有效期从_______________ 至______________
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1. Work request施工要求 Name of supervisor管理人员: _______________ Date日期: ______________ Company公司名称: _______________ Tel.电话: _______________ |
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2. Work description施工描述 Location作业位置: _______ ___ No. of workers人数: __________ Name/Tel of job coordinator Start time入场时间: __________ 协调员姓名/电话:_______________________________ End time退场时间: __________ Description of work施工描述: ___________________________________________________ _____________________________________________________________________________ |
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3. Workers’ names and Badge numbers need to be attached 需附工人姓名及胸卡号码_______________________________________________ |
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4. Dust generating work灰尘污染 Does work generate dust? Yes _____ No _____ 产生灰尘与否？ 是_____ 否_____ If yes, state cause ______________________________________________________________ 阐述产生灰尘原因 Method to contain dust _________________________________________________________ 灰尘处理方法 |
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5. Hot work permit动火作业 Is hot work involved?有无动火作业__________ If yes, specify date / time / duration 注明日期、时间及时长__________________________ |
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All safety precautions taken and cleanroom procedures to be complied by vendor / contractor / safety officer/ supervisor to supervise work and ensure the above precautions are carried out. 所有施工单位，安全经理以及监管人员应确保所属员工遵守安全与洁净规章制度 |
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______________________ ___________ ________ Contractor承包商 M+W Group |
