You are on page 1of 2

RWS/PTW/004 (Effect from June-2014)

Permit to Work (PTW)

4. OSC Endorsement: __________________

1.1 Particulars
From (Date/Time)

To (Date/Time)

Estimated manpower

Contractor Company Name

Contractor Representative (CR).

Hp of CR

Subcontractor Company Name (if any)

Name:
Subcontractor Representative(SCR)

Hp of SCR

Location of works/services to be

Name:
Building/floor number

Others

Type of works/services to be carried out.

Description (check if submitted)


Permit / Document Required
Risk Assessment (Compulsory)
Supporting
Safe Work Procedure
Documents
Drawings
Hot Works & Sparks
Yellow Tag (daily basis)

S/No. (if any)

Fire Protection System Impairment Red Tag (daily basis)


MEWP Operator License (MOM)
MEWP

Work at Height (3M)


Scaffold (4M)

High Risk
Permit to
Work
Required

Confined Space Entry

Lifting Operation with Mobile


Crane, Lorry Crane, etc.

Live Electrical Works


Live Gas Works
Hazardous chemical involved
Within 3M of Live Animal Exhibits

No. of Pages

Decal No:

Certificate of WAH worker / assessor /


supervisor / manager
1 Certificate of scaffold erector; and
2 Certificate of scaffold supervisor
From MOM approved scaffold contractor
1 Gas meter calibration certificate
3 Confined space assessor license
4 Manhole worker license
5 Manhole supervisor license
6 Confined space rescue plan

1 Certificate of all lifting machine,


equipment & appliances
2 License of rigger / signalman / lifting
supervisor / operator
LEW endorsement
LGSW (licensed gas service worker)
or LGSW (R) (Restricted)
SDS (Safety Data Sheet)
Method statement on protection

For LSS only

Any other high risk activity and/or special equipment used


(please specify)
Air
2. BU/s acknowledge the work or accepted and agreed on environmental impact
Environmental
Noise
Impact
Signatures : ___________________ Name/Date : ___________________
Water
1.2 Contractor/Vendor Acknowledgement
We hereby acknowledge: 1) to comply with all relevant safety requirements/regulations stipulated by government authorities; 2) to
comply with all relevant RWS regulations and procedures; 3) to ensure housekeeping to be carried out during and after work; 4) to
ensure proper barricade of working area as well as safety to public; 5) all work shall be stopped unconditionally if instructed by RWS
staff; 6) to lay wooden platform on all tiles & finished flooring when using MEWP / lifting equipment; 7) to ensure no damage to water
proofing layer if hacking or removal of tiles is required.
Acknowledged By:
Name (Contractor Supervisor):
Contact Number:
Company:
2.

Signature:
Date:

RWS Project Coordinator or RWS Appointed PM or Tenant Representative

RWS BU/Tenant: ___________________


Name: ____________________________ Mobile No.: ________________________
RWS Project Coordinator or Appointed RWS PM or Tenant Rep & contractor
Signature of RWS PC or Appointed PM or
representative walk through location of work/services to be carried out
Tenant Rep
3.

Approval of Permit to Work

RWS FM&E Mgr/Authorized Engineer : ______________________

LSS/Tech Svcs Authorized Personnel: ___________________

Signature/Date _________________________________________

Signature/Date _____________________________________

(for LSS/Tech Svcs only)

Note: For any inquiry and clarification of FM&E related works, please call hotline 6577-8448

RWS PTW Procedure


Contractor / Vendor

RWS BU / Tenant

PTW: Section 1.1 & 1.2

FM&E Respective Section / LSS / Tech Svcs

PTW: Section 2

1.1* Contractor/Vendor to
schedule work and prepare
all necessary documents

FM&E OSC

PTW: Section 3

Control

PTW: Section 4

1.1 PTW applicable to all corrective


maintenance, preventative
maintenance, ad-hoc work, A&A
work, etc that is performed by
appointed contractor / vendor
within RWS operational premises
(including RWS, DCP, GC & PG)

3.1* FM&E manager or authorized engineer


/ LSS/Tech Svcs authorized personnel (for
LSS/Tech Svcs work that is non FM&E related
only) to look through PTW as well as all
supporting documents

2.1 BU/Tenant to validate information


provided by contractor;and evaluate
environmental impact (if any); and to
conduct site walk (if necessary)

1.2 Contractor/Vendor to duly fill


up PTW form Section 1.1:
Particulars & Section 1.2:

Document

1.1 PTW Form

1.1 Contractor/vendor to submit at


least 1 day prior to work;
For LSS, Contractor/vendor to submit
at least 3 days prior to work.

Contractor/Vendor
Acknowledgement; to prepare
necessary supporting documents

3.2 Information provided is


correct;
and all supporting documents
are in order

1.3 Contractor/Vendor to submit


PTW forms (in duplicate) and all
necessary supporting documents
to relevant RWS BU / Tenant
representative

No

1.1 Validity Period of PTW:


a. For PM work done by appointed inhouse contractor: up to 1 month
b. For A&A work, Ad-hoc
maintenance and all other work: up
to 1 week

4.1 OSC TMs to check through PTW on


completeness of PTW as well as supporting
documents

Yes
No

2.2 Information provided is correct;


and Environmental impact (if any)
acceptable;
and site walk (if necessary)
conducted

3.3 FM&E manager or authorized engineer /


LSS / Tech Svcs authorized personnel to
approve the PTW by signing off both copies
of PTW forms at Section 3

4.2 All required fields are duly


filled;
and all supporting documents
are in order

Yes

Yes

3.4 LSS/Tech Svsc work


that is non FM&E related?

2.3 BU to input Section 2 on BU, coordinator


or appointed PM's name and contact; for
tenanted units, Tenant representative to
input outlet name as well as
representative's name and contact

No

3.1 LSS/Tech Svcs authorized


personnel to only approve work that
meets both criteria below:
a. Work conducted in LSS/Tech Svcs
areas; and
b. non FM&E related.
Such work does not require approval
from FM&E nor endorsement by
OSC.

1.4 Location of RWS FM&E OSC is at


FCC (ground level between Festive
Hotel and Hard Rock Hotel)

No

Yes

4.3 OSC TMs to endorse PTW with stamp


with serial number at Section 4; 1 endorsed
PTW to be returned to contractor/vendor;
1 endorsed PTW as well as full set of
supporting documents to be kept by OSC
1.4* Contractor/Vendor to bring approved PTW
(both copies) as well as full set of supporting
documents to OSC for endorsement

4.4 OSC TMs to key in PTW details in PTW /


RedTag / YellowTag Calendar in
Transformer FM&E Internal

1.5 Contractor/Vendor to carry out according to


details specified in the approved PTW; PTW
shall be available for inspection/checking upon
request by RWS

4.5 OSC TMs to scan full set of PTW


documents and archive in eRMS and file the
hard copy

No

1.6 Upon job completion, Contractor/Vendor


to perform necessary T&C as well as handover
procedure

2.4 Handover completed and


bought off by BU/Tenant

Yes

4.1-4.5 For offsite location such as


GC & PG, approval and filing shall be
done by BU and/or FM&E Section in
charge. However electronic copy
shall still be sent to OSC for
centralized filing

End

RWS PTW Procedure June 2014

You might also like