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3. External Agency Working Agreement (2)

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18 views2 pages

3. External Agency Working Agreement (2)

Uploaded by

LimarOrravan
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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HSD – Form – 14 – 02

Baguio Country Club


Health and Safety Department
External Agency / Contractors / Concessionaires
Working Agreement

Date of Ingress:___________________________ Date of Egress: ___________________________


Time of Ingress: __________________________ Time of Egress: ___________________________

Contractor / Concessionaire / Department: ___________________________________________

Name:___________________________________ Position: __________________________________


(Immediate Superior)

Site/Work Area: _________________________ Number of Workers: ______________________

Event /Function / Project Name: ___________________________________________________________

Type of Work: (Please Check)

Lights and Sounds Set-Up (Power Tables, Chairs, Tents Set-Up


Requirements / Wattage) Trusses, Scaffolding Set-Up
LED Wall Set-Up Working at Heights
Canopy Set-Up Logging/Tree Cutting (with Permit)
Photo Booth Set-Up Hot Works (with Permit)
Event Coordination Confined Space Entry (with Permit)
Stylist (Design Specifications) Exhibits / Trade Fair
Florist Others____________________________
Videography and Photography

List of Tools / Equipment / Machines / Supplies and Materials (pls. use another sheet if necessary)
Equipment/Supplies
Qty Brand Serial Number Description Remarks
/ Tools
Safety Recommendations:
Electrical Safety Working with Heights, Ladder Safety,
✓ All electrical requirements, connections and high Scaffolding Safety
wattage equipment and electrical loads shall be ✓ Anyone working / walking in an unprotected edge
coordinated with the BCC General Maintenance or opening of more than 2 meters or six feet above
Division. the lower level shall be protected from fall hazards
✓ All cables and wires placed on floors shall be by ensuring that workers use Personal Protective
installed with concealers Equipment such as Hard Hats and Fall Protection
✓ Only qualified and competent electrical / Equipment – Full Body Harness.
electronic workers shall set-up electrical and ✓ Set-up of Scaffolding should only be installed by
electronic equipment. a qualified, trained and competent personnel.
✓ Low rated electrical cords and wires should not be ✓ Ladders must only be used for access and not a
allowed to be installed. working platform.
✓ Ensure that all electrical and electronic wires and ✓ To be used for short duration, light work, and can
equipment are in good working conditions and carried-out the work safely.
functional.
Chemical / Paint Safety Fire Safety and Emergency
✓ Flammable solvents, chemicals must not be left ✓ Smoking is not allowed in any function rooms and
open in containers and must be stored and work areas except in designated smoking areas.
handled away from sources of ignition ✓ Aisles and hallways should be free of obstructions
✓ All chemical bottles must be tightly closed after
and cleaned at all times,
use and must not be placed on edge of the bench
or shelf from which they can fall. ✓ No overloading of electrical circuit
✓ Chemicals must not be stored in drinking water ✓ Keep all sources of flame away from waste and
bottles. Must never be kept in unauthorized other combustible material.
containers/ bottles/ cans. Chemicals should ✓ If you discover a fire
always be placed in its original container. • Raise the alarm, by shouting: FIRE, FIRE,
✓ Wear appropriate personal protective equipment. FIRE and activate the nearest fire alarm if
Wear suitable gloves, chemical respirators and available.
eye protection when handling chemicals. • Call the Emergency Hotline and then notify
✓ No food and drinks is allowed when handling and your immediate superior and other
using chemicals occupants.
✓ If you hear a CONTINUOUS fire alarm or verbal
Other Recommendations warning of fire
✓ No eating and sleeping in the function rooms and • Evacuate the area. Turn off all your
work areas equipment, and close doors as you leave.
✓ Make sure that all equipment, tools, supplies, • Leave the work site and move away from exits
materials are all in good working conditions and out of the way of emergency operations.
✓ Always adhere to the “CLEAN AS YOU GO Always make sure that you know at least two
POLICY” exits out of the building.
✓ Always Practice “WORK SAFELY” • Assemble in your designated Assembly Point
✓ Provide own Safety Officers or Evacuation Area remain until competent
authority declares that it is safe to re-enter.

__________________________________________ _____________________________________________
Health and Safety Manager / Health and External Agency / Contractor /
Safety Officer Concessionaire

______________________________________________
Witness

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