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    20241120_170922

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    20241120_170922

    Uploaded by

    tiglaorayniel68
    1 views2 pages

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    1 views2 pages

    20241120_170922

    Uploaded by

    tiglaorayniel68

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    © All Rights Reserved
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    FMD-F-11-02.14.

    4
    Work Permit
    Hot Work Permit

    TENANT/ESTABLISHMENT: _____________________________
    LG-GEORGE & ONIES BUILDING: __________________________
    AYALA TRIANGLE GARDEN TOWER 2
    WORK TO BE DONE (SPECIFY) _______________________________________________________________
    DRAIN,LAYOUT,DISMANTLING,RELOCATION OF SPRINKLER HEADS,PAINTING
    DATE (S):_______________________
    JANAURY 02-04,2024 TIME (from) ______________________
    7:00AM/4:00PM (to) ____________________
    4:00PM/6:00AM
    PERSONNEL TO BE ADMITTED INTO THE PREMISES:
    PROJECT Engineer/Supervisor: __________________________________
    Engr.Mercedes Buada Contact No. _____________________
    09565623033
    Name of Contractor / Company: _______________________________
    JODANS ENGINEERING Emergency No. _____________________
    09565623033
    PERSON-IN-CHARGE: ________________________________
    EDCELLE DADOL,RICHARD VINAZ ________________________________
    ________________________________
    NORMAN BUENAS FLORES ________________________________

    LIST OF POWER TOOLS / EQUIPMENT QUANTITY CHARACTERISTIC


    A TYPE LADDER
    ___________________________________ 2
    ______________________ _____________________________
    ___________________________________ ______________________ _____________________________
    __________________________________ ______________________ ____________________________
    FOR HOT WORK PERMIT:
    Fire watch Personnel: _______________________________ Welder: _________________________________
    1
    Portable Fire Extinguisher (QTY): _________ (Oxygen-Acetylene) Welder: _____________________________
    Prepared by: __________________________________
    RAYNIEL M TIGLAO Designation : _____________________________
    SAFETY OFFICER
    Contractor
    I hereby certify that all works to be done within the duration of this permit will be in accordance with the
    HOUSE RULES & REGULATIONS/CONSTRUCTION GUIDELINES set by ALI/APMC. I have understood all
    provisions and rules in the pre-work SAFETY ORIENTATION as conducted by the Admin personnel.

    MANAGER/ SUPERVISOR: CONTRACTOR REPRESENTATIVE/ PROJECT LEADER:

    ______________________________ ________________________________
    MERCEDES BUADA
    PRINTED NAME & SIGNATURE PRINTED NAME & SIGNATURE

    APPROVED BY: ____________________________ ASSISTED BY: MOD ___________________________


    COMMENTS: _______________________________________________________________________________
    ___________________________________________________________________________________________

    Received by: _____________________________________ Date Received: ___________________________


    PRINTED NAME & SIGNATURE
    INSPECTED BY:
    _______________________________ ________________________________
    Guard on Duty PM/TA
    (To record workers time of entry / exit and ( For inspection the ff. Morning )
    equipment at logbook )

    1. Dedicated fire watch personnel must be at job site 30 minutes before and after scheduled hot work.
    2. At least one (1) 20 lb. ABC fire extinguisher should be available at the work area.
    3. There should be no combustible materials and if there are, they should be covered with metal sheet or
    non-combustible cover. Appropriate ventilation should be provided when working with flammable gas.
    4. The contractor and the project Engineer/ supervisor shall make sure that there will be no damage to
    the surrounding area.
    5. Any damage to the surrounding area caused by negligence shall be charged to the contractor.
    6. Contractor must clean up the area after work.
    7. Hot Work Permit should be filed everyday for the whole duration of the work.
    * Accomplish this form in two copies: (1) Tenant’s/Establishment Copy and (2) Security/APMC Copy *
    TERMS AND CONDITIONS

    1. All work permits shall be accomplished and submitted one week prior to work commencement, in

    case of urgent/emergency works, APMC BA/BE shall have the discretion for approval.

    2. Workers shall accomplish a “Signed” Job Hazard Analysis (JHA) (under their company logo) that
    will cover all activities stated in this permit and shall be submitted to the APMC PM/BE prior to
    Work/ Hotwork Permit application or for urgent cases, prior to the commencement of work .
    Absence of JHA means non-approval of work mobilization.

    SAMPLE FORM:
    ACTIVITY:

    ACTIVITY PROCEDURE / HAZARDS / IMPACT CONTROL MEASURES to


    STEPS of the PROCEDURE Implement for the HAZARD

    3. All works to be done shall not cause damage to exceed utility capacities of the leased area or building

    and shall comply with pertinent government and safety regulations in accordance with the ALI/APMC

    House Rules and Regulations and Construction Guidelines.

    4. Painting or spraying shall be done when building is non-operational and air-conditioning is off. The

    Property Manager has the right to confiscate the materials and equipment which are used for painting

    or spraying.

    5. Any work to be done that affects the adjacent tenants / common areas would be subjected for

    work stoppage.

    6. If the merchants/ workers continue to defy, work stoppage or orders from the PM, APMC / PM have

    the right to confiscate materials or equipment to effect the stoppage.

    7. Tampering of Work permits without the authorization of PM and other authorized representatives

    will automatically render the work permit void.

    8. Damages caused by construction works or any procedures of the like will not render ALI/ APMC liable.

    9. Any person who shall be caught smoking within the building construction area shall be banned entry

    to Building and shall be fined as specified on the Construction Guidelines.

    10. Use of common utility has corresponding charges to be determined by the Property Manager.

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