Professional Documents
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Ho 95
Ho 95
Stage 1: Application (To be completed by Business Partner /Tenant / Contractor / Service Provider)
Request Portfolio Commercial x Residential Retail
New Permit x Yes No (If Not a New Permit, Old Permit No. ___________________________)
Permit Validity (Date & Time) From 01.04.2021 12:00 AM To 30.04.2021 11:55 PM
HSE Permit Request Confined Space Entry Working at Height (3m or more height) Mechanical Lifting
(Mark applicable task and request for Hot Works Spray Painting Use/Handling of Dangerous Goods Excavation Works
HSE Permit accordingly) Service Isolation Work with or in the vicinity of Radiation Hazard Major Demolition
Signature &
Name Muhammad Omer Contact No. 055-9995744 21.3.2021
Date/Time
IMPORTANT NOTES:
1. This Permit has been issued on the request of the Applicant and does not relieve the Business Partner or the Contractor appointed by them from any legal
and/or contractual obligations.
2. This permit is deemed to be cancelled and the works will be stopped immediately on any Health & Safety or other violations on site noticed during the
inspections or notified to the Facilities Manager or building security.
3. The applicant is fully liable for any penalties, rectification / cost implication of any damages and interruptions caused due to such violations by the
contractor and their subcontractors. The works can be resumed only after necessary corrective actions.
4. Any noisy or malodourous activities such as drilling, coring, painiting, drainage terminations etc. are permitted only after working hours and the applicant
to coordinate with the building security for the same to avoid stoppage of works.
5. Any works on existing building services and systems such as MDB/SMDB modifications/terminations, Fire Alarm & Fire Fighting, Emergency Lighting, BMS,
HVAC Controls etc. must be carried out through the FM Service Provider only.
6. Contractors to produce Fit-out Completion Certificate issued by DDA prior to occupying for operating the unit.
7. Applicant shall take adequate control measures & provide qualified fire watch(es) for monitoring affected areas in event of Fire Detection and/or protection
system impairment. Fire watch(es) shall be in place till impaired systems are re-instated to satisfaction of Facilities Manager / FM service provider.
8. Applicant shall conduct Tool Box Talks to their work force daily basis to brief work place and task related risk controls and building emergency response.
Such shall be recorded and evidenced to HSE/Security/Permit Issuer whenever required.
Stage 2: Endorsement (To be completed by the Facilities Manager/Mall Manager/Authorized Representative)
HSE precautions must be followed
Any work above 3m or below 1.2 m need HSE permit.