红牌许可证.docVIP

Description of Work: 工作简述: ____________________________________________________________________ Working Unit: 作业单元: ________________ Contracted Work Permit No. 承包作业许可证号: _______________ Contractor Representative: 承包商代表: ________________ Company Representative: 公司代表: _______________ Contact No. 联系电话: ________________ Contact No. 联系电话: _______________ System out of operation: 受影响系统: ( Water Sprinkler 水喷淋系统 ( Fire Hydrants 消火栓系统 ( Fire Pumps 消防泵 ( Inergen 烟烙尽系统 ( Fire Detection and Alarm 火灾报警系统 ( Other 其它: Areas out of service: Attach essential drawings specifications if necessary) 影响区域: ___________________________(需要时,附平面图加以注释) Control valve No. Control valve location: 控制阀编号:_________________ 控制阀位置:____________________________ Measures to be taken: 需采取的预防措施: ( Notify Fire Brigade 通知消防局 ( Stop dangerous work 停止危险工序 ( Notify PEO 通知厂内应急组织 ( Fire Fighting Truck on site 准备消防车 ( Stop Hot Work 停止热工作 ( Enforce guards patrol 加强保安巡逻 Other measures to be taken: 其它措施: _______________________________________________________________ Scheduled valve close date/time: 预定阀门关闭日期/时间 Scheduled valve open date/time: 预定阀门开启日期/时间 Actually valve close date/time: 实际阀门关闭日期/时间 Actually system recover date/time: 实际系统恢复日期/时间 Operated by: 操作人签名: Operated by: 操作人签名: System Test? 是否进行系统测试: ( Yes 是 Tested by: 测试人签名: ( No 否 Test date/time: 测试日期/时间: Permit issued by: 许可证发放人: Permit approved by: 许可证批准人: Date: 日期 Date: 日期 Description of Work: 工作简述: ____________________________________________________________________ Working Unit: 作业单元: ________________ Contracted Work Permit No. 承包作业许可证号: _______________ Contractor Representative: 承包商代表: