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ACCESS FORM PERMIT-signed-signed4531 Ext

permit

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santos.mrnp
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0% found this document useful (0 votes)
17 views

ACCESS FORM PERMIT-signed-signed4531 Ext

permit

Uploaded by

santos.mrnp
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM: ACCESS PERMIT

PERMIT NO

I
FAHT fi Ifo ne rornpleded i$ full 5y Pemil Appiicanil

+971 52 959 8917

Ahmed Abo Hmead Engineer Supervisor


Apartment 45-31 N/A
lDescrrption of vuork to be carried out:
Vent Pipe Works - Remedial of Foul Smell
June 16, 2021 8:00 AM June 18, 2021 5:00 PM

tWorll in eoniin*d Spaee f \friorking at Fleights il Hot Wr:rk [] Equipmeri tns(air+;rin


il-ive Ei*,:trieal ildoik i*l Exeavatlon il Fii-ouURenovaiion Work [: 6qn*rai lr{alnisnanl*

,ysrlt't]1 ..-_ Q__Q!rtf*c*s erg!r"i____Q.


(qeqqg.ry.e'ry u qe:!:1€illi.it
i-$,- --9p!'y!geqiar-e-eg*!he]}oil!-b-c-c.S-e--c-&$i irs:s ro
,Ele*tneal Sup:pli" [.] Fire Proteetian Systems D Lifls/ Eeoarators il Roacs r Farkrng Lj l

]rtlihri -cvsterx il Abiution Facilities D l,latcr Supplv {*1 i:ilslie A;ces:ilirrn*r;r.r l.-i l

ii:-thqlFig:l:s-19-,.*if i-- ii l

14. __e.q"g1qo|.t!"r_e_p_$tre:s:!hq!ry!l!_P_C"ry1.p"!€qpn!egi{9:S-&:_{nd"ple!6!1g1ery ?c*1{s }lt{:.qll':1jrf!L.


I ft.,{eihcri $taier:relt [] Site safety indLet;cn. bleirng f "&arnino te$.:jnfttrjsi ir*r:(ij
iRis< Assassme.rl il totk-oui / Tas-out !] toots chesket: anri is saie irr irrl:
iehornimi Dah Sheets available [i 'vVork area oorrjoned off and demarcated f v;si;lalic; -.(f t:nt .s i,")?lLl.i
t?he toilowing arjdltional preeautions will be taken to ensure ihe work is earrieej eui safcly:

fu; (j,
will he and used wnilst

i1;r, ,D!ry
I

-tr
!lf*:.i.
ff":
Eal
;
iffi i #
I

ifl Face in trc:


PPE that will be used:

of this permii and nonfirm all precauiions have been taken to ensure the work is eerrled ou{ *a{e{ru"at ali tin*s
Ahmed Abo Hmead June 16, 2021
Applieant; Eate: Signatune:
the work to proceerj, subject tr: full eompliance bv the Pcrmit Aprlieant u;ilh all requirernents at ali iame$.

Date; Signalure:

]This permit is herewith eaneelied and the work stoppcd for the following reasonls
, A danqerous situatron developed that impaet safety f, An enrerqeney I inr:ideni *eeurrari il
Tne seope cl tRe wor\ ::as ;rtanqe.: ',.---

and the area madc safe.


l

;Permit Holder: Date: Signature;


lAutl'rorized Perssnr Date: Signaturer

DISC!-AIMER:

1 respcnsibdlfu for supenl'vtg and co ntinuousty monitoing hr.s acfivrfles for c ompliance with alt aecessary regulromenls. i

I i). fhe pernif Applieao, accerfs lrab/dy {or any damage caused lo any pari of the facitrty sysler,?rs.
base budd and its related :

CPT.f:RI\,,I=APTW.FTii2 Page I of 1 llaie: il i -tl i -:fl:l 1

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