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Work Permit (Asinan Estate Property Management)

The document is a work permit issued by Asinan Estate Property Management (AEPM) for repairs at the Asinan Warehouse in Paranaque from June 9 to 18, 2022. Datalec Tech. Corp. will perform repairs, with Avenir Gomez as the project engineer and Ricardo Principe as safety officer. Ten personnel are listed. The scope of work involves repairs, carpentry, painting, fixture replacement, and maintenance. Personal protective equipment required includes gloves, goggles, hard hats, and safety shoes. The permit requests a security guard. The contractor must follow AEPM's house rules, safety orientation, and guidelines.

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Jason Cuison
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189 views2 pages

Work Permit (Asinan Estate Property Management)

The document is a work permit issued by Asinan Estate Property Management (AEPM) for repairs at the Asinan Warehouse in Paranaque from June 9 to 18, 2022. Datalec Tech. Corp. will perform repairs, with Avenir Gomez as the project engineer and Ricardo Principe as safety officer. Ten personnel are listed. The scope of work involves repairs, carpentry, painting, fixture replacement, and maintenance. Personal protective equipment required includes gloves, goggles, hard hats, and safety shoes. The permit requests a security guard. The contractor must follow AEPM's house rules, safety orientation, and guidelines.

Uploaded by

Jason Cuison
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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WORK PERMIT (ASINAN ESTATE PROPERTY MANAGEMENT)

2022-06-129
Work Permit No. Date Filed: 06-07-22
*Accomplish this form in four copies: (1) AEPM (2) CRS, (3) Tenant (4) Requesting Contractor*

ASINAN WAREHOUSE
TENANT:___________________________________ WAREHOUSE PARANAQUE
AREA/LOCATION:___________________________
06-09-22 - 06-18-22
DATE (S): _____________________________ 9AM
TIME (from) ______________________ 6PM
(to) ____________________
DATALEC TECH. CORP.
Name of Contractor/Company: _______________________________ Emergency Contact No. __________________
AVENIR GOMEZ
Project Engineer/Supervisor: _________________________________ 09178715860
Contact No. ____________________________
RICARDO PRINCIPE 09953182247
Safety Officer: ____________________________________________ Contact No. ____________________________
NAME OF PERSONNEL:
ALEJANDRO REDITO JR
1. _________________________________ EDWIN AGUINALDO JR 9.MARK ANTHONY FALLORINA
5. __________________________________
RICARDO PRINCIPE
2. _________________________________ ROLANDO COLARINA 10.ABELARDO DUHINO JR
6. __________________________________
ROMEL LAROGA
3. __________________________________ MELVIN LLORCA
7. __________________________________
RONNIE RABASTO
4. _________________________________ JHON BRYLLE LINCUNA
8. __________________________________
Note: Above personnel should be properly identified and should always work within the visible distance of CRS on duty.
SCOPE OF WORK (please specify in the remarks portion details of works/ activities):

Repair Carpentry Painting Fixture Replacement


Maintenance Electrical Plumbing Re - tiling
Installation Masonry Air-con Sprinkler
Ingress/Egress Delivery Pull Out Drain
Remarks: _________________________________________________________________________________________
Note: For hot works activity, please fill up a the AEPM Hot Work Permit Checklist and attach a copy of a Hot Works
Permit from the Bureau of Fire and Protection (BFP).
Personal Protective Equipment: (AEPM to determine applicable PPE based on scope)

Gloves Harness Face shield


Safety Shoes
Goggles Earplug SCBA Dust Mask
Hard hat Earmuff FACEMASK
Gas Mask
Others:_____________________
(pls specify)
Remarks: _________________________________________________________________________________________

REQUEST FOR PERSONNEL POSTING: Note: To be filled up by AEPM - Facilities Manager

Security Guard Landscaping Engineering Maintenance


Other Requests: ___________________________________________________________________________________

I hereby certify that all works to be done within the duration of this permit will be in accordance with the HOUSE RULES &
REGULATIONS/CONSTRUCTION GUIDELINES set by the AEPM. I have understood all provisions and rules in the pre-work SAFETY
ORIENTATION as conducted by the Assistant Facilities Manager/ Facilities Manager.

TENANT AUTHORIZED SIGNATORY:: _________________________________


AVENIR GOMEZ
PRINTED NAME & SIGNATURE/ POSITION

Approved by:

___________________________________
Assistant Facilities Manager/ Facilities Manager

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NOTE: To be printed at the back of the work permit.

DELIVERY PULL OUT

KINDLY SEE ATTACHED FILE

GUIDELINES
1. The contractor and the project Engineer/ Supervisor shall make sure that there will be no damage on the area.
2. Any damage on the area caused by negligence shall be charged to the contractor.
3. Contractor must clean up the area after work.
4. Any person who shall be caught smoking within the building construction area shall be banned from the Building with corresponding
penalties.
5. Construction/repair/replacement/installation/inventory work shall be allowed on Mondays to Saturdays only. Special approval needed
signed by the AFM/ FM for Sunday activities.
6. Workers should wear ID at all times.
7. Workers wearing sando, slippers and shorts are strictly prohibited.
8. Tampering of Work permits without the authorization of AEPM and other authorized representatives will automatically render the work
permit void.
9. All work permits shall be accomplished and submitted three (3) days prior to work commencement.
10. Separate set of Work Permit must be prepared for hot works activity.
11. Validity of Work Permit will be on a minimum of seven (7) days only. Day works should be separate from overnight works.
12. Submission of permit will be on or before 1700H (3 days before) at the AEPM Office.
13. All forms and details must be filled out completely.
14. Any cancellation of Approved Work Permit should be communicated properly to AEPM on or before 1200H, at least one (1) before the
scheduled works.
15. The tenants shall likewise be liable for any damages, losses or any costs that may be incurred from its improvements or its third-party
contractor on the assigned space and shall fully and promptly compensate AEPM upon due notice.
16. AFM/ FM to determine Personal Protective Equipment (PPE) applicable to be used in performing specific task and/or requested work.
Strictly NO PPE NO work policy shall be implemented.
17. All tenants with service request should file an SRF attached to the work permit.

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