PPC-POWERCHINA-CDEC CONSORTIUM
Design & Build SMR STP Project
Yumol Compound, Brgy. Sta. Ana, San Mateo, Rizal
MATERIAL MOVEMENT GATE PASS Control No.
SMR STP HSE-016 Page Date Prepared
INSTRUCTIONS
1 Only clear computer printed and hand written gate pass (3 copies) with date in month/day/year will be accepted. The
approved gatepass will be presented at the gate or post within 7 days from the date of its issuance.
2 Do not use vehicle information if the materials/equipment is hand-carried.
TYPE OF MATERIALS/EQUIPMENT
Materials/equipment belong to: MWCI Personal Visitor Subcontractor
Contracttor Vendor Other (specify)
USER ORGANIZATION/CONTRACTOR
Prepared by (name): Badge/ID No. Company/Contractor Unit/Division/Dept. Area
TYPE OF CARRIER
Vehicle Information MWCI Contractor Private Hand-Carried Other (Specify)
Door No. License Plate no. Drivers Name Badge/ID no.
Loaded at (location) Loaded by (name & badge no.) Driver's Signature
Destination Contact No.:
MATERIALS/ EQUIPMENT TO BE DELIVERED/REMOVE TO/FROM SMR STP FACILITY
Type of loaded material Brief description
Plant Tag No., Physical ID No., or Serial Number
Quantity Pkg/Box Crate, etc (Commodity or Generic)
MATERIAL GATE PASS APPROVAL
Approver (name) Signature Badge/ID No. Date Mobile No.
Company/Contractor Unit/Division/Department Location
FOR SECURITY USE ONLY
Checked/executed gate by (name) Badge/ID No Signature Date Time Gate no.
Observation (if any)- to be recorded by security man or gate controller at the gate
DISTRIBUTION: 1st copy- (1st security gate) 2nd copy-(receiving entity) 3rd copy- (issuing company)
(Note: Security man or gate controller at the gate will sign all copies of the gate pass)