This document is a night shift work permit application that must be completed by the main contractor for any construction project requiring night work. It requires details of the project, activities to be performed at night, and confirmation that health and safety requirements will be met. These include having an organizational chart for night activities, a risk assessment approved by the Department of Labour, method statements, emergency procedures, safety staff, adequate lighting with backup power, first aid and fire personnel, site security and transport, supervisors with communication, safety inductions, welfare facilities, a lifting plan, toolbox talks, and client approval. The contractor must agree to comply with all regulations and standards and stop work if violations are issued. Final approval is required from the Department of
This document is a night shift work permit application that must be completed by the main contractor for any construction project requiring night work. It requires details of the project, activities to be performed at night, and confirmation that health and safety requirements will be met. These include having an organizational chart for night activities, a risk assessment approved by the Department of Labour, method statements, emergency procedures, safety staff, adequate lighting with backup power, first aid and fire personnel, site security and transport, supervisors with communication, safety inductions, welfare facilities, a lifting plan, toolbox talks, and client approval. The contractor must agree to comply with all regulations and standards and stop work if violations are issued. Final approval is required from the Department of
This document is a night shift work permit application that must be completed by the main contractor for any construction project requiring night work. It requires details of the project, activities to be performed at night, and confirmation that health and safety requirements will be met. These include having an organizational chart for night activities, a risk assessment approved by the Department of Labour, method statements, emergency procedures, safety staff, adequate lighting with backup power, first aid and fire personnel, site security and transport, supervisors with communication, safety inductions, welfare facilities, a lifting plan, toolbox talks, and client approval. The contractor must agree to comply with all regulations and standards and stop work if violations are issued. Final approval is required from the Department of
This document is a night shift work permit application that must be completed by the main contractor for any construction project requiring night work. It requires details of the project, activities to be performed at night, and confirmation that health and safety requirements will be met. These include having an organizational chart for night activities, a risk assessment approved by the Department of Labour, method statements, emergency procedures, safety staff, adequate lighting with backup power, first aid and fire personnel, site security and transport, supervisors with communication, safety inductions, welfare facilities, a lifting plan, toolbox talks, and client approval. The contractor must agree to comply with all regulations and standards and stop work if violations are issued. Final approval is required from the Department of
This application must be completed and submitted by the Main Contractor/Consultant for all projects having a proposal for night shift. Application must be made after meeting DWC -QHSSE requirements. Night shift work permit will cover from 18:00 hrs to 06:00 hrs. A. PROJECT DETAILS Project Name Plot No.: Contractor Consultant: Client No. of employees. Night Shift Responsible Name: Contact No: Person (Safety) Night Shift Duration From (Date): Valid till: B. LIST ACTIVITIES TO BE CARRIED OUT 1. 2. 3. 4. 5. 6. 7. 8. C. CONTRACTOR’S COMPLIANCE STATEMENT We hereby confirm that the following HSEQ requirements shall be complied with: No. Statement Description Yes No NA Organization chart available for night activities. Responsible engineer need to be available 1 on site with the authority of decision making.* 2 DWC approved night shift risk assessment is available at site. * 3 Method statements are available for night shift activities. * 4 Emergency procedures are established and implemented for night shift activities. * 5 Full time safety advisor is available with valid SARS card / NEBOSH / IOSH certifications. 6 All the stair cases & work areas are fitted with adequate light’s with back-up power. ** 7 Full time first aider & fire fighters are available for night shift activities. 8 Site security and transport arrangement is available for night. 9 Adequate site supervisors are nominated for the night shift with communication facilities. Safety induction program for night shift and evidence of its communication to workforce is 10 available on site. 11 Welfare facilities are available as per the DWC/DM requirements. 12 Lifting plan prepared and available at site. 13 Night shift toolbox meeting program is available at site. * 14 No objection letter from the client is available at site for the night shift activities. * We undertake to carry out the night shift activities in accordance with DWC/DM and other relevant International construction safety standards. We are aware that we are liable for financial penalties/warning letters for failing to carry out our works in accordance to relevant regulations & standards. We are also aware that in the event of DWC issuing violation / stop work notices we are bound to stop the work immediately in accordance with DWC Regulations & Standards.
Main Contractor Consultant / Client
Name & Signature of Project manager & Name & Signature of Authorized person & company stamp company stamp * Provide document proof as attachment to this application. ** Provide lighting layout plan with LUX levels at work areas. D. DWC QHSSE APPROVAL Approved Name : Signature :
Not Approved Date : Contact No. :
• Any changes in the scope of work or the circumstances detailed and assumed in this permit automatically revoke the permit. • This permit does not authorize “HOT WORK” for which a separate permit is required. DWC-HSE-F-050, Rev. 1, Jan. 2015 Page 1 of 1
