Weekend working request

The following information is required as detailed in the procedure for which application is being made.
Access to site outside normal weekday hours will not be permitted without the prior authorisation of this form.
Request for working on: 24/02/24 Click or tap to enter a date.

Requested Working Saturday From: 08:00 To: 13:00

times: Sunday From: 08:00 To: 13:00
Trade Contractor: J. Coffey Construction
Billiter Street Level 3 MAP panel works
Location of Work(s):
Concrete RNE 04 0M, L1 and L4
Billiter Street Level 3 MAP panel works
Details of work:
Concrete RNE 04 0M, L1 and L4
Method Statement 40L-2070-BS-ZZ-MS-XC-00021 Copy If NO work is not to be
Y
No (Aconex Ref): 40L-2070-BS-ZZ-MS-XC-00029 Attached: approved
Applying Manager: Sabin Rai Signature Sabin Rai
Information Checklist
Supervisors Names (North Building) Emergency Contact Details / No’s
Stefan Samoila 07951122261

Supervisors Names (South Building) Emergency Contact Details / No’s

Supervisors Names (Basement) Emergency Contact Details / No’s

Supervisors Names (Billiter Building) Emergency Contact Details / No’s

Stefan Samoila 07951122261

Supervisors Names (50 Leadenhall) Emergency Contact Details / No’s

Permits Required
Hot Works No Break Ground No
Confined Space No Electrical No
Lifting No Other (specify) No
First Aider (1:50 ratio)
Saturday Name: Phone Number:
Sunday Name: Phone Number:
Fire Watch for Hot Works (if applicable)
Saturday Name: N/A Phone Number:
Name: Phone Number:
Sunday Name: Phone Number:
Name: Phone Number:
Fire Marshal (Minimum 1 trained Fire Marshal) (in case of evacuation)
Saturday Name: Phone Number:
Sunday Name: Phone Number:
Mace Lead
Saturday: Sunday:
Manager Name:
Approved By Name Signature Date
Mace Manager

Mace H&S Name Contact No.

Weekend Cover

Weekend Working Request Forms must be issued to Mace Construction Team by

1200hrs every Thursday.

Not Confidential - Internal V1 15.08.2022

 Trade contractor application form – Operative Numbers

Saturday
Contractor Name J. Coffey Construction Day/Date 24/02/24

Operative Numbers (estimate)

Important – 1 Supervisor to 8 Operatives for normal working

Trade Description Number

Supervisors: 2

Operatives: 6

Sunday
Contractor Name J. Coffey Construction Day/Date

Operative Numbers (estimate)

Important – 1 Supervisor to 8 Operatives for normal working

Trade Description Number

Supervisors:

Operatives:

Not Confidential - Internal V1 15.08.2022