1. Work Permit
To: Security Department
Name of Company:......................................................................................................
Contact Number:..........................................................................................................
Supervisor in Charge (if applicable):………………………………………………...
Date of entry requested (24 hours notice required):…………………………………
Total Personnel on site:……………………………………………………………...
Location of Work:.......................................................................................................
Details of Intendent Work:.........................................................................................
..........................................................................................
DURATION: Time start FROM:.............................Finished AT…………………..
(Permit valid only for the designated date and area)
• We agree that the permit for entry is for this day only and to be renewed for any
subsequent requirement.
• We agree to protect the finishes in the area, clean and handover when work is over.
• Security department's decision shall be final for approving the requested entry and
approval can be withdrawn by the security Department in case of violation at any given
time.
…………………
Contractor's signature
Requested by (Department):.........................................................................
Department head signature:......................................................... Date:................................................
Approved by:
DOE:……………………………………………..
Dir.Of S&M:.......................................................... Date:.....................................................
General Manager :………………………………