GUTHRIE ENGINEERING (S) PTE LTD

6 Aljunied Avenue 3 #04-00 Singapore 389932

Tel: 6746 2222 Fax: 6746 2300 Email: guthrie@guthrie.com.sg
Co Reg. No. : 195100006K

Appointment Letter For Mobile Elevated Working Platform (MEWP) Operator

Date : ___________________________________ From : ________________________________________

(Contractor’s name)

RE : Letter of appointment for Mobile Elevated Working Platform (MEWP) Operator

Please be informed that the following person has been appointed as Mobile Elevated Working Platform (MEWP) Operator for the
project worksite ________________________________.

I confirmed that the appointee has attended and passed the MEWP Operator course (Boom Lift / Scissor Lift). I have attached a
copy of his / her certificate for your retention.

I confirmed that the appointee has been briefed on and is clear of his roles and responsibilities as printed in this appointment
letter

S/No. Name Identification Number Certificate received on

APPOINTED BY

___________________________________________________________
Name / Designation / Signature /Date

Roles and Responsibilities of Machinery / Equipment (MEWP) Operator

1) Conduct pre-start check on the Machinery / Equipment (MEWP) which I operate on daily before operating it.
2) Do not allow any other untrained or unauthorised person to operate on the Machinery / Equipment (MEWP) under your
charge.
3) Do not operate the Machinery / Equipment (MEWP) in a manner deviating from the safe work operation procedure.
4) Where defects or malfunction of the Machinery / Equipment (MEWP) is found, I will suspend work and inform my
supervisor immediately.
5) Do not overload the Machinery / Equipment (MEWP) at any time.
6) Always barricade the Machinery / Equipment (MEWP) work area.
7) Do not operate the Machinery / Equipment (MEWP) in an unsafe manner at any time.

ACKNOWLEDGEMENT BY

I hereby acknowledge and agree to the said appointment and declare that I will perform my duties as Mobile Elevated Working
Platform (MEWP) Operator at the project worksite with due diligence.

______________________________ ___________________ ______________

(Name) (Signature) (Date)

(Form shall be attached with necessary certification / licenses / work permit / NRIC if necessary)

17. MEWP Operator LOA – Rev. 1 (May 2018)