PE O HS STD 001 02 E - OMV Petrom EP Permit To Work Standard

Table of Contents
1.
2.
Introduction and scope

Regulatory content
____________
2.1 Definition of the Permit to Work system (PTW) in EP
2.2 People directly involved in the PTW system ______
______________3
_____
4
2.3
Hazardous works in EP which require a PTW_______________________4
2.4
Works under 2.3 a), b) definition that do not require a PTW __________6
2.5
3
3
Types of Work Permit______________________________________
2.5.1 Hot Permit to Work___________________________________________7

2.5.2 Cold Permit to Work__________________________________________7
2.6 Time frame for a Permit authorization_______________________________8
2.7 Permit to Work system certificates __________________________________8
2.8
JSA Job Safety Analysis
__________9
2.9
3
4
5
6
7
8.
9.
10.
11.
When the work on a permit involves two or more different activities__9
2.10 Hazard Management in PTW System

________________________10
2.11
Responsibilities
______________11
2.11.1 Head of asset________________________________________________11
2.11.2 Asset Head of operations______________________________________11
2.11.3 EP Sector Manager/Offshore Installation Manager/ Facilities (outside Sector
responsibilities) Manager (their deputies)_____________________________11
2.11.4 Approver____________________________________________________12
2.11.5 Affected Area Responsible_____________________________________12
2.11.6 Performer___________________________________________________13
2.11.7 Working team member________________________________________13
2.11.8 Contractors management______________________________________13
2.11.9 HSSE representative___________________________________________13
2.11.10 Fire Watch Man______________________________________________14
2.11.11
Gas Test Responsible Person________________________________14
2.12 Monitoring and auditing the PTW System________________________14
2.13 Training and competence requirements__________________________15
2.13.1 Approvers and Affected Area responsible________________________15
2.13.2 Performers___________________________________________________15
2.13.3 Gas Test Responsible Person___________________________________15
2.13.4 Fire watch Man_______________________________________________15
2.13.5 Authorized electrician_________________________________________16
Internal Reference Links_____________________________________________16
External Reference Links____________________________________________16
Obsolete Regulations_______________________________________________16
Certification Standards______________________________________________17
Terms and Abbreviations____________________________________________17
7.1 Terms__________________________________________________________17
7.2 Abbreviations___________________________________________________19
Key Words_________________________________________________________19
Annexes___________________________________________________________20
Amendments from previous edition
____________
__________20
Transitory provisions________________________________________________20
PE-O-HS-STD-001-02-E
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Master Language: English
1. Introduction and scope

This document sets rules regarding the issuance and management of Permit to
Work.
The fundamental principle is that certain defined operations are prohibited
without the specific permission of a responsible person. That means that
authorized and properly trained persons have thought about foreseeable risks
and about suitable precautions (meant to avoid or reduce the risks to ALARP) at
the worksite, before worksite is handed over to those carrying out the job/before
dangerous works start.
Those carrying out the jobs should think about and understand what they are
doing and how their work may interface with that of others. They must also take
the necessary precautions which they have been trained to take and for which
they have been made responsible during the whole work duration.
2. Regulatory content
2.1
Definition of the Permit to Work system (PTW) in EP

The PTW system is a formal written system used to control certain types of work
which have been identified as potentially hazardous. It aims to ensure that proper
planning and consideration is given to the risk of a particular job.
It is appropriate to non-routine activities which require a Job Safety Analysis
(JSA) prior to work commencing.
It
is
also
a
means
of
communication
between
site/facility
management/operators/work site supervisors and those who carry out the work.
Essential features of PTW system are :
ensures guidance to identify hazardous works and their proper authorization ;
this may be work of certain types, or work of any type within certain area, other
than normal (routine) operations.
specifies who may identify and authorize hazardous jobs (and any limits to
their authority) and who is responsible for specifying the necessary precautions
communicates clearly to people carrying out the work the exact identity, nature
and extent of the job, the hazards involved, limitations on the extent of the work
and the time during which the work may be carried out.
specifies the precautions to be taken, including safe isolation from potential
risks such as hazardous substances and/or energy sources.
provides a record showing that the nature of the work and needed precautions
have been verified by a competent person.
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ensures that all the persons in charge of a site, installation are aware of all
hazardous work being done there, using a suitable display of valid permits (see
Annex 14).
provides a means for coordinating multiple PTW for activities that have the
potential to overlap or conflict with each other.
provides a formal work handover procedure when a PTW is issued for a period
longer than one shift or when permit signatories change (see Annex 14).
ensures that equipment left unserviceable is correctly tagged and identified to
incoming shifts.
provides a procedure for the suspension of work prior to its completion (see
Annex 14).
ensures that details of non-completed work are documented and communicated
to the competent person.
provides a process for change, a determination of when hazards need to be
reassessed and a means for controlled communication of change.
provides a written hand-back procedure to ensure that the equipment/facilities
affected by the PTW are in a safe condition and ready for reinstatement (see
Annex 14).
2.2
People directly involved in the PTW system :
EP Asset management
EP Sectors management
Approver
Affected Area Responsible
Performer
Gas test responsible
Fire watch man
Fire brigade
See section 2.11 for details.
2.3
Hazardous works in EP which require a PTW

a) Works (especially non-routine) which are performed in Hazardous Areas (areas
where flammable atmosphere, toxic gases, or radiations may be present) such
as :
tanks, vessels, pipelines etc. which may contain or have contained flammable
vapours
technological facilities where the fire or explosion risk is present (parks, tank
farms, gathering stations, pumping stations, terminals, other hydrocarbon
storage areas)
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oil/gas wells
areas of an exposed section of flow/pipeline
areas of a drilling rig
EX zones
NOTE : For the EP Hazardous Areas definition and examples see the Standard
Petrom EP FA HA 01 ST : Company Standard for Areas Classification. There, a
classification of existing hazardous areas for the main facilities pertaining to OMV
Petrom can be found. This classification shall be taken in consideration by the
person responsible to identify the hazards, evaluate the risks and put in place the
mitigation measures.
Annex no. 1 shows relevant extracts from the Standard.
Examples of works under a) definition, requiring PTW (the list is not exclusive):
works involving open flame inside a zone of 40 meters radius around
flammable/explosive areas
works producing sparks (incl. static electricity), heat, hot surfaces, ignition
sources
(friction) welding, burning, grinding
dry grit/shot blasting
needle gunning
use of electric drills and other devices
use of air or hydraulic powered metal cutting or chipping tools
use of steel wire brushes

use of temporary internal combustion engines, including Well Servicing on
normally unmanned platforms
use of Non Intrinsically Safe electrical equipment (incl. cameras)

radiography in all area
use of heat blowers/soldering irons
hot works on /near a live well
pressure testing activity after a work which has affected the integrity of a
system containing pressurised hazardous gases or liquids, to ensure that the
system is safe to be put back into service
works which may cause an unintended or uncontrolled hydrocarbon release,

including any disconnection or opening of any close pipeline, vessel or
equipment containing, or which has contained, flammable or toxic materials
workover/intervention such as perforating, acidizing, hydraulic fracturing
b) Works (especially non-routine) which are Hazardous by their nature, even they
are not performed in Hazardous Areas
Examples of works requiring PTW (the list is not exclusive):
electrical works
works inside Confined Spaces
lockout of powered (electrical, mechanical, pressure, flow) systems
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complex lifting operations - when a Lifting Plan must be developed (lift greater
than 10 tones, not a single point lift involving two or more lifting/pulling
appliances, lift requiring rollers, restraining anchors or guide frame/structure)
removal of handrails, gratings, hatches and covers or fixed ladders, assembling
/dismantling of scaffoldings or racks
works at height (works carried out at a height greater than 2.0 meters, other
than on walkways, scaffold under certification, or approved access platforms)
works which compromise critical safety systems or which remove them from
service (egg. Emergency Shut Down, Safety, or Power Generator Systems, fire
sand gas detection systems, public address systems, life-saving equipment and
fire fighting equipment)
jobs where two or more individuals or groups need to coordinate activities (egg.
combined or simultaneous operations SIMOPS)
excavation (digging more than 0,70 meters deep)
pressure tests after work which has affected the integrity of an under-pressure
system
diving activities
work at any place on an offshore installation from which any person could fall
into the sea
work involving the use of dangerous substances, including radioactive materials
and explosives
work with asbestos-based materials
roof access
2.4
Works under 2.3 a), b) definition that do not require a PTW

Wherever possible and especially with routine jobs, hazards must be eliminated
so that the work can be done safely without requiring a permit to work.
As a general principle, Works that do not require a PTW must meet the following
conditions, all in the same time:
they are routinely performed and they are fully covered by specific operating
procedures and work instructions which include HSSE matters and eliminate
the cause which can trigger an incident
they do not require open flames inside a zone of 40 meters radius around
they do not require operations producing ignition sources performed in
technological facilities where flammable or explosive atmosphere can be
present, or in warehouses/other places where flammable/explosive staff is
present
they do not require a Lock-out/Tag-out of any system (however, this
requirement is not applicable to the Minor Maintenance Team members
when a documented routine operation, performed by themselves, requires a
LOTO)
they are not performed on energised systems (systems under pressure,
above or below ambient temperatures or electrically charged)
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they do not inhibit a Safety System from functioning
they are not performed in a Confined Space
they do not involve complex lifting operations
other works being done nearby cannot affect, in a dangerous way, the work
concerned
work over/work intervention activities where the Permit to Work template is
replaced by the hand over protocol and an approved work program is available
An exemption list of Works that, normally, do not require a PTW is provided in

Annex no. 2 of this Standard.
NOTE : Access of vehicles in EP sites (facilities, nearby wells or other Hazardous
Areas) is not under a Permit regime, but the user/owner has to prove that the
vehicle meets all the requirements to do this safely (most of them under ADR
provisions). For this, the user/owner has to provide the vehicle with a Vehicle
Fitness Certificate (updated monthly) in order to demonstrate that an appropriate
check/repair has been done monthly for compliance.
The template for this Vehicle Fitness Certificate and more details can be found in
Annex no. 3.
2.5 Types of Permit to Work

2.5.1 Hot Permit to Work
The Hot Permit to Work is designed for operation (hot works) that include the
application of heat, or ignition sources in hazardous areas (where flammable
atmosphere may be present).
Example of Hot Works : welding, cutting (oxy-acetylene), burning, brazing,
soldering and any process involving the application of a naked flame. Drilling and
grinding shall also be included where a flammable atmosphere is potentially
present.
Hot works should therefore be done under the terms of a hot work permit, the only
exception being where hot work is done in a designated maintenance area suitable
for the purpose.
The template of the Hot Permit to Work is provided in Annex no. 4.
NOTE : the Hot Permit to Work defined in this Standard does not replace the Hot
Permit to Work required by Romanian Regulation. A separate form, established
through Regulation OMAI 163/2007 must be issued. This is covered by the above
mentioned regulation and is not subject of this Standard.
2.5.2 Cold Permit to Work

Cold Permit to Work is used to cover a variety of potentially hazardous
activities which are not of a type covered by Hot Permit to Work. It ensures that
any form of work (especially non-routine) involving maintenance, repair,
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construction or inspection activities, without hot work, shall be done accordingly

with the all HSSE requirements.
Example of Cold Works : scaffolding, work at height, electrical work, work on
pressurized systems, complex lifting operations, work in confined spaces others
than hazardous areas, excavation, diving etc.
Cold Permit to Work must be used also for operations above the sea water.
The template of the Cold Permit to Work is provided in Annex no. 5.
2.6 Time frame for a Permit authorization

Based on his judgment, the nature of work and the provisions of this Standard, the
Approver decides the period of time for which he authorizes a Permit
(recommendation : no more than five consecutive days).
OBS. Hot Permit to Work required by Romanian law can be issued only for one
single day.
At the shift change, the Permit must be handed over within the shift handover
protocol and must be signed by the oncoming Performer. No Approver or AARs
additional signature is required on the Permit itself, but the toolbox talks at the
beginning of the shift must be done by the Performer based on the Permit, updated
JSA (especially responsibilities) and shift handover protocol.
2.7 PTW system certificates

Additional controls to those covered by the Permit may, in some instances, be
required.
Examples: confined space entry, isolation etc.
These controls are provided through the use of a set of Certificates as described in
Annex no. 6. Certificates are attached to the PTW to provide additional information
and authorisation.
Following certificates are used within this PTW system :
Electrical isolation certificate (template in annex no. 7)
Mechanical isolation certificate (template in annex no. 8)
Confined space entry certificate (template in annex no. 9)
Digging-excavation certificate (template in annex no. 10)
Radiography certificate (template in annex no. 11)
NOTE : A certificate system by itself is not a PERMIT TO WORK and must not be
used to authorize work. A certificate system must be used only in conjunction with
an appropriate Permit to Work.
The gas monitoring is mandatory for all the works with high level of risks related to
gas presence, within classified EX areas, within all confined spaces and any other
situations in which is identified gas presence.
In this case a GAS TESTING RECORD shall be kept and attached to the Permit (see
Annex no. 12)
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2.8 JSA Job Safety Analysis

Before job starts, the JSA form must be filled in by the Performer and checked by
the Approver or Affected Area Responsible and accepted only once they are sure
that the Hazards related to the job are identified and proper controls are put in
place.
A JSA (template in annex no 13) is to be produced for every Permit. Each JSA
must be attached to associated Permit.
The JSA will:
Identify the hazards involved with the work.
Include a Health Risk Assessment (HRA).
Identify any other activities that may conflict with the work.
List the personal protective equipment required.
List the preparations required by the Affected Area Responsible and the
Performer.
List the controls to be observed by the Performer during the work.
List any other controls to be put in place by the Affected Area Responsible.
The JSA combines all hazard management information into one document.
JSA can either be created by hand, or by using outputs from the JSA repository
(generic JSAs).
The JSA repository must be created on the Asset level in order to be accessible
by intranet to all employees.
Generic JSA for activities covered by the PTW Standard, which have been created
and archived in the JSA repository, may be made available to all people
concerned (inclusive Contractors) as paper documents. These can be printed off
as standard documents. It is essential that generic JSA are reviewed for each task
before a Permit is authorised.
The generic JSA must have some additional blank lines which can be filled in
by hand (if the case).
If a generic JSA is not available, then one shall be produced manually.
Where Generic JSAs are available for different types of works, these must be
adapted to specific local work conditions.
2.9
When the work on a permit involves two or more different activities

For any individual task, a single PTW is to be raised.
In case of tasks which contain both Hot Work and Cold Work, only the HOT
Permit To Work is to be raised, but only if the risks incurred by the cold work
content are the same or less restrictive as the ones required for the Hot Work.
the Permits must have attached the necessary related Certificates (confined
space entry, isolation etc)
all activities are to be listed on the Permits
the JSA must show the controls required for all the activities
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a Permit shall not include so many activities that it is difficult to understand

the controls needed for each stage of the work. The work can be so complex
that it needs separate parts of the task to be authorised at different times to
ensure safe control. This includes tasks where the isolation boundary is
changed part of the way through the work. In this case each phase of the
work would require a separate Work Permit and Certificates
if more than one Permit is used for the same task, the Permits must be crossreferenced
A practical description for the proposed way to use the PTW system in EP can be
found in Annex 14.
2.10
Hazard Management in PTW System

A critical element of PTW preparation stage is an identification of the
hazards/threats and an assessment of risks which are associated with the worksite
and with the work to be undertaken.
The objectives of the Hazard Management are to identify all the hazards involved
with a worksite/job and then to indicate controls that must be put in place to
enable the work to be done safely.
The techniques of the Hazard and Effect Management Process (HEMP) are to be
applied which helps the assessor to:
Identify
Understand the hazards and threats associated with the workplace/work (What
are the impacts to people, environment or assets? Obtain precise details of the
work to be undertaken. Are there 'process' hazards or hazards associated with the
material being handled involved in the work?)
Assess
Recognise the risks (What are the likelihood to cause harm? Is the risk involved as
low as reasonably practicable - ALARP? Consider the practical difficulties of
carrying out the work, if necessary consulting the discipline specialists
undertaking the work)
Control
Decide upon the barriers and control necessary to manage the risk thus providing
a safe working environment (What is required to prevent the likelihood of causing
harm from carrying out the work being realised? Are there any safer alternatives
either in terms of timing, or the intended method of performance of the work)
Recover
Agree on the recovery measures in the event that controls break down. The
Performer should carry out such assessment (in conjunction with his workforce)
and any other persons whose specialist knowledge may be needed.
Where available the Performer will take advantage of all hazard information in
Part 4 of the Safety Case prepared for the respective facility. This will assist him in
recognising hazards, threats, risks, barriers and precautions needed and response
mechanism should controls breakdown.
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Likewise the Approver and the Affected Area Responsible should also undertake
such assessment when the permit is presented to further enhance safety control,
if needed.
2.11 Responsibilities
2.11.1
the PTW system is implemented and maintained

training programmes and competence standards are established and
maintained
monitoring/ auditing/ reviewing of the PTW system is established and
maintained
drilling & seismic activities are assigned to specific areas prior to
commencement of operations, to ensure good effectiveness and compliance
with the PTW System requirements
2.11.2
Head of asset ensures that:
Asset Head of Operations ensures that:

lists with nominated position for Approvers, Affected Area Responsible and Gas
Testers are developed in accordance with respective work place Organisational
Chart
approves these lists
all personnel who operate and use the PTW system are competent to do so (a
training plan must be developed and implemented)
the planning, issue and return of permits is properly co-ordinated
a secure method of
electrical and processes/mechanical isolation is
implemented
the system is regularly monitored to ensure that the PTW system is
implemented effectively
an effective communication on the Permit to Work matter is in place between
Sectors representatives and Performers representatives
2.11.3 EP Sector Manager/Offshore Installation Manager/ Facilities (outside Sector

responsibilities) Manager (their deputies)
defines the areas under his responsibility (could be more than one area inside a
Sector boundaries, depending on Sector size) ; this area definition shall assure
that majority of the works performed in different areas will not interfere
defines the Permit Issue Point for each defined area and the way of effective
communication between Permit Issue Points personnel (in the case when works
performed in different areas can interfere)
nominates the Approvers, Affected Area Responsible, Gas Testers and Fire
Watch Men for each defined area and sends the lists with nominated people to
be approved by head of operations ; an alignment with Asset Department Heads
on this matter shall take place for each of the defined areas
makes sure that the people mentioned above are properly trained and certified
makes proposals of jobs to be included in the Exemption list ; an alignment with
Asset Department Heads on this proposal shall take place
informs the people concerned about the works needed to be performed under a
Permit
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informs the people concerned about the Permit Issue Point where the Permit
can be approved for a specific job
2.11.4
Approver ensures that :

all the hazards associated with the worksite/job are identified prior to the
commencement of work
the nature of the work is fully understood by the workers/supervisors
all the necessary precaution are implemented, including isolations, before work
begins
decides which jobs, considered as exemptions, need however, in certain
circumstances, to be done under a Work Permit (mainly based on this Standard
provisions, but also under his sound judgement)
all people who may be affected by the work are informed before the work
begins, when the work is suspended and when the work is complete
permits for tasks that may interact are cross-referenced
the work site is examined when work is suspended, before it is restarted and
when the work is completed to ensure that it is in a safe and acceptable
condition to be returned to normal operation
sufficient time is spent on shift handover to discuss all on going permits with
the oncoming permit issuer
prior to closing a Work Permit, any precautions and isolations have been
withdrawn and the operational system returned to normal operation
when a PTW is completed and closed by the Performer / Affected Area
Responsible, the equipment is left in safe condition or returned back to normal
operation, as required by work completion status
Recommendation : EP Sectors
APPROVERS.
representative may be nominated as
2.11.5 Affected Area Responsible (AAR) :

handover the worksite to the Performer, together with the Work Permit, related
Certificates and handover protocol (if the case)
check the JSA filled in by the Performer and verify that it is understood by the
workers and the precaution measures are in place before the work starts
monitor the work in order to ensure that all precautions are taken, also against
possible interaction with other activities
in case any of the requirements described in the work permit are not respected,
the work stops until such deficiencies are corrected. He will also announce the
Approver and the HSSE Advisor about any deviation from the Standard that he
notices
The maximum number of permits allowed under the control of 1 single AAR at
one time is 10 out of this max. 5 hot work permits
Recommendation : EP Sectors staff, EP operators, Minor Maintenance Team
members, Chief of WO/WI crew/senior well-man (shift 2) after handover of well
site (for contractors) and other departments people (egg. supervisors) may be
nominated as AAR.
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2.11.6
Performer is responsible for careful planning of work that shall be
undertaken to ensure:
appropriate approvals for the work
all persons in charge of potential affected areas are well aware and all
precautions are taken against possible interaction with other activities
sufficient time is allocated to identify all potential risks, implement necessary
precautions and prepare the workplace
he had received training in the PTW system as applied in that particular location
the workers have received adequate instruction in the PTW system
he assessed the work hazards and controls (JSA)
the permit is posted at the work site in visible place
the work team is briefed on the details of the permit, including any potential
hazard, and on all the precaution taken or to be taken
the taken precautions are maintained throughout the work session
the workers understand that, if the circumstances change, work must be
stopped and advice sought
the work group stays within the limitations set on the permit (physical
boundaries, type of work and PTW validity time)
on completion or suspension of the work the site is left in a safe condition and
the Affected Area Responsible is informed
2.11.7
Working team members ensure that:

they have received instructions and have a good understanding of the PTW
system at the location where they work
they do not start any work requiring a permit, until it has been properly
authorized
they receive a briefing from the supervisor on the particular task and they
understand the hazards and the precaution taken or to be taken
they follow the instructions specified in the permit
when stop work, they left in safe condition the site and any equipment they
using
if in any doubt or if circumstances change, they stop work and consult with
supervisor and Affected Area Responsible
2.11.8
Contractors management ensures that:
their employees will follow the requirements of a PTW system, either is the
Contractors or OMV Petroms system, as have been agreed between parties
they are informed of and understand the broad principles of the PTW system for
the locations where their employees are to work
their employees have been given the appropriate training and understand the
operation of the PTW system and their specific responsibilities within it
they monitor the training of their employees
2.11.9 HSSE representative
provides any specialized advice/trainings to the concerned parties as necessary
or required
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periodically audits (at least quarterly) the PTW system to ensure that is being
correctly administered
2.11.10 Fire Watch Man must ensure that :
All flammable materials are removed from the work site
Drains remain covered and water sealed
Spark and Welding spatter are contained (use of fire blanket, water spray etc)
Fire fighting equipment is available and ready for immediate use
Alarm is raised if fire or gas emission occur in the work site area
First aid and fire fighting equipment (fire extinguisher, fire blanket etc) is
available and appropriate to the job
2.11.11 Gas Test Responsible Person
can carry out gas tests required during the day.
the results of the Gas Test are to be recorded in the Gas Test Record form,
2.12
except for Confined Space results, which are to be recorded on the Confined
Space Entry Certificate.
gas tests are to be done before work starts, and at the frequency stated on the
Permit. An extra test is required before work re-starts, if the worksite is left
unattended for more than one hour.
in addition to Gas Testing, continuous monitoring may be required. This will
have been specified in Box 3 of the Permit. A Performer may supervise work
for which continuous gas monitoring is required without being appointed as a
Gas Tester. He must, however, have been trained in the use of the gas
detector.
if gas or other hazardous atmosphere is found at any stage, work must stop.
The Permit is to be suspended. The Approver must be informed immediately.
he will be responsible for the calibration and certification (through authorized
third party companies) of the devices used for gas testing and detection.
Monitoring and auditing the PTW System
Monitoring is carried out, on regular basis, by the Asset/Operations Heads, Permit

Approvers and Affected Area Responsible.
A basis for spot checks (without being limited to) shall cover:
proper display of the PTW at the worksites;
proper completion of the PTW;
presence of the specified safety equipment in place;
implementation of the specified precautions;
workers awareness, full understanding of the conditions of the permit and

the nature of the work.
Monthly inspections are carried out by senior management personnel
independent of the area being checked. These inspections will cover all aspects of
the PTW system, including isolations, adequacy of briefings, shift handover
arrangements and training.
Auditing is to take place on an annual basis (or whenever is considered to be
necessary), by persons independent of the location being audited.
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2.13 Training and competence requirements

2.13.1 Approvers and Affected Area Responsible must be able to prove
knowledge and competence in the following area:
hazardous areas classification and identification (zoning);

plant and equipment layout;
the process taking place;
hazards identification and risk assessment for the requested jobs;
knowledge regarding isolation/de-isolation process
performing isolation/de-isolation (according their competence)
gas testing (according their competence)
hazards mitigation means, before issuing permits;
specific responsibilities associated with issuing permits;
all legal requirements, procedures, work instructions applying to the operation
of the PTW system;
all different forms and records associated with the PTW system;
shift handover requirements;
actions to be taken in an emergency situation.
2.13.2 Performers must be able to prove knowledge and competence in the
following area:
potential hazards associated with the plant/process and with the assigned work;
precautions required before starting work;
knowledge regarding isolation/de-isolation process
details of documentation involved;
specific responsibilities associated with being a task supervisor;
shift handover requirements;
actions to be taken in an emergency situation (including fire fighting and first
aid).
2.13.3 Gas Test Responsible Person
is nominated by APPROVERS (for the initial site testing) and PERFORMER (for
testing during the work period) from their team.
must be trained in gas testing and detection. Gas testing training will be
organized internally in each organizational unit (asset).
2.13.4 Fire Watchman
A fire watchman must be present to monitor the work area, for hot work, e.g.
welding and burning.
The Fire watchman must be suitably trained in the equipment they have to handle
and are responsible for ensuring that:
Suitable fire fighting equipment is available and ready for immediate use.
Flammable materials are cleared away from the worksite.
Drains remain covered.
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Sparks and welding spatter are contained (by the use of fire blankets, water
sprays etc)
They are familiar with the location of the nearest fire alarm activation means
and when and how the fire alarm will be raised where a fire or gas release
occurs in the area.
The alarm is raised should there be a fire or gas release in the area.
In complex multi-deck layouts, more than one firewatcher may be required.
A fire watch man may be nominated to monitor the work area while fire and gas
detection system are inhibited/overridden or as required by the Permit Approver
2.13.5 Authorized Electrical Person must be able to prove knowledge and

competence in the following area:
potential hazards associated with electrical systems and equipment;
precautions required before and after electrical isolation and de-isolation;
details of documentation involved;
actions to be taken in an emergency situation.
All other personnel required to work within the PTW system must receive
instructions on the specific procedures as they apply on the worksite where they
are to work.
Records must be kept of the PTW training carried out.
PTW training requirements for the Approvers, Affected Area Responsible and
Performers will include:
legislation and industry recommendation and requirements;
company policy, procedures, work instructions;
responsibilities.
Written examination or suitable assessment is part of the training.
3.
Internal Reference Links
4.
External Reference Links
5.
Standard Petrom EP FA HA 01 ST : Company Standard for Areas Classification

Standard for Risk Assessment Criteria, HSEQ-HQ-04-02, latest version
Guideline on Permit to Work Systems, OGP Report No.6.29/189 January 1993

Introduction to Health and Safety at work, NEBOSH fourth edition
Order of Administration and Intern Ministry 163/2007- for approval of Fire
Fighting General Norms
Government Decision 1058/2006- Minimal requirements for improvement of
workers health and safety who might be exposed to potential risk due to
explosive atmosphere
Obsolete regulations
Petrom E&P Standard - HSEQ-RO-06-03-01 Permit to Work System
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6.
Certification Standards
SR EN ISO 9001:2008 Quality Management System. Requirements.
7.
Terms and abbreviations

7.1 Terms
Cold Permit to Work is a written document which ensures that any form of
potentially hazardous work involving maintenance, repair, construction or
inspection activities, without hot work, shall be done accordingly with the all HSE
requirements.
Hot Permit to Work is a written document which ensures that any form of work that
involves use of open flame (welding, thermal or oxygen cutting, heating and other
fire or spark producing operations) shall be done accordingly with the all HSE
requirements.
Planned Permit a Permit which has been filled by the Performer, received an unique
number, but not yet authorized by the Approver.
Digging/Excavation Certificate is a written form which ensure that manual or

mechanical digging/excavation works shall be done in conformity with all HSE
requirements.
Confined Space Entry Certificate is a written form for any work involving the need
to enter into a confined space in a safe manner.
Confined space is any vat, pit, duct, flue, oven, chimney, silo, reaction vessel,
container, receptacle, underground sewer, shaft, well trench, tunnel, oil storage
tank, pressure vessels or other similar enclosed or partially enclosed structure, if
the space:
is not designed for temporary or permanent occupancy
has a limited, restricted means for entry or exit that makes it physically difficult for a
person to enter or exit the space, and contains, or is likely to contain:
an atmosphere that has a harmful level of any contaminant
an atmosphere that does not have a safe oxygen level or have too much oxygen
process or equipment related hazards
A confined space definition also applies to excavations greater than 70 cm in depth.
Vehicle Fitness Certificate is a written document which proves that a vehicle

inspection has been carried periodically, in order to assess whether the vehicle is
safe to enter a hazardous area.
Isolation Certificate (Electrical/ Mechanical etc) is a written document which

ensures that isolation of a plant or equipment to protect against hazards of the
system or process is executed. This is used for all energy isolations (electrical,
mechanical, process, pneumatic, hydraulic, chemical and thermal). This is to
ensure all energy sources are isolated prior to the commencement of work; all
energy isolation activity is effectively communicated to all affected personnel and
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that proper management controls are maintained on energy isolation devices.
Double Block & Bleed is the isolation of pressurized system through the use of two
closed valve which are in series in a process line/pipeline and a bleed line/vent
between the valves to verify and monitor the pressure holding integrity of the main
shutoff valve.
Blind /Spades : it can be a slip blind between two flanges, a rotational spectacle
blind between two flanges or a bolted blind at the end of a pipe run.
Lock/Lockout : a physical device or barrier (key or combination lock, chain and lock,
isolation blind, etc.) that is used or installed as part of the isolation process to
maintain security of the isolation.
Unique Work Permit Register : a register maintained at the Permit Issue Point for
all work permits issued on daily basis.
Job Safety Analysis (JSA) is a documented method of identifying hazards,

assessing risk and developing ways to manage them.
This document must be attached to every Permit describing the hazards
associated with the work, and the controls required to ensure that the work can
be done with minimum risk to Health, Safety and the Environment.
PTW Exemption List : a list of tasks that do not require a PTW
Performer (Permit Applicant) : this is a generic title used in this document either
for the person who is appointed to perform the work or the person in charge of
the work team, or the entire work party, as appropriate in the context.
He applies for a Permit and completes the Work Description parts of the Permit,
for approval by the Approver. He is temporarily in charge of the area where the
work is to be performed, during time period when work is performed, without
interfering with the Affected Area responsibilities. He is responsible for ensuring
that he and/or the work team members understand and obey the requirements of
the Permit to Work System and other relevant procedures. He may be employed
by OMV Petrom or a Contractor
Approver is the person who has overall responsibility for the co-ordination of
work, and authorises the Permits affecting his area of responsibility.
A list with nominated people for this position shall be issued by the EP Sectors
management. The list must be sufficiently large, in order to ensure that, at any
time, a nominated person is present and can authorise a Permit. No position titles
will be used!
Affected Area Responsible is the OMV Petrom representative with operational

responsibility for the area, facility etc. where work is performed under a Permit to
Work.
He is directly responsible for the control of work done in that area, and also
responsible for the Validation and Re-validation of Permits, and finally for Closing
Permits.
A list with nominated people for this position shall be issued for the area or
facility by the EP Sectors management. The list must be sufficient large, in order
to ensure that, at any time, a nominated person is present and can
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(re)validate/close a Permit. No position titles can be used.
ALARP (as low as is reasonably practicable) is a concept used to allow management

to balance the cost of control measures in terms of time, effort and costs against the
risk being considered.
Hazardous Area : area surrounding a hydrocarbon bearing facility in which an

explosive gas/air mixture could be present, as defined in OMV Petroms
Company Standard for Areas Classification EP FA HA 01 ST.
Residual Hazard are those are still present after the preparation has been done for
safe execution of the job. Additional precautions and special PPE might be
required to control the residual hazards for any activity.
Fire Watchman is the person who monitors the workplace for fire prevention and
fire fighting during hot work, and is appointed by the leader of the working team,
from among the team members.
If the work is to be carried out by just one person, or if none of the team members
is suitable / available, the Approver will appoint someone from location
personnel. He must have basic fire fighting knowledge (use of portable
extinguishers and fire hoses). This knowledge is ensured through specific fire
fighting training provided by a certified trainer.
Gas Test responsible Person

from their team.
is nominated by APPROVERS and PERFORMER
He must be trained in gas testing and detection. Gas testing training will be
organized internally in each organizational unit (asset).
He will be responsible for the calibration and certification (through authorized
third party companies) of the devices used for gas testing and detection.
His main task : uses the gas test device and STOP the work if the thresholds are
overpassed
7.2
Abbreviations
ALARP - As low as is reasonably practicable
EP
ESD
Emergency Shut Down
LEL
Lower Explosion Limit
PTW
- Permit to Work.
JSA
8.
- Exploration and Production
Job Safety analysis
Keywords / Search Criteria

Permit to Work
Approver
Performer
Permit to Work Issue Point
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9.
Annexes
Annex 1
Hazardous Area Classification
Annex 2
PTW exemption list
Annex 3
Vehicle entry Requirements
Annex 4
Hot PTW
Annex 5
Cold PTW
Annex 6
PTW Certificates
Annex 7
Electrical Isolation Certificate
Annex 8
Mechanical Isolation Certificate
Annex 9
Confined Space Entry Certificate
Annex 10
Excavations / Digging Certificate
Annex 11
Radiography Certificate
Annex 12
Gas Test Record
Annex 13
JSA form
Annex 14
PTW System practical Guide
Annex 15
Unique Work Permits Register
Annex 16
Requirements for Contractors
Annex 17
Isolation label
10.
Amendments from Previous Version
Regulation code / Date
Modified chapters
Petrom E&P Standard - All

HSEQ-RO-06-03-01 Permit
to Work System
Details about modified chapters

Responsibilities : adapted to the new
E&P orgchart
Exemptions : more examples added
11. Transitory provisions

N/A
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Annex no. 1
HAZARDOUS AREA CLASSIFICATION
All OMV Petrom operating areas have a Hazardous Area Classification. The rules
governing Hot Work depend on the Classification of the area where work is to take
place.
NOTE : For the EP Hazardous Areas definition and examples see the Standard
Petrom EP FA HA 01 ST : Company Standard for Areas Classification. There, a
classification of existing hazardous areas for the main facilities pertaining to OMV
Petrom can be found. This classification shall be taken in consideration by the
person responsible to identify the risks and the mitigation measures.
HAZARDOUS AREA ZONE CLASSIFICATIONS ARE AS FOLLOWS :
1.1.
ZONE 0
It is an area in which a hazardous atmosphere (flammable/explosive) is

continuously present.
Zone 0 classification applies basically to the internals of process vessels, storage
tanks and other similar closed containers. Any source of ignition in a Zone 0 area
would almost certainly result in a fire and/or explosion.
1.2.
ZONE 1
It is an area in which a hazardous atmosphere is likely to occur during normal

operating conditions.
Zone 1 classification applies in production areas around process vessels,
wellheads, open drains, vents etc. and in any area where gas is used to operate
pneumatic instrumentation.
1.3.
ZONE 2
It is an area in which a hazardous atmosphere is not likely to occur during normal

operations and, if it does occur, will exist only for a short period.
1.4.
NON HAZARDOUS ZONE
All areas not classified as Zone 0, 1 or 2.

RESTRICTIONS TO THE PERMIT TO WORK SYSTEM
RESTRICTIONS ON HOT WORK IN HAZARDOUS AREA ZONE 0 AND ZONE 1
Hot work is not allowed in Zone 0 or in Zone 1 areas, unless there is no other
means of carrying out essential and/or safety related work.
If all alternatives to Hot Work for carrying out required work in a Zone 0 or Zone 1
area have been considered and ruled out as impractical, then the following action
must be taken:
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The process system, which resulted in the area being classified as a Zone 0
or Zone 1 area, must be shut down, isolated, depressurised and purged. This
will remove the hazard, which caused the area Zone Classification for the
work period.
A Hot Permit To Work shall then be raised and the work carried out subject
to the necessary special precautions specified on the permit.
RESTRICTIONS ON HOT WORK IN HAZARDOUS AREA ZONE 2
Hot work such as naked flame cutting, welding and grinding must not be carried
out in Zone 2 areas without shutting down and depressurising the adjacent
production facilities.
However, where specifically approved by the person in charge of approval
(Approver in PTW organisation) after consultation with his HSSE Manager at
base, a habitat may be built in order to create an environment within a Zone 2
area, in which Hot Work may be carried out without creating a fire hazard. Before
use, any such habitat must be examined and approved by the Approving
Authority or his delegate.
A Hot Permit To Work shall then be raised and the work carried out subject to the
necessary special precautions specified on the permit.
RESTRICTIONS ON HOT WORK IN NON - HAZARDOUS AREA ZONE
For Hot Work in these areas within 40 m radius surrounding a Zone 2, a Hot
Permit To Work is to be raised, and the work is to be carried out subject to the
necessary precautions, which are to be indicated on the Permit.
Designated hot work areas e.g. welding workshops do not need permits.
SUSPENSION OF HOT WORK
Hot Work tasks being undertaken are to be stopped if any of the following
activities are due to take place concurrently adjacent to the hot work:
Flammable liquids are to be transferred.

Spray painting is to take place.
Hydrocarbons may be released by bleeding down a process system,
breaking flanges, pressure testing, pig launching/receiving etc.
Any other tasks considered by the Performer, Affected Area Responsible or
his delegate as being incompatible with Hot Work.
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Annex no. 2
PTW Exemption list
Conditions
As a general principle, Works that do not require a PTW must meet the following
conditions, all in the same time:
they are routinely performed and they are fully covered by specific operating
procedures and work instructions which include HSSE matters and eliminate the
cause which can trigger an incident
they do not require open flames inside a zone of 40 meters radius around
they do not require operations producing ignition sources, performed in

technological facilities where flammable or explosive atmosphere can be
present, or in warehouses/other places where flammable/explosive staff is
present
they do not require a Lock-out/Tag-out of any system (however, this requirement
is not applicable to the Minor Maintenance Team members when a documented
routine operation, performed by themselves, requires a LOTO)
they are not performed on energised systems (systems under pressure, above
or below ambient temperatures or electrically charged)
they do not inhibit a Safety System from functioning
they are not performed in a Confined Space
they do not involve complex lifting operations - when a Lifting Plan must be
developed (lift greater than 10 tones, not a single point lift involving two or
more lifting/pulling appliances, lift requiring rollers, restraining anchors or guide
frame/structure)
other works being done nearby cannot affect, in a dangerous way, the work
concerned
work over/work intervention activities where the Permit to Work template is

replaced by the hand over protocol and an approved work program is available
Tasks without a PTW

The tasks listed below can, normally, be carried out without coverage of a permit
to work (they normally meet the above mentioned conditions).
However, on some occasions, routine operations may need additional controls to
avoid a hazardous situation. In this case, EP Asset and Sectors management shall
control these tasks with a permit to work (see Section 3 in the Standard)
Tasks which can, under the above conditions, be carried out without a permit to
work are:
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routine maintenance/tests/checks operations carried out by Minor

Maintenance Teams (MMTs), Predictive maintenance teams (PDV) and Time
Based Maintenance teams (TBM)
conditions monitoring
upload, download and storage of equipment
emptying tanks, habas, well cellars done by vacuum trucks
vehicles delivering chemicals on well skids (skid inhibitor feeding)
production watch keeping and routine plant operation, including blowing
down and sampling hydrocarbons
routine documented Drilling Operational Activities
routine Work Over and Intervention activities when a suitable well site
handover protocol, together with an approved work program, can replace
the Permit to work : Rig move; up , down; Kill the well; Replacing polished rod;
Nipple up/ nipple down BOP (for tubing / sucker rod); Nipple up/ nipple down Xmass Tree (pumping head); Pressure testing BOP, X-mass Tree; Pull out of hole/
run in hole sucker rods; Pull out of hole/ run in hole tubing / drill pipe; Replacing
pump ( P, TP, PCP ); Replacing pump (ESP ); Well cleaning: snd bailer, bailing
,washing; Workover fluids: preparation, transport, storage and control of
parameters; Fishing operations; Milling; Cementing; Swabbing; Casing repair; Side
tracking; Running liner; Packers Operations; Gravel Packing; Slikline Operations
visual inspections of areas, except where entry to a confined space is

required
routine Platform and workshop/warehouses mounted Crane operations (by
certified personnel)
lifting operations by certified fork-lifters in warehouses and workshops
routine activities within accommodation areas, including use of Galley
equipment
processes involving naked flames and/or hazardous substances carried out
within authorised laboratories or workshop by designated competent
personnel
operation of approved equipment permanently installed on a facility, which
requires a source of ignition or an open flame as an integral part of its
operational function
work carried out within an authorised workshop area
wellhead activities carried out in accordance with recognised procedures by
competent personnel, which do not involve breaking system integrity
operational or minor maintenance activities carried out in accordance with
appropriate procedure
operating or demonstrating portable fire-fighting or life-saving appliance
during drills or training
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Annex 2
handling of substances that can be hazardous to health, if it is covered by

specific procedures
As guidance, another more structured list can be used, as shown in the table
below, and may complete or replace the above mentioned works :
(E- means exempted from PTW, NE- not exempted)
Testing and Inspections

Gas testing
Scaffolding inspection
Maintenance inspection and testing
of Safety Equipment
Safety Exercises
Emergency Exercises
Operations
Operator performed maintenance
(minor)
Taking readings
Routine operational activities, valve
operation
Start- stop of equipment
Adding lub-oil to rotating equipment
Replacing pressure gauges if blockand-bleed is possible
Periodic testing of equipment for
correct operation
Taking samples of Crude or lube Oil
(non H2S)
Making up of chemicals or refilling
of chemical storage tanks
Maintenance
General activities in the workshop
Minor miscellaneous activities inside
offices, except for:
Work at Height
Intervention on Electrical Power
Supply
Hot Work
Mechanical
Visual Equipment Check
Use
of
Condition
Monitoring
equipment
Greasing of non-rotating equipment
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Hazardous
Areas
0, 1 or 2
Nonhaz
Areas
E
E
E
E
E
E
E
E
E
E
E
E
n/a
n/a
NE
Tightening of glands of water pumps

and valves
Electrical
Offices (indoor) repairs: lighting
Visual checks of all electrical
equipment (without exposing live
electrical equipment)
Reset of breakers (after fault
identification and clearance)
Operation on the network (except
motor isolation / de-isolation
Current measurement
Instrumentation and Systems
Visual checks of all instrumentation
Change/refill of recorders and
printers, e.g. pens, charts and paper
Troubleshooting,
offline
works
(DCS), control loop check
Instrumentation fault finding with
Operators, (no exposed power
supply in Field)
Putting systems on line, tune
analysers
Monitoring data from terminal,
laptop, desktop PC, ESD system,
F&G system etc.
Loop Tuning
Off-line works
n/a
E
E
NE
E
E
E
E
Telecoms
Visual inspection of all telecom
equipment (no disruption & working
E
E
at heights)
Servicing
and
replacing
of
E
E
equipment
for
individuals
(telephone, radio, fax etc)
Measuring
telecom
equipment
E
E
parameters
without
service
interruption
General
E
E
General plant cleaning
General handling of containers and
E
E
freight
General catering activities (cleaning,
E
E
food preparation)
Works on water/sanitary equipment
E
E
in buildings
NOTE : Where possible, the routine tasks in safe environments shall be covered by
procedures and work instructions and not by permits. This helps reducing the
number of permits in daily use and enables the Affected Area Responsible to
concentrate on tasks that have higher inherent risk potential.
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Annex 3
Vehicle entry Requirements
The purpose of this document is to describe the method for control of Vehicle Entry
and Driving within the hazardous areas in OMV Petrom EP onshore facilities/sites.
1.
General
1.1.
Vehicle entries
Vehicles entering the hazardous area constitute taking potential sources of
ignition into an area where a flammable atmosphere may be present.
A Vehicle Fitness Certificate is mandatory for all vehicle which entry or drive
within the hazardous areas.
Exceptions are that a certificate is not required for:
Vehicle access to a pig trap area for pipeline pigging operations covered by authorized
procedures and listed in the approved program.
Travel to and from the facility in crew vehicles via the normal marked route to the facility
parking area.
1.2.
Vehicle Fitness Inspection and Certificate
This is a written document which ensures that appropriate and competent vehicle
inspection has been carried in order to assess whether the vehicle is fitted to enter
within a hazardous area. The inspection must ensure that the vehicle equipment is in
good condition and any hazard associated with its entry and operability within the
hazardous are controlled through the vehicle inherent safety systems and technical
integrity
The inspection must be carried out by a competent person or authority
The Transport Department Manager is responsible for ensuring a suitable inspection is
carried out for each vehicle. The Transport Department decide on Fitness Certificate
form.
If the inspection results confirm the vehicle fitness for entry and driving within
hazardous areas, a Vehicle Access sticker is to be posted it in a visible place on the
windscreen.
The sticker must clearly show the fitness inspection validity period; the Transport
Department representative will sign and stamp it on the number (bottom row)
representing the current month.
The Vehicle Access sticker model is shown below
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ACCESS VEHICUL
Auto:
Marca
Nr Inmatriculare
Accesul acestui vehicul este permis in unitatile OMV Petrom

(Current Year)
VALABILITATE
10 11
12
A check list for this inspection is provided in this annex. The list is not limitative.
In case of any major repair works following vehicle accidents, or in case of any
changing works of the vehicles initial design, a new fitness inspection must be carried
out.
1.3.
Licenses
Drivers of vehicles shall hold a current driver's license appropriate to the class
of vehicle being driven.
1.4.
Certificates of Competency for special equipment

Personnel shall not operate or be in charge of a crane unless they hold the
appropriate certificate or are currently learning to operate a crane under
supervision of a licensed driver.
Personnel shall not operate a forklift, backhoe, excavator, bobcat, front-end
loader or similar vehicles unless they are competent in the use of that
equipment.
Competency must be proved by appropriate licenses.
2.
Vehicle Entries in Process Areas

No vehicle is permitted to enter the restricted process areas unless authorized
by the Affected Area Responsible.
Particular attention should be given to crane entry with consideration to jib
length and height with reference to impact hazards.
Entry of a vehicle in a process area shall be authorized/approved only for
essential work, which can not be done without a vehicle, or to deliver and
remove items, which can not be reasonably carried by hand.
2.1
Pre-Entry Requirements
The following shall apply as requirements prior to vehicle entry:
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2.2
Check Vehicle Fitness Certificate and its validity period

Vehicle Inspection A visual check is still required to ensure the vehicle is fitted
with an exhaust and muffler and suitable extinguisher, which are in good condition
and operable.
Gas test - A gas test for flammable atmosphere in the process area to be entered
shall be completed by a competent person, using a suitable calibrated gas
detector.
The gas tester shall determine the percentage of Lower Explosive Limit (LEL) of
hydrocarbons. If a positive reading is obtained, vehicle entry shall be cancelled and
the Affected Area Responsible shall be informed immediately.
Internal Traffic Regulations
Drivers of vehicles shall always drive in accordance with country Regulations.
Within the process area the speed limit is restricted to 5 km/h.
2.3
Safety and control equipment access

No vehicle entry shall be authorized if the vehicle will obstruct access to
essential safety or control equipment or influence the effective use of such
equipment, unless alternative safety or control equipment can be provided.
2.4
Vehicle Route
Vehicle movement in the process area of the plant shall be restricted to a
specified route agreed with the driver.
2.5
Escort
An escort of the vehicle may be required, if the Affected Area Responsible will
consider this. The escort shall warn the vehicle driver of specific hazards and to
gas test the access route.
2.6
Parking Locations
Vehicles shall be parked only in places specified. Reverse parking shall be used
at all times.
2.7
Parking Conditions
If a vehicle is to be parked and left unattended, the driver shall ensure that the
vehicle is stopped, the ignition keys are left in the ignition lock and the doors of
the vehicle are left unlocked at all times.
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2.8
Review and Job Approval
The Affected Area Authority shall approve entry in a process area if the following
requirements have been satisfied:
All simultaneous operations have been considered.
All necessary safety precautions have been identified.
The driver and all passengers are aware of the safety and emergency rules which
apply within the process area
3.
4.
Contractors requirements
The Contractors have to maintain vehicle inherent safety integrity in order to be
allowed to entry in hazardous areas within OMV Petrom EP facilities/sites.
The contractors vehicles which entry in OMV Petrom EP process facilities/sites
must have the same Fitness Certificate presented above, signed and stamped by
the Contractors Responsible person for the current month.
All this annex provisions are applying to all the Contractors vehicle
Checklist for fitness inspection (not limitative)
Review Periodic Inspection Report
Existence of Fitness Certificate, stamped for the current month
Ensure vehicle has passed the required inspection and has the required documents
Check for the permanent or long time presence of Hazardous
Materials/Transportation of Dangerous Goods
Check warning placards and signs, any leaks or spills of hazardous substances,
unsecured cargo, markings and labels.
Check earthing device integrity
Check the availability and operability of fire extinguishers
Check the steering system operability
Check brake system operability
Check the integrity of the chock blocks.
Check head and rear lamps and turn signals for improper colour, operation,
mounting and visibility.
Check windshield wipers for improper operation
Check fuel tank area for any leakage, tank cap proper mounted
Check the exhaust system for integrity, sparks arrester presence and condition
Check condition of air and electrical lines systems (include the battery area).
Check wheels, rims, hubs and tires.
Check integrity of the frame and body
Check condition of all hoses.
Check van and open-top trailer bodies.
Check any oil leaks from engine transmission or differential
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Annex 4
HOT WORK PERMIT

Perm it No:
1. APPLICATION AND WORK DESCRIPTION (by Perform er)
Work order
Planned Work Schedule
Location
Date
Time

Zone 0
Zone 1
Non-Haz
Work site
Start
Zone 2
Equipment
Finish
H2S in location
I hav e rev iewed the task and conf irm that the inf ormation in this Application
and in the JSA is adequate and correct
Associated Permit no.
High
Name_________________________
Contractor_________________
Signed
Date
Low
Non
Insert max ppm

NORM Restricted Area
Y es
No
Equipment and tools which will be used to perform the

work:
Detailed Work Description:
Measures taken by the Perform er
Measures taken by the Affected Area Responsible
superv ision of hot work
natural v entilation
f lamable mat. remov ed
f ire extinguishers - ty pe:____ / no ____
mech. v entilation
drainage
f iref ighting hoses
mech. Isolation
inertization with gas
antif ire barriers
electrical isolation
access-escape routes clear
anti ex tools
other blockages
f iref ighting brigade announced
earthing of equipment
gas detection
other (detail here):
f encing and signalling of work
f ire detection
Fire Watch Man:
Name:___________________ Acceptance signature _________________ Date______________ Time_________________
2. CERTIFICATES ATTACHED TO THIS PERMIT
3. GAS TESTING REQUIREMENTS (test results in Gas Test Record)
Certif icate Number(s)
Gases to be tested f or
Gas test to be Repeated at Continuous gas monitoring

interv als of :
required during work
Electrical Isolation/De-isolation
Hy drocarbons
Y es
Mechanical Isolation
H 2S
hrs
Conf ined Space Entry
Oxy gen
Excav ation
Other_________
Gas Test Record
Radiography
ENSURE THAT A JSA HAS BEEN PRODUCED AND ATTACHED TO THIS PERMIT AND ALL ITS REQUIREMENTS ARE FULFILLED
4a. AUTHORISATION by Approver
4b. AUTHORISATION by Civil Fire Brigade
I authorise this Permit f or the Work Description abov e and attached JSA, f or the period:
Date:
FROM:
Time:
Date:
TO:
Time:
FROM:
Name: ________________________
Time:
Name: ___________________ Date:
Time:
Signature
Date:
Signature
Position:
5a. VALIDATION
No
I authorise this Permit f or the Work Description abov e and attached JSA
Date:
Time:
Date:
TO:
Time:
Time:
5c. SUSPENSION
5b. ACCEPTANCE
To be signed by the Affected Area Responsible at the start of To be signed by the oncoming Performer whenev er the
each work period
Permit is v alidated and whenev er responsibility passes
f rom one Perf ormer to another.
To be signed by the of f going Performer

whenev er work stops f or more than 8 hours,
and when superv isory responsibility changes.
I conf irm that the conditions at the worksite are saf e f or the
work specif ied. I v alidate the Permit f or the period stated,
prov ided the work party adhere to the permit requirements.
Work must stop if the permit requirements cannot be met.
I hav e examined the worksite. It has been lef t

in a clear and saf e condition.
I hav e been f ully brief ed by the Performer / Permit

Applicant on the work and necessary precautions. I
conf irm that the worksite is saf e f or work to start. I will
brief the workteam and superv ise the work. I will stop
the work if the permit requirements cannot be met.
Validated
Date
From
Time
To
Time
Name
Name
Petrom/
Contractor
Date
Signature
Time
Date
Signature
6. PERMIT CLOSURE
Work complete
a) Permit Return by Performer

Worksite and equipment af f ected lef t in saf e condition.
Name:________________________
Signed:________________
Function:___________
Date: ________________ Time:__________
b) Permit Closure by Affected Area Responsible
Y ES
NO
Remarks:___________________________________________________________________
___________________________________________________________________________
________________________
Work complete
Y ES
NO
* Worksite Checked Clear and Saf e. (Process Facilities Only )

* Re-instatements/De-isolations Complete.
* Isolations retained under Cert. no. ________________
Remarks:___________________________________________________________________
___________________________________________________________________________
________________________
(* Delete as appropriate)
Name:___________________ Position: _______________ Signed:______________ Date:________________Time:_____________
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COLD WORK PERMIT

Permit No:
Work order
1. APPLICATION AND WORK DESCRIPTION (by Performer) Copies:
White - Worksite
Location
Yellow - Affected Area Responsible (Permit Issue Point)
Work site
Green - Approver
Equipment
I have review ed the task and I confirm that the information in this
Application and in the JSA is adequate and correct
Name
Contractor
Signed
Detailed Work Description:
Date
2. CERTIFICATES ATTACHED TO THIS PERMIT
Zone 0
Zone 1
Zone 2
H2S in location
High
Low
Insert max ppm
Non-Haz
Non
Planned Work Schedule

Date
Time
Start
Finish
NORM Restricted Area
Yes
No
Associated Permits
3. GAS TESTING REQUIREMENTS (test results in Gas Test Record)
Certificate Number(s)
Electrical Isolation/De-isolation
Confined Space Entry
Excavation
Gas Test Record
Radiography
Gases to be tested
for
Repeat test at intervals Continuous gas monitoring

of:
required during w ork
Hydrocarbons
H2S
Oxygen
Other_________
hrs
Yes
No
ENSURE THAT A JSA HAS BEEN PRODUCED AND ATTACHED TO THIS PERMIT
4. AUTHORISATION (by Approver)

I authorise this Permit for the Work Description above and attached JSA for the period:
FROM: Date:
Time:
TO: Date:
Name:
Signed:
Position:
Date:
Time:
5a. VALIDATION
Time:
5b. ACCEPTANCE
5c. SUSPENSION
To be signed by the Affected Area Responsible at To be signed by the oncoming Perform er

the start of each w ork period
w henever the Permit is validated and w henever
responsibility passes from one Performer to
another.
I confirm that the conditions at the w orksite are safe
for the w ork specified. I validate the Permit for the
period stated, provided the Performer adhere to the
permit requirements. Work must stop if the permit
requirements cannot be met.
Date
Validated
From
Time
Name
To be signed by the offgoing

Perform er w henever w ork stops for
more than 8 hours, and w hen
supervisory responsibility changes.
I have been fully briefed by the Perform er /

I have examined the w orksite. It has
Perm it Applicant on the w ork and necessary
been left in a clear and safe condition.
precautions. I confirm that the w orksite is safe for
w ork to start. I w ill brief w orkteam and supervise
the w ork. I w ill stop the w ork if the permit
requirements cannot be met.
Name
To
Time
6. PERMIT CLOSURE
a) Permit Return by Perform er
Petrom/
Contractor
Date
Work complete
Signature
YES
Time
Date
Signature
NO
Worksite and equipment affected left in safe condition.
Remarks:_______________________________________________________
______________________________________________________________
_________________________________________________
Date: ________________ Time:__________
Name:____________________ Function:___________
Signed:________________
b) Permit Closure by Affected Area Responsible
* Worksite Checked Clear and Safe. (Process Facilities Only)
* Re-instatements/De-isolations Complete.
* Isolations retained under Cert. no. ________________
(* Delete as appropriate)
Work complete
YES
NO
Remarks:_______________________________________________________
______________________________________________________________
_________________________________________________
Name:_______________ Position: _______________ Signed:______________ Date:_____________Time:_____________
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Annex no . 6
PERMIT TO WORK SYSTEM CERTIFICATES
Certificates in use
Certificates are used in the Permit to Work System to provide additional
authorisation and control for a number of activities.
NOTE : THE PERMIT TO WORK SYSTEM CERTIFICATES ARE NOT PERMITS TO
WORK AND MUST NOT BE USED TO AUTHORISE WORK UNLESS IT iS
ATTACHED TO AN APPROPRIATE PERMIT TO WORK.
The Certificates and other associated documents used in the system are:
Electrical Isolation
Excavation
Gas Test Record
Radiography
Lifting Plans
other significant documents considered by key-persons to be attached to
associated Permits
The Certificates will be issued in two copies
Colours of Certificate copies:
Worksite - WHITE
Permit Issue Point YELLOW
NOTE : For any Certificate a registration number shall be given in the Unique
Work Permits Register and written on the certificate, respectively in the
associated permit.
Mechanical and Electrical Isolation Certificates

A brief description of its use is given below:
BOX 1 APPLICATION
Box 1 is to be completed by the Performer, giving the details of the job and the
number of the associated Permit.
The Box marked Work Continuing on Permit No is to be used when a Permit
passes its validation period, but work will continue under a new Permit. It allows
the Isolation Certificate to be transferred to a new Permit.
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BOX 2 - REASON FOR ISOLATION
The Performer is to write here the reason why the isolation is required.
BOX 3 - DETAILS OF ISOLATION
The Affected Area Responsible (or Authorized Electrical Person for electrical
isolations) is to write in Box 3 the details of all isolation points, indicating
whether valves are to be open or closed, and places where spading or
disconnection is required.
Correspondent tags are to be provided together with respective Certificate
BOX 4 ISOLATION
The Approver is then to sign Box 4 to authorise the Isolation.

The Affected Area Responsible nominates a person to do the isolation (in case
of electrical isolations must be an Authorized Electrical Person), then this person
is to sign Box 4 when the Isolation is complete.
If the Affected Area Responsible has the appropriate competence, he can do the
mechanical isolation or de-isolation, if this is specified by the chief of sector in
Affected Area Responsible nomination
BOX 5 - DE-ISOLATION
The Performer is to sign Box 5 to request de-isolation. Once the de-isolation is

complete, the person who did the de-isolation is to sign this box to show that
de-isolation is complete.
BOX 6 - EXTENDED PERIOD ISOLATION (EPI)
This box is to be used when an isolation is still required after its associated
Permit is Closed.
The EPI ON Section is to be signed to authorise the EPI when a Permit is to be
Closed, with the Isolation remaining.
The EPI OFF Section is to be used when work can continue, and the Isolation
Certificate is to be attached to a new Permit.
The use of the Certificates in the Isolation process is covered below.
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CONTROL OF ISOLATIONS
Electrical/Mechanical Isolation
General:
The electrical/mechanical isolation records (on separate Certificates) is meant to
prevent any danger associated to the electrical and/ or mechanical equipment and
shall be used whenever equipment/ machinery is mechanically switched off/ power
is turned off in order to carry on maintenance and/ or replacement works.
The electrical/ mechanical isolation works must ensure that the isolated
equipment/ machinery cannot start up accidentally. Isolation will be ensured by
locking and labelling. The label will contain the warning: DO NOT OPERATE, the
date, name and forename of the person who performed the isolation and the
number of the isolation Certificate. The label will be posted on the electric panel
where the isolation was done or on the mechanically isolated equipment.
If the electrical/ mechanical isolation of a safety system is needed, it will be
attempted to isolate only the respective part of the system and not the entire
system. In this case, the Approver will decide which the best isolation method is, so
that the system is affected as little as possible.
All Isolation Certificates must be attached to the respective Permit and their
numbers filled in Box 2 of the Permits.
Isolation Requirements
The following requirements apply to all isolations:
Competency
The Approver must ensure that the person nominated to do an Isolation/DeIsolation is competent for the task.
Electrical isolation and de-isolation must be completed ONLY by authorized
electrical persons
Recording
Isolations are to be recorded in an Isolation Certificate. For complex isolations,

marked-up P & IDs or line diagrams should be attached to the Isolation
Certificate.
Visibility and Co-ordination
The Affected Area Responsible must record all isolated equipment on the Permit
Location Boards. This is done to ensure that equipment is only isolated or deisolated when it is safe to do so.
Electrical Systems
All electrical isolations are to be done in accordance with OMV Petrom specific
procedures and Romanian legal requirements
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Mechanical Systems
Mechanical Isolations are to be done in accordance with OMV Petrom specific
procedures and Romanian legal requirements
Approval for Isolation
All isolations must be fully described in the Isolation Certificate.
All
documented Isolations are to be authorised by the Approver, who must define
the isolation point and sign the Box 4 of the Mechanical / Electrical Isolation
Certificate. All Isolations are to be approved in accordance with specific valid
OMV Petrom specific procedures and legal requirements
Isolation Process
All mechanical and electrical isolations and de-isolations must be carried out in
compliance with OMV Petrom specific procedures and Romanian legal
requirements
Energy Isolation Principle
A suitable lockout system must be carried out to ensure plant or/and

equipment is isolated from all sources of mechanical, electric or fluid power
so that the plant and/or equipment cannot operate.
Mechanical power covers all machinery that has a direct or indirect source of
power (fluid, electrical, pneumatic) as well having moving parts and stored
energy system that must be immobilised by physical means where possible.
Double block and bleed isolation principle must be used whenever and
wherever is possible
Electrical power isolation covers low voltage (less than 1000 V) electrical
isolations and high voltage (over 1000 V) electrical isolation.
Fluid power also includes the supply of compressed air (gas, liquids and
steam).
The isolation principle shall be adopted, prior to carrying out maintenance or

repair, depending on work activity and risks involved.
The following aspects shall be taken into consideration:
- whenever and wherever is possible padlock system shall be used;
- complex isolations shall be planned and recorded on Isolation Certificate and
attached to the PTW;
- isolation shall be applied to any energy source (egg. mechanical, electrical,
hydraulic etc);
- isolation shall only be applied and removed if authorised by the PTW Approver
or Affected Area Responsible ;
- the tag labels applied on isolations shall be recorded on certificates;
- to prevent premature de-isolation where multi tasks are involved specific work
instructions must be used;
- if the work is not completed within the Authorisation/Validation period, the work
site shall be inspected by both Affected Area Responsible and Performer and
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ensure it is left in a safe condition and equipment cannot be re-instated until all
work is properly completed;
- if the PTW is suspended, the status of the work site (eg: mechanical/electrical
isolated, under repairing etc) shall be visible displayed in a suitable location
(eg: control room or other onshore equivalent) and the padlock keys kept in a
secure place to ensure unauthorized access.
All persons authorized to carry out isolation works shall be assessed for their
competence prior assignment and they shall:
be suitably qualified;
have experience on the plant/equipment;
have received specific instructions on the plant, isolation method etc.
Their areas of responsibility shall be clearly defined.
The Performer must inspect work area after all isolations have been
completed and before starting the work.
Isolation
When the isolation has been approved by the Approver, the Performer is to take
the Permit and Isolation Certificate to the Affected Area Responsible or
appropriate Electrical Person, to request isolation.
The Affected Area Responsible (or Electrical Person for electrical isolations) is
then to:
Check the Permit Location Board to ensure that the isolation will not conflict
with any other work.
When satisfied that it is safe to isolate, DO the isolation, tagging and
securing of the valves/switches etc.
NOTE:
The Affected Area Responsible can nominate a competent person to perform
isolation/de-isolation, or, if is specified in his nomination (by the sector chief),
having the necessary competence, he can perform mechanical/electrical
isolation/de-isolation, as appropriate
Prove that the isolation has fully isolated the systems and equipment from
pressure/electricity
If part of the isolation is at a remote location under the control of another
Affected Area Responsible, submit (fax or other suitable communication
means are accepted) a copy of the Isolation Certificate to that location and
obtain a return copy with a signature that the remote isolation is known and
complete.
Sign the Isolation Certificate to confirm that isolation is complete. Then add
the marker and details of the isolation to the Permit Location Board.
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Tagging of Isolation points
Every valve, spade, switch, breaker etc. used in an isolation must be marked
with a tag label.
The tag label (See Annex no. 17) is to identify the number of the Isolation
Certificate authorising the isolation
Each valve/switch etc. used as part of more than one isolation scheme will have
a tag label for each Isolation Certificate. It is not necessary to fit additional
physical securing for each Isolation Certificate (except if this is required for
electrical isolations by other specific work instructions)
Securing of Isolations
Mechanical
All valves, etc. used as part of an isolation boundary are to be locked and
secured in the required position using a high visibility securing device, e.g.
red/white chain. The purpose of securing the isolation is to prevent valves from
being moved accidentally, and to show everyone in the area that the valve is
being used as part of isolation.
Electrical
All electrical isolations are to be secured where practicable, locked in the 'open'
position with SAFETY PADLOCKS or similar type locking devices
NOTE:
If the electrical apparatus or equipment at the point of isolation is not provided
with suitable means of locking or if SAFETY PADLOCKS cannot be applied, and
the circuit cannot be isolated by the withdrawal of fuses or links, then other
suitable precautions shall be taken to avoid DANGER to person whilst working
on the circuit.
Proving of Isolations
Whenever the isolation is complete, the isolator must prove that the area within
the isolation is fully isolated from pressure/electricity. This can normally be
done by checks at vent valves or by the checks to prove electrical equipment
dead with an APPROVED voltage testing device suitable for the rated voltage of
the circuit. The voltage testing device shall be checked before and after use to
check it is working correctly.
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If it is not possible to check that a pressure system has been de-pressurised

without unbolting a flange, the work party must be made aware of the possible
pressure hazard. The JSA must include clear instructions on controlling the
unbolting of the first flange to ensure that any pressure is released before bolts
have been removed.
Using more than one Permit in an Isolation Boundary
If more than one Permit is to be worked on within the same isolation boundary,
the isolation for each permit is to be recorded, authorised and labelled
separately. This will minimise the risk of an isolation being removed before all
work is complete.
De-Isolation on Completion of Work
When work is complete, the Performer is to sign the Isolation Certificate to
request de-isolation. If equipment testing is not required, the Performer must
also sign Box 6a of the Permit to confirm that the work is complete. If testing is
necessary before the Permit can be signed off, the procedure in Section below
is to be followed.
The Affected Area Responsible (or Authorized Electrical Person for electrical deisolations) is then to:
Check the Permit Location Board to ensure that the removal of the isolation
will not affect the isolation boundary for any other work.
When satisfied that the work is complete and that it is safe to de-isolate, do
the de-isolation (or ask a competent person to do it). If any of the
valves/switches etc. are part of another isolation boundary, the tag for the
current de-isolation is to be removed, but other tags are to be left in place.
The securing device must not be removed until all isolations on the
valve/switch have been removed.
When the isolation has been removed, compare the tags from the
valves/switches with those attached to the Permit/Isolation Certificate to
ensure the De-Isolation is complete. Then remove the marker and
description of the isolation from the Permit Location Board.
If part of the de-isolation is at a remote location under the control of another

Affected Area Responsible, submit (fax or other suitable communication
means are accepted) a copy of the Isolation Certificate to that location and
obtain a return copy with a signature that the remote de-isolation is known
and complete.
Sign the Isolation Certificate to confirm that the de-isolation is complete.
De-Isolation for Testing

If testing is required to confirm that the work is complete, de-isolation is allowed
before the Permit is signed in Box 6a. In this case, the work description on the
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Permit must include a test, and the Permit must be suspended before testing
starts.
When the test is to start, the Affected Area Responsible is to de-isolate, using
the procedure, except that he is not to sign the Permit/Isolation Certificate until
the test is complete and the equipment is finally de-isolated. If a test shows that
more work is needed, and the equipment is to be re-isolated, the Permit is to be
Re-Validated for the work to be done.
This process is not to be used for Hydrostatic or Pneumatic Testing.
Transfer of Isolations between Permits
If a Permit reaches the end of its Validity Period and work is to continue under a
new Permit, the Isolations can be transferred between the two Permits. Box 6b
of the old Permit is to be signed by the Affected Area Responsible to show that
work is not complete.
If the isolation was authorised on a Mechanical Isolation Certificate or Electrical
Isolation Certificate, the number of the new Permit is to be written in the Work
continuing on Permit No. Box on the Certificate. This transfer can only be done
3 times. The Isolation Certificate number is to be written in Box 6b of the old
Permit. The Isolation Certificate is then attached to the new Permit.
Extended Period Isolations
Use of Extended Period Isolations

Extended Period Isolation (EPIs) are isolations which must remain in place
although no work is being done within their boundary. They may be required
for two main reasons:
a) Where work was suspended past the Validity Period of the Permit (e.g.
awaiting spares for a repair)
b) Where equipment becomes redundant and is to be isolated permanently or
until will be dismantled.
Authorization of EPIs
The procedure for authorising and documenting EPIs is as follows:
a) Any Permits for work related to the isolation are to be Closed by the Affected
Area
Responsible.
The Affected Area Responsible is to sign Box 6b of the Permit and tick the
appropriate box if the work is complete or not, writing the Isolation
Certificate number in the space after Isolation retained under Cert. No.
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b) Where no work is required, but equipment is to be isolated for an extended

period for other reasons, an Isolation Certificate is to be raised to document
the isolation.
c) The Affected Area Responsible is to indicate in the EPI section of the
Isolation Certificate the reason for the isolation and the number of any
associated Permit being signed off.
d) Both copies of the Isolation Certificate are to be kept in the EPI section of the
Permit Rack.
Confined Space Entry Certificate

A registration number shall be given in the Unique Work Permits Register and
written on the certificate, respectively in the associated permit
A Confined Space Entry Certificate is required whenever entry is made into any
space that is classified as a confined space.
A Confined Space Entry Certificate is valid for no more than 1 working shift period. If
the work takes longer than this, a new certificate is to be raised for each new shift. The
first Certificate to be authorised by the Approver, but later ones can be authorised by the
Affected Area Responsible, with all precautions from the previous ones.
A brief description of the use of the Confined Space Entry Certificate is given
below:
BOX 1 APPLICATION
Box 1 is to be completed by the Performer, giving the details of the job and the
number of the Permit for it.
BOX 2 - SAFETY PRECAUTIONS REQUIRED
This is a list of items to be considered by the Performer (in box Necessary)

and checked by the Approver/Affected Area Responsible before anyone enters the
Confined Space.
The Approver check the measures considered by the Performer and he can
add in box Necessary supplementary measures he consider
The Affected Area Responsible is to check if considered measures are

completed and tick box Checked to indicate that all necessary precautions are
in place.
Special measures shall be taken (ventilation of the confined space, for

example), especially whenever it was proved, by gas detection tests, that the
atmosphere inside the confined space is dangerous for the personnel.
A watch man must be permanent present to supervise work performed into

confined spaces.
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BOX 3 - GAS TESTING
Immediately before first entry to the Confined Space each day the Affected Area
Responsible is to test the space for Toxic and Explosive Gases/Vapours and for
Oxygen Concentration. Further testing during the work can be done by any
Authorised Gas Tester.
The Affected Area Responsible must be competent and authorised in order to
perform gas testing, otherwise another authorised person must do it
The results of these tests are to be written in Box 3 of the Certificate.
BOX 4 AUTHORISATION
Once he is satisfied that the Confined Space is safe to enter (check boxes 2 and
3), the Approver/ Affected Area Responsible is to complete Box 4 to define the
period for which the Certificate is valid, and then authorise the entry to proceed.
Digging/Excavation Certificate
The Certificate excavations (digging) shall be used for digging in any location within
or in the vicinity of facilities.
A registration number shall be given in the Unique Work Permits Register

and written on the certificate, respectively in the associated permit
Additional Gas Test Record
See Annex 12
A registration number shall be given in the Unique Work Permits Register and
written on the certificate, respectively in the associated permit
Lifting Plans
For any non-routine or hazardous lifting operations, specific procedure has to be
used and all lifting plans shall be issued according this standard.
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Certificate No:
ELECTRICAL ISOLATION CERTIFICATE

WHITE - Worksite ; YELLOW - Permit Issue Point
1. APPLICATION (by Performer)

Name
Exact Location
Original Associated Work
Post
Worksite
Permit No.
Contractor/Dept
Equipment
Work Continuing
Signed
Date
on Permit No.
1
2
3
2. REASON FOR ISOLATION (by Performer)
3. DETAILS OF ISOLATION (by the Authorized Electrical Person)

ISOLATED
EQUIPMENT / SYSTEM
ISOLATION MEASURES THAT HAVE BEEN TAKEN
Applied Safety
Padlocks Nos
4. ISOLATION
5. DE-ISOLATION
Isolation Authorised by (Approver):
De-Isolation Requested by:
Name
Name
Signed
Time
Date
Signed
Position
Signed
Position
Time
Date
De-Isolation does not affect other work and is Completed and

Proved by.
Isolation Completed and Proved by:

Name
Isolation labels applied

(Yes / No)
Time
Name
Date
6. EXTENDED PERIOD ISOLATION
Signed
Position
Time
Date
This section to be completed when this Certificate remains in force without an

associated Permit.
Reason for EPI:

EPI ON. Cancelled Permit No.
EPI OFF. New Permit No.
Isolation transferred to EPI and recorded at Permit Issue Point
EPI transferred to Isolation and recorded at Permit Issue Point
Name
Name
Position
Signed
Time
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Date
Signed
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Certificate No:
MECHANICAL ISOLATION CERTIFICATE

WHITE - Worksite
YELLOW - Permit Issue Point
1. APPLICATION (by Performer / Permit Applicant)

Name
Exact Location
Original Associated Work
Post
Worksite
Permit No.
Contractor/Dept
Equipment
Work Continuing
Date
on Permit No.
Signed
2. REASON FOR ISOLATION (by Performer / Permit Applicant)
3. DETAILS OF ISOLATION (To be completed by the Affected Area Responsible)

VALVE/LINE No.
OPEN
SHUT
SPADE
4. ISOLATION
TAG LABEL No.
OTHER DETAILS: (Attach

Drawing if required)
De-Isolation Requested by:
Name
Position
Time
Name
Date
Signed
Name
Position
Time
Date
De-Isolation does not affect other work and is Complete and

Proved.
Isolation Complete and Proved:
Signed
D/CONN
5. DE-ISOLATION
Isolation Authorised by:
Signed
BLIND
Position
Time
Name
Date
6. EXTENDED PERIOD ISOLATION
Signed
Position
Time
Date
This section to be completed when this Certificate remains in force without an

associated Permit.
Reason for EPI:

EPI ON. Cancelled Permit No.
EPI OFF. New Permit No.
Isolation transferred to EPI and recorded at Permit Issue Point
EPI transferred to Isolation and recorded at Permit Issue Poi
Name
Name
Signed
Position
Time
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Date
Signed
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CONFINED SPACE ENTRY CERTIFICATE
Num ber:
Date:
WHITE - w orksite ;
YELLOW - Affected Area Responsible (Permit Rack)
1. APLICATION (by Performer)

Name:
Location:..
Associated w ork permits :
Function
Worksite:..
Equipment / Space to be entered
Cold Work Permit No.
Contractor
Hot Work Permit No:
Signature
to be checked by Affected Area Responsible and/or
Approver)
2. SAFETY PRECAUTION (by Performer)
Required
YES
NO
Checked
The above equipment has been isolated from all source of dangerous liquids, gases and fumes by insertion
of spades or by removing a section of pipew ork and blanking open ends of the circuit
Equipment has been isolated from all sources of electrical and mechanical energy
Isolation Certificates are attached Mechanical
Electrical
Equipment freed of all dangerous materials. All flushing/inert gas purging complete, all liquids drained out
Equipment surrounding area checked and safe from hazards arising from other w ork/operations
Life lines, breathing apparatus and resuscitation equipment available
Adequate access and escape routes are provided
Procedures and rescue plans established and discussed w ith the Performer, personnel entering confined
space and standby personnel
Standby personnel appointed
Name(s):
Natural ventilaton
Mechanical ventilation
Ex equipment
Safety harness
Breathing apparatus w ith external input
Independent Breathing apparatus
Periodic gas testing
Perform er Nam e (in capital letters) _______________________________________ Function __________________________
Signature :
Date :___________________
Hour :_________
3. TESTING THE ATMOSPHERE IN THE CONFINED SPACE

Repetition the initial test (as required or
compulsory if stays more than 1 ore inside
confined space)
Results of initial gas test

Gas
Oxygen %
%LEL methan
H2S (ppm)
Other
Lim its
20-21% VOL
0% LEL for HOT WORK
4% LEL for COLD WORK WITHOUT BA
10% LEL for COLD WORK WEARING BA
10 ppm
Results
%
%
%
%
ppm
I have tested this space for the above gases, w ith the results show n above
Gas Tester Nam e (capital letters) __________________________
Date :______________________
Signature :
Time ___________________
4. AUTHORISATION TO ENTER CONFINED SPACE
(by Approver & Affected Area Responsible)
I certify that the above measures and results indicate that the Confined Space is safe for entering and the intervals specified on the Permit
To Work associated w ith this Certificate are covered
This Certificate is valid until:
Date:
Time:
Approver
Name
Signature:
Date :
Time :

Name
Signature:
Date
Time
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Number:
EXCAVATION/DIGGING CERTIFICATE
Date:
WHITE - worksite ;
YELLOW - Affected Area Responsible (Permit Issue Point)
1. DESCRIPTION OF TASK (by Performer)
Location:
Associated work
Name:
..
permits :
Position
Worksite:..
Equipment used:
Cold Work Permit No.
Contractor
manual Hot Work Permit No:
altele
Signature
Details of excavation/digging: (Limits of excavation/digging to be shown on as-built drawings attached to this
Certificate)
mecanic
Details of existing underground services within or near excavation area:

pipe
cables
uneveness
lines
others:
attached drawings of the underground utilities (if available)
SAFETY PRECAUTIONS (by Affected Area responsible)
Cable detector to be used over proposed route

Pilot trenches to be hand dug to locate services
OTHER (list here):
Excavation may be carried out by mechanical means after pilot

trenches are completed, but no closer than 1m from the service
Shore-up (stabilize) the excavation walls
Remove the excavated land away from the site
Gas testing during work
Other underground services users announced
4. AUTHORISATION FOR EXCAVATING / DIGGING
Date:
Approv
er
Name
Signature:
Time :
Signature:
Time

Name
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Number:
RADIOGRAPHY CERTIFICATE
Date:
WHITE - worksite ;
YELLOW - Affected Area Responsible (Permit Issue Point)
1. DESCRIPTION OF TASK (by Performer)
Name:
Associated certificates and work permits :
Location:..
Position
Worksite:..
Start time
Date
Time
Contractor
Finish time
Date
Time
Signature
2. EQUIPMENT AND PERSONNEL REQUIREMENTS (to be checked by Permit Approver)
Radiological Safety Responsible: Name
CNCAN License
No
Equipment used
Type
Survey dosimeter
Type
Individual survey dosimeter
Type
Performing personnel
Valid authorizations
For gamma source: radionuclide, activity,date of measurement:
Phone no
Validity
S/N
S/N
S/N
Calibration date
Calibration date
YES
NO
Communication means between team members:

Radiological protection means for personnel and population
3. SAFETY PRECAUTIONS
No work shall be conducted, or equipment brought to the work area, until the work area has been inspected and a permit has been issued.
Operations shall be restricted to a designated controlled area, physically delineated in a clear and obvious way (cordoned off), and
under continuous surveillance during an exposure. Warning signs containing the standard Radiation trefoil must be present.
At least two radiographers or one radiographer and one radiographers assistant must carry out the work.
Each radiographer and radiographers assistant must be equipped with a survey meter and digital dosimeter.
After each exposure, a survey must be done to determine that the sealed source has returned to its shielded position in the case of
a gamma source or, for the case of an x-ray producing unit, that the beam is actually turned off
For the case of a gamma source unit, the entire circumference of the device must be surveyed as well as the entire length of the
guide tube.
At no time a gamma source unit or an x-ray producing unit is to be left unattended on Petrom premises or within any premise under
Petroms scope of work.
The gamma source unit is to be outfitted with: a warning label indicating that hazardous gamma rays are emitted when in operation,
a warning label prohibiting unauthorized use, the radiation trefoil, a key switch to prevent unauthorized use, separate warning
lights to indicate when the machine is energized and when gamma-rays are produced, a timer to control gamma-ray duration
For the case of an x-ray producing unit, the tube assembly must remain stable during operation
The control panel of an x-ray unit is to be outfitted with: a warning label indicating that hazardous x-rays are emitted when in
operation, a warning label prohibiting unauthorized use, the radiation trefoil, a key switch to prevent unauthorized use, separate
warning lights to indicate when the machine is energized and when x-rays are produced, a timer to control x-ray duration or switch
requiring continuous pressure to control x-rays
Each day that the equipment is to be used visual and operability checks must be performed on:
survey meters, radiation exposure devices and radiation producing machines, transport and storage containers, all associated
equipment, sources verified to be adequately shielded, required labelling is present on all equipment and on the boundary
In case of an emergency, the Safetz Radiological responsible and Petrom Representative (Approver, Affected Area Responsible
etc) must be immediately informed
An emergency kit must be available, including, but not limited to, a high range survey instrument, a first aid kit, a portable
communications radio, appropriate shielding, tongs at least 1.5 m long, hand tools, radiation warning labels and signs and plastic
No hot work is permitted near radioactive sources.
In addition to the conditions specified for this permit, all national regulations regarding industrial radiology must be adhered to at
all times
I confirm the above safety precautions are in place while work is performed
4. AUTHORISATION FOR RADIOGRAPHY
Approver
Name
Name
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Performer Signature
Date:
Time:
Signature:
Date
Time :
Signature:
Date
Time :
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GAS TEST RECORD

No.
Date
Associated Permit no
Location
Worksite
Equipment
I request a gas test for the above mentioned equipment or location
Name
Date
Time
Sign
TEST FREQUENCY AND RESULTS

DATE
TIME
Gas
Oxygen %
% LEL
%O2
Gas Tester Name
Sign
Lim its
20-21% VOL
BA- Breathing Apparatus
0% LEL for HOT WORK

%LEL methan
H2S
4% LEL for COLD WORK WITHOUT BA

10% LEL for COLD WORK WEARING BA
H2S (ppm)
10 ppm
GAS TESTING TO BE REPEATED EVERYTIME THE WORKSITE IS VACATED

PERFORMER
I accept the gas test report findings and accept the environment is safe for work to commence
Name
Date
Time
Sign
Time
Sign
AFFECTED AREA RESPONSIBLE

I agree the environment is safe for work to commence
Name
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Job Safety Analysis Record
Page
1/1
Job Safety Analysis Record
Doc ref:
Task/Process Assessed:
Revision:
Location:
Date:
Assessment Team:
Approved by:
RESIDUAL RISK
Current and Planned Barriers to

reduce Likelihood
Current and Planned Recovery

Measures to reduce Severity
Risk Level
Population
Affected
Risk Level
Loss
Category/
CONTROL MEASURES
List all Current and Planned Control Measures, taking into Account all
Contributing and Escalating Factors
Severity
INITIAL RISK
Severity
Activity
Steps
Hazard Description
and Worst Case
Consequences with
no Barriers or
Recovery Measures
in Place
Likelihood
HAZARD
Likelihood
Operation:
Categories:
Personnel
Automotive
Environment
Assets
Process
Reputation
Security
Performer has to fill in this JSA and Approver or Affected Area Responsible must verify it ; the JSA has to be accepted only if all are convinced that the correct
risk assessment and barriers are in place for the specific activity.
Once Permit to work signed for acceptance, Performer confirms that all the barriers identified in the associated JSA will be in place and applied.
1.5.
Sections of the JSA
The following can be used as a guideline for develop the key sections of the JSA:
Work Description (by Performer)
This section provides brief information on the work content.
Hazard assessment
The List of Hazards that may be encountered during the work.
Health Risk Assessment
A Health Risk Assessment (HRA) shall be included in the JSA. A separate

HRA form is not required.
Actions by Affected Area Responsible
The actions (for example isolations) that the Affected Area Responsible must
carry out before work can start.
Actions by Performer
The actions that the Performer must carry out, separated into:
Personal Protective Equipment,
Preparation activities
Precautions during the work.
YES
A JSA is required if for any of the following questions where the answer is
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System / Equipment Area

Does it involves working at heights?
Does the system/ equipment contain hydrocarbons?
Does the system/equipment contain toxic gas or asphyxiating gas?
Does the system/equipment contain a corrosive fluid?
Does the system/equipment contain high pressure fluids or gases?
Is high voltage electricity involved?
Does the work involve complex or heavy lifting operations?
Is the job to take place in a confined space?
Does the job involve exposure to high or low temperatures?
Work Content
Is it a low frequency job or job that has never been done before?
Have there been previous incidents when performing similar work?
Is there a single valve isolation system?
Does work involve or create sources of ignition within a hazardous area?
Does the work involve multiple professional disciplines or a large group of
people?
Does the work conflict with platform standing instructions?
Does the job involve working outwards platform handrails instead of using a
properly approved scaffold?
Is the job sensitive to climatic conditions (wind, heat, cold, daylight, lightening,
etc.)?
Is the work to be done in a remote location?
Additional factors
Does the work affect escape and evacuation routes or systems?
Will the job inhibit a safety system?
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Annex no. 14
PTW System practical Guide
A) Generally, the following main steps are to be applied :

1. ASSET / SECTOR management has to communicate to PERFORMER the Permit
Issue Point location where they have to apply for it, together with the
description of work to be done (recommendation is : via Work Order)
2. PERFORMER applies for Permit, initiates JSA and goes/sends them to
APPROVER after the boxes no. 1 to 3 of the PTW were filled in
3. APPROVER identifies the hazards for the worksite / the specific work, assesses
the risks, verifies if the mitigation measures are in place and assures that the
work site is prepared under supervision of AFFECTED AREA RESPONSIBLE
(Certificates issued, gas tested, if needed)
4. APPROVER verifies the PTW, attached JSA and Certificates and signs (approves)
it. The PTW will receive an number from the Unique register and a copy will be
visibly posted at the Permit Issue Point (all the valid Permits should be posted
there)
5. PERFORMER takes over the site after checking the site condition (gas tests,
isolations, etc., if needed), accompanied by AFFECTED AREA RESPONSIBLE
(AAR)
6. AAR signs the PTW for validation
7. PERFORMER signs the PTW for acceptance. A PTW copy will be posted on work
site, together with all certificates.
8. PERFORMER informs the working team about PTW, JSA requirements and
starts the work
9. After work completion, the copies of the permit and any additional Certificate
shall be gathered and returned to the APPROVER. The copies must be signed off
by the PERFORMER and the AFFECTED AREA RESPONSIBLE to indicate
completion, subject to worksite inspection.
10. For the case of work suspension everyone involved will act as it is described
below
B) Permit Issue Point
The Permit Issue Points must be clearly listed by the Sector Manager/Offshore
Installation Manager/ Facilities (outside Sector responsibilities) Manager (their
deputies).
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The number and locations of Permit Issue Points are at his discretion, but must ensure
an appropriate efficiency of running this PTW system within the Sector by : the
effectiveness and easiness of obtaining the PTW forms by any Performer, of obtaining
the necessary approvals at any time, the real possibility of checking the work sites by
the involved persons etc).
It is recommended that display equipment to be provided at each Permit Issue Point.
This equipment consists of a Permit Location and Isolation Board and a Permit Rack.
The person nominated as potential Approver / Affected Area Responsible must ensure
that the Permit and Isolation Displays are kept up to date to show the current work in
the Area he is responsible for.
The information available on the displays at the Permit Issue Points must show :
a.
current maintenance and engineering work in the area, so that conflict between
activities can be avoided
b.
equipment which is isolated, and not available for operational use
c.
isolation boundaries around equipment which is being worked on, which must be
kept secure to avoid damage to equipment and injury to personnel
The Display is made up of two main elements:
The Permit Rack.
The Permit Location Board and Isolation Display.
The Permit Rack is a rack into which Permits and Isolation Certificates can be placed. It
is divided into vertical sections to separate Permits for different sites (areas). These
vertical sections are divided horizontally to separate Permits at each different status, as
follows:
a)
Planned /
Authorised
b)
c)
Validated:
Suspended:
d)
Extended Period
Isolations:
Permits which have been :

- filled by Performer but not yet Authorized , or /
- Authorised, but have not yet been Validated for work
to start.
All Permits for which work is actually in progress.
Permits for which work has started but is not currently
in progress and has yet to be finished.
Permits which have been Cancelled, but the Isolation is
retained for a justified reason
NOTE : In an exceptional case when a Permit Rack cant be used, similar folders
organizers must be used. In this case, the Approvers must ensure an easy access to the
folders of any interested person, for a correct and effective information.
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Permit Location Board and Isolation Display is a large plan of a plant/unit/facility

showing all possible locations for work, together with outlines of hazardous areas and
major items of equipment. It also has boxes to indicate work in areas from outside and
on connected wells. Wherever possible, the Board should be attached to the wall of
the Permit Issue Point location so that the orientation of the Board and the plant are the
same.
Permit Work and Isolations are marked up on this Board as follows:
PERMIT WORK : The locations of the worksites are shown with coloured magnetic
markers indicating the Class of the Permit:
RED Hot Work Permits
BLUE Cold Work Permits
ISOLATIONS : when an equipment is isolated, a red coloured peg is to be inserted in
the drawing of that equipment on the Permit Location Board. A label hung from the
peg will show the Permit/Isolation certificate number. Where there is more than one
isolation on an equipment, additional labels will be added.
For well isolations, a red peg in the well box with the well number indicated will show
which wells are isolated. If an isolation becomes an Extended Period Isolation, the red
peg is to be replaced by a green one.
Markers are also provided to show where Fire and Gas Detection Systems are
isolated/inhibited for maintenance work
Appropriate Hazardous Zone Identification Drawings are recommended to be kept at
each Work Permit Issue Point.
C) Permit files
Files of a Permit have different colour, as follows:
Original
1st Copy
2nd Copy
WHITE
YELLOW
GREEN
- Worksite Copy
- Permit issue Point (Rack) Copy
- Approvers Copy
An unique registration number will be given in the Unique Work Permits Register
(Annex 15) and written on the permit.
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The Permit form is divided into Boxes which cover the following parts of the life
cycle of the Permit:
Box
No
Function of Box
To be filled out by:
1*
2*
3*
4a
4b**
5a
5b
5c
6a
6b
APPLICATION
and
Work
Description
Certificates attached to the Permit
Gas Testing Requirements
AUTHORISATION of the Permit
AUTHORISATION of the Permit
VALIDATION of the Permit
ACCEPTANCE of the Permit
SUSPENSION of the Permit
CLOSURE
CLOSURE
Performer
Performer
Performer
Approver
Civil Fire Brigade
Affected
Area
Responsible
Performer
Performer
Performer
Affected
Area
Responsible
*
- Evidences of information filled in these boxes to be checked by Approver, in
case of Hot Works also by Fire Civil Brigade, and approved as suitable by
signing box 4a, respectively 4b for Hot Works
**
- For Hot Work Permit only
For each activity involving hot work, it is mandatory to nominate at least one
competent person as Fire Watchman. He must be aware of his responsibility and know
the obligations he has during hot work operations. He must be trained on basic
knowledge of fire fighting by a certified person or authority
The fire watchman shall have at least one adequate fire-extinguisher (type and capacity
appropriate for the scope of work) and must know the location of the nearest firefighting equipment.
The fire watchman shall remain at the location of the hot work activity throughout the
works and shall permanently check the adjacent area in order to make sure that the
sparks produced during the works do not produce the ignition of combustible material
and do not affect any other equipment in the area.
If the Performer has no capability to assign this task to a member of the working team,
the Approver must designate one person acting as fire watchman in the area where hot
work activities take place.
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4.16.2
4.16.1
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4.16.14
4.16.13
Permit
Yes
Work
Finished?
No
4.16.10
Suspend
Permit
Performer
4.16.7 4.16.9
Annex 14
Close
Permit
still
Authorized?
4.16.5
Carry Out
Work
Performer
Standard
Performer /Affected
Area Responsible
No
Yes
Accept
Permit
Re-Validate
Permit
4.16.12
Performer
4.16.5
Accept
Permit
Validate
Permit
4.16.4
Performer
Affected Area
Responsible
Affected Area
Responsible
4.16.4
Prepare
Worksite
Affected Area
Responsible
Document Class
Archive
Permit
Approver
Brief
Work Party
Authorise
Permit
Apply for
Permit
4.16.3
Performer
Approver
Performer
(Permit applicant)
The Life Cycle of a Permit
Regulation Class
4.16 PERMIT TO WORK CYCLE (both Cold and Hot Work)
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Annex 14
4.16.1
Applying for a Permit - Boxes 1 to 3
4.16.1.1
Obtaining and Filling in Permit Forms
Departments/Contractors who apply for Permits will obtain the appropriate forms from
Permit Issuing Points.
The Permit is divided into sections, called boxes in this Procedure. Where any box on
a Permit form is not used, it shall have a line drawn through it. Boxes must not be left
blank. Do not write information outside these boxes.
There are a number of tick boxes on the Permit (e.g. Haz Zone 0 ) to indicate area
classification, gas test options etc. These are to be ticked with clear ticks when
required.
Permits must be completed in ball-point pen, to ensure that all copies of the Permit can
be read easily. Pencil must not be used.
NO changes to the wording on a Permit are allowed. If changes are required, a new
Permit must be raised. The only exception is correcting small mistakes, where the
mistake is crossed out and the change initialled by the Performer and Approver.
Additions to the work scope are NOT ALLOWED under any circumstances. If an
addition to the work scope is required, a new Permit is to be raised. It is at the
Approvers discretion whether an additional period of time is required before he
authorises the new Permit and whether the additional work scope requires an
additional site visit.
4.16.1.2
Box 1 - Application and Work Description
Performer Details
The Performer can be the supervisor, the representative, or the chief of the team doing
the work, or can be the single worker who performs the job. He is the one who pass
through the permit application process.
The Performer will fill in the Boxes 1-3 of the Permit by entering the following
information into the appropriate boxes:
Application and Work Description
In Box 1 of the Permit, write:
the location of the Work (e.g. Compressor Station.), the Worksite (the exact place
in the Facility where the work is to be done; e.g. Compressor no.) and the exact
equipment which is subject of the work (e.g. Inlet valve on cylinder no..). In case
the work is to be done outside the boundaries of a facility (eg: work on pipelines
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between facilities or between well and park, or works at well sites), the Location will
be the name of the facility to whom the worksite belongs, or the downstream facility
performers Name and signature
for Contractors, the name of the Company
the number of the Work Order ; this is very important, as it is used to link the permit
to the daily working schedule
the Hazardous Area Classification of the worksite (advice from the Approver/ Affected
Area Responsible)
whether the work involves working with naturally occurring radioactive materials
(NORM) or in a NORM Restricted Area
whether the work is in an H2S Facility (advice from the Affected Area Responsible) ;
and, if known, the PPM (parts per million) figure of the maximum expected level
the planned time for the work including preparation
whether vehicle access to a Process Facility will be required
the type of the area where the work is to be done
The numbers of any Permits for other parts of the work (in the Associated Permit
Numbers box). This will include any previous Permit for the work.
a precise description of the work to be done, including the equipment to be worked
on and tools to be used
any special equipment to be used, especially if it may introduce a hazard
the appointed fire watchman for the Hot Works ; this person must accept the task by
signing and filling the date and time ; if the Performer cannot appoint one, the
Approver must appoint a competent person
In case of Hot Works, two more sets of information shall be provided:
measures to be taken by the Performer

measures to be taken by the Affected Area Responsible
The Work Description must include enough information to allow Approvers to identify
the hazards involved in the work and the Precautions necessary to control them.
NOTE : General description of the work will not be accepted (eg: Compressor
repair, or Well. roll-out). The description must highlight the direct and effective
intervention over the above mentioned equipment (Check inlet valve on cilinder
no., or Replace coupling between driving engine and centrifugal pump..)
A single Permit must not be used for a sequence of separate equipment where each
equipment will be shut down, worked on and put back into service whilst the other
equipment remain in service. This is to avoid confusion over isolations. The only
exception allowed is work on electrical or electronic systems, such as lighting, which
can be isolated and worked on in sequence.
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NOTE : When a Permit is written for fault finding, it is important that the work
description does not allow the work party to proceed with repair activities without
the risks involved being assessed. The work description shall include:
A description of the fault to be investigated.
A description of the types of fault finding work that may be done.
The point at which work should stop, so that a further Permit for the repair can
be raised.
4.16.1.3
Box 2 Certificates
The Performer shall attach the following certificates/documents to the Permits if

they are required:
Electrical Isolation
Excavation
Additional Gas Test record
Radiography
Lifting Plans
The Performer shall tick the column to show which Certificates are attached
and, then, write the number of each certificate in the Certificate Number(s)
column.
NOTE : If more than one Permit is to be worked on within the same isolation
boundary, the isolation for each permit is to be recorded separately on its
Isolation Certificate. This will minimise the risk of an isolation being removed
before all work is complete.
4.16.1.4
Box 3 - Gas Testing Requirements
A Gas Test is required whenever:

Hot Work is to be done in an area where hydrocarbons or other flammable
gases/vapours may be present.
Entry is to be made into a Vessel or other Confined Space.
Work is at a place where toxic gases/vapours may be present.
When a Gas Test is required, the Affected Area Responsible is to:
Tick the gases to be tested for.
Indicate the tests frequency, how often the test is to be repeated.
State if continuous monitoring for gas is required during the work.
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NOTE : The requests regarding gas testing will be checked by the Approver. The Gas
Test Results will be recorded separate in the Gas Test Record form (for Confined
Space Entry will be recorded in the respective Certificate).
4.16.2 Authorisation and Co-ordination Box 4
4.16.2.1
Box 4a and 4b - Authorizing the Permit
When Boxes 1-3 of the Permit have been filled in, the Performer is to take the
Permit and Certificates to the appropriate Approver for Authorisation.
NOTE : Approvers require notice of a Permit to allow time to discuss the work
and, for higher risk work, for examination of the worksite. For this reason, a
good work planning is required (it is recommended that the work schedule to
be prepared one day in advance). The Approver may allow shorter notice
periods for essential unplanned work.
Before Authorising the Permit, the Approver must check that:
The Permit received an unique number.

All necessary information has been written in Boxes 1-3, and that the
information can be understood easily.
The Task Description is correct and sufficient for the work to be done.
A JSA is attached and identifies all hazards that may affect the work, and the
controls required to ensure that the work can be done safely. Extremely
precautions must be taken in case of Hot Work
The Isolations required have been identified in conjunction with the competent
personnel (Affected Area Responsible and/or Authorised Electrical Person) and,
where necessary, the Performer, and have been written on the Isolation
Certificate
The need for any Isolation or other Certificates has been identified, and they
have been attached to the Permit, with their numbers written in the Permit.
Any gas testing requirements have been listed in Box 3 and are correct for the
types of gas releases that might occur during the work.
Measures taken by both performer and Affected Area Responsible are
appropriate and comply with the controls required by JSA
If additional Preparations or Precautions are required, the Approver is to add them to

the JSA and ensure they are agreed with the Performer.
If too many changes are needed to a Permit or other documents required for the work,
the Approver may reject the Permit, and ask for a new one to be written. The
Performer should be informed of what was wrong with the first Permit.
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For Hot Work Permits, the Approver may consider to examine the worksite, normally
with the Performer, to ensure the work is fully described on the Permit and that all
safety aspects have been considered. For Cold Work Permits the Approver need not
examine the worksite unless he considers this necessary.
Once he is satisfied that the Permit is correctly written for the work, the Approver is to
set an Authorisation period for the Permit and to fill the box 4 (for cold work permits),
respectively 4a (for hot work permits).
The Approver is then to write his name and position, and sign and date Box 4.
In case of Hot Works, the Performer is to take the Permit and Certificates to the
appropriate Civil Fire Brigade for Authorisation. The Authorisation process is identical
as described above.
For Hot Work permits, the Approver will fill and sign box 4a, the Civil Fire Brigade will
fill and sign box 4b. Both authorisations are mandatory.
Once a Permit has been Authorised by the Approver, the only changes that can be
made to it are the addition of new controls to the JSA. These changes are only to be
made by the Approver or the Affected Area Responsible. Deletion of controls is not
allowed. If any changes to controls are made, the Performer is to be informed.
The Performer is then responsible for ensuring that the rest of the work team, or
himself, is fully briefed on the work content, precautions required and the requirements
of the JSA.
NOTE : NO ONE MAY AUTHORISE A PERMIT FOR WORK THAT THEY WILL DO
THEMSELVES
4.16.2.2
Safety Co-ordination by Approver
The total workload at each location will be reviewed at the daily planning meeting for
the Sector. This shall identify and eliminate any possible conflict situations. However, it
is most important that the Approver looks in detail at the Permit requests for the
following day, and eliminates any safety confliction situation.
Each day the Approver is to review the work for each location for the following day,
using:
The daily working schedule
Permits for any additional work that is urgently required.
Lists from Performers showing which Permits have not been completed and will be
required the following day.
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The Approver is to identify any potential conflicts between activities, and decide which
Permits may be validated for work the following day.
The Approver is to re-check the list of Validated Permits for each location before start
of work on the following day, in that situation when the planning process allows the
preparation of the works and, respectively, the issuing, authorisation and validation in
advance of the respective permits
Hot Work Permits in a Hazardous Area will only be validated if the Affected Area
Responsible will remain at the worksite when work is underway.
There will be a further check for confliction situations by the Affected Area
Responsible, when Permits are validated. (See section 4.16.4)
4.16.3 Briefing of the Performer (work party)
When the Permit is Authorised, it is returned to the Performer. If a working team is

considered to be the Performer, its representative (chief) must then brief the rest of the
working team on the work and hazards, and how these will be controlled, using the
JSA. The Performer is then to take the Permit, Certificates and JSA to the Affected Area
Responsible for Validation, after any necessary Isolations.
It is essential that the Performer brief the Affected Area Responsible on the scope of
the work that is to take place. The Affected Area Responsible is to be absolutely certain
of the scope of the work before allowing any work to commence
See more details on section 4.16.7 Briefing the Work Party (working team) the
Toolbox Talk
4.16.4 Co-ordination and Validation - Boxes 5a
Permits must be Validated by the Affected Area Responsible, before work can start.
Before Validating a Permit, the Affected Area Responsible must carry out a check for
safety conflicts which may occur between activities. To do this he must:
Check that there are no other conflicting activities, which may be operational,
covered by other Permits, or covered by Handover Certificates etc.
Mark the location of the work on the Permit Location Board.
When the Affected Area Responsible is sure that the work will not cause a conflict, he
is to convince himself that the worksite is safe for the work. To do this, he must:
Do any preparations, for which he is responsible and competent, required by the

JSA to make the worksite safe for work to start.
Where required, examine the worksite with the Performer to ensure that the
Performer preparations, as required by the JSA, have been completed to make the
worksite safe for work to start.
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If an isolation is required and has not already been completed, do the Isolation,
and complete the Isolation Certificate/Box 2 of the Permit as appropriate.
If a Gas Test is required, do this immediately prior to Validation of the Permit, with
results recorded in Gas Test Record form.
Ensure that the Performer understands the work and the precautions which are
required.
When satisfied that it is safe for work to start, the Affected Area Responsible is to
Validate the Permit.
Hot Work Permits should only be Validated if the Affected Area Responsible will remain
in the area of the work when work is underway.
4.16.5 Acceptance by the Performer - Box 5b
When satisfied that the worksite is safe, the Performer is to sign Box 5b of the Permit in
the presence of the Affected Area Responsible.
NOTE : The Performer cannot be the same person with Affected Area Responsible
The Performer has the right to refuse to sign the Permit Acceptance until he is satisfied
that the worksite is safe.
By signing the Permit the Performer is agreeing to the following:
That he fully understands the work and precautions.
That all members of the work party are fully briefed.
That the JSA will be complied with, by understanding and applying of the control
measures proposed by himself, but also the acceptance and applying the
supplementary control measures, proposed by the Approver or the Affected Area
Responsible, whichever the Performer is responsible and competent to apply.
NOTE : The control measures for which the Performer is not responsible and/or
competent to apply (egg: electrical isolation, free access-evacuation ways, initial gas
detection etc) must be applied by the Affected Area Responsible and the Performer
must ensure they were applied. All considered measures must be filled in the JSA
and/or the Permit
That the Permit will always be displayed at the worksite when work is in progress.
That no work will be done unless the Affected Area Responsible has validated the
Permit.
That the worksite will be left in a safe condition on completion or suspension of

work.
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The Performers Permit acceptance signature must appear on both the Worksite and
Permit Rack copies of the Permit. This means that:
When work is in a facility, the Affected Area Responsible shall put the Worksite and
Permit Rack copies (white and yellow) of the Permit together for the Performer to
sign.
Where the worksite is remote from the Permit Issue Point, and a worksite
examination before work starts is required, the Affected Area Responsible is to take
the Worksite and Permit Rack copies (white and yellow) of the Permit to the
worksite where the Performer can sign them.
Where the worksite is remote from the Permit Issue Point, and a worksite
examination before work starts is NOT required, the Performer is to sign the
YELLOW copy of the Permit before leaving the Permit Issue Point, to indicate that
he intends to start work. He is to sign the worksite copy (WHITE) of the Permit at
the worksite, when he is convinced that it is safe for work to start
The Affected Area Responsibles verbal approval is to be obtained before one
Performer hands over responsibility for a Valid Permit to another Performer. The new
Performer is to accept the Permit requirements by signing the next line in box 5b.
When remote sites are involved, the new Performer is to contact the Affected Area
Responsible for verbal approval and sign the worksite copy (white), the Affected Area
Responsible is then to write the name of the new Performer in box 5b of the Permit
Rack copy (yellow).
During the handover briefing, the outgoing Performer shall brief the new Performer on
the topics suggested in Section 4.16.7 (briefing of the work party).
No work can take place under the Permit until:
The Permit has been Validated.
The Performer has signed to accept it.
The Permit is displayed at the Worksite.
4.16.6 Actions after Validation
When the Permit has been signed by both the Affected Area Responsible and
Performer, the top copy (WHITE, worksite) should be given to the Performer, together
with the correspondent copy (WHITE, worksite) of any associated Certificates. The
Performer is responsible for ensuring that the Permit and JSA are placed in a
protective wallet, displayed in a safe position at the Worksite where it can be seen
clearly, and is kept there whilst work is being done.
NOTE : No work is to be done unless a validated Permit is clearly displayed at the
worksite.
Work may now start, following briefing of the workforce (see Section 4.16.7 below).
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The Affected Area Responsible is to place the YELLOW copy of the Permit, together
with all copies of any associated Certificates in the VALIDATED section of the Permit
Rack.
4.16.7 Briefing the Work Party (working team) the Toolbox Talk
Toolbox talks are short briefings given by the Performer to all who are
involved in the work controlled by a permit. These briefings are given before the
work commences and during the work time, as is necessary. The Performer is to
ensure that himself and/or the work team is fully aware of the Work Content and
Precautions to be taken.
Toolbox Talks are given for:

All non-routine jobs.
Routine jobs when personnel are unfamiliar with the location or the tasks
to be undertaken.
In cases where personnel may have difficulty reading or understanding
the Permit, or Certificate, or safety conditions associated with a job.
Toolbox talks:
Discuss the hazards of the job.
Explain the plan for the activity
Identify individual responsibilities
Review the procedures to be used during the work.
Topics that are covered by Toolbox Talks include:
The work to be undertaken.

The work plan and work safe methods to be used to do the work safely.
What individuals in the work party will actually be doing during the
completion of the work.
Particular skills of individuals involved.
Access and Evacuation procedure refreshers.
The work environment and any particular hazards that have controls.
The work description of the Permit.
The JSA precautions, protection and Worksite preparations.
The equipment involved.
The materials to be used.
Any isolations which need to take place.
Any potential conflicting activities.
Questions from personnel.
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4.16.8 Supervision of the Work
Throughout the work, the Performer is responsible for ensuring that all members of the
work team comply with the requirements of the Permit. The Performer must remain at,
or in close visual contact with the worksite at all times.
Note that the JSA is the most useful tool to ensure work is carried out safely at the
work location. It needs to be applied diligently at every stage of the job.
4.16.9 Gas Test Record
Gas Testing and Monitoring are to be done as required by Box 3 of the Permit.
Any Authorised Gas Tester may carry out gas tests required during the day.
The results of the Gas Test are to be recorded in the Gas Test Record form, except
for Confined Space results, which are to be recorded on the Confined Space
Entry Certificate.
Gas Tests are to be done before work starts, and at the frequency stated on the
Permit. An extra test is required before work re-starts, if the worksite is left
unattended for more than one hour.
In addition to Gas Testing, continuous monitoring may be required. This will
have been specified in Box 3 of the Permit. A Performer may supervise work for
which continuous gas monitoring is required without being licensed as a Gas
Tester. He must, however, have been trained in the use of the gas detector.
If gas or other hazardous atmosphere is found at any stage, work must stop. The
Permit is to be suspended as described in Section 4.16.10, below. The Approver
must be informed immediately.
4.16.10 Suspension of Work - Box 5c
4.16.10.1 Reason for Suspension

A Permit must be suspended if any one of the following occurs:
A) An unsafe situation develops which requires the work to be stopped, for

example:
A Reportable Incident occurs during the work.
A Gas or Oil leak occurs near the work.
Anyone suspects that an unsafe situation exists. In this case he has the
Authority and Responsibility to stop the work.
B) The work is delayed or interrupted for more than 8 hours, for any reason.
C) The Authorisation or Validation period expires.
D) The work needs to be stopped to allow conflicting work of a higher priority
to proceed. In this case the Performer is to be instructed to stop work by the
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Approver/Affected Area Responsible and is to be informed of the reasons. It is the

responsibility of the Affected Area Responsible to ensure that it is safe to stop work
and leave the Worksite in its current condition.
E) The equipment is to be de-isolated so that it can be tested after being
worked on.
4.16.10.2 Box 5c - Permit Suspension
NOTE : This box to be filled in exceptional situation ONLY.
When a Permit is to be suspended, the Performer is to take the following actions:
Check that the Worksite and equipment affected by the work have been left in a
safe condition.
Sign Box 5c of the WHITE copy of the Permit to confirm that work has been
suspended.
Take the Permit to the Permit Issue Point, sign the YELLOW copy and give it to the
Affected Area Responsible who will keep it there until ready to re-start work.
If work is not complete, but cannot re-start until after the Permit Authorisation period
has expired, the Permit is to be Closed by Affected Area Responsible, by signing it off
in Box 6b - Work Not Completed. Isolations may be retained under the Extended
Period Isolation procedure described in Section 4.18.11.
It is not necessary/mandatory to suspend a Permit before it is Closed.
Once a Permit has been SUSPENDED no work covered by that Permit may be done
until the Permit has been Re-Validated as described in Section 4.16.12, below.
Worksite and Permit Issue Point copies of all suspended Permits are to be kept in the
SUSPENDED section of the Permit Rack.
4.16.10.3 Stoppage and Re-Starting of Work following an Alarm in a Facility
Stopping Work
In the event of an emergency situations, or alarm, at the worksite, all PTW in effect are
to be considered as no longer validated,
All work is to stop immediately in such situations in any facility. Each Performer is to
ensure that his worksites have been left in a safe condition, without endangering the
lives of personnel, and is then to evacuate the site as quickly as possible.
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If the unplanned stoppage of work may cause a dangerous condition, the work party is
to take the emergency actions stated on the JSA.
Re-Starting Work
If the Alarm was not caused by an actual alarm condition, the Affected Area
Responsible may verbally re-authorise each Performer to re-start work once the
all clear signal is given.
Where the Alarm was caused by an actual alarm condition, the Affected
Area Responsible must revalidate all permits. A further Worksite examination is
required if the problem which caused the alarm could have changed conditions
at the worksite.
If conditions changed and the precautions are no longer correct or
appropriate, the permit must be closed by the Affected Area Responsible and a
new permit to be issued
4.16.11 Changeover of Personnel
4.16.11.1 Changeover of Affected Area Responsible During Validation Period of

Permit
When a new Affected Area Responsible takes over (on shift changing, or in other
situations) he must re-validate all Permits in his area. For those within his facility and
the immediate area, he will visit the sites and sign both copies in Box 5a. For Permits at
remote locations he will sign the YELLOW copy at the Issue Point when he takes over
and the worksite copy (WHITE) when is returned.
4.16.11.2 Change over of Performer
Within a Process Facility, the new Performer must obtain the Affected Area
Responsible verbal approval to change and sign Box 5b of both copies
(WHITE and YELLOW) of the permit.
At remote locations, where he is unable to contact the Affected Area
Responsible, he must sign the worksite copy (WHITE) when he takes over
and the YELLOW copy when he returns to the Permit Issue Point. The
outgoing Performer is not to leave the worksite until he has fully briefed
the new Performer and the new Performer has signed to accept the Permit
in his presence.
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4.16.12
Permit Re-validation - Boxes 5a & 5b

The Re-validation process is exactly the same as the Validation and acceptance
process described in Sections 4.16.4 & 4.16.5, although the requirement for
worksite inspections may differ
If the Affected Area Responsible changes during the work period the new
Affected Area Responsible is to Re-Validate all Permits in his area. This is done
by signing ALL the YELLOW copies at the Permit Issue Point. For Hot Work
Permits he must examine the worksites and sign the Worksite Copy of each
Permit. For Cold Work Permits the Worksite Copy is to be signed by the new
Affected Area Responsible on the return of the Worksite Copy to the Permit
Issue Point.
After Re-validation of the Permit, the Performer is to satisfy himself that the
Worksite is safe, and sign Box 5b to accept the Permit.
Once all spaces for Re-validation have been used, a new Permit is required.
4.16.13 Permit Closure Boxes 6a) and 6b)
4.16.13.1 Requirements for Closure

A Permit is to be closed when any of the following occur:
The Work is complete.
The Work has not been completed, but a new Permit is required.
The Permit has reached the end of its Authorisation Period.
The Work is to be suspended until a date after the Permit Authorisation Period,
e.g. when spares will be required to repair an item of equipment.
The Work to be done is found to be different from the Work Description on the
Permit - a new Permit must then be obtained for the work.
4.16.13.2 Boxes 6 a) and 6 b)

Box 6a PERMIT RETURN BY PERFORMER
Box 6a is to be used when the Work has been COMPLETED.
Box 6a is also to be used when the Work has NOT BEEN COMPLETED, but a new
Permit is required. (e.g. because the work will continue past the authorisation dates on
the Permit, or the work to be done is found to be different from the Work Description
on the Permit).
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Box 6a of the WHITE and YELLOW copies of the Permit is to be signed by the
Performer if the work is complete, to confirm that the work has been properly done.
Box 6a of the WHITE and YELLOW copies of the Permit is to be signed by the
Performer if the work has stopped, but is not complete.
A signature in the box confirms that the worksite has been left in a clean and safe
condition, with all tools and equipment removed.
When Box 6a has been signed, no further work may take place under that Permit.
Box 6b PERMIT CLOSURE BY AFFECTED AREA RESPONSIBLE
Box 6b is to be used where:
the Permit has reached the end of its Authorisation Period.
the Work is to be suspended until a date after the Permit Authorisation Period.
Where the work is in a Process Facility, the Affected Area Responsible shall do a
Worksite inspection and sign in Box 6b, to ensure the Worksite has been left in a clean
and safe condition.
When he is satisfied that the Worksite has been left in a safe condition the Affected
Area Responsible is to complete and sign Box 6b of the WHITE and YELLOW copies of
the Permit.
Before signing Box 6b, Isolations must be removed or converted to an Extended Period
Isolation.
If the Isolations are removed, the Isolation Certificate must be signed off by the
Affected Area Responsible to confirm that ALL Isolations have been removed.
For Isolations left in place, the Isolation Certificate must be converted to an Extended
Period Isolation (EPI) by completing Box 6 of the Isolation Certificate. The Affected
Area Responsible is to write all the details of the Isolation on the Certificate, and
convert it to an EPI by filling in Box 6 of the Isolation Certificate. The number of the EPI
Isolation Certificate is to be written in Box 6b of the Permit (Isolation retained under
certificate no.)
When Box 6b has been signed, no further work may take place under that Permit.
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4.16.14 Permit Return and Archiving
On completion of work, the WHITE and YELLOW copies of the permit and any
additional Certificate shall be gathered and returned to the Approver.
The copies must be signed off by the Performer and the Affected Area
Responsible, to indicate completion, subject to worksite inspection.
All other parties involved (eg: those who made aware of the work), shall be
informed about work completion.
The Approver must ensure that Worksite (WHITE) copies of all Closed Permits
and associated documents (JSA, Certificates etc.), all completely signed off, are
kept in an archive file for a period of six months.
Other copies of the documents are to be disposed off.
There is to be a separate file for each month, with the documents sorted by
Closing date.
1. PERMIT PROCESSING PROCEDURE
The following steps summarise the Permit Processing Procedure described in
this Section, together with the use of the Permit Issue Point Facility.
1.
APPLICATION
The
Performer Subject of action:
will:
EXAMINE
Worksite to check work and identify hazards (except for
Cold Work Permit at remote sites with no risk from
overhead lines, buried services etc)
COMPLETE
Performer's parts of the Permit.
COMPLETE
Performer's parts of PTW System Certificates (Isolation,
etc.) and attach to Permit.
PRODUCE
JSA and attach it to Permit.
GIVE
Completed documents to Approver.
2. PLANNED PERMITS
The
Approver Subject of action:
will:
CHECK
Performers details and dates proposed for work.
ENTER
The Permit unique number into the Unique Work
Permits Register and mark as Planned
EXAMINE
Worksite with Performer, if required (Hot Work), to
confirm protection and precautions are suitable for the
conditions.
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3. AUTHORISATION
The
Approver Subject of action:
will:
CHECK
Correct certificates are attached.
Permit and Certificate boxes are correctly completed.
If another custodian is affected, if so, to be formally
informed about the scope of work
JSA is correct for the work.
IDENTIFY
If an Isolation is required and nominate competent
person to identify isolation points.
SET
Authorisation period for Permit.
SIGN
Permit and Certificates to Authorise them.
GIVE
Permit and certificate copies to Performer (keep GREEN
copy in file).
CHANGE
Permit status in Unique Work Permits Register to
Authorised, having checked for possible conflicts with
other work.
NOTE : In case of Hot Work, the Civil Fire Brigade will perform the same
authorisation process and will sign the Hot Work Permit in box 4b
4.
PREPARATION
The
will:
BRIEF

The working team on the work and Hazards.
5. PREPARATION
The Affected Area Subject of action:
Responsible will:
OBTAIN
Permit and Certificates from Performer, place in the
Authorised section of the Permit Rack.
WRITE
Any isolation details and any other supplementary
control measures on the respective Certificates
CHECK
For any conflict if the isolation or work is done. Do not
allow the isolation or work to proceed if there may be
a safety conflict.
DO/CHECK
The isolation, attaching locks and tags (involve
appropriate isolation authorised persons), other
required measures (gas testing, ventilation, other
custodians notification etc)
RETURN
To the Permit Issue Point.
SIGN
The Certificates for completion and checking.
PLACE
Certificates in the Authorised section of the Permit
Rack with the Permit.
MARK
The isolations done on the location board with correct
colour pegs and labels.
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6. VALIDATION
Responsible will:
CHECK
All isolations are correctly displayed on location board
and signed up on the certificate.
CHECK
For any conflicting work on the Permit Location Board.
INSPECT
The worksite with the Performer (if required) taking the
Permit, the JSA and the Certificates with him.
PREPARE
Worksite as required by JSA.
CHECK
All preparation controls on the JSA are in place,
initialling each control in the Affected Area
Responsible section of the JSA .
SIGN
The Permit to VALIDATE it.
OBTAIN
Performers signature to ACCEPT the Permit and JSA.
GIVE
The WHITE Permit and WHITE certificate copies to the
Performer to display at the worksite.
RETURN
PLACE
The marker on the location board, at the location
where the work is performed.
PLACE
The YELLOW Permit copy in the VALIDATED section of
the Permit Rack together with YELLOW Certificate
copies.
7. BRIEFING
The
will:
BRIEF
The work party on the job, the hazards, the
precautions and the actions to take in the event of an
emergency.
PLACE
The WHITE Permit copy, JSA and WHITE Certificate
copies in a protective wallet and display it at a
prominent position at the worksite.
NOTE : THE WORK MAY START AFTER THE PERFORMER HAS FULLY BRIEFED
THE WORK TEAM AND DISPLAYED THE PERMIT
8. SUSPENSION
The
will:
CHECK
The work site has been left clean and safe.
RETURN
The Permit to the Affected Area Responsible at the
Permit Issue Point.
SIGN
Both copies (White & Yellow) of the Permit in Box 5c.
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9. SUSPENSION
Responsible will:
CHECK
Performer has signed Permit Box 5c and, for work in
Process Facilities, has left his worksite clean and safe.
PLACE
Both Permit copies in the SUSPENDED section of the
Permit Rack.
REMOVE
The marker from the location board.
NOTE : If the job has not finished, the marker should be put where it can be used for
the same Permit again and not used for another Permit.
THE WORK HAS NOW STOPPED IF WORK IS COMPLETE, GO TO STEP 12.
IF THE WORK IS CONTINUING: PERFORMER WILL RETURN FOR NEXT WORKING
PERIOD, GO TO STEP 10
IF PERFORMER HAS CHANGED, A FULL BRIEFING BY PREVIOUS PERFORMER WILL
BE GIVEN
10. RE-VALIDATION
Responsible will:
CHECK
Any isolations are still correctly displayed on Permit
Location Board.
CHECK
For conflicting activities on Permit Location Board.
TAKE
Both copies of the Permit and certificates from the
rack.
INSPECT
The worksite with the Performer, if required.
CHECK
Requirements of JSA are still being met.
SIGN
Both copies of the Permit Box 5a to RE-VALIDATE it.
OBTAIN
Performer's signature in Box 5b to ACCEPT the Permit.
GIVE
WHITE Permit copy to the Performer to display at the
worksite with the WHITE Isolation Certificate copy.
RETURN
PLACE
The marker at the location of the worksite, on the
Permit location board.
PLACE
YELLOW Permit copy in the VALIDATED section of the
Permit Rack with YELLOW certificate copies.
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11. BRIEFING
The
will:
BRIEF
The work party on the job, the hazards, the
precautions and the actions to take in the event of an
emergency.
PLACE
The worksite white copies of the Permit and Certificate
and the JSA in the wallet and display it at a clear
position at the worksite.
WHEN THE JOB IS COMPLETED:
12. CLOSURE
The
will:
CHECK
That the worksite has been left clean and safe.
RETURN
The Permit to the Affected Area Responsible at the
Issue Point
SIGN
Both copies of the Permit in Box 6a to Cancel it
Responsible will:
CHECK
Performer has signed the correct Permit Box and left
his worksite clean and safe.
PLACE
Permit copies in the SUSPENDED section of the
Permit Rack
REMOVE
The marker from the location board.
CHECK
That it is safe to de-isolate, if applicable, and that this
will not conflict with other isolations.
OBTAIN
Authorisation to de-isolate, if applicable.
DO THE
De-isolation, returning the Lockout/Tagout devices and
checking the worksite is left clean and safe.
SIGN
Isolation Certificate for de-isolation complete.
REMOVE
Isolation pegs and labels from location board.
SIGN
Permit box 6b to Close it.
RETURN
White and Yellow copies of the Permit and certificates
to the Approver for Archive.
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13. ARCHIVE
The Approver will:
ENTER
RETAIN
The status as CLOSED in the Unique Work Permit

Register.
The worksite (WHITE) copies of the Permit, Certificates
and the JSA, completely signed, in a safe place for 6
months.
NOTE : When required, the Gas Test Record is attached accordingly to the WHITE
copy of the associated Permit. The Gas test Record is issued in only one copy,
permanently kept attached to the WHITE copy of the Permit and archived together
with this.
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Unique Work Permits and Certificates Register

Permit Issue Point:
Permits Approver
Nr.
crt.
Date
of
issue
Permit
(Certificate)
type
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(Certificate)
number
Associated
permit no.
Description
of working
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Permit
close
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Annex 16
Annex no. 16
REQUIREMENTS FOR CONTRACTORS
Usually, on a OMV Petrom facility, the OMV Petrom EP PTW System will
operate, either the works are performed by OMV Petrom or by a Contractor
The Contractors may operate their own PTW System, if it has been formally
approved by OMV Petrom. Before approval, the Contractors system should be
examined by OMV PETROM to ensure it complies with the checklist below. This
situation must be assessed and decided by the OMV Petrom EP HSSE and set up
throughout Contract terms and/or Bridging documents
If a Contractor cannot meet the required standard, the OMV PETROM EP

PTW System is to be operated on worksite. In this case, the requirements of this
standard shall apply.
Checklist for Contractor Permit to Work Systems

This Checklist contains a list of questions against which a Contractor's Permit to
Work System should be checked before authorising it for use.
If the answer to any of these questions is 'No', the Contractor shall be required
to amend his system.
PTW System
Is there a procedure defining how the PTW System operates?
Is there a list of work requiring Permit, which complies with the list in the
PTW Standard ?
Does the PTW system apply to the Company and all its sub-contractors?
PTW Standard
Does the Standard define who authorises Permits?
Are personnel prevented from authorising themselves to work?
Are records of all Authorised and Suspended Permits kept on the worksite?
Is a copy of the Permit displayed at the worksite?
Is the Person to whom the Permit is Issued named on the Permit?
Are hazards and precautions listed on the Permit or JSA?
Does the Permit contain clear description of the work to be done?
Does the Permit state the specific location of the work?
Are Permits signed by the person to whom they are Issued?
Is there a defined Validity period for a Permit?
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Annex 16
Does the procedure include checks to prevent conflicting activities from

being authorised?
Is there a procedure for handover when the Performer changes?
Are there documented isolation procedures?
Does the procedure state what must be done when an unsafe condition
occurs or an alarm sounds?
Is there a signature to confirm that work is complete, and that the worksite
has been left safe?
Training in PTW
Are personnel trained in the operation of the system, to the standards

required by the OGP Guidelines on Permit to Work Systems?
Are personnel who authorise Permits themselves authorised/nominated?
Is the competence of authorising personnel assessed?
Is there a record of training and assessment?
Are subcontractors included in the training requirement?
PTW Systems on Contractor Operated Drilling Rigs
The Drilling Contractors shall comply with the requirements for contractors,
as mentioned above in this Section.
If OMV Petrom PTW System is being used, the OMV PETROM Drilling
Supervisor is to act as the Approver and the Rig Manager as the Affected Area
Responsible.
If the OMV PETROM PTW System is being used, the below list of activities
requiring Permit is to apply in addition to relevant activities from the OMV
PETROM PTW EP Standard.
NOTE : Drilling contractor shall provide a hazardous area classification, which

will be approved by OMV Petrom EP.
Activities requiring Permits on Contractor Operated Drilling Rigs

The activities listed below require a Permit to Work on all drilling rigs working
for OMV PETROM, but not limited :
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Maintenance
Hot Work, except when done in the approved rig workshop.
Isolation of rig safety systems.
Work in those confined spaces where there is a risk from toxic fumes or
oxygen depletion.
Mud pump major maintenance.
Non-routine maintenance in mast during normal operations.
Maintenance / repair / painting from a personnel basket during any

operations.
Man-riding hoist operations.
Scaffold erection on Rig or Camp site.
Working on equipment which requires electrical isolation.
Working on equipment which requires a secure mechanical isolation to

minimise the potential hazards.
Inspection of mast / standpipe / derrick / substructure fixtures and fittings

during normal operations.
Killing well / major work on Xmas Tree while Rig rigging up / down.
Grit blasting.
Pressure cleaning of tubulars by subcontractor.

Pressure Testing
Cement Unit pressure testing other than cement unit related Rig work.
Any pressure tests not part of current rig work (e.g. Pre-test of BOP / test
manifold / choke manifold.), as per equipment manufacturer
recommendations. A pressure testing procedure must be developed and
agreed with OMV Petrom EP
Flowline pressure testing.
Installation of secondary Contractors equipment e.g. Solids control

equipment, filters or mixing machinery.
Activities Requiring Signature from OMV PETROM Drilling Supervisor

when Contractor PTW System is Being Used.
When the Contractors PTW System is being used, the following activities
require the Permit to be counter-signed by the OMV PETROM Drilling
Supervisor :
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Hot Work, except when done in the approved rig workshop.
Isolation of rig safety systems.
When required to counter-sign a Contractors Permit, the OMV PETROM Drilling

Supervisor takes responsibility for:
Agreeing that the work shall be done on the equipment involved at the
proposed time.
Ensuring that all hazards have been identified.
Reviewing the JSA to ensure that it is correct for the work.
Deciding on necessary worksite preparations and safety precautions.
Work done on or near Drilling Rigs by Departments other than Drilling

Some work on the drilling location will be performed by or for departments other
than Drilling, e.g. welding and testing flowlines, digging pits etc. This work is to
be covered by the PTW System agreed to be used.
The requirements are as follows:
Work On The Drilling Location
The Permit is to be asked and filled by the appropriate Performer carrying

out the work.
The Permit is to be Authorised OMV PETROM Supervisor, who will act as the
Approver, and validated by the Manager of the RIG.
Work Near The Drilling Location
Where the work is done outside the drilling location, but within 100 metres of
the well, the following shall apply:
The Permit is to be raised by the appropriate Performer for the personnel

carrying out the work.
The Permit is to be Authorised by an Approver, and Validated by normal

PTW System standard, by impacted sector (asset) representatives
The Drilling Supervisor is to be informed about work details as the Other

Affected Custodian.
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Annex 17
A NU SE OPERA !
DO NOT OPERATE !
ISOLATED EQUIPMENT
Izolat de catre :
Isolated by:
NUME ..
NAME
SEMNATURA
....
SIGNATURE
DATA
DATE
Certificat de izolare nr.
Isolation Certificate no.
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Table of Contents

Introduction and scope

Hazardous works in EP which require a PTW_______________________4

Types of Work Permit______________________________________

2.5.1 Hot Permit to Work___________________________________________7

When the work on a permit involves two or more different activities__9

2.10 Hazard Management in PTW System

Master Language: English

1. Introduction and scope

Definition of the Permit to Work system (PTW) in EP

Master Language: English

People directly involved in the PTW system :

Hazardous works in EP which require a PTW

Master Language: English

dry grit/shot blasting

use of electric drills and other devices

use of air or hydraulic powered metal cutting or chipping tools

use of steel wire brushes

normally unmanned platforms

use of Non Intrinsically Safe electrical equipment (incl. cameras)

use of heat blowers/soldering irons

hot works on /near a live well

works which may cause an unintended or uncontrolled hydrocarbon release,

workover/intervention such as perforating, acidizing, hydraulic fracturing

Master Language: English

Works under 2.3 a), b) definition that do not require a PTW

Master Language: English

they do not inhibit a Safety System from functioning

they are not performed in a Confined Space

they do not involve complex lifting operations

An exemption list of Works that, normally, do not require a PTW is provided in

2.5 Types of Permit to Work

2.5.2 Cold Permit to Work

Master Language: English

construction or inspection activities, without hot work, shall be done accordingly

2.6 Time frame for a Permit authorization

2.7 PTW system certificates

Electrical isolation certificate (template in annex no. 7)

Mechanical isolation certificate (template in annex no. 8)

Confined space entry certificate (template in annex no. 9)

Digging-excavation certificate (template in annex no. 10)

Radiography certificate (template in annex no. 11)

Master Language: English

2.8 JSA Job Safety Analysis

Identify the hazards involved with the work.

Include a Health Risk Assessment (HRA).

List the personal protective equipment required.

List the controls to be observed by the Performer during the work.

When the work on a permit involves two or more different activities

all activities are to be listed on the Permits

Master Language: English

a Permit shall not include so many activities that it is difficult to understand

Hazard Management in PTW System

Master Language: English

the PTW system is implemented and maintained

Head of asset ensures that:

Asset Head of Operations ensures that:

2.11.3 EP Sector Manager/Offshore Installation Manager/ Facilities (outside Sector

Master Language: English

Approver ensures that :

representative may be nominated as

2.11.5 Affected Area Responsible (AAR) :

Master Language: English