NATIONAL OIL CORPORATION

GENERAL ENGINEERING SPECIFICATION

GES H.10

FIRST AID AND MEDICAL FACILITIES

Rev Date Description Checked Approved

0 1999 Issued for Implementation DL

Compiled by Teknica (UK) Ltd

 GENERAL ENGINEERING SPECIFICATION GES H.10
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INDEX

SEC TITLE PAGE

1.0 SCOPE OF SPECIFICATION 4

1.1 Introduction 4
1.2 Other NOC Specifications 4

2.0 DEFINITIONS 5

2.1 Technical 5
2.2 Contractual 5

3.0 DESIGN 6

3.1 Codes and Standards 6

3.2 Assessing Requirements 8

4.0 PERSONNEL 8

4.1 General 8
4.2 Categories 9
4.3 Numbers 10

5.0 ACCOMMODATION 10

5.1 General 10
5.2 First Aid Rooms 11
5.3 Field Clinics 11

6.0 EQUIPMENT 11

6.1 Common Requirements 11

6.2 Field Clinics 11
6.3 Ambulances 12
6.4 First Aid Containers 12
6.5 Travelling First Aid Kits 13
6.6 Equipment Purchase 14

7.0 FIELD CLINIC ROUTINE PROCEDURES 14

7.1 Control of Medicines 14

7.2 Clinic Hygiene 14
7.3 Site Hygiene 14
7.4 Health Monitoring 14
7.5 First Aid Training 14
7.6 Documentation 15

SEC TITLE PAGE

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8.0 INSPECTION 15

8.1 Procedures 15
8.2 Scope 15

9.0 TESTING 15

9.1 Statutory Tests 15

9.2 Routine Tests 16
9.3 Test Procedures 16
9.4 Site Acceptance Test Requirements 16
9.5 Test Certificates 16
9.6 Test Equipment 16

10.0 DOCUMENTATION 17

10.1 Introduction 17
10.2 Schedules and Reports 17
10.3 Data and Calculations 17
10.4 Drawings 18
10.5 Final Records, Documents and Manuals 18

11.0 PRIOR TO SHIPMENT 19

11.1 Painting and Coating 19

11.2 Spares 19
11.3 Packing and Storage 19
11.4 Shipping 20
11.5 Warranty 20

12.0 LIFE SAVING FIRST AID 20

12.1 Inital Actions (Skilled First Aiders or Unskilled Personnel) 20

12.2 Advanced Actions (Skilled First Aid Personnel Only) 21

13.0 NON EMERGENCY FIRST AID 25

13.1 Assessing the Casualty 25

14.0 FIGURES SUB-INDEX 25

Figures 26
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1.0 SCOPE OF SPECIFICATION

1.1 Introduction

1.1.1 This specification defines the minimum requirements for first aid and medical facilities.

1.1.2 This specification applies to first aid and medical facilities for refineries, onshore oil and gas installations
and processing facilities.

1.1.3 The notes given in Section 8 "Life Saving First Aid" are written for adult casualties. Children and babies
would sometimes require different treatment.

1.1.4 The provision of first aid and medical facilities shall be based upon the following:

a) First aid and medical facilities shall be provided at all places of employment to ensure the
adequate treatment and provision of:

- assistance where a person will need treatment and help from a medical practitioner or
nurse;
- treatment for the purpose of preserving life and minimising the consequences of injury
and illness until such help is obtained;
- treatment of minor injuries which would otherwise receive no treatment.

b) First aid and medical facilities shall be equally available to all persons on the premises, regardless
of whether:

- they are employees, Vendor/Contractors, visitors or others, (which shall not in any way
indicate any legal liability);
- the injury is work-related.

c) At all locations there shall be a reliable system in place for the rapid evacuation of injured persons
requiring medical treatment beyond that which can be provided locally. This key responsibility
shall be held directly by the highest level of local management.

d) The first aid and medical facilities to be provided are not intended to issue or control medicines
which individuals may have to take regularly.

1.1.5 This General Engineering Specification will form part of the Purchase Order/Contract, together with any
Data Sheets, drawings or other attachments.

1.2 Other NOC Specifications

The following NOC General Engineering Specifications are an integral part of this specification and any
exceptions shall be approved in advance by the Owner:

GES A.04 Noise Level Criteria and Noise Control

GES B.09 Field Clinics

GES C.03 Safety Procedures on Construction Sites

GES H.02 Safety Signs and their Applications

GES H.03 Portable Fire Extinguishers

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GES H.05 Fire Tenders

GES H.09 Emergency Shower and Eyewash Facilities

HES H.11 Protective Clothing and B.A. Sets

GES X.02 Colour Coding of Equipment and Piping

2.0 DEFINITIONS

2.1 Technical

The technical terms used in this specification are defined as follows:

First Aid and Medical Facilities

Facilities include first aid and medical personnel, accommodation, equipment, consumables and
procedures.

Epidemic

A disease that attacks great numbers in one place at one time, and itself travels from place to place.

Contagious

Communicable by direct contact with an infected person or object.

Hazard

The potential to cause harm.

Consequence

The likely severity of harm from a particular hazard.

Frequency

The likelihood that a particular hazard will occur.

Risk

A multiple of consequence and frequency, a high risk thus incorporating a high likely severity and a high
likelihood of occurrence.

2.2 Contractual

The commercial terms used in this specification are defined as follows:

Owner

The oil and gas company, an associate or subsidiary, who is the end user of the equipment and facilities.

Vendor
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The company supplying the equipment and material.

Contractor

The main contractor for a defined piece of work.

Sub-Contractor

A company awarded a contract by a Contractor to do part of the work awarded to the Contractor.

Inspection Authority

The organisation representing the Owner or Vendor/Contractor that verifies that the equipment and
facilities have been designed, constructed, inspected and tested in accordance with the requirements of this
specification and the Purchase Order/Contract.

Inspector

A qualified individual representing the Owner, Vendor/Contractor or the assigned Inspection Authority,
who verifies that the equipment and facilities have been designed, constructed, inspected and tested in
accordance with the requirements of this specification and the Purchase Order/Contract.

3.0 DESIGN

3.1 Codes and Standards

First Aid and Medical Facilities shall comply with this specification and the following Codes and
Standards.

Cupboards

BS 2881 Specification for cupboards for the storage of medicines in healthcare premises.

Beds, bedding and screens

BS 2838 Examination and general treatment couches.

BS 3878 Specification for flexible PVC sheeting for hospital use.
BS 4886 Specification for hospital bedsteads.
BS 5223 Specification for hospital bedding.
BS 5455 Specification for polyurethane-coated nylon fabric for mattress covers.
BS 1895 Specification for metal-framed wheeled screens for use in hospitals.

Trolleys

BS 2718 Specification for gas cylinder trolleys.

BS 4068 Specification for hospital trolleys for instruments and dressings and for anaesthetists use including
angular trolleys.
BS 5402 Specification for patient trolleys.
BS 5853 Specification for medicine trolleys.

Wheelchairs and Stretchers

BS 6935 Wheelchair tests - Method for determination of overall dimensions, mass and turning space.
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BS 6937 Glossary of wheelchair terms.
BS 7497 Specification for rigid stretchers.

Instruments

BSEN 27740 Instruments for surgery, scalpels with detachable blades, fitting dimensions.
BS 2982 Specification for materials and packaging of surgical scalpels with detachable blades.
BS 4005 Specification for single use, sterilized surgical rubber gloves.
BSEN 5081 Sterile hypodermic syringes and needles.
BS 5194 Surgical instruments.

Hollow-ware

BS 1823 Specification for stainless steel hollow-ware for use in hospital operating - theatre and wards.
BS 1922 Specification for glass dispensing measures for pharmaceutical purposes..
BS 3221 Medicine measures.
BS 5452 Specification for hospital hollow-ware made of plastics material.

Thermometers

BS 691 Specification for solid-stem clinical maximum thermometers (mercury in glass).

BS 6985 Specification for enclosed-scale clinical maximum thermometers (mercury in glass). Complements
BS 691.

Sterilization

BSEN 550 Sterilization of medical devices - validation and routine control of ethylene oxide
sterilization.
BSEN 552 Sterilization of medical devices - validation and routine control of sterilization by
irradiation.
BSEN 554 Sterilization of medical devices - validation and routine control of sterilization by moist
heat.
BSEN 556 Sterilization of medical devices. Requirements for terminally sterilised devices to be
labelled.
BS 2745 Washer-disinfectors for medical purposes.
BS 3970 Sterilizing and disinfecting equipment for medical products.

Incinerators

BS 3107 Specification for small incinerators.

Miscellaneous

BSEN 455 Medical gloves for single use.

BSEN 60601 Electrical medical equipment.
BS 896 Specification for stretchers and stretcher carriers.

BS 1887 Specification for person weighing machines and height-measuring equipment for hospital welfare
and health services.
BS 4997 Specification for wooden axilla crutches.
BS 5473 Specification for spinal and abdominal fabric supports.
BS 5724 Medical electrical equipment.
BS 6850 Specification for ventilatory resuscitators
BS 7505 Specification for the elastic properties of flat, non-adhesive, extensible fabric bandages.
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3.2 Assessing Requirements

3.2.1 In assessing the required level of first aid and medical facilities to be provided at a given location, the
following shall be considered:

- the workplace hazards and risks, particularly those presented by:

- hazardous materials;
- new constructions;
- non-routine activities;
- dangerous machinery.

- the numbers, types and geographical distribution of people usually present;

- the needs of travelling and remote workers (who should carry and be trained in the use of personal
first aid kits and portable/ mobile communications equipment) and night shift workers;
- accident history at the location (number, type, frequency and severity);
- the remoteness of the location from back-up support;
- the leave schedule of the first aid and medical personnel as well as their unplanned and
exceptional absences.

3.2.2 First aid and medical facilities provided at each location shall be re-assessed at least every three years and
before any significant change in the activities at the location.

3.2.3 Throughout this specification, details of relevant British Standards have been included for possible entry
into the Purchase Order/Contract and operating procedures as appropriate. The inclusion of this
information is not intended to be restrictive.

4.0 PERSONNEL

4.1 General

4.1.1 First aid and medical personnel shall be provided:

- in sufficient numbers;
- at appropriate locations, to enable first aid to be administered without delay should the occasion
arise.

4.1.2 All first aid and medical personnel shall be:

- adequately qualified, trained and experienced;

- available to give immediate assistance to casualties;
- able to summon an ambulance or other support.

4.1.3 The selection of all first aid and medical personnel shall take into account each individual's:

- reliability, disposition and personal communication skills;

- aptitude and ability to absorb new knowledge and learn new skills;
- ability to cope with stressful, physically demanding emergency procedures;
- his normal duties (which must permit him to go immediately to an emergency).

4.1.4 Where appropriate, first aid and medical personnel shall be given special training for special risks, such as
those presented by:

- radioactive substances;
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- chlorine;
- hypothermia;
- sun stroke and sun burn.

4.1.5 Refresher training for all first aid and medical personnel shall be according to a predesignated plan. Its
importance cannot be overemphasised. Appropriate records shall be kept by the Personnel Department.

4.1.6 All first aid and medical personnel shall be given optimum access to any reference material which may
assist them in their task.

4.1.7 All first aid and medical personnel shall be trained and required to keep adequate signed records of all
treatment which they give, including:

- date, time and place of incident;

- name, age, personnel number and job of injured or ill person;
- preliminary description of the incident;
- details of the symptoms observed and treatment given;
- what happened to the casualty immediately following the treatment (e.g. went home, went back to
work, went to hospital).

4.1.8 All persons at a Company location shall be told verbally what the first aid and medical arrangements are at
that location. This information shall also be posted in prominent positions at the location.

4.2 Categories

4.2.1 In order to establish the framework given in 4.3 below, first aid and medical personnel have been divided
into four categories as defined below. All four categories shall be appropriately trained in emergency
communications.

4.2.2 A doctor shall be a fully qualified and currently certified medical doctor.

4.2.3 A nurse shall be a fully qualified and currently registered nurse, who has been given all necessary
additional specialist training concerning the specific hazards present in all of the Company's current
activities.

4.2.4 A first aider shall be a person who has an internationally-recognised first aid certificate, who has been
given all necessary additional specialist training concerning the specific hazards present at his current
location.

4.2.5 An appointed person is a person who has been appointed to take charge of the first aid container at his
location and has been trained in life-saving techniques.

4.3 Numbers

4.3.1 The actual number and level of first aid and medical personnel required at each location shall be
proportionate to the following:

- number of workers to be cared for;

- degree of hazard at that location;
- remoteness from other medical facilities.

4.3.2 Unless otherwise specified by the Owner, the following table shall apply.

Notes:
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1. Abbreviations: D = doctor, N = nurse, FA = first aider, AA = appointed person.

2. For the purposes of this table it has been assumed that persons at a location are of the same sex. Where
this is not the case (e.g. in a large office building) an appropriate balance of male and female medical
personnel shall be appointed.

3. Where the numbers at a location significantly exceed the figures given in the table below, the number
of first aid/medical staff shall be increased in proportion.

4. The numbers first aid and medical personnel tabulated are required to be available continuously and do
not take account of vacations or unplanned absences.

_______________________________________________________________________________
Category of risk Numbers employed at First aid / medical
the location personnel required
D N FA AA
________________________________________________________________________________
High Risk More than 600 2 4
e.g. construction site, 400 - 600 1 2
gas compression 200 - 400 1 1
petrochemical plants, major oil 50 - 200 1 1
storage
major overhauls 10 - 50 1 1
Less than 10 1
________________________________________________________________________________
Medium risk More than 100 1 1
e.g. low pressure facilities, 20 - 100 1 1
storage depots, Less than 20 1
________________________________________________________________________________
Low risk More than 500 1 1
e.g. offices 100 - 500 1 1
Less than 100 1
_______________________________________________________________________________

5.0 ACCOMMODATION

5.1 General

5.1.1 Depending on the size of work-force to be served, first aid and medical activities in the field will be centred
either in Field Clinics, or in First Aid Rooms which cannot be totally dedicated to one use.

5.1.2 Field Clinics and First Aid Rooms shall be clearly signposted and identified.

5.2 First Aid Rooms

First Aid Rooms shall:

- be selected such that the non-medical activities usually performed in the room can be stopped
immediately in a medical emergency;
- be equipped with telephone, washing facilities, First Aid Container (as specified in Section 7.4)
and couch;
- have nearby toilet facilities;
- be manned by at least one person trained in giving first aid.

5.3 Field Clinics

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5.3.1 Field Clinics, where specified shall be in accordance with GES B.09.

6.0 EQUIPMENT

6.1 Common Requirements

All first aid and medical equipment shall be:

- suitably marked;
- easily accessible;
- in good order at all times;
- used only by those trained to do so.

6.2 Field Clinics

6.2.1 Field clinics shall be equipped with a minimum of:

- 1 ambulance (see below);

- 1 hospital bed;
- 1 examination couch;
- 4 blankets;
- 1 lockable, tamper-proof medicine storage cupboard;
- 1 stretcher;
- 1 wheelchair;
- 1 trolley for instruments and dressings;
- 1 patient trolley;
- 1 pair of crutches;
- 1 person weighing machine;
- 1 height-measuring system;
- various splints, bandages, spinal and abdominal fabric supports;
- appropriate instruments, including:
- thermometers;
- surgical scalpels with detachable blades;
- single use, sterilized surgical rubber gloves;
- sterile hypodermic syringes and needles;
- other appropriate surgical instruments;
- a range of stainless steel and plastic hollow-ware (e.g., instrument trays, kidney dishes,
wash bowls, lotion bowls);
- appropriate medicines;
- appropriate sterilization and incineration facilities;
- a copy of the Company's Hazardous Materials Manual (see Section 7.2.2 below);
- various medical and industrial hygiene reference books;
- appropriate office furniture and accessories.

For large installations, increased facilities will be required.

6.2.2 The Company's Hazardous Materials Manual is the document which:

- lists all hazardous materials used within or produced by the Company, (for example oxidising,
toxic, radioactive and corrosive materials);
- individually lists the characteristics, hazards, precautions, and emergency response required for
each of the listed materials.

(Typically, such a manual includes about 200 hazardous materials.)

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6.3 Ambulances

6.3.1 Ambulances shall always be under the supervision of the Company's Medical Department, which shall be fully
responsible for ensuring that:

- ambulances are used only by authorised personnel and as intended;

- maintenance and vehicle servicing is requested in writing as appropriate;
- the ambulance is fully equipped, fully fuelled and available at all times;
- those required to use the ambulance have the required knowledge, training and skills and current
driving licences.

6.3.2 Ambulances shall:

- be built for use at remote desert sites;

- meet the Common Vehicle Design Requirements given in GES H.05.

6.3.3 As a minimum, each ambulance shall be equipped with:

- 1 first aid container (as specified below);

- 1 stretcher trolley (trolley cot) on wheels which:
- is constructed of light-weight tubular alloy;
- has fully adjustable height, tilt, and knee and back rest to suit the condition of the casualty;
- has telescopic lifting handles;
- has guard rails and straps to hold the casualty securely;
- has lockable brakes on its wheels;
- 1 resuscitator with spare bottle;
- all equipment to be secured, suitable for travel at speed over rough roads.

6.3.4 An appropriate back-up vehicle shall be available for use as an ambulance when the ambulance itself is out of
service. During such times, the back-up vehicle shall be allocated to ambulance service only.

6.4 First Aid Containers

6.4.1 The first aid container shall:

- fully protect first aid items from dust, damp, and excessive heat, and
- be clearly identified.

6.4.2 As a minimum, each first aid container shall contain:

- a complete first aid manual written in the working language of the company, such as the English
language publication "First Aid Manual" published by Dorling Kindersley ISBN 0-86318-978-4
[paperback] or ISBN 0-7513-000603 [hardback] which is the authorized manual of:
- St. John Ambulance;
- St. Andrew's Ambulance Association;
- the British Red Cross.
- a copy of the Company's Hazardous Materials Manual;
- 20 individually-wrapped sterile adhesive dressings (assorted sizes);
- individually-wrapped sterile unmedicated wound dressings:
- 6 medium sized , approx. 5" x 5 " (12 cm x 12 cm);
- 2 large sized, approx. 7" x 7 " (18 cm x 18 cm).
- 2 one litre, sealed, disposable containers of sterile water;
- 2 sterile eye pads;
- 4 individually-wrapped sterile triangular bandages;
- 6 safety pins;
- 1 pair of disposable gloves;
- 1 roll of adhesive tape;
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- 1 pair of scissors;
- 1 pair of tweezers;
- 1 torch;
- cotton wool for padding;
- 2 blankets;
- assorted bandages;
- a pack of individually-wrapped moist cleaning wipes;
- 1 polythene survival bag.

6.4.3 The first aid containers shall NOT contain any tablets or medicines.

6.5 Travelling First Aid Kits

6.5.1 Travelling first aid kits shall be issued to all persons who travel extensively or who work alone or in very small
groups at remote locations.

6.5.2 A travelling first aid kit should be installed in all vehicles which are used for transporting employees, so that in
the event of an accident occurring the kit may be used for providing any immediate first aid requirements.

6.5.3 Travelling first aid kits shall contain:

- a leaflet on how to give life saving first aid;

- 6 individually-wrapped sterile adhesive dressings (assorted sizes);
- 1 large individually-wrapped, sterile, unmedicated wound dressing, approximately 7" x 7" (18 cm
x 18 cm);
- 2 individually-wrapped, sterile, triangular bandages;
- 2 safety pins;
- 1 pair of disposable gloves;
- 1 roll of adhesive tape;
- 1 pair of scissors;
- 1 pair of tweezers;
- a pack of individually-wrapped moist cleaning wipes.

6.6 Equipment Purchase

6.6.1 Only certified materials shall be used for pressure containing systems.

6.6.2 First aid and medical equipment will usually be off-the-shelf standard items and, as such, shall be strictly
controlled by the manufacturer's quality control systems.

7.0 FIELD CLINIC ROUTINE PROCEDURES

7.1 Control of medicines

All medicines shall be appropriately controlled, with prescription drugs kept in a locked cupboard.

7.2 Clinic Hygiene

The highest level of cleanliness and hygiene shall be observed in Field Clinics, with special attention to:

- all clinic equipment being sterilized after use in accordance with standard procedures;
- all clinical waste being promptly incinerated;
- the regular cleaning of all parts of the clinic, including walls, floors, ceilings, doors, windows and
lights.
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7.3 Site Hygiene

For the location as a whole, the Field Clinic shall regularly monitor:

- the quality of drinking water;

- the hygiene in the kitchens and the control of foodstuffs;
- the cleanliness of communal toilets;
- the laundry procedures (in particular ensuring that appropriate water temperatures used);
- the general hygiene of sleeping quarters;
- the chlorination of any swimming pool at the location.

7.4 Health Monitoring

For the location as a whole, the Field Clinic shall regularly monitor the health of any workers who are at
special risk from cumulative hazards, for example those working with X-ray equipment.

7.5 First Aid Training

The Field Clinic shall be responsible for arranging and giving first aid training at its location, the frequency of
which shall be stated by the Field Clinic.

7.6 Documentation

7.6.1 The Field Clinic shall keep adequate records of:

- equipment, materials and medicines received;

- medicines issued;
- treatment given.

7.6.2 The Field Clinic shall monitor and report on the accuracy and completeness of the Hazardous Materials
Manual.

8.0 INSPECTION

8.1 Procedures

(a) The Vendor/Contractor shall allow the Inspector free access to all areas of manufacture, fabrication,
assembly and testing.

(b) The Vendor/Contractor always has the responsibility to provide adequate quality control and
inspection of equipment and materials as defined in the ASQ Q9000 series or ISO 9000. Any
inspection by Owner or his Inspector shall not relieve the Vendor/Contractor of these responsibilities
or those under his guarantees.

(c) Any defects noticed in the course of fabrication shall be brought to the attention of the Inspector who
shall decide if the faulty material or workmanship should be repaired or rejected.

(d) If inspection is waived, the required data shall be forwarded to the Owner. If submission of data is
not requested, all data shall be retained by the Vendor/Contractor for issue to the Owner on demand,
for at least five years.

(e) The Vendor/Contractor shall provide a safe working environment for the Inspector and alert the
Inspector of potential hazards.

8.2 Scope
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8.2.1 The inspection requirements are covered by the document "General Conditions of Purchase" which forms part
of the Purchase Order/Contract. Additional requirements are given below.

8.2.2 The inspector shall inspect the equipment to ensure that they comply with the requirements of the latest
revision of this specification and Data Sheets, drawings or other attachments to the material requisition, and
the latest revision of the Vendor/Contractor's documentation and data relating to the specific Purchase
Order/Contract.

8.2.3 All shopwork and testing of the equipment shall be carried out to the complete satisfaction of the Inspector but
his approval shall not relieve the Vendor/Contractor of the responsibility for the guarantees covered in the
Purchase Order/Contract.

In particular, at least the following shall be checked:

(a) certification;
(b) expiry date for use of equipment and materials;
(c) equipment tag number.

The Inspector shall ensure that any shortcomings in the Vendor/Contractor's documentation or data are
rectified before any equipment or material is accepted for shipment.

9.0 TESTING

9.1 Statutory Tests

Tests shall be performed in accordance with the applicable codes, the requirements of the Data Sheets
and include as a minimum the following Routine Tests.

9.2 Routine Tests

9.2.1 The Vendor/Contractor's basic routine witnessed factory tests are required and shall include but not be limited
to the necessary routine tests to ensure that the specification for the equipment has been met at the rated
environmental conditions.

9.3 Test Procedures

9.3.1 In all cases the Vendor/Contractor shall submit his test procedures in writing to the Owner for approval prior
to the start of the testing programme.

9.4 Site Acceptance Test Requirements

9.4.1 Test Schedules

The Vendor/Contractor shall submit a schedule of Site Acceptance Tests that are to be undertaken to ensure
that the equipment is satisfactory.

The test schedules shall be approved by the Owner.

9.4.2 Initial Acceptance Tests

The initial acceptance tests shall be performed by the Vendor/Contractor when all relevant equipment has been
installed.

9.4.3 Final Acceptance Tests

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Fourteen days after the systems have been put into service, or fourteen days after the initial acceptance tests,
whichever is the earliest, the Final Acceptance Tests shall be effected by the Vendor/Contractor, and be
witnessed by the Inspector.

9.5 Test Certificates

9.5.1 Test Certificates

Final acceptance of the system will be given following satisfactory Final Acceptance Tests.

All copies of test certificates shall be furnished with final drawings as called for in documentation section. The
Final Acceptance Tests shall be witnessed by the Inspector who shall retain one copy of the certified tests.

9.6 Test Equipment

9.6.1 Supply

The Vendor/Contractor shall supply a set of test equipment if it is required.

9.6.2 Test Accessories

All necessary test leads, power cords and ancillaries shall be provided.

Note:

All instrument and apparatus used in the performance of the tests shall have been calibrated to an agreed
standard at a laboratory of national standing within the period of 15 months of the test date. The cost of
carrying out such calibrations shall be borne by the Vendor/Contractor in all cases.

10.0 DOCUMENTATION

10.1 Introduction

10.1.1 This section covers the documentation required for the design, selection, fabrication, inspection and testing for
all the equipment, components and services to be provided against this specification.

10.1.2 The detailed list of documents that are required is included with the Purchase Order/Contract, however as a
minimum the following listed documents will be provided by the Vendor/Contractor as and when required by
the Vendor Documentation Requirements (VDR) list:

. General Arrangement;
. Test Certificates;
. Installation and Maintenance Procedures.

10.1.3 The documents as listed may be considered as a minimum requirement; all details to confirm compliance with
the relevant specifications, and to allow a full and continued appraisal to be made of the Vendor/Contractor's
proposals and interpretations of the ordered equipment, should be submitted in accordance with the schedule
specified in the Purchase Order/Contract.

10.1.4 Any production or procurement undertaken by the Vendor/Contractor which is prior to the relevant
documentation being submitted and reviewed by the Owner is at the Vendor/Contractors risk.
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10.1.5 On all documentation the Purchase Order/Contract number, equipment title, tag number and project name shall
be quoted.

10.1.6 All documentation shall be checked and signed by the checker before submission.

10.2 Schedules and Reports

10.2.1 The Vendor/Contractor shall submit with his tender a preliminary quality control plan and proposals for
Factory acceptance and site acceptance tests.

10.2.2 The Vendor/Contractor shall include with his tender documentation a statement of proposed Sub-
Vendors/Sub-Contractors, a document submission schedule for all documents based on a review cycle of three
weeks and outline programme for procurement and production activities.

10.2.3 The Vendor/Contractor shall incorporate any revisions agreed with the Owner during the enquiry review stage.

10.2.4 Monthly reports shall be submitted by the Vendor/Contractor detailing design, procurement, production and
documentation activities, the format of which shall be agreed with the Owner.

10.3 Data and Calculations

10.3.1 The Vendor/Contractor shall supply with his tender completed Data Sheets containing all the relevant
information necessary for appraisal of the design by the Owner.

10.3.2 Project specific instructions will be issued to the Vendor/Contractor with the Purchase Order/Contract, which
describes the data and calculations to be submitted, and the methods of submission.

10.3.3 The Vendor/Contractor shall be responsible for obtaining approvals from the Inspection Authority.

10.3.4 All calculations shall be carried out in clear and logical manner. Where conditions involve the use of formulae
or methods not specified in the Design Code, the source of these formulae or methods shall be clearly
referenced.

10.3.5 Computer calculations will only be acceptable if all input is shown, together with calculated values of
intermediate terms and factors and options chosen, as well as final calculated dimensions, stresses or other
values and the computer program has been validated to the satisfaction of the Owner.

10.3.6 Calculations and drawings that are interdependent, i.e. foundation loading and equipment footprint, shall be
presented for appraisal together.

10.4 Drawings

10.4.1 The drawings listed with the Purchase Order/Contract shall be sent by the Vendor/Contractor to the Owner
and/or the Inspection Authority for review and approval.

10.4.2 The components and process to produce the ordered equipment shall be shown in sufficient detail to be fully
appraised e.g. outline drawings, components list and schematic.

10.4.3 General arrangement drawings shall be to scale and show the relative location and main dimensions of all
components including elevations.

10.4.4 Detail drawings which may be included on the general arrangement shall include thicknesses and dimensions
of all components.

10.4.5 As-built drawings may be the general arrangement drawings marked-up with the actual as-built dimensions.
 GENERAL ENGINEERING SPECIFICATION GES H.10
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10.5 Final Records, Documents and Manuals

10.5.1 Two copies of the Data Dossier shall be supplied, and shall be a record of the manufacturing process. Where
stated in the Purchase Order/Contract, besides the documents itemised in Section 10.1.2, it shall contain the
following:

- general arrangement drawing and bill of material;

- the quality control plan;
- material certificates;
- chemical analysis certificates;
- positive material identification certificates;
- NDT procedures and records;
- non-conformity records;
- approvals by the Independent Inspection Authority;
- certificate of conformity;
- Owner's release certificate.

10.5.2 Six sets of the Installation, Operations and Maintenance Manual (IOM) shall be specifically compiled for the
equipment supplied. A compendium of manufacturer's data for a range of like products is not acceptable. The
IOM shall contain the following:

- a description of the equipment;

- the master document list and certified copies of key drawings;
- packing, shipping and site preservation instructions;
- spare parts ordering information.

The IOMs shall be presented in A4 format, and be securely bound in heavy duty 4 ring binders.

10.5.3 The Vendor/Contractor shall produce as built documents revised to indicate field changes.

10.5.4 The Vendor/Contractor shall supply one set of mylar original drawings.

10.5.5 Electronic Data Format (EDF)

All documentation (drawings, calculations and Data Sheets etc.) shall be produced by the Vendor/Contractor
in electronic format.

The format shall be compatible with that used by the Owner and shall be agreed at the commencement of the
contract.

In addition to the 'hard copies' required under the contract, copies of the electronic records shall be issued to
the Owner for all approved documentation, this forming part of the Vendor/Contractor's contractual
obligations.

11.0 PRIOR TO SHIPMENT

11.1 Painting and Coatings

All bare surfaces which are exposed during transit or storage shall be given a coat of temporary rust inhibiting
material.

11.2 Spares

The Vendor/Contractor shall submit with his proposal a priced list of recommended spares for start-up and two
years operation for review by the Owner. This list shall include, but not be limited to:
 GENERAL ENGINEERING SPECIFICATION GES H.10
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- special tools, if required;
- limited shelf-life equipment replacements.

11.3 Packing and Storage

This section describes the minimum requirements for the preservation and protection of equipment during the
sea and land transportation and storage prior to installation.

The probable storage period will be specified in the order/enquiry and will extend from the time of despatch to
the time of unpacking at site. If the storage period is not stated, a minimum period of 24 months shall be
assumed. Packing to be suitable for sea freight.

(a) After mechanical completion at the works, the equipment shall be left in a clean dry condition.

(b) The Vendor/Contractor shall be responsible for loading and anchoring the item(s) to prevent damage
during shipment.

The Vendor/Contractor shall submit his procedures for packing and preservation for review by the Owner.

11.4 Shipping

Detailed shipping arrangements are covered by the Purchase Order/Contract.

The equipment shall not leave the Vendor/Contractor's works for shipment until the release has been approved
by the Owner's Inspector.

11.5 Warranty

The Vendor/Contractor shall warrant all material and services supplied against any defect for a period of
twelve (12) months after commissioning, or twenty-four (24) months from the date of delivery to site,
whichever is the shorter period, or for the period stipulated in the Purchase Order/Contract.

Should any item be found defective, the Vendor/Contractor shall be responsible for all costs associated with
restoring the equipment to the standard specified by the Purchase Order/Contract.

12.0 LIFE SAVING FIRST AID

12.1 Initial Actions (Skilled First Aiders or Unskilled Personnel)

12.1.1 Assessing the Danger

In any emergency, the rescuer must first ensure that he does not put himself in danger with his rescue attempt.
To ensure this, before touching the casualty, he must ensure that there is no danger from such hazards as:

- toxic fumes;
- electrical power;
- unstable structures;
- uncontrolled hazardous liquids.

If there is danger and the rescuer has a choice then he should remove the danger (e.g. switching off electrical
power) rather than moving the casualty.

12.1.2 Assessing the Casualty

Having ensured his own safety, if there are several casualties then those who are unconscious must receive
 GENERAL ENGINEERING SPECIFICATION GES H.10
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first attention.

Move the casualty only if immediate danger threatens or if you must apply life-saving treatment.

If possible and necessary, the rescuer should call for back-up assistance only when it is safe to leave the
casualty to do so, unless the rescuer is alone with a casualty whose heart has stopped (see below).

ACTION: (a) Immediately check consciousness by speaking to and shaking the casualty.

(b) If the casualty is unconscious, quickly:

- lay him flat on his back (preferably with arms and legs straight), and
- open the airway:
- by removing any obvious obstruction from the mouth;
- placing two fingers under the point of the chin and lifting the
jaw, at the same time tilting the casualty's head back.

SEE FIGURE 14.1: OPEN THE AIRWAY

(c) Then check for breathing for 5 seconds:

- by placing your head near the casualty's nose and mouth;
- listening for the sound of breathing;
- feeling for breath on your cheek;
- looking along the chest to see whether there is any movement.

(d) If the casualty is not breathing, check for a pulse:

- with the casualty's head tilted back, feel for the Adam's apple with two fingers (NOT with
your thumb);
- slide the fingers back into the gap between the windpipe and the muscle that runs beside it;
- feel for 5 seconds for the carotid pulse.

SEE FIGURE 14.2: TO CHECK THE CAROTID PULSE

(e) If there is no breathing and no pulse:

- quickly call for help if possible;

- THEN give mouth to mouth ventilation and chest compression (described below)
until help arrives or until you have no more strength.

12.2 Advanced Actions (Skilled First Aid Personnel Only)

12.2.1 Mouth-to Mouth Ventilation

Exhaled air still contains 16% oxygen, so you can "breathe" for a casualty by blowing into his lungs. The way
this is done depends on his condition. If the casualty has stopped breathing but still has a pulse:

- give 10 breaths of artificial ventilation then telephone for help;

- continue artificial ventilation at a rate of 10 breaths per minute until he starts to breathe on
his own or until help arrives;
- check the pulse every 10 breaths;
- if the casualty's breathing and pulse have stopped:
- FIRST phone for help;
- combine artificial ventilation with chest compression (see below).

ACTION: With the casualty lying flat on his back:

1. Remove obvious obstructions (e.g. broken or dislodged false teeth); well-fitting

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false teeth may be left in place,

2. With the casualty's head tilted back to free his airway:

- close his nose with your finger and thumb;
- take a full breath;
- place your lips around his mouth, making a good seal;
- blow into his mouth (for about 2 seconds) until his chest rises;
- remove your lips and allow his chest to fall fully.

3. IF THE CHEST DOES NOT RISE check that:

- his airway is not obstructed by vomit, blood or a foreign body, (if
necessary give him back slaps and abdominal thrusts to clear obstacles);
- his head is tilted back sufficiently;
- you have completely closed his nose;
- you have a total seal around his mouth.

12.2.2 Chest Compression

If there is no pulse, the heart has stopped and artificial blood circulation must be provided by performing chest
compressions as follows:

SEE FIGURE 14.3: CHEST COMPRESSION

To be of any use to the brain, the circulating blood MUST be oxygenated. Consequently, chest compression
MUST be combined with artificial ventilation as described below.

12.2.3 Cardio-Pulmonary Resuscitation (CPR)

When a casualty has NO PULSE and is NOT BREATHING, artificial ventilation must be combined with
chest compression as described below. This combination is known as CPR (cardio-pulmonary resuscitation).

If you are alone with the casualty, you must - if possible - call for help BEFORE you start CPR. Once you
have started continue resuscitation until:
- professional help arrives;
- the casualty's pulse and breathing return;
- exhaustion forces you to stop.

ACTION IF THERE IS ONLY ONE FIRST AIDER

1. Immediately call for help if possible.

2. Lay the casualty flat on his back with arms and legs straight down.
3. Open the casualty's airway by tilting his head back and lifting his chin.
4. Give 2 breaths of mouth-to-mouth ventilation, but DO NOT WAIT for the chest to deflate (fall) after
the second breath.
5. Move to the casualty's chest and give 15 chest compressions.
6. Again give 2 breaths of mouth-to-mouth ventilation.
7. Again give 15 chest compressions.
8. Continue this sequence.

DO NOT interrupt CPR to make pulse checks unless there is a distinct sign of a returning circulation.

If the pulse does return but not the breathing, continue with mouth-to-mouth ventilation. Check the pulse every
10 breaths. Immediately start the chest compressions again if the pulse disappears.

If the casualty starts to breathe by himself, place him in the recovery position described below. Re-check his
pulse and breathing every 3 minutes.
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SEE FIGURE 14.4: CARDIO-PULMONARY RESUSCITATION (CPR)

12.2.4 The Recovery Position

Once he is breathing, any unconscious casualty should be placed in the recovery position described below
because:
- this position prevents the tongue from blocking the throat;
- allows liquid to drain from the mouth (reducing the risk of the casualty inhaling his stomach
contents).

The head, neck and back are kept in a straight line, while the limbs keep the body propped in position.

ACTION: 1. Kneeling beside the casualty, tilt his head back and lift his chin to open the airway.
Making sure that both his legs are straight, place the arm which is nearest to you
out at right angles to his body, elbow bent, with the palm of the hand upwards.

2. Bring his far arm across his chest and hold the casualty's hand against his cheek,
palm outwards. With your other hand, pull his knee up, keeping his foot on the
ground.

3. Keeping the casualty's hand pressed against his cheek, roll him towards you by
pulling behind his raised knee.

4. Tilt his head back on the ground to make sure that his airway remains open. Adjust
the hand under his cheek to ensure that his head does not move. Adjust his upper
leg so that both the hip and the knee are at right angles. Check breathing and pulse
regularly.

EVERY INCIDENT INVOLVING FIRST AID MUST BE REPORTED TO THE NEAREST FIRST AID

CENTRE IMMEDIATELY AFTER EVERY NECESSARY STEP HAS BEEN TAKEN TO REVITALISE

THE CASUALTY. WHEREVER POSSIBLE THE FIRST AID CENTRE SHOULD BE CONTACTED

AS CLOSE AS POSSIBLE TO THE ACCIDENT OR INCIDENT OCCURRING.

12.2.5 Major Bleeding

Massive external bleeding is dramatic and may distract you from first aid priorities which are breathing and
blood circulation (pulse).

With major bleeding the first aid aims are to:

- control the bleeding;
- prevent shock;
- minimise the risk of infection;
- arrange urgent removal to a clinic or hospital.

SEE FIGURE 14.5: MAJOR BLEEDING

12.2.6 Heart Disorders

The heart is a very specialised pump whose muscle beats continuously and smoothly, controlled by an
electrical impulse. The heart has its own blood supply, provided by the coronary arteries which, like all other
arteries, may narrow and block. In severe cases of blockage, or if the electrical impulse is disrupted, the heart
may stop.
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(a) Angina pectoris

Angina pectoris is pain caused by narrowed coronary arteries being unable to deliver sufficient blood to the
heart muscle to meet the extra demands of exertion or excitement. The pain stops if the patient rests.
Symptoms include:
- strong chest pain, often spreading to the left arm and jaw;
- pain or tingling in the hand;
- shortness of breath;
- sudden, extreme weakness.

The principal aim of first aid is to ease the strain on the heart.

ACTION: 1. Help him to sit down and rest, reassure him, make him comfortable.
2. Help him take any medicine which he already has for this condition.
3. If the casualty's pain continues or returns, call for an ambulance.
4. Monitor breathing and pulse, and be prepared to give resuscitation.

(b) Heart attack

A heart attack may occur when the blood supply to part of the heart muscle is suddenly obstructed, the
consequences depending on how much of the heart muscle is affected. The main risk is that the heart will stop.
Symptoms include:
- persistent crushing pain which does not reduce as the casualty rests;
- breathlessness and discomfort high in the abdomen (like severe indigestion);
- sudden faintness or giddiness;
- ashen face and blueness at the lips;
- rapid pulse, becoming weaker;
- collapse without warning.

The principal aims of first aid are to:

- minimise the work of the casualty's heart;
- arrange his urgent removal to hospital.

ACTION: 1. Make casualty comfortable in a half-sitting, half-lying position, head and shoulders
supported, knees bent.
2. If casualty is conscious, give him an ordinary aspirin to chew slowly.
3. Call for ambulance and report that you suspect heart attack.
4. Monitor breathing and pulse, and be prepared to give resuscitation.

(c) Cardiac arrest

The term cardiac arrest describes any sudden stoppage of the heart, characterised by the absence of breathing
and pulse. The principal aim of first aid is to keep the heart muscle and brain supplied with oxygen until an
ambulance arrives.

ACTION: 1. Call for an ambulance and give CPR.

12.2.7 Electric Shock

An electric shock may stun the casualty, stop him breathing, and stop his heart. It may cause burns where it
enters and where it leaves the body.

Alternating currents (a/c) also cause muscle spasms that often prevent the casualty from letting go off an
electric cable.

(a) High voltage current

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Contact with high voltage current is usually immediately fatal.

Keep at least 60 ft (18 m) away as high voltage electricity may arc (jump) over large distances.

ACTION: 1. Call the emergency services immediately

2. DO NOT approach the casualty until you are officially told that the power has been
cut off and, if necessary, isolated.
3. Once it is safe to do so, check breathing and pulse.
4. Place casualty in recovery position (see above).
5. Treat burns and any injuries and help to minimise shock.

(b) Low voltage current

Domestic current (used in accommodation, offices, workshops) can cause serious injury and even death.

ACTION: 1. Switch off current at the mains and unplug the equipment.
2. If this is not possible:
- stand on dry insulating material, (wood, rubber, plastic, big book);
- use broom or wooden chair to pull casualty away from source;
- without touching casualty, loop rope around him and pull him completely
away from source;
- as a last resort only, pull at the casualty's loose, dry clothing.

3. Once the contact is broken if the casualty is unconscious:

- check breathing and pulse and give CPR or place in recovery position as
appropriate (see above);
- cool burns with plenty of water;
- call for medical help.

If the casualty is conscious, advise him to rest, treat any injuries, and if in doubt call a doctor.

(c) Lightning

ACTION: Get casualty away from the lightning strike area and treat him as in (b).

13.0 NON EMERGENCY FIRST AID

13.1 Assessing the Casualty

13.1.1 Non emergency first aid incidents such as fainting, shock, minor burns, fractures, poisoning etc. shall be
immediately referred to the First Aid centre.

13.1.2 The casualty shall be made as comfortable as possible immediately after the accident and in transit to the First
aid Centre.

13.1.3 Before commencing the journey to the First Aid Centre the casualty shall be diagnosed as far as possible the
extent of the injury, if it is deemed too serious to move the casualty then an ambulance shall be called.

14.0 FIGURES SUB-INDEX

Figure 14.1 - Open the Airway

Figure 14.2 - To Check the Cartoid Pulse
Figure 14.3 - Chest Compression
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Figure 14.4 - Cardio-Pulmonary Resuscitation (CPR)
Figure 14.5 - Major Bleeding
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An unconscious casualty's airway Tongue Tongue

may be narrowed or blocked, making
breathing difficult and noisy, or
impossible.
The main reason for this is that
muscular control in the throat is lost,
which allows the tongue to sag back
and block the throat. Lifting the chin Blocked airway Open airway
and tilting the head back lifts the Unconsciousness disables the "Head tilt and chin lift" positions
tongue away from the entrance to muscles, allowing the tongue to the head so that the tongue is
the air passage. sag and block the throat. The lifted from the back of the throat,
casualty cannot breathe. leaving the airway clear.

FIGURE 10.1 OPEN THE AIRWAY

The contour of the larynx

ACTION forms the "Adam's apple"
1. With the head tilted back, feel for the Windpipe Keep the
Adam's apple with two fingers. Slide your head tilted

fingers back towards you into the gap

between the Adam's apple and the strap
muscle, and feel for the carotid pulse.
2. Feel for five seconds before deciding that
the pulse is absent. Carotid artery

Strap muscle
FIGURE 10.2 TO CHECK THE CAROTID PULSE

ACTION
1. With the casualty lying flat on his back on a firm Surface,
kneel beside him, and place the heel of one hand two finger-
widths above the point where his bottom ribs meet his
breastbone. Bring the heel of the other hand down over it
and interlock your fingers.

Press straight Keep the fingers

clear of the chest Find the point
down, with
so that pressure where the ribs
elbows
is applied over the meet with
"locked"
ribs Slide the heel of your fingers
your hand down
the breastbone to
meet the fingers

2. With your arms straight, press down

vertically on the breastbone, depressing it 1½ to
2 inches (4-5 cm). Release the pressure.
Repeat at a rate of 80 per minute.

FIGURE 10.3 CHEST COMPPRESSION

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ACTION
One person should go to summon help while the other In practice, it is easier to
immediately starts CPR. work on the opposite
Then, either proceed as figure 10.1, each person side of the casualty to
your partner
taking it in turn, or, while one of you gives chest
compressions, the other can give one breath of Rest while your partner
artificial ventilation after every five compressions. delivers a breath
Pause to ensure that the casualty's chest
rises, but do not wait for the chest to
fall before continuing with chest
compression.

Give one breath

after every five
compressions

FIGURE 10.4 CARDIO-PULMONARY RESUSCITATION (CPR)

ACTION
1. Remove or cut clothing to expose wound.
2. Apply direct pressure over wound with your finger or palm, preferably over sterile dressing.
3. If you cannot apply direct pressure, press down firmly on each side of the wound.
4. If you cannot apply direct
The brachial pressure point.
pressure, press down on both
The brachial artery runs along the inner
sides: side of the upper arm. Press your
• apply indirect pressure to a fingers in-between the muscles to
“pressure point” (where a main compress the artery against the bone.
artery runs close to a bone)
but for a maximum of 10 minutes, Follow the line of a
jacket sleeve seam to
DO NOT try to use a tourniquet find the brachial
as: pressure point.
• It can make the bleeding
worse, & The femoral pressure
• can lead to gangrene. point lies where a
trouser crease crosses
5. Raise and support injured part the bottom edge of a
above the heart of the casualty. pair of briefs.

6. Laying the casualty down on the

ground may help to reduce the flow
of bload to the injury and will The femoral pressure point.
minimise shock. The femoral artery crosses the pelvic bone in
7. Leaving original pad in place, apply the center of the groin crease. Lay the casualty
a sterile dressing, bandaging it down with the knee bent to locate the groin fold,
firmly in place but DO NOT stop and press very firmly with your thumbs.
blood circulation.
8. If blood flows through the bandage, tie another firmly on top of it.
9. Call a doctor.

FIGURE 10.5 MAJOR BLEEDING

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