Scribd
Upload
13 views1 page

PTW - Work at Height

The document outlines the procedure for obtaining a Work at Height Permit, valid for 7 days, requiring applications to be submitted in advance. It includes sections for the sub-contractor to complete, detailing safety measures and inspections needed before and during the work. The permit must be signed off by various personnel to ensure compliance with safety standards and completion of work.

Uploaded by

Razvan Costache
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
13 views1 page

PTW - Work at Height

The document outlines the procedure for obtaining a Work at Height Permit, valid for 7 days, requiring applications to be submitted in advance. It includes sections for the sub-contractor to complete, detailing safety measures and inspections needed before and during the work. The permit must be signed off by various personnel to ensure compliance with safety standards and completion of work.

Uploaded by

Razvan Costache
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

COMPANY NAME

WORK AT HEIGHT PERMIT WAH NO:


This permit is valid for 7 days from the time of approval. Application must be submitted at least 3 day in advance.
Work on Saturday, Sunday and Monday must be applied BY Friday. Sketch to be attached
Part 1: Application – To Be Completed By Sub-Contractor
Work Performed by :

Name of Supervisor:
Location:
No. of
Date & Time of work: From: To:
Workers:
EHS Requirements Prior Application of Inspection By EHS Personnel during course of work
General Work permit by Permit Applicant 1 2 3 4 5 6 7
S Items Status Sign St Si St Si St Si St Si St Si St Si St Si
gn gn gn gn gn gn gn
1 Provision of safety √
harness
2 Provision of Life NA
line/Fall arrestor system
3 Affected work area √
below to be barrier
4 Fall hazards eliminated √
5 Scaffolds to be certified NA
safe use
6 Hand tools to be sling to √
body
7 Good condition ladders √
8 2 men system for ladder √
9 No loose items √

Description of Work:

□ Work area is safe.


Reasonably practicable steps have been taken to safeguard the safety and health of the working personnel

Name/Signature: Date/Time:

Aware of the work to be done and ensure that all safe work procedures to be complied with.
Name/Signature: Date/Time:

□ I’m satisfied that all reasonably practicable measures have been implemented and enforce, and the working
personnel are informed of the hazards and protection counter measures to be taken.
The above mentioned work is: Approved / Not Approved

Name/Signature: Date/Time:
Part 5: Notification Of Completion Of Work By Sub-Contractor

□ Work has completed. □ Housekeeping completed □ Work area is safe

Name/Signature:
Date/Time:
(Contractors)
Legends:  = OK/Good X = Not OK/Bad NA = Not Applicable

Published By Champion Management Services Pte Ltd | +65 6774 2949 | hr@champmgt.com.sg

You might also like