Ryobi Kiso (S) Pte Ltd

HOT WORK PERMIT

Permit no.: Attach Permit 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 !onday must be applied by Friday. Sketch to be attached Part 1: Application To Be Completed By !"#Contractor
Work Performed by : Name of Supervisor in $har&e: 'ocation: (ate ) Time of *ot Work: +rom : To: No. of Wk "name of Sub#$ontractor%

,*S -e.uirements Prior Application of /eneral Work permit by Permit Applicant S 0 1 3 2 3 4 7 7 8 09 00 01 5tems $ordon off barricade 6ork area Provide 6arnin& si&ns Sufficient li&htin& Ade.uate ventilation Standby fire 6atchman No incompatible 6ork is allo6ed e.&. flushin& of chemicals +ire blanket to protect e.uipments and etc Provision of 6eldin& curtain for electrical 6eldin& !ount &as cylinders on trolley Area free from combustible materials and &ases +ire e:tin&uisher standby +lashback arrestors Status Si&n
Sta .

0
Si&n

In$pection By EH Per$onnel d!rin% co!r$e o& 'or( 1 3 2 3 4

Sta. Si&n St a. Si&n St a. Si&n St a. Si&n St a. Si&n St a.

7
Si&n

-yobi ;iso Sup<,n&r<*=( W5S $omply (escription of Work:

Part ): C*ec( + Endor$e By Ryo"i Ki$o EH

,epartment

Work area is safe -easonably practicable steps have been taken to safe&uard the safety and health of the 6orkin& personnel (ate<Time: !per.i$or/En%ineer

Name<Si&nature: Part -: Endor$e By Ryo"i Ki$o

A6are of the 6ork to be done and ensure that all safe 6ork procedures to be complied 6ith. (ate<Time:

Name<Si&nature: Part 0: Appro.al By Ryo"i Ki$o Head o& ,epartment

5>m satisfied that all reasonably practicable measures have been implemented and enforce and the 6orkin& personnels are informed of the ha?ards and protection counter measures to be taken. The above mentioned 6ork is: Approved < Not Approved Name<Si&nature: Part 1: 2oti&ication O& Completion O& Wor( By (ate<Time: !"#Contractor

Work has completed.

*ousekeepin& has been carried out. !per.i$or/En%ineer

Work area is safe for other personnel.

Name<Si&nature: Part 3: Con&irmation By Ryo"i Ki$o

(ate<Time:

Work has completed.

*ousekeepin& has been carried out.

Work area is safe for other personnel.

Name<Si&nature:

(ate<Time:

Note: 0. =ri&inal $opy @ to be displayed at hot 6ork location 1. 5f permit is to be reapplied for 6ork not completed 6ithin 7 days part 3 ) 4 does not apply.

EOHSMS-02-F06_Rev 0

Page 1 of 2

Issued on 15 Sept 2010

Ryobi Kiso (S) Pte Ltd

Legends: A = OK/Good X = Not OK/Bad NA = Not Applicable

EOHSMS-02-F06_Rev 0

Page 2 of 2

Issued on 15 Sept 2010