有效期從_______________??????????????????????????至______________
| 1. Work request施工要求
Name of supervisor管理人員: _______________?????????? Date日期: ______________ Company公司名稱: _______________???????????????????? Tel.電話: _______________ |
| 2. Work description施工描述
Location作業(yè)位置: _______??????????????___ No. of workers人數(shù): __________??? Name/Tel of job coordinator Start time入場時間: __________??? ??????????協(xié)調(diào)員姓名/電話:_______________________________ End time退場時間: __________ Description of work施工描述: ___________________________________________________ _____________________________________________________________________________ |
| 3. Workers’ names and Badge numbers need to be attached
需附工人姓名及胸卡號碼_______________________________________________ |
| 4. Dust generating work灰塵污染
Does work generate dust? Yes _____???? No _____ 產(chǎn)生灰塵與否？????????????????是_____????否_____ If yes, state cause ______________________________________________________________ 闡述產(chǎn)生灰塵原因 Method to contain dust _________________________________________________________ 灰塵處理方法 |
| 5. Hot work permit動火作業(yè)
Is hot work involved?有無動火作業(yè)__________ If yes, specify date / time / duration?注明日期、時間及時長__________________________ |
| All safety precautions taken and cleanroom procedures to be complied by vendor / contractor / safety officer/ supervisor to supervise work and ensure the above precautions are carried out.
所有施工單位，安全經(jīng)理以及監(jiān)管人員應(yīng)確保所屬員工遵守安全與潔凈規(guī)章制度 |
| ?????? ______________________?? ???????????????????????????????????????___________????? ???????________
Contractor承包商????????? ?????????????????????????????????????????????????????????M+W Group |
