Record of Emergency Work During Restricted Hours*

To: Director of Environmental Protection

Company information*All fields are required

From*

Name & Post of PIC/Contact Person*

Email*

Telephone*

Fax

Work information*All fields are required

HyD Emergency Serial Number

Police ref

Name of Contractor

Work Type* Non Railway track related repair work Railway track related repair work

Location of Work

Description and justification of Emergency Work

Details of work

Details Location of Work*	Date & Time*	Details of work
	Start: End:

List of PME(1) used and/or PCW(2) carried out

Noise control measure implemented#

Noise barrier provided?*

YES

Noise barrier details

If no, why?

Is hand-held breaker used?*

YES

If yes, what type?

Is Noise barrier provided for hand-held breaker?*

YES NO

If no, why?

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Declaration

I declare that all the information provided above are true and correct.*

Remarks:

* Restriced Hours: 7pm - 7am and any time on general holiday, including Sunday

# Example: Use of Silenced equipment (i.e. hydraulic crusher, electri/hydraulic breaker, quiet miller, pavement ripper, saw & lift etc.)
1  Powered Mechanical Equipment
2  Prescribed Construction Work, if the construction site is within Designated Area.
3  For example, electric / hydraulic handheld breaker.
Typical example of emergency construction works

If the following information shown are correct, press "Confirm" button

Work information

Location of Work:

- district:

- Concerned regions:

Details of work

Details Location of Work	Date & Time
	Start: End:

Record of Emergency Work During Restricted Hours*

Company information*All fields are required

Work information*All fields are required

Details of work

Remarks:

Please Confirm the following informations

Company information

Work information

Details of work