ADNOC Onshore

HOT WORK PERMIT

PERMIT REQUEST (JOB ORIGINATOR - JO / JOB PERFORMER - JP) PTW No: PTW-2018-908492
ADCO Area: NEB Emergency Number: 02-6046999
Exact Location of Work: CORRIDOR A1,ISOLATION JOINT-03

Equipments to be worked on: CORRIDOR A1,ISOLATION JOINT-03

Equipments/tools to be used: HIAB,GENERATOR,CRANE, LIFTING TOOLS AND TACKLES,DRILLING MACHINE

Description of Work: CONCRETE DRILLING,PIPE SUPPORT INSTALLATION,MONKEY LADDER INSTALLATION,LIFTING ACTIVITIES

(NO WELDING WORK INSIDE CONFINED SPACE)
AGT: BIJU MATHEW,IA: ZAMEER SHAIKH
Section: Operations (DY)

Work order No. Total Workforce 25

Documents/Drawings Attached ; Restricted Area\Site: Control Room

Procedure/Check list Attached ; High risk activity name: Lifting over live hydrocarbon systems and electrical system

Risk assessment Attached ;

Methods of Statement Attached ; Area Permit †
Jobs in the Area Permit:

Job Performer Name: Prakasan Thadathil ( 0566888148 )

ADCO † Section: Project and Construction-NEB Contractor ; Robt Stone

Anticipated Start 06:30 Hrs Date: 31/12/2018 Finish 17:30 Hrs Date: 07/01/2019 No. Of Days 8

Job Originator Name: Zameer Shaikh

JO Sec. / Dept. Project and Construction-NEB Signature Electronically Approved

SECTION 2. HAZARDS ASSESSMENT, PRECAUTIONS AND APPROVAL (AREA AUTHORITY-AA)

A. Hazards Identified

Zone Classification 0,1 † 2 ; Unclassified †

Journey Management † Night Driving †

Hazards AA Hazards AA Hazards AA
Adjacent / Associated work † High energy spark ; Radioactive materials †
Adverse weather condition ; Hot materials † Rotating equipment ;
Asphyxiating atmosphere † Job involves flaring † Sharp objects †
Chemicals † Lifting operation ; Slip / Trip / Fall ;
Confined space entry † Liquid / Gas under pressure ; Steam †
Darkness † Mobile telephone † Toxic materials (H2S) ;
Dust / Mist / Metal fumes ; Moving vehicles / equipment ; Traveling by vehicle †
Electricity † Naked flame † Vibration †
Explosives † Noise ; Working after daylight †
Flammable materials ; Pager † Working at height ;
Heat Stress † Pyrophoric scale †
Other Hazards

B. Additional Certificates/Permits

Certificate Type Linked Certificate Num IA Check

CSEC CSEC-2018-30423 †

This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492
C. Work Site Precautions (Required)

Precautions AA IA Precautions AA IA Precautions AA IA

Access/egress for crane mobilizing ; † Flag man ; † Oxygen Test † †

Adequate lighting † † Flange spading/isolation † † Pressurized fire water hose-ADCO Fire
Fighter † †
Appropriate access / egress ; † Forced ventilation † † Proper ventilation † †
Area demarcation ; † Frequent rest breaks † † Reflective vest † †
BA hood type escape set ; † Hand torch † † Require Email & SMS
† †
Banks man / rigger ; † High Voltage(HV) Electrical Gloves † †
Barriers & safety signs ; † Hot stick † † Rescue & Evacuation Plan † †
Buddy system / rescue † † Inert gas blanketing † † Safe distance from radiation † †
Clean Shave beard ; † Insulated Rubber mat † † Safety signs ; †
Communication means ; † Insulated Tools † † Scaff tag ; †
Cover catchments’ basin/drain/vents † † Intrinsically safe equipment † † Scaffold inspector from ADCO ; †
Cover Chemicals with a fire blanket † † Keep non I.S. mobile phones outside ; † Scaffolding / staging ; †
Screen off area with
CP cable to be disconnected † † Keep scale wet † † † †
Crane preuse checklist ; † Life Saving Rules
Shade for workers
Dead-Man switch for Blasting and Work Authorization
Painting † † Working at Height ; † † †
Toxic Gas
Desert survival kit † † Simultaneous Operations (SIMOPS) † †
Discharge Rod † † Lifting equipment color code
Spark arrestor ; †
Green – from July to December 2018 ; †
Earth/bonding for static † † Spill kit † †
Electrically classified equipment † † Lifting plan for HRA † † Stable & secured wellhead grating † †
Environmental protection ; † Machine stop / shutdown button † † Strict Implementation of Ministerial Mid
day Break Rule
Equipment to have shock absorber † † † †
Maintain housekeeping ; †
Explosion proof equipment † † Material Safety Data Sheet (MSDS) † † Survey meter for radiation † †
Film badges for radiation † † Mechanical guard ; † Tool Box Talk (TBT)/ TRA to be
discussed at TBT ; †
Fire & gas detection inhibits † † Mobile equipment inspection ; †
Fire Extinguishers
Valid scaffold erector certificate † †
Mobiles / radios switched off † †
Dry powder [for liquid and metal fire] ; † Welfare Facilities ; †
No Chemicals within 10 meters † †
Wetting or quench with water † †
Fire watcher-Trained ADCO or No lightening / thundering † †
Contractor Employee on Fire † † Whip Check † †
extinguishers No naked flame while detonating guns † †
Wind sock ; †
Nonsparking tools ; † Wind speed
NORM measurement † † < 17 Knots ; †

D. Personal Protection and safety equipment (Required)

Precautions AA IA Precautions AA IA Precautions AA IA

Body rescue stick † † Eye wash / body shower † † H2S Personal Monitor ; †
Breathing apparatus sets (SCBA) † † Face screen / shaded glasses for Impervious disposal coverall (For
welding † † NORM) † †
Chemical mask † † Face shield † † Lifeline & harness for rescue † †
Chemical resistant apron (battery room) † † FFP3 Mask (For NORM) † † Mandatory standard PPE ; †
Dosimeters for radiation † † Full body safety harness ; † Safety glasses ; †
Dust mask ; † Full chemical suit † † Shielding for radiation † †
Ear protection † † Gloves Welder's suit † †
Normal cotton gloves ; †

This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492
 Precautions AA IA

Goggles † †
Other Precautions

E. Approval

Area Authority Name Balaji Rajagopal Krishnasamynaidu (ADNOC Onshore - NEB-OPS)

Date : 31/12/2018 08:20
Signature : Electronically Approved

Counter Signature AA Name: Date :

Asset:
Section:

HRA Authority Name: Date :

SECTION 3. GAS TESTING REQUIREMENTS (GAS TESTER - GT)

Date Time Oxygen (19.5-22.5%) Combustibles (<5% LEL) H2S (<10ppm) Name

Name (GT) R PRAKASH RAMAN

Gas test ; Gas test to be repeated every Hrs Continuous gas testing required Yes No

Gas test Precautions Oxygen ; Combustible ; H2S ; ; †

s

Toolbox Talk Record Sheet and Checklist

Tick Attendees Check the following requirements:

Date
. Organize the job steps/time scale
------------------------ . Identify any potential Hazards
Crew Members . Discuss all safety precautions required
. Identify and discuss Individual and group responsibilities
. Identify access route for vehicles
. Identify wind direction & safe position of crew & equipment
. Ensure that work force understand the hazards & Precautions
. Ensure that all the workforce members have the required PPE
. Ensure that right tools are in place
. Check certificates and color code of lifting Equipment
. Identify and check means of communications
. Identify MSDS of any chemicals to be used
. Brief the work force on the chemical safety requirement
. Identify and discuss all isolations required by PTW
. Identify adjacent works on the site
. Ensure that work force is aware of site emergency alarms & Contact
numbers
. Discuss the relevant life protection rules with work force
. Others (Specify other topics discussed)

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Job Performer
Initial

SECTION 4. PERMIT ISSUE (ISSUING AUTHORITY/JOB PERFORMER-IA/JP)

Issuing Authority (IA)

I have personally checked the work requirement and precautions identified by the Area Authority, I have discussed these with the Job Performer and
I certify that the work site is safe for the requested work proceed.
Approved start of work date Time Hrs

Name (IA) R PRAKASH RAMAN

Signature

This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492
Job Performer (JP)

I will abide by the conditions /precautions stated in this permit, and I will conduct a tool box talk prior to commencing the work covering the hazards and
safety precautions required.
Name (JP) Prakasan Thadathil
Signature Date :

Note: This permit is automatically suspended in case of emergency, at the end of working day, or if the conditions
mentioned in this permit change. On suspension, the permit must be returned to the Permit Office.

REVALIDATION

1 2 3 4 5 6 7

IA Revalidation

Date

Time Of Issue

GAS TESTING

Date Time Oxygen (19.5-22.5%) Combustibles (<5% LEL) H2S (<10ppm) Name

SITE VISIT

Date Time Area Authority Job Originator

This is an ADNOC Onshore official document generated automatically by the computer Permit No: PTW-2018-908492