Resorts World Sentosa

Particulars

From Date *

To Date *

Daily Working Time From *

(hrs)

Daily Working Time To *

(hrs)

Contractor Type *

Sub-Contractor is involved

Main Contractor Company Name *

Main Contractor Representative Name *

Contact Number*

Email ID of Main Contractor*

Estimated Manpower *

Location of Works/Services to be carried out*

Others: Please specify

Building

Building Level

Require extra approval

GCO: all work at and/or adjacent to GCO area requires extra approval from FM&E PIC of HM (input details if applicable)

VVIP Events: all work at and/or adjacent to VVIP event area shall stop during event time (input details if applicable)

USS: all access to show & ride areas requires escort by Tech Services TM (input details if applicable)

Not Applicable

Description of Works/Services to be Carried Out *

Application for Registration of Contractor Scissor Lift, Boom Lift & Fork Lift
SI.No.	Type of Equipment/ Model No.	Serial Number	Contact Person/ Hp.No.	Permit Approved Expiry Date	Designated Parking Area	Decal Number

Notes to Contractor

1. All Equipments must be parked properly in designated areas approved by RWS.

2. Equipment must be operated by trained or certified person

3. Equipment travelling aloing the driveway must at all times be guided by one traffic warden at the ground level and the person that operates the equipment must obey all road safety instructions.

4. A proper ramp must be in place when equipment is going up a curb. A fine of S$200 will be imposed for failure to comply with the requirement.

5. Equipment must be kept in RWS if any contractors are not able to produce this authorization form when they need to move out of RWS premises.

6. All the wheels must be properly wrapped and any cost incurred for the rectification of the damage caused by unwrapped wheel shall be borne by respective contractor.

7. Harness, safety helmet and safety shoes must be worn at all times when operating scissor lift.

8. Maintain the speed at not more than 3KMH.

9. One (1) lifting permit per machine.

10. Lifting equipment permit should be displayed at all times.

11. Equipment decal should be return to OSC/FCC for proper clearance upon expired.

12. To renew of FM&E DWP and lifting equipment permit upon expiry.

13. All lifting equipment should have strobe light.

14. A fine of S$500 will be imposed for the failure to comply with the requirement stated above.

15. Registration form must attach with Valid Equipment Test Certificate.

16. Upon approval, Requestor to proceed to OSC/FCC to collect the permit after 2 working days.

Approvers

Email ID

Name

Contact

BU Coordinator *

BU Coordinator Alternate *

Attachments *

Notes: File Should not be uploaded with special characters (" # % && * : < > ? \ / { | } ~).

Please attach vendor supporting documents which should be less than 10MB.

Remarks

Contractor/Vendor Acknowledgement

Name (Contractor Supervisor)

we hereby acknowledge:

1. To comply with all relevant safety requirements/regulations stipulated by government authorities.

2. To comply with all relevant RWS regulations and procedures.

3. To ensure housekeeping to be carried out during the after work.

4. To ensure proper barricade of working areas as well as safety to public.

5. All work shall be stopped unconditionally if instructed by RWS staff.

6. To lay wooden platform on all tiles & finished flooring when using MEWP/lifting equipment

7. To ensure no danger to waterproofing layer if hacking or removal of tiles is required.

8. Contractors / Vendors / Suppliers shall be solely responsible for any accident / incident resulting from the infringement of the RWS In-HouseSafety & Security Rules and Regulations.

Description(check if submitted)		Permit/Document Required	S/No.(if any)	Remarks
Supporting Documents	Risk Assessment *
	Method of statement (MOS) *
	Safe Work Procedure
	Drawing (if any)
	Notice of approval from authorities
High Risk Permit to Work Required	Hot Works & Sparks	Yellow Tag(daily basis)
	Fire Protection System Impairment	Red Tag (daily basis)
	MEWP & Forklift	MEWP Operator Licence (MOM)
	Work at Height (>=3M)	Certificate of WAH worker / assesor / supervisor / manager
	Staging & Scaffold (>=4M)	1. Certificate of scaffold erector 2. Certificate of scaffold supervisor from MOM approved scaffold contractor 3. PE Certification (for above 30m, Cantilever or Jib Supports Scaffold)
	Rope access work	1.Certificates of Rope Access Personnel (Eg: Level 1 - 3) 2.Certificates of Equipments Used 3.SWP, Fall Prevention Plan (FPP) & Rescue Plan 4.PE endorsed design of the anchorage point
	Confined Space Entry	1.Gas meter calibration certificate 2.Confined space assessor license 3.Manhole worker license 4.Manhole supervisor license 5.Confined space rescuse plan
	Lifting Operation with Mobile Crane, Lorry, Crane etc.	1.Certificate of all lifting machine, equipment & appliances 2.License of rigger / signalman / lifting supervisor / operator 3.Lifting Plan
	Live Electric Works (LEW)	1. LEW endorsement 2. Lock out tag out (LOTO) procedure
	Live Gas Works	1. LGSW (licensed gas service worker) or LGSW(R)(Restricted) 2. Lock out tag out (LOTO) procedure
	Diesel & Petroleum involved	SWP SOP
	Hazardous chemical involved	SWP SOP
	Air Receiver / Pressure Vessel	SWP SOP
	Trenching & Excavation Work	SWP SOP
	Within 3M of Live Animal Exhibits	1. Method statement on protection 2. Must inform Quratorial if location at LSS
	Others: Any other high-risk activity and/or special equipment used
	Vehicles Access to Basement	1. Loading Bay No.:
		2. Height Limit:
		3. Vehicle License No.:
System Impact	Fire Protection: Fire Sprinkler / Hosereel / Wet Riser / Hydrant / ANSUL / FM200 impairment	If this option selects, Compulsory to submit: 1. Safe Work Procedure 2. Intrusive work risk assessment 3. System/Device Impairment details 4. Extra approval required from FM&E AD/DM for all work related to fire protection / detection system (Compulsory) If applicable: 1. Apply Red/Yellow Tag Permit 2. Standby Personnel/Fire Warden 3. Provide Temporary fire protection /Extinguishing measure 4. Lock out tag out (LOTO) procedure User need to specify.
	Fire Detection & Alarm System
	Engineered Smoke Control System
	A&A to Live Piping System
	Other Systems
Environmental Impact	Air	Is BU Area Owner approval required *	Yes No
	Noise
	Water