ARE USED DURING WELDING ACTIVITY
Signature of Maintenance Supervisor/Personnel:__________________ Date: _________________________

The "preparations" and "precautions" checked off are adequate to protect the personnel engaged in this work from accident injury. I have
personnally checked that these requirements have been met.
Checked By: Approved By:

Maintenance Supervisor Maintenance Manager


(Signature Over Printed Name) (Signature Over Printed Name)

Approved by Originating Dept.: Approved by Safety / EHS Department:

Department Manager / Supervisor Safety Manager / Safety Officer


(Signature Over Printed Name) (Signature Over Printed Name)

Noted By: Acknowledged by Contractor:

Security OIC (Officer-In-Charge) Job Supervisor (In-charge On-Site)


(Signature Over Printed Name) (Signature Over Printed Name)

THIS PERMIT MUST BE KEPT/POSTED ON JOB SITE .


POST WORK REQUIREMENT (Contractors On-site)
_________ Tools and equipment removed from work area.
_________ Left over job have been cleared.

Signature:_______________________ Name:________________________ Date :_________________________

COMPLETION (Maintenance & Safety/EHS Department)


_________ Work completed
_________ Requirement after work complied with.
_________ All safeguard returned to normal.

Checked By: Approved by Safety / EHS Department:

Maintenance Supervisor Safety Manager / Safety Officer


(Signature Over Printed Name) (Signature Over Printed Name)

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