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PERMIT TO WORK SYSTEM

 


ORIGINAL ISSUE DATE

      April 1996

ENVIRONMENTAL, HEALTH & SAFETY MANUAL

 

INDICATOR NO:

            S2-021

 

 

CLAUSE NO:

 

 

 

LAST ISSUE DATE

 

      May 1999

 

SUPERSEDES

 

       N/A

 

NEW:  

 

RE-ISSUE (NO CHANGE):

EFFECTIVE

      May 1999

 

 

RE-ISSUE (AMENDED): XXX

 

 

 

AUTHOR

 

 

 

Industrial Security Section

APPROVED BY

 

 

 

Production Manager

 

 

 

Technical Support Manager

AUTHORIZED BY

 

 

 

VP Marketing & Administration

 

 

 

V P Manufacturing & Finance

 

AFFECTS

 

All Refinery Personnel

 

ORIGINATING DEPARTMENT

 

Production-Industrial Security Section

 

DISTRIBUTION

 

All Refinery Document Sets

 

ATTACHMENTS

 

Appendix “A”

Appendix “B”

Appendix “C”

Appendix “D”

Appendix “E”

Appendix “F”

Appendix “G”

Appendix “H”

Appendix “I”

 

 

REFERENCES

 

S2-002:       “Safety Related Disciplinary Program”

S2-024:       “Personnel Entry into Operating Units”

S2-025:       “Fire Watch Policy”

S2-026:       “Hole Watch Policy”

S2-029:       “Hot Tapping and Welding on In-Service Process Equipment Procedure”

S2-030:       “Electrical Isolation Policy”

S2-032:       “Mechanical Isolation Policy”

S2-063:       “Environmental, Health & Safety Policy and Procedure Definitions”

 

REVIEW DATE

 

May 2001

 

 

 

 

1.0  INDEX

 

1.0    Index

 

Glossary of Terms

 

2.0    Policy Statement

 

3.0    Purpose

 

4.0       Objectives

 

5.0       Procedure

 

6.0    Responsibility Flowsheet

 

7.0    Records Requirement

 

8.0    Skills Requirement

 

9.0    Continuous Improvement

 

Appendices

 

Appendix “A”    Cold Work Permit & Procedure

Appendix “B”    Hot Work Permit & Procedure

Appendix “C”    Underground Survey Excavation Certificate & Procedure

Appendix “D”    Confined space Entry Permit & Procedure

Appendix “E”    Vehicle Entry Permit & Procedure

Appendix “F”     Road Closure Permit & Procedure

Appendix “G”    Non-Emergency Fire Water Use Permit & Procedure

Appendix “H”    Fire Water System Out Of Service Permit & Procedure

Appendix “I”      Box Up Certificate & Procedure

 

GLOSSARY OF TERMS

 

Specialized terms have been denoted in this document by Bold/Italicized print.  A detailed set of definitions can be found in the Environmental, Health & Safety Policy and Procedure Definitions document (Refer to Environmental, Health & Safety Policy and Procedure Definitions S2-063).

 

2.0  POLICY STATEMENT

 

The Appendices (i.e. the individual Permit and their associated procedures) attached with this document illustrate each individual permit/form utilized by the LUBEREF Permit to Work System.  The permits/forms and associated procedures set the minimum requirements for the Permit to Work System.  The Permit to Work System can only be effective through each individual's full utilization of the attached Permits and enforcement of the requirements herein by all levels of LUBEREF Supervision.

 

 

 

 

 

3.0  PURPOSE

 

The purpose of this Permit to Work system is to define a minimum safe system for all work being performed at LUBEREF,and to establish a high standard of safety protection for personnel, plant and equipment. 

 

The Permit to Work system is a communication and control tool used to plan and control work, and requires common understanding between management, supervisors, operators and those who carry out the work.

 

 

The Permit to Work system is general in nature and is intended to cover all work.  Compliance with the Permit to Work system is required.

 

4.0  OBJECTIVES

 

The Permit to Work system is aimed at achieving a number of key safety objectives.

 

·              A set of uniform safe wok practices is defined and implemented, to safeguard personnel and plant and to ensure compliance with all relevant statutory requirements.

·              The worksite is inspected, hazards identified and all necessary precautions and special conditions implemented before the Work Permit is authorized and issued for work to commence.

·              The work is planned and carried out on the correct equipment, which has been isolated, correctly prepared and made available as scheduled.

·              The LUBEREF personnel responsible for the operations and safety in the work area know about the work to be carried out.

·              All personnel involved in the work have been properly instructed in safe work procedures, including the appropriate Personal Protective Equipment (PPE) to be used during the work.

·              Suitable PPE and Fire Fighting Equipment is available for use at the work site.

·              The number of work permits issued and the types of jobs are known in any one area so that adequate spacing for safe work environment is maintained.

·              The worksite is inspected during the course of the work to ensure those safe conditions and work practices are maintained, and at the completion of the work, that it has been left in a safe condition and that operation can safely recommence.

·              The safety equipment used in conjunction with the Permit to Work system (i.e. Gas Testers, SCBA’s and rescue equipment) is correctly calibrated maintained at all times.

·              The personnel responsible for requesting and authorizing work permits are trained, tested and hold a current certificate of competency.

 

 

 

 

 

 

5.0  PROCEDURE

 

All maintenance work along with any work that requires Operations control of the system and/or work conditions must comply with the LUBEREF Permit to Work System.  This includes, but may not be limited to opening a normally closed system, installing process equipment, etc.  Work, therefore, is classified under one or more of the categories mentioned below:

 

·              Cold Work

·              Hot Work,

·              Underground Survey Excavation Certificate,

·              Confined space Entry,

·              Vehicle Entry,

·              Road Closure,

·              Non-Emergency Fire Water Use,

·              Fire Water System Out Of Service Notification,

·              Box Up Certificate.

 

(Note: When specified, a separate permit is required for each individual classification of the job mentioned above.  As such, more than one permit may be required for a single job depending on the type of work that is being conducted.  For example, a particular job is classified as hot work and is in a trench that is also classified as a confined space.  Therefore, in addition to the “Hot Work Permit”, a “Confined Space Entry Permit” must also be issued before any work can begin.  If the work involves excavation, then an “Underground Survey Excavation Certificate” is also required.)

 

Maintenance Department will usually request a permit after they receive a request from Operations for a specific repair activity.  However, the Maintenance Department may (in some cases) request a permit without receiving a request from Operations (e.g. regular preventative maintenance activities, etc.).  In addition, the Technical Department may also request a permit without receiving a request from Operations (e.g. for project-related activities, on-stream inspections, etc.).  Regardless of how the permit is requested, the requester will 1) complete the first section of the permit and forward it to Operations, or 2) report to the Lead Operator with the permit where it will then be completed jointly.  (NOTE: Contractor personnel are not allowed to request any permit, it must be requested by a LUBEREF representative.).  Listed in the following Sections are brief definitions/descriptions of the type of work/activities covered by each individual permit.

 

Note: The Industrial Security Section “Fire & Safety” is responsible for authorizing permits for all work being carried out in the Administration Building, Cafeteria/Mosque/Change Room Building, Workshop Offices and Annexes, Warehouse, Safety & Security Building and Security Gate Houses.

 

 

 

 

 

 

 

 

5.1    Cold Work Permit

 

Cold Work activities are those that will not produce sufficient energy to ignite flammable atmospheres or flash the material (e.g. working with hand operated tools, removing sand, painting, etc.) (CAUTION: Use of a hack saw can generate heat and/or produce sparks, as such, special precautions for its use can be written on the permit) (NOTE: Use of an electrically operated hand tool is not covered by the “Cold Work Permit” and will require a “Hot Work Permit”.). This will ensure that the equipment worked on is made safe, and exposure to the individuals performing the work is minimized.

 

5.2    Hot Work Permit

 

Hot work is any activity that could provide a source of ignition if combustible materials or flammable vapor-air mixtures are present.  Hot work includes, but is not limited to, the operation of gas torches or welding /soldering, cameras with flash mechanisms, non-explosion proof/non-intrinsically safe electric tools with arcing contacts, non-explosion proof/non-intrinsically safe electrical lighting, grinders and sandblasting equipment.  Pneumatically operated equipment is excluded unless there is a possibility that the specific activity can produce a source of ignition (e.g. grinding wheel on pneumatic grinder, using a pneumatic wrench on an exchanger, etc.).  A Static Spark can also be generated when using a hand held pneumatically operated vacuum cleaner.  The use of the Vacuum Truck also requires a Hot Work Permit and is required to be grounded as a static spark can be generated.  (Refer to Assured Grounding Program S2-028).  The purpose of the “Hot Work Permit” is to establish a uniform procedure to ensure that the work area is hydrocarbon free such that the hot work activity can be performed safely.

 

5.3    Underground Survey Excavation Certificate

 

An excavation is any cut, cavity, trench, or depression in the earth surface, formed by earth removal.  Preparatory checks, such as drilling into walls or ceilings to locate electrical conduit, are also included in this definition in order to force a review of the proper electrical drawings prior to the intended work activity.  The purpose of the “Underground Survey Excavation Certificate” is to provide a safe work environment for those employees who are required to cut, dig, drill, or excavate, into cuts, cavities, trenches, or depressions in the earth surface.

 

 

5.4    Confined Space Entry Permit

 

A confined space is any enclosed space or partially enclosed space which;

·                    Is at atmospheric pressure during occupancy,

·                    Is not intended primarily as a place of work,

·                    May have restricted means for entry and exit, and

·                    May;

i)        Have an atmosphere that contains potentially harmful levels of contaminant.

ii)      Not have a safe oxygen level.  (Less than 19.5% oxygen or greater that 23.5% oxygen at atmospheric pressure.)

iii)    Cause engulfment.

5.4 Confined Space Entry Permit ( continued )

 

Examples of confined spaces include, but may not be limited to, storage tanks, tank cars, process vessels, vessel skirts, pits, sewers, ducts, large pipes, furnaces, exchanger shell, trenches 4 feet (1.23 meters) or deeper, asbestos abatement jobs with full enclosures, etc. A confined space or similar enclosure must not be entered until appropriate tests are conducted and an “Confined Space Entry Permit” has been issued.

 

(NOTE: Some confined spaces, such as vessel skirts, may be readily accessible to plant personnel.  A confined space entry permit is required before entering vessel skirts.

 

Whilst the diked area around some of the process storage tanks may be considered as a confined space, for the purposes of this procedure, it does not require a confined space entry permit.  However good judgement must be exercised before entering these areas.

 

For the purposes of this system, a person whose head and shoulders is within a confined space is considered to have entered the confined space. 

 

 

5.5    Vehicle Entry Permit

 

The purpose of the “Vehicle Entry Permit” is to control the access of motorized equipment entering a Process Unit and/or tank dike area.

 

5.6    Road Closure Permit

 

The purpose of the “Road Closure Permit” is to control closure of roads such that adequate planning can be undertaken that will provide alternate means of egress and access during emergency situations.

 

5.7    Non-Emergency Fire Water Use Permit

 

The purpose of the “Non-Emergency Fire Water Use Permit” is to control the use of the Fire Water System and emergency fire equipment during non-emergency situations such that LUBEREF Emergency Response personnel still have adequate means of fire protection available in an emergency situation.  This permit must be completed before the usage of any fire hydrant for any purpose other than emergency fire fighting.

 

The only exception to this requirement is for routine inspection and flushing of the Firewater system by the Industrial Security Section “Fire & Safety”.  The Control Room  must be notified prior to flushing.

 

 

 

 

 

 

 

 

5.8    Fire Water System Out Of Service Permit

 

The purpose of the “Fire Water System Out Of Service Permit” is to provide adequate means of alternate fire protection for the Refinery when it is necessary to shut off a portion of the Fire Water System.  This form must be completed before any disruption of normal service to the Fire Water System.

 

5.9    Box Up Certificate

 

The “Box Up Certificate” is a mechanism that shall be used to ensure that all equipment, tools, personnel, and debris are removed from the interior of a vessel, heater, storage tank, or similar enclosure after completion of the work activity.  It is also the purpose of the “Box Up Certificate” to confirm that the equipment is fit for continued service.

 

5.10 Photography Equipment

 

The use of cameras and video equipment at LUBEREF is not permitted without the appropriate authority being obtained from the Industrial Security Section.  This is not a permit to use photographic equipment.  All photographic equipment requires a Hot Work Permit.

 

5.11 Blanket Permits

 

During turnarounds or other work activities that require complete isolation of a process unit from outside influences, (i.e. complete battery limit isolation), a Blanket Permit(s) Hot Work and /or Cold Work Permit  may be considered by the appropriate LUBEREF Management personnel. (i.e. Operations Superintendent, Maintenance Superintendent, & Industrial Security Superintendent, etc.).  This will be on a case by case basis in line with prevailing conditions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.0  RESPONSIBILITY FLOWSHEET

 

6.1    Permit to Work System (Flowchart #1)

 


6.1    Permit to Work System (Flowchart #2)

 


6.2    Additional Responsibilities

 

All personnel involved share responsibility for the safety of work.  Permit-specific responsibilities have been spelled out in the appendices.  Therefore, listed below are the general responsibilities that always apply, regardless of the permit being issued.

 

6.2.1   Industrial Security Section

 

6.2.1.1            LUBEREF Industrial Security Section “Fire & Safety” is responsible for conducting spot checks on permitted activities to ensure that the criteria mentioned in this Policy regarding permits are strictly adhered to.

 

6.2.1.2            The LUBEREF Industrial Security Section “Fire & Safety” is responsible for providing Permit Receiver & Permit Authorizer training to all LUBEREF Departments  and contractors as required.

 

6.2.1.3      The LUBEREF Industrial Security Section “Fire & Safety” is responsible for correctly completing their assigned sections of each permit as accurately as possible.

 

6.2.1.4      The LUBEREF Industrial Security Section “Fire & Safety” is responsible for providing instruction on the correct use of hydrocarbon gas detectors to the Operations Department and to all other LUBEREF Departments on an “as needed basis”.

 

6.2.1.5      The LUBEREF Industrial Security Section “Fire & Safety” is responsible for conducting hydrocarbon gas tests for all confined space activities.

 

6.2.1.6            The LUBEREF Industrial Security Section “Fire & Safety” is responsible for assisting Operations personnel with the hydrocarbon gas tests for all hot work related activities when requested.

 

6.2.1.7      The LUBEREF Industrial Security Section “Fire & Safety” is responsible for maintaining an up to date Database of all Certified Permit Receivers & Authorizers.

 

6.2.2   Maintenance Department

 

6.2.2.1            The Maintenance Department is responsible for correctly completing their assigned sections of each permit as accurately as possible.

 

6.2.2.2      The Maintenance Department is responsible for ensuring they have sufficient numbers of up to date certified Permit Receivers.

 

 

 

 

 

 

6.2.3   Operations Department

 

6.2.3.1      The Operations Department is responsible for correctly completing their assigned sections of each permit as accurately as possible.

 

6.2.3.2            The Operations Department is responsible for ensuring that all conditions stipulated on a permit have been met prior to authorizing any permit-related activity.

 

6.2.3.3            The Operations Department is responsible for keeping an accurate Equipment Isolation Lock out/Tag Out/Blinds log.

 

6.2.3.4      The Operations Department is responsible for ensuring they have sufficient numbers of up to date certified Permit Authorizers.

 

6.2.4   Work Execution Department (e.g. Maintenance, Technical, Task Force, etc.)

 

6.2.4.1   The Work Execution Department is responsible for correctly completing their assigned sections of each permit as accurately as possible. 

 

6.2.4.2   The Work Execution Department is responsible for ensuring that their personnel do their assigned work in accordance with the provisions stipulated on each permit.

 

6.2.4.3            The Work Execution Department is responsible for signing off on all permits at the end of the work period.

 

.

6.2.4.4            The Work Execution Department is responsible for ensuring they have sufficient numbers ( employees & contractors personnel) of up to date certified Permit Receivers.

 

6.2.5       Permit Requester

 

The Permit Requester must hold a current Permit Receivers certificate.  The Permit Requester is responsible for clearly specifying the nature, location and estimated duration of the work and the tools or equipment to be used, in  sufficient detail, to allow for correct equipment preparation.

 

 

 

 

 

 

 

 

 

6.2.6       Permit Authorizer

 

The Permit Authorizer must hold a current Permit Authorizers certificate.  The Permit gives a written record to the personnel performing the work that the equipment and work area has been prepared and certain precautions taken.  Through the Permit, the Permit Authorizer certifies that a safe environment has been created for the work detailed on the permit.

 

The Permit Authorizer shall:

·        Ensure that a Safe Work Environment is created and maintained, i.e.

i)        Correct equipment drained, depressurized, purged and positively isolated.

ii)      All energy sources isolated and de-energized.

iii)    Necessary Gas/Toxicity/Oxygen tests taken frequency of re-testing established.

iv)    Potential hazards identified, precautions taken and special instructions written on the permit.

 

·        Inspect the worksite personally before authorizing the permit to identify all control measures that must be taken.  All such requirements will be listed on the permit form.

 

(Note: The duties of preparing the work area may on occasions be delegated by the Permit Authorizer to another person)

 

·        Inform Site/Area operator of work being performed in their area.

 

·        Ensure that the Permit Recipient/Receiver reads and understands the permit and explain any Additional Precautions listed.

 

·        Inform the Permit Recipient/Receiver of any known hazards they might be exposed to by the environment in which they are to work, and specify appropriate fire/safety equipment and precautions to address these hazards.

 

·        Re-inspect the worksite prior to resumption of work if a work permit has been suspended.

 

·        As soon after Shift Change as is practicable, the Lead Operator must inspect the worksite for all current Hot Work & Confined Space Entry Permits, and countersign the permits in the update section.

 

·        Ensure appropriate interim warning signs or barricades are in place as required.

 

·        Jointly with the Craftsman or contractor inspect & verify that the worksite has been left in a safe condition and is free of debris, maintenance equipment and scaffolding at the end of the work or work period.

 

·        Sign off and file returned work permits at the completion of the work, or on the appropriate shift.

6.2.7       Permit Recipient/Receiver

 

The Permit Recipient/Receiver must hold a current Permit Receivers certificate.

 

·        Read the permit and note any Additional Precautions listed.  Perform only that work specified on the permit and comply with all listed Safety Precautions.

(Note: Supervisors of work crews who receive permits on behalf of the crew must ensure that all workers are briefed about all safety precautions).

 

·        Post the permit(s) in the work area.

·        Perform the work in a safe and environmentally acceptable manner.

 

·        Obtain and correctly use, appropriate Safety and PPE.

 

·        Stop work and notify the Permit Authorizer of any changes in conditions that may affect the work.

 

·        When the Emergency Siren sounds, stop work, shut down all equipment immediately and leave the worksite as safe as practicable.  Report to the Permit Authorizer for re-assessment and endorsement of the permit when the "All Clear” sounds.

 

·        Care for the permit during the work & Ensure that the worksite is maintained in a clean and safe condition.

 

·        Ensure the worksite has been left in a safe condition and is free of debris, maintenance equipment and scaffolding etc. at the end of the work or work period.

 

·        Complete the sign off section and return the permit to the Authorizer at the end of the work or work period.

 

·        Jointly with the Permit Authorizer inspect & verify that the worksite has been left in a safe condition and is free of debris, maintenance equipment and scaffolding at the end of the work or work period. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.2.8       Persons Entering a Confined Space

 

Entry to a confined space is not permitted unless a correctly trained and equipped Standby person is present.

 

·        Entrants must ensure they are recorded in the entry log each time they enter and exit a confined space.  (Exiting and re-entry after short periods to go and get tools etc. does not require the log to be amended each time provided they remain in close proximity and DO NOT leave the worksite.  Leaving the worksite or exiting and re-entry for a long period such as smoke breaks, meal breaks or toilet breaks DOES require the log to be filled in correctly.)

 

 

·        Entrants must comply with all permit requirements, including PPE.

 

·        Entrants must establish a communication system with the Standby person as required.

 

·        Entrants must notify the Standby person if dangerous or prohibited conditions exist or conditions change in the confined space.

 

·        Entrants must evacuate if dangerous or prohibited conditions exist in the confined space, or if ordered to do so by the Standby person, the permit authorizer or the local site/area operator.

 

7.0  RECORDS REQUIREMENT

 

The Industrial Security Section shall maintain the master copy of this document.  Copies will be distributed and updated according to review cycle established for this document.  Any records generated by this document (i.e. permits, attachments, etc.) shall be retained by the Operations Department in the Control Room for a period one (1) month after the issue of the permit, after which, they will be forwarded to the LUBEREF Industrial Security Section “Fire & Safety” for a one (1) year retention period.

 

8.0  SKILLS REQUIREMENT

 

The LUBEREF Industrial Security Section “Fire & Safety” shall provide a “Permit Authorizer” Course to certify all Permit Authorizers within the Operations Department, and a “Permit Receivers” Course to certify all Permit Receivers within other Departments .  (NOTE: Contractors will receive this training on a “as needed only basis”).  In addition, details of the permits will be communicated to all personnel via the LUBEREF Employee Safety Training Course.  Instruction for the “Permit authorizer / Receiver” Courses will cover how to fill out each permit and how each permit is to be used at LUBEREF.

 

 

 

 

 

 

9.0  CONTINUOUS IMPROVEMENT

 

All persons using the Permit to Work system are encouraged to assist LUBEREF to continuously improve the system.  LUBEREF employees or contractors who have suggestions for additions or improvements to the system should address them to the Industrial Security Superintendent.  All proposed changes to this document will be reviewed by the LUBEREF Industrial Security Section in conjunction with the next scheduled review/revision date for this document.  Out of sequence proposed changes will be reviewed on an individual basis by the Industrial Security Superintendent.  In addition, all proposed changes will be approved or rejected by the Company Vice Presidents.  The Industrial Security Section will periodically review the contents of this document to evaluate its accuracy and effectiveness with respect to actual facility operations.

 


 

 

APPENDIX A

 

PERMIT TO WORK SYSTEM

 

COLD WORK PERMIT & PROCEDURE

 


APPENDIX A, ATTACHMENT I

DETAILS OF THE COLD WORK PERMIT

 

Cold Work activities are those that will not produce sufficient energy to ignite flammable atmospheres or flash the material being worked on/with (e.g. working with hand operated tools, removing sand, painting, etc.).  This will ensure that the equipment worked on is made safe, and exposure to the individuals performing the work is minimized.  The LUBEREF “Cold Work Permit” has three (3) Sections:

 

·              Section 1-Work Requested,

·              Section 2-Safety Checklist, and

·              Section 3-Sign on/Sign off/Updates.

 

Section 1-Work Requested covers the following:

 

(a)    The unit or area of the job and the date and time the job will be carried out

(b)    The individual or company that will be carrying out the work.

(c)     Who is requesting the permit.

(d)    The name and number of the equipment.

(e)    The description of the planned work.

(f)      The equipment and tools to be used.

 

Section 2-Safety Checklist covers the following:

 

(a)    An itemized checklist that must be answered “Yes”, ”No”, or “N/A” (not applicable) (each appropriate box must be initialed).

(b)    Mandatory PPE and specialized protection.

(c)     Other permits that may be required in accordance with the “Cold Work Permit” (i.e. “Confined Space Entry Permit”, etc.).

Section 3- Sign on/Sign off/Updates covers the following:

 

(a)    An area for signatures of the Authorizer of the permit and the Craftsman or Contractor who will be doing the work.

(b)    An area for signature Updates by the Authorizer of the permit.  (e.g. after Shift Change)

(c)     An area for signature Sign Off by the Authorizer of the permit and by the Craftsman or Contractor.  The status of the job at time of sign off will be recorded as complete/incomplete and job conditions if incomplete.

 


APPENDIX A, ATTACHMENT II

GUIDE TO COMPLETING THE COLD WORK PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Cold Work Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               When do I plan to do this work? (Be specific regarding the Time / Date)

·               What area do I plan to work in?

·               What tools/equipment will be required? (Be specific)

·               What is the nature or scope of the work planned? (Be as exact as possible)

 

When this information has been well defined, proceed to Step 2 (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Permit Requester )

 

Complete Section 1-Work Requested of the “Cold Work Permit”.  Section 1- Work Requested contains all the information asked for in Step 1.

 

The Maintenance Department will usually request a permit after they receive a request from Operations for a specific repair activity.  However, the Maintenance Department may (in some cases) request a permit without receiving a request from Operations (e.g. regular preventative maintenance activities, etc.).  In addition, the Technical Department may also request a permit without receiving a request from Operations (e.g. for project-related activities, on-stream inspections, etc.).  Regardless of how the permit is requested, the requester will 1) complete the first section of the permit and forward it to Operations, or 2) report to the Lead Operator with the permit where it will then be completed jointly.  (NOTE: Contractor personnel are not allowed to request any permit it must be requested by a LUBEREF representative.).

 

When Section 1- Work Requested is completed in full, proceed to Step 3 (NOTE: The permit must be delivered to Operations the day before the planned work activity (unless specifically accepted/agreed to by Operations) to allow for adequate job preparation.).

 

Step 3 ( By Permit Authorizer )

 

Complete Section 2-Safety Checklist.

 

Operations will usually complete Section 2-Safety Checklist.  The Authorizer of the permit will complete this Section after a joint physical site inspection of the equipment or area to be worked on with the Craftsman or contractor who will be performing the work.

 


APPENDIX A, ATTACHMENT II

GUIDE TO COMPLETING THE COLD WORK PERMIT (Continued)

 

Step 3 (Continued)

 

The first part of Section 2-Safety Checklist covers the safety aspects of the job you are about to perform and must be completed by Operations.  It is comprised of a checklist that requires a simple “Yes”, “No”, or not applicable (N/A) answer.  The questions requiring answers are as follows:

 

·               Has the equipment been isolated from process by valves locked & tagged?

·               Has the equipment been isolated by blinds/blanks?

·               Has the equipment been de-pressurized/drained?

·               Has the equipment been water washed or steamed out?

·               Is the equipment under nitrogen?

·               Has the equipment been electrically isolated-lock-out/tagout?

·               Has the equipment been isolated from non-electric driver?

·               Has the area been checked for any abnormal hazards (specify)?

·               Additional precautions need to be taken  if  there is any ,and it will specified by the permit authorizer.

 

(NOTE: When in doubt, answer the question conservatively.  In addition, never assume one of the above items has been completed for the work activity in question.  Be prepared to do a field check for physical verification.)

 

The second part of Section 2-Safety Checklist deals with Personal Protective Equipment (PPE) and must be given careful consideration.  (NOTE: Deviation from the minimum requirements will not be tolerated and will result in the delay of issuing the permit.).  This part must also be completed by Operations.  At LUBEREF it is mandatory to wear safety boots/shoes, hard hat, protective clothing, safety glasses, and hearing protection (where required) at all times.  However, additional safety equipment may be required for the particular job you are about to carry out.  Give thought to supplying additional safety equipment (i.e. Ask yourself questions like, “Do you need breathing sets, air-lines, safety harnesses, special eye/face protection? etc.).

 

The second part of Section 2-Safety Checklist also covers other permits.  Think ahead and determine if other permits might be required for the job in question (e.g. “Confined Space Entry Permit”, “Underground Survey Excavation Certificate”, etc.).  You can save time and energy if you plan for your permits ahead of time.

 

 

 

Step 4 ( By Permit Authorizer and Permit Receiver)

 

Complete Section 3-Sign On. As the last section of the permit, the signatures of the Authorizer of the permit and the Craftsman or Contractor who will be doing the work are also required before any work can begin.  Proceed to Step 5


APENDIPX A, ATTACHMENT II

GUIDE TO COMPLETING THE COLD WORK PERMIT (Continued)

 

Step 5 ( By Permit Receiver and Permit Authorizer )

 

You can conduct the work in question at this time IF AND ONLY IF all other required permits have been completed in full.  The original (white) copy of the permit will be posted at the work site by the craftsman or contractor along with copies of any other certificates (i.e. Confined Space Entry Log, Equipment Isolation Lock Out/Tag Out Blinds Log).  The remaining copies will stay in the permit room in the designated trays.  In the event that an update of the permit is required during the course of the job (e.g. at shift change), an area has been provided for the Authorizer of the permit to sign again. 

 

(NOTE: The Authorizer will only sign the “Update” area if he is satisfied that the original conditions of the job have not changed.).

 

Step 6 ( By Permit Receiver and Permit Authorizer)

 

An area for signature Sign Off by the Authorizer of the permit and by the Craftsman or Contractor have also been provided.  The Craftsman or Contractor must Sign Off in the appropriate place on the permit when the work is complete, or at the end of the work period and return the permit to the permit Authorizer to close out the permit.  The Craftsman or Contractor will record the status of the job at time of sign off as complete/incomplete (job conditions must be listed if the job is incomplete).  The Authorizer and the Craftsman or contractor will jointly visit the worksite to verify the condition of the work area, the Authorizer will then Sign Off the permit in the appropriate place. 

 

(NOTE: The “Cold Work Permit” is valid for and on the day of issue only and will expire at 2400 hours.  An Industrial Security Section “Fire & Safety” representative will pick up permit copies every morning from the Control Room).

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX A, ATTACHMENT III

COLD WORK PERMIT FORM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPENDIX B

 

PERMIT TO WORK SYSTEM

 

HOT WORK PERMIT & PROCEDURE

 


APPENDIX B, ATTACHMENT I

DETAILS OF THE HOT WORK PERMIT

 

Hot Work is any activity that could provide a source of ignition if combustible materials or flammable vapor-air mixtures are present.  Hot Work includes, but is not limited to, the operation of gas torches or welding or soldering, cameras with flash mechanisms, non-intrinsically safe electrical tools & equipment with arcing contacts, non-intrinsically safe electrical lighting, grinders, and sand blasting equipment.  Pneumatically operated equipment is excluded unless the specific activity can produce a source of ignition (e.g. grinding wheel on pneumatic grinder, etc.).  A Static Spark can also be generated when using a hand held pneumatically drive vacuum cleaner or any other power tool that has a blower attached to it.  The use of the Vacuum Truck also requires a Hot Work Permit and is required to be grounded as a static spark can be generated.  (Refer to Assured Grounding Program S2-028).  The purpose of the “Hot Work Permit” is to establish a uniform procedure to ensure all equipment has been made safe for employees who are required to work on it.  The LUBEREF “Hot Work Permit” has three (3) Sections:

 

·              Section 1-Work Requested,

·              Section 2-Safety Checklist, and

·              Section 3-Sign on/Sign off/Updates.

 

Section 1-Work Requested covers the following:

 

(a)    The unit or area of the job and the date and time the job will be carried out

(b)    The individual or company that will be carrying out the work.

(c)     Who is requesting the permit.

(d)    The name and number of the equipment.

(e)    The description of the planned work.

(f)      The equipment and tools to be used.

 

Section 2-Safety Checklist covers the following:

 

(a)    An itemized checklist that must be answered “Yes”, ”No”, or “N/A” (not applicable)

    (each appropriate box must be initialed).

(b)    Job site preparations.

(c) Standby fire equipment

(d) Condition of Electrical equipment.

(e) Surrounding area check for flammable liquids or vapors.

(f)   Notification to associated parties that HOT WORK is in progress.

(g) Mandatory PPE and specialized protection.

(h) Other permits that may be required in accordance with the “Hot Work Permit” (i.e. “Confined Space Entry Permit”, etc.).

(i)        Any additional precautions that may be necessary.

(j)   Original hydrocarbon gas testing and subsequent tests that may be required.

 


APPENDIX B, ATTACHMENT I

DETAILS OF THE HOT WORK PERMIT (Continued)

 

Section 3- Sign on/Sign off/Updates covers the following:

 

(a)    An area for signatures of the Authorizer of the permit and the Craftsman or Contractor who will be doing the work.

(b)    An area for signature Updates by the Authorizer of the permit.  (e.g. at Shift Change)

(c)     An area for signature Sign Off by the Authorizer of the permit and an area for the Craftsman or Contractor.  The status of the job at time of sign off will be recorded as complete/incomplete and job conditions if incomplete.

 


APPENDIX B, ATTACHMENT II

GUIDE TO COMPLETING THE HOT WORK PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Hot Work Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               When do I plan to do this work? (Be specific regarding the Time / Date)

·               What area do I plan to work in?

·               What tools/equipment will be required? (Be specific)

·               What is the nature or scope of the work planned? (Be as exact as possible)

 

When this information has been well defined, proceed to Step 2 (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Permit Requester )

 

Complete Section 1-Work Requested of the “Hot Work Permit”.  Section 1- Work Requested contains all the information asked for in Step 1.

 

The Maintenance Department will usually request a permit after they receive a request from Operations for a specific repair activity.  However, the Maintenance Department may (in some cases) request a permit without receiving a request from Operations (e.g. regular preventative maintenance activities, etc.).  In addition, the Technical Department may also request a permit without receiving a request from Operations (e.g. for project-related activities, on-stream inspections, etc.).  Regardless of how the permit is requested, the requester will 1) complete the first section of the permit and forward it to Operations, or 2) report to the Lead Operator with the permit where it will then be completed jointly.  (NOTE: Contractor personnel are not allowed to request any permit it must be requested by a LUBEREF representative.).

 

When Section 1- Work Requested is completed in full, proceed to Step 3 (NOTE: The permit must be delivered to Operations the day before the planned work activity (unless specifically accepted/agreed to by Operations) to allow for adequate job preparation.).

 

Step 3 ( By Permit Authorizer )

 

Complete Section 2-Safety Checklist.

 

Operations will usually complete Section 2-Safety Checklist.  The Authorizer of the permit will complete this Section after a joint physical site inspection of the equipment or area to be worked on with the Craftsman or contractor who will be performing the work.

 


APPENDIX B, ATTACHMENT II

GUIDE TO COMPLETING THE HOT WORK PERMIT (Continued)

 

Step 3 (Continued)

 

The first part of Section 2-Safety Checklist covers the safety aspects of the job you are about to perform and must be completed by Operations.  It is comprised of a checklist that requires a simple “Yes”, “No”, or not applicable (N/A) answer.  The questions requiring answers are as follows:

 

·               Has the equipment been isolated from process by valves locked & tagged?

·               Has the equipment been isolated by blinds/blanks?

·               Has the equipment been de-pressurized/drained?

·               Has the equipment been water washed or steamed out?

·               Is the equipment under nitrogen?

·               Has the equipment been electrically isolated-lock-out/tagout?

·               Has the equipment been isolated from non-electric driver?

·               Has the area been checked for any abnormal hazards (specify)?

·               Additional precautions need to be taken  if  there is any ,and it will specified by the permit authorizer.

 

 

(NOTE: When in doubt, answer the question conservatively.  In addition, never assume one of the above items has been completed for the work activity in question.  Be prepared to do a field check for physical verification.)

 

The second part of Section 2-Safety Checklist covers general aspects of typical hot work activities.  This part must also be completed by Operations.  A “Yes” or a “N/A” type answer is required for the following questions:

 

·              Are the drains covered?

·              Is adequate spark containment provided?

·              Is the work area protected with sheets/fire blankets etc.?

·              Is the area clean and free from flammable materials?

·              Is standby fire equipment required?

-     Fire blankets?

-     Water hose?

-     Keep area below/surroundings wet?

-     Fire Watch (Refer to Fire Watch Policy S2-025)?

·              Have you had the electrical equipment inspected?

·              Have you checked the surrounding areas for flammable liquids or vapors?

·              Have you notified nearby operations/maintenance of your hot work?

 


APPENDIX B, ATTACHMENT II

GUIDE TO COMPLETING THE HOT WORK PERMIT (Continued)

 

Step 3 (Continued)

 

The third part of Section 2-Safety Checklist deals with Personal Protective Equipment (PPE) and must be given careful consideration.  (NOTE: Deviation from the minimum requirements will not be tolerated and will result in the delay of issuing the permit.).  This part must also be completed by Operations.  At LUBEREF it is mandatory to wear safety boots/shoes, hard hat, protective clothing, safety glasses, and hearing protection (where required) at all times.  However, additional safety equipment may be required for the particular job you are about to carry out.  Give thought to supplying additional safety equipment (i.e. Ask yourself questions like, “Do you need breathing sets, air-lines, safety harnesses, special eye/face protection? etc.).

 

The third part of Section 2-Safety Checklist also covers other permits and must be completed by Operations.  Think ahead and determine if other permits might be required for the job in question (e.g. “Confined Space Entry Permit”, “Underground Survey Excavation Certificate”, etc.).  You can save time and energy if you plan for your permits ahead of time.

 

 

The fourth and last part of Section 2-Safety Checklist covers the original hydrocarbon gas testing and subsequent tests that may be required.  Determine the frequency of subsequent testing (e.g. “As Required”, “Every ____ Hours”, “Continuous”, or “NA”) and mark the permit accordingly.  The hydrocarbon gas test must be taken at the location where a hydrocarbon accumulation potential may exist.  (e.g. at a flange, at a pump seal, inside a man-way or confined space, low lying areas, etc.)  It must include a reading for Hydrogen Sulfide (H2S, ppm), and for combustible gases in the air (% Lower Explosive Limit (LEL)).

 

Step 4 ( By Permit Aeceiver and Permit Authorizer )

 

Complete Section 3-Sign On.  As the last section of the permit, signatures of the Authorizer of the permit and the Craftsman or Contractor who will be doing the work are also required before any work can begin.  Proceed to Step 5 .

 

Step 5 ( By Permit Receiver and Permit Authorizer )

 

You can conduct the work in question at this time IF AND ONLY IF all other required permits have been completed in full.  The original (white) copy of the permit will be posted at the work site by the craftsman or contractor along with copies of any other certificates (i.e. Confined Space Entry Log, Equipment Isolation Lock Out/Tag Out Blinds Log).  The remaining copies will stay in the permit room in the designated trays.  In the event that an update of the permit is required during the course of the job (e.g. at shift change), an area has been provided for the Authorizer of the permit to sign again.  (NOTE: The Authorizer will only sign the “Update” area if he is satisfied that the original conditions of the job have not changed.).

 


APPENDIX B, ATTACHMENT II

GUIDE TO COMPLETING THE HOT WORK PERMIT (Continued)

 

Step 6( By Permit receiver and Permit authorizer )

 

An area for signature Sign Off by the Authorizer of the permit and by the Craftsman or Contractor have also been provided.  The Craftsman or Contractor must Sign Off in the appropriate place on the permit when the work is complete, or at the end of the work period and return the permit to the permit Authorizer to close out the permit.  The Craftsman or Contractor will record the status of the job at time of sign off as complete/incomplete (job conditions must be listed if the job is incomplete).  The Authorizer and the Craftsman or contractor will jointly visit the work site to verify the condition of the work area, the Authorizer will then Sign Off the permit in the appropriate place. 

 

(NOTE: The “Hot Work Permit” is valid for the time/day of issue only and will expire at 2400 hours.  The “Hot Work Permit” becomes void if:

 

·              The conditions stated on the “Hot Work Permit” change, thus making the continuation of the activity hazardous, and/or

 

As a rule, Operations will conduct a hydrocarbon gas test as near to the start time of the planned work activity as possible in order to minimize delays and/or rechecks due to changing conditions).

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPENDIX B,ATTACHMENT III

 

HOT WORK PERMIT FORM

 

APPENDIX C

 

PERMIT TO WORK SYSTEM

 

UNDERGROUND SURVEY EXCAVATION CERTIFICATE & PROCEDURE

 


APPENDIX C, ATTACHMENT I

DETAILS OF THE UNDERGROUND SURVEY EXCAVATION CERTIFICATE

 

An excavation is any cut, cavity, trench, or depression in an earth surface, formed by earth removal.  The purpose of the “Underground Survey Excavation Certificate” is to establish a uniform procedure to ensure all proposed excavation sites have been made safe for employees who are required to work there.  The LUBEREF “Underground Survey Excavation Certificate” has two (2) main portions:

 

·              Work Requested/Job Information,

·              Safety Checklist, and Signature Approvals.

 

The Work Requested/Job Information portion of the certificate covers the following:

 

(v)          The name and department of the LUBEREF employee requesting the excavation.

(ii)         The name of the Contractor who will do the actual excavation.

(iii)       The area/location of the job.

(iv)        A description of the planned work.

(v)          The estimated size of the excavation.

(vi)        The estimated start date.

(vii)      The excavation method to be used.

 

The Safety Checklist & Signature Approvals portion of the certificate covers the following:

 

Potential underground hazards that may be encountered and hence should be checked.

 

An area for signatures and comments from the Project Engineer, the Electrical/Instrumentation Supervisor, the Industrial Security Superintendent, and the Operations Superintendent.

 

EXCAVATION PROCEDURES

 

Proper planning is essential in any job.  The following areas should be considered when planning excavation work.

 

1.                 SITE INVESTIGATIONS

 

1.1.           Before commencing work Supervisors, Engineers, Contractors and constructing authorities should obtain as much information as possible about the ground conditions of a work site.

 

 

 

 

 

 

 

 

 

 

 

SITE INVESTIGATIONS ( cont …)

 

1.2.           Factors to Consider in Planning the Job

 

1.2.1.      When deciding upon a system of excavation support, the Supervisor in charge of an excavation should consider the following factors:

 

 

a)        Nature of the ground:

 

·                    Soil or rock type;

·                    Moisture content of the rock or soil: is it wet or dry?  If dry, will its cohesive characteristics deteriorate when it becomes wet?  If wet, will water control be required?

·                    Water table level;

·                    Faults and bedding planes

 

b)        Possibility of flooding from any water source:

 

·                    stormwater drain

·                    ruptured or leaking water pipe

·                    surface run-off after heavy rain

 

Flooding can be sudden and tragic, so precautions should be taken, which could include drainage run-off control and availability of pumps on site.

 

Previously dug excavations have a weakening effect on a trench wall if they are in close proximity.

 

C)        Hazards, natural or artificial:

 

·                     Intersecting old service excavations;

·                    Telephone and electricity supply poles;

·                    Manholes and other shafts;

·                    Bends in an excavation;

·                    Leaking services;

·                    Contamination of soil and flammability;

·                    Corners created by the joining of pipe systems, i.e. "T", "Y", or "+" junctions;

·                    Trees;

·                    The threat to health and safety from the past dumping of chemicals

 

 

 

 

 

 

 

 

 

 

2.                 AUTHORITY TO EXCAVATE

 

2.1.           Underground Survey Excavation Certificate

 

Prior to requesting a permit for excavation, concrete saw cutting or driving earth stakes, the Supervisor responsible for the work must initiate an “Underground Survey Excavation Certificate”.  This entails a check of all relevant drawings for the location of any known underground cables, piping, or equipment.  The drawings inspected and the details of any equipment located, shall be recorded on the form.

 

The checking and review process will take time to accomplish correctly and allowance for this should be made in the planning for the job.

 

Potential underground hazards that may be encountered and hence should be checked are listed on the survey form.

 

All relevant underground services/survey Drawings shall be checked and any known underground cables and equipment noted.  If a hazard is located, the need to proceed with the excavation in that location should be re-appraised.

 

The completed form shall be submitted to the Permit Authorizer at the time of requesting a work permit.

 

 

 

 

3.                 EXCAVATION

 

3.1.           Where hazards are known to exist, their location and exposure must be by hand excavation only.  Due care must be taken to note where electrical cables exist below.

 

After a thorough review of all the drawings detailing underground services, and before any digging shall commence, a thorough site inspection must be performed.  The purpose of the site inspection is to identify any other potential hazards that exist, but which may not be detailed on the drawing(s).  Underground service markers should be physically identified to verify their actual position correlates to the location indicated on the drawings.

 

In some cases it may be prudent to contact the local utilities companies or Government Departments to verify that no services are located in the vicinity of the excavation.

 

If any unsuspected hazard is encountered during excavation, work must cease until the nature of the hazard is determined and the Permit Authorizer has authorized work to recommence.

 

Satisfactory completion of the excavation checklist does not authorize work to commence.  Work requiring a permit can only commence upon receipt of a correctly authorized Cold or Hot Work Permit.  If personnel are required to enter the excavation, or place a significant part of their body in the excavation, then a "Confined Space Entry Permit " will also be required.

 

4.                 THE EXCAVATION WORKSITE

 

4.1.           Control of Water

 

4.1.1.      Job supervision must inspect excavations daily, as needed throughout the shift or work period and after each rainstorm or other hazard-increasing occurrence.  If evidence of possible cave-ins or slides is found, all work in and around the excavation must stop until precautions have been taken to safeguard those who work in the excavated areas.

 

4.1.2.      If water is controlled or prevented from accumulating by the use of water removal equipment, the water removal equipment and operations must be monitored by a competent person to ensure proper operation.

 

4.1.3.      Diversion ditches, dikes, or other suitable means must be used to prevent surface water from entering an excavation and to provide adequate drainage to the area adjacent to the excavations.

 

4.2.           Heavy Equipment

 

4.2.1.      No person must be permitted under loads handled by power shovels, derricks or hoists.

 

4.2.2.      When power shovels, cranes, trucks or other heavy objects are operated within a distance from the edge of the excavation, equal to the depth of the cut, the exposed side must be shored and braced adequately to resist extra loading of such equipment.

 

4.3.           General Safety

 

4.3.1.      Employees must not be permitted to work on the faces of sloped or benched excavations at levels above other employees.

 

4.3.2.      Unless earth removal indicates that the sub-surface is stable rock, all trenches/ excavations must be considered to be unstable and sloped, benched, or shored if the excavation is 4 feet ( 1.2 meter )or deeper at any point.

 

Trenches/excavations greater than 1 meter in depth must not be vertical cut unless personnel access is prevented within the excavation and within a distance from the edge of the excavation, equal to the depth of the cut.  Barricades and appropriate warnings must be provided.

 

 

 

 

 

 

 

General Safety (cont…)

 

4.3.3.      Placing the Spoil Pile.  During excavation the toe of a soil heap must never be less than 0.6 meters from the edge of the trench to ensure safe access along both sides of a trench.  If a trench runs across sloping ground, spoil should be placed on the downhill side of the excavation.

 

When a trench is being excavated beside an old service line, spoil should be placed on the side opposite the old line, to prevent excessive loading on previously weakened ground.

 

When it is necessary to place spoil close to a trench due to restrictions such as fences, buildings, trees, etc., toe boards could be used.  It must be remembered that the weight of a spoil pile may overload the sides of a trench; the supporting system should, therefore, be strengthened at these locations.

 

If a spoil pile is very close to a trench, material on the spoil pile may roll into the excavation.  To prevent this, toe boards should protrude at least 300mm above the toe of the spoil pile.

 

4.3.4.     Unattended excavations must be physically barricaded to prevent accidental entry into the area.  During hours of darkness in high traffic areas, flashing yellow lights should be in place, or the area lighted.

 

4.3.5.      Where employees or equipment may cross over excavations, walkways or bridges must be equipped with standard guard rails and toe boards.

 

4.3.6.      Stairways, ladders, or ramps must be located in excavations that are 1.2m or greater in depth so that no one is more than 7m from a point of exit.  Ladders must extend a minimum of 1m above the top of the excavation.

 

4.3.7.      The maximum slope of an excavation must not be steeper than one and one-half horizontal to one vertical (34 degrees from the horizontal). (Refer to exception in 4.3.2 above).

 

4.3.8.      Personnel working in and around the excavation worksite must wear the appropriate PPE.


APPENDIX C, ATTACHMENT II

GUIDE TO COMPLETING THE UNDERGROUND SURVEY EXCAVATION CERTIFICATE

 

Step 1( By Certificate Requester )

 

Before filling out the “Underground Survey Excavation Certificate”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·              Who is requesting the excavation?

·              What date is the excavation proposed to start?

·              Who is the contractor involved in the excavation?

·              Where is the area/location of the proposed excavation?

·              What excavation method will be used?

·              What is the excavation size? ( Max depth,width,length).

·              Can the proposed excavation be described in detail (attach any relevant plot plans/drawings to the “Underground Survey for Excavation Certificate”)?

 

When this information has been well defined, proceed to Step 2 (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Certificate Requester )

 

 

Complete the Work Requested/Job Information portion of the “Underground Survey Excavation Certificate”.

 

A representative from the requesting Department will initiate the notification process and is responsible for completing all sections with the details regarding the proposed excavation.  (NOTE: Contractor personnel are not allowed to initiate this Certificate it must be initiated by a LUBEREF representative.).

 

When the Work Requested/Job Information portion of the “Underground Survey Excavation Certificate” is completed in full, proceed to Step 3.

 

(NOTE:    Except in emergency situations, you must submit your “Underground Survey Excavation Certificate” at least 7 days prior to the estimated start date of the job.)

 

Step 3 ( By Certificate Requester,Project Engineer ,E/I supervisor ,and  Ind,Sec. & Operations Superintendents  )

 

 

In the following order, notify:

 

·              The Project Engineer and have him review the proposed excavation.  This is the responsibility of the requesting Department.  When Project Engineer’s review is complete, have him sign the “Underground Survey Excavation Certificate” and obtain copies of all relevant plot plans/drawings.

 

 

 

 

Step 3 (Continued)

 

 

·              The Electrical & Instrumentation Supervisor and have him review the proposed excavation.  This is also the responsibility of the requesting Department.  When the Electrical & Instrumentation Supervisor’s review is complete, have him sign the “Underground Survey Excavation Certificate”.

 

·              The Industrial Security Superintendent and obtain his advice on excavation safety (e.g. “trench safety”, shoring, sloping, etc.) with respect to the proposed excavation in question.  When Industrial Security Section “Fire & Safety” Supervisor’s review is complete, have him sign “Underground Survey Excavation Certificate”.

 

·              The Operations Superintendent of the proposed excavation and have him review the proposed excavation.  When his review is complete, have him sign “Underground Survey Excavation Certificate” (he will advise you on any matters concerning the specific area).

 

When the “Underground Survey Excavation Certificate” has been reviewed and all parties concerned have signed off on it, proceed to Step 4.

 

Step 4 ( By Certificate Requester )

 

Submit and attach the completed “Underground Survey Excavation Certificate” with the required permit (e.g. “Cold Work Permit” or “Hot Work Permit”).  You can only excavate in the location detailed by the “Underground Survey Excavation Certificate”.  (NOTE: The “Underground Survey Excavation Certificate” only authorizes that an excavation can be conducted safety in the location specified, IT IS NOT A PERMIT TO WORK.).

 

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX C, ATTACHMENT III

UNDERGROUND SURVEY EXCAVATION CERTIFICATE FORM


 

 

 

 

 

 

 

 

APPENDIX D

 

PERMIT TO WORK SYSTEM

 

CONFINED SPACE ENTRY PERMIT & PROCEDURE

 


APPENDIX D, ATTACHMENT I

DETAILS OF THE CONFINED SPACE ENTRY PERMIT

 

A confined space is any enclosed space or partially enclosed space which;

 

·              Is at atmospheric pressure during occupancy,

·              Is not intended primarily as a place of work,

·              May have restricted means for entry and exit, and

·              May;

i)        Have an atmosphere that contains potentially harmful levels of contaminant.

ii)      Not have a safe oxygen level.  (Less than 19.5% oxygen or greater that 23.5% oxygen at atmospheric pressure.)

iii)    Cause engulfment.

 

Examples of confined spaces include, but may not be limited to, storage tanks, tank cars, process vessels, vessel skirts, pits, sewers, ducts, large pipes, furnaces, exchanger shell, trenches 4 feet (1.23 meters) or deeper, asbestos abatement jobs with full enclosures, etc.

 

A confined space or similar enclosure must not be entered until appropriate tests are conducted and an “Confined Space Entry Permit” has been issued.

 

(NOTE: Some confined spaces, such as vessel skirts, may be readily accessible to plant personnel.  A confined space entry permit is required before entering vessel skirts.

 

Whilst the diked area around some of storage tanks  at LUBEREF may have the potential to be considered as a confined space, for the purposes of this procedure, it does not require a confined space entry permit.  However good judgement must be exercised before entering these areas.

 

The LUBEREF “Confined Space Entry Permit” has three (3) Sections:

 

·              Section 1-Work Requested,

·              Section 2-Safety Checklist, and

·              Section 3-Sign on/Sign off/Updates.

 

Section 1-Work Requested covers the following:

 

(a)    Whether the confined space in question is a “vessel entry”, an “excavation”, or some “other” type.

(b)    The unit or area of the job and the date and time the job will be carried out

(c)     The individual or company that will be carrying out the work.

(d)    Who is requesting  the permit.

(e)    The name and number of the equipment.

(f)      The description of the planned work.

(g)    The equipment and tools to be used.

 

 

 

 

 

 

 

 

APPENDIX D, ATTACHMENT I

DETAILS OF THE CONFINED SPACE ENTRY PERMIT (Continued)

 

Section 2-Safety Checklist covers the following:

 

(a)    An itemized checklist that must be answered “Yes”, ”No”, or “N/A” (not applicable) (each appropriate box must be initialed).

(b)    Special precautions to specified if there is any.

(c)     Original hydrocarbon gas testing and subsequent tests that may be required.

(d)    Mandatory PPE and specialized PPE when required by the particular job.

 

Section 3- Sign on/Sign off/Updates covers the following:

 

(a)         An area for signatures of the Authorizers of the permit (Operations and Safety & Fire) and the Craftsman or Contractor who will be doing the work.

(b)         An area for signature Sign Off by the Authorizer of the permit and by the Craftsman or Contractor.  The status of the job at time of sign off will be recorded as complete/incomplete and job conditions if incomplete.

(c)         Permit can be updated by the permit Authorizers( Operations and Safety & Fire) at the back of the permit

        


 

APPENDIX D, ATTACHMENT II

GUIDE TO COMPLETING THE CONFINED SPACE PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Confined Space Entry Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               When do I plan to do this work? (Be specific regarding the Time / Date)

·               What area do I plan to work in?

·               the permit will be issued to Who?

·               Who is requesting the permit ?

·               Who (from LUBEREF) will be in charge?

·               What tools/equipment will be required? (Be specific)

·               What is the nature or scope of the work planned? (Be as exact as possible)

 

When this information has been well defined, proceed to Step 2.  (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Permit Requester )

 

 

Complete Section 1-Work Requested of the “Confined Space Entry Permit”.  Section 1- Work Requested contains all the information asked for in Step 1.  When Section 1- Work Requested is completed in full, proceed to Step 3.

 

As previously noted for the “Cold Work Permit” and the “Hot Work Permit”, the Maintenance Department and/or the Technical Department may request a permit (i.e. complete Section 1-Work Requested).  Regardless of how the permit is requested, the requester will 1) complete the first section of the permit and forward it to Operations, or 2) report to the Lead Operator with the permit where it will then be completed jointly.  (NOTE: Contractor personnel are not allowed to request any permit unless it must be requested  by a LUBEREF representative.).

 

When Section 1- Work Requested is completed in full, proceed to Step 3 (NOTE: Whenever practical, the permit must be delivered to Operations the day before the planned work activity to allow for adequate job preparation.).

 

Step 3 ( By Permit Authorizer and Safety & fire Rep. )

 

Complete Section 2-Safety Checklist.

 

Generally, Operations will complete Section 2-Safety Checklist. The Authorizer of the permit will complete this Section after a joint physical site inspection of the equipment to be worked on with the craftsman or contractor who will be performing the work.


APPENDIX D, ATTACHMENT II

GUIDE TO COMPLETING THE CONFINED SPACE PERMIT (Continued)

 

Step 3 (Continued)

 

The first part of Section 2-Safety Checklist covers the safety aspects of the job you are about to perform.  It is comprised of a checklist that requires a simple “Yes”, “No”, or not applicable (N/A) answer.  The questions requiring answers are as follows:

 

·               Has the equipment been isolated from process by valves locked & tagged?

·               Has the equipment been isolated by blinds/blanks?

·               Has the equipment been de-pressurized/drained?

·               Has the equipment been water washed or steamed out?

·               Is the equipment under nitrogen?

·               Has the equipment been electrically isolated-lock-out/tagout?

·               Has the equipment been isolated from non-electric driver?

·               Has the area been checked for any abnormal hazards (specify)?

·               Has the equipment been thoroughly ventilated?

·               Have all access points been identified and tagged?

·               Have personnel entry and egress points been checked to ensure safe access?

·               A trained Hole Watch assigned for the job (Refer to Hole Watch Policy S2-026)?

 

(NOTE: When in doubt, answer the question conservatively.  In addition, never assume one of the above items has been completed for the work activity in question.  Be prepared to do a field check for physical verification.)

 

The second part of Section 2-Safety Checklist covers additional precautions need to be taken  if  there is any ,and it will specified by the permit authorizer.

 

 

The third part of Section 2-Safety Checklist covers the original hydrocarbon gas testing and subsequent tests that may be required.  The hydrocarbon gas test must be completed by an Industrial Security Section “Fire & Safety” Representative.  He will also determine the frequency of subsequent testing (e.g. “As Required”, “Every __ Hours”, “Continuous”, or “NA”) and mark the permit accordingly.  The hydrocarbon gas test must be taken at the location where a hydrocarbon accumulation potential may exist.  (e.g. at a flange, at a pump seal, inside a man-way or confined space, low lying areas, etc.)  It must include a reading for Oxygen (%O2), Hydrogen Sulfide (H2S, ppm), and for combustible gases in the air ( % Lower Explosive Limit (LEL)).

 

The last part of Section 2-Safety Checklist deals with Personal Protective Equipment (PPE) and must be given careful consideration.  (NOTE: Deviation from the minimum requirements will not be tolerated and will result in the delay of issuing the permit.).  This part must be completed by the Industrial Security Section “Fire & Safety” based on the results of the hydrocarbon gas test.  At LUBEREF it is mandatory to wear safety boots/shoes, hard hat, protective  clothing, safety glasses, and hearing protection (where required) at all times.  However, additional safety equipment may be required for the particular job you are about to carry out.  Give thought to supplying additional safety equipment (i.e. Ask yourself question like, “Do you need breathing sets, air-lines, safety harnesses, special eye/face protection? etc.).

 

 

APPENDIX D, ATTACHMENT II

GUIDE TO COMPLETING THE CONFINED SPACE PERMIT (Continued)

 

Step 4 ( By Permit Authorizer , Safety & fire Rep.,and Permit Receiver )

 

 

Complete Section 3-Sign On.  As the last section of the permit, signatures of the Authorizers of the permit (Operations and Safety & Fire ) and the Craftsman or Contractor who will be doing the work are also required before any work can begin.  Proceed to Step 5 .

 

Step 5 ( By Permit Authorizer , Safety & fire Rep.,and Permit Receiver )

 

 

You can conduct the work in question at this time IF AND ONLY IF all other required permits have been completed in full.  (NOTE: The “Confined Space Entry Permit” only authorizes access into a confined space, it does not authorize the conduct of any cold work or hot work activities.).  In the event that an update of the permit is required during the course of the job (e.g. at shift changes or at beginning of each following days), an area at the back of the permit has been provided for the Authorizers of the permit to sign again.  (NOTE: If the original conditions of the job have changed, thus making the continuation of the confined space activity hazardous, the Authorizer will not sign the “Update” till the conditions are rectified .  The “Confined Space Entry Permit” is valid for the time/day of issue only and will expire at 2400 hours, unless it is updated at the back of the Permit.  Contractor personnel are not allowed to request any permit it must be requested by a LUBEREF representative.).

 

 

Step 6 ( By Permit Authorizer , and Permit Receiver )

 

 

An area for signature Sign Off by the Authorizer of the permit and by the Craftsman or Contractor have also been provided .  The Craftsman or Contractor must Sign Off in the appropriate place on the permit when the work is complete, or at the end of the work period.  The Craftsman or Contractor will record the status of the job at time of sign off as complete/incomplete (job conditions must be listed if the job is incomplete).  The Authorizer will then Sign Off the permit in the appropriate place.

 

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX D, ATTACHMENT III

CONFINED SPACE PERMIT FORM

 

 

APPENDIX E

 

PERMIT TO WORK SYSTEM

 

VEHICLE ENTRY PERMIT & PROCEDURE

 


APPENDIX E, ATTACHMENT I

DETAILS OF THE VEHICLE ENTRY PERMIT

 

The purpose of the “Vehicle Entry Permit” is to control the access of motorized equipment entering a Process Unit and/or Tank Dike Area.  The LUBEREF “Vehicle Entry Permit” has three (3) main portions:

 

·              Work Requested/Job Information,

·              Hydrocarbon Gas Testing, and

·              Sign on/Sign off.

 

The Work Requested/Job Information portion of the form covers the following:

 

(a)    The date and entry time.

(b)    The name of the driver or the contractor.

(c)     The vehicle number.

(d)    The purpose of entry.

(e)    The location of entry.

 

The Hydrocarbon Gas Testing portion covers the following:

 

(a)    Whether or not a hydrocarbon gas test is required.  Depending on the area and the engine type of the vehicle , a hydrocarbon gas test may be carried out.

(b)    Additional precautions which may be required.

 

 

The Sign on/Sign off portion covers the following:

 

(a)    An area for signatures of the Authorizer of the permit and the Vehicle Operator who is requesting vehicle entry.  The time that the vehicle makes entry must be recorded.

(b)    An area for signature Sign Off by the Authorizer of the permit and the Vehicle Operator.  The time that the vehicle leaves must be recorded.

 


APPENDIX E, ATTACHMENT II

GUIDE TO COMPLETING THE VEHICLE ENTRY PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Vehicle Entry Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               Is a vehicle really needed to perform this task?

·               Who will drive the vehicle? (Be specific and give the name and company) (*)

·               When is the vehicle entry planned? (Be specific regarding the Time / Date)

·               Where will the vehicle entry be made? (Be specific regarding the area/location)

·               Will I need other permits?

·               What is the nature or scope of the work planned? (Be as exact as possible)

 

(*)     Be prepared to check if the driver has a valid Saudi Driver’s License and/or or is adequately trained to handle the vehicle in question.

 

When this information has been well defined, proceed to Step 2.  (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Permit Receiver )

 

Complete the Work Requested portion of the “Vehicle Entry Permit”.  This portion of the “Vehicle Entry Permit” contains all the information asked for in Step 1 and must be completed by Operations.  When this portion is completed in full, proceed to Step 3.

 

Step 3 (By Permit Authorizer )

 

Complete the Hydrocarbon Gas Testing portion of the “Vehicle Entry Permit”.  Normally, the test must be conducted by Operations.  In some cases, Operations may request that an Industrial Security Section “Fire & Safety” Representative conduct the test.  Whether or not a hydrocarbon gas test is required will depend on the area that is intended to be entered and the type of the vehicle engine .  If a Hydrocarbon Gas Test is not required proceed to Step 4.

 

HYDROCARBON GAS TEST IS REQUIRED PRIOR ANY VEHICLE ENTRY TO OPERATING UNIT AREAS IF IT IS  GASOLINE DRIVEN ENGINE.

 

If a Hydrocarbon Gas Test is required, the individual conducting the test must record the results on the permit.  Additional precautions may be listed on the permit.  As mentioned previously, a check by the Industrial Security Section “Fire & Safety” may be required and/or requested by Operations.  After the Hydrocarbon Gas Test results are recorded, proceed to Step 4.  (NOTE: LUBEREF’s minimum PPE requirements must be adhered to at all times for all personnel entering a process area.  Failure to comply will delay the permit process.).

 


APPENDIX E, ATTACHMENT II

GUIDE TO COMPLETING THE VEHICLE ENTRY PERMIT (Continued)

 

Step 4 ( By  Permit authorizer and Permit Receiver )

 

Complete the Sign On portion of the “Vehicle Entry Permit”.  As the last part of the permit, signatures of the Authorizer of the permit and the vehicle operator are required before any work can begin. Proceed to Step 5 .

 

Step 5 ( Permit Receiver )

 

You can enter the work area with a vehicle at this time.  (NOTE: When issued, the “Vehicle Entry Permit” is ONLY valid for the specified person(s) to bring the specified vehicle into the designated area for the purpose given.  In addition, it does not allow the user to conduct work of any kind (e.g. cold work, hot work, etc.).  Also, be advised that the “Vehicle Entry Permit” becomes void if conditions change making the continuation of the job hazardous.)

 

 

Step 6 ( Permit Receiver and Permit Authorizer)

 

An area for signature Sign Off by the Authorizer of the permit and by the Vehicle Operator  have also been provided .  The Vehicle Operator must Sign Off in the appropriate place on the permit when the work is complete.  The Authorizer will then Sign Off the permit in the appropriate place.

 

 

(NOTE: The “time in” and the “time out” must be recorded on the permit.).

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX E, ATTACHMENT III

VEHICLE ENTRY PERMIT FORM

 

 

APPENDIX F

 

PERMIT TO WORK SYSTEM

 

ROAD CLOSURE PERMIT & PROCEDURE

 


APPENDIX F, ATTACHMENT I

DETAILS OF THE ROAD CLOSURE PERMIT

 

The purpose of the “Road Closure Permit” is to control the closure of a road(s) such that adequate planning can be undertaken that will provide alternate means of egress and access during emergency situations.  The “Road Closure Permit” is divided into two (2) portions:

 

·              Work Requested/Job Information, and

·              Notification and Approvals.

 

The Work Requested/Job Information portion of the form covers the following:

 

(a)    The name of initiating Supervisor, or LUBEREF Representative, etc.

(b)    The date that the job is to be carried out.

(c)     The location of road(s) to be closed for the proposed job.

(d)    The reason(s) for closing the road(s).

(e)    The period or duration for closing the road(s).

(f)      A sketch or plot-plan where barricades are to be placed around the working area.

 

The Notification and Approvals portion of the form covers the following:

 

(a)    Approval Signatures from the Maintenance Superintendent, the Operation Superintendent, and the Industrial Security Superintendent.

(b)    Distribution of completed form.


APPENDIX F, ATTACHMENT II

GUIDE TO COMPLETING THE ROAD CLOSURE PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Road Closure Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               Is a road closure really needed to perform this task?

·               Where will the road closure be made? (Be specific regarding the area/location)

·               What is the nature or scope of the work planned? (Be as exact as possible)

·               What is the duration of the road closure?

·               Can a sketch or plot-plan be made to indicate the location of the road closure?

 

When this information has been well defined, proceed to Step 2.  (NOTE: Partial information will delay the permit process.  In addition, it is essential to involve other Departments early in the dialogue.).

 

Step 2 ( By Permit Requester )

 

Complete the Work Requested/Job Information portion of the “Road Closure Permit”.  This portion of the “Road Closure Permit” contains all the information asked for in Step 1 and must be completed by the requesting Supervisor or LUBEREF Representative.  A sketch that clearly illustrates the proposed closure and diversion plans must be attached to the form.  When this portion is completed in full, proceed to Step 3.

 

Step 3 ( By Permit Requester,Maintenance Superintendent,Operations Superintendent and the Industrial Security Superintendent )

 

 

Complete the Notification and Approvals portion of the “Road Closure Permit”.  As the last part of the permit, signatures of the Maintenance Superintendent, Operations Superintendent and the Industrial Security Superintendent are required before any road closure can be made.  (NOTE: The Industrial Security Section has final approval authority on all road closures.  When alternate routes can not be provided for emergency vehicles, final approval on the “Road Closure Permit” may be denied by the Industrial Security Superintendent.).  When approvals have been obtained, proceed to Step 4.

 

Step 4 ( By Permit Requester )

 

 

You can initiate a road closure at this time.  (NOTE: When issued, the “Road Closure Permit” is ONLY valid for the specified location.  In addition, it does not allow the user to conduct work of any kind (e.g. cold work, hot work, excavations, etc.).  Always try to keep disruption of roadway operations to a minimum.  Remember to properly barricade your operations to prevent unauthorized access.

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX F, ATTACHMENT III

ROAD CLOSURE PERMIT FORM

 

 

APPENDIX G

 

PERMIT TO WORK SYSTEM

 

NON-EMERGENCY FIRE WATER USE PERMIT & PROCEDURE

 


APPENDIX G, ATTACHMENT I

DETAILS OF THE NON-EMERGENCY FIRE WATER USE PERMIT

 

The purpose of the “Non-Emergency Fire Water Use Permit” is to control the use of the Fire Water System and emergency fire equipment during non-emergency situations such that LUBEREF Emergency Response personnel still have adequate means of fire protection available in an emergency situation and to ensure that emergency fire equipment are kept in good operating condition.  The “Non-Emergency Fire Water Use Permit” covers the following information:

 

(a)         The name of the Company requesting to use the Fire Water System.

(b)         The name of the Job Supervisor.

(c)         The issuance date and the time.

(d)         The hydrant number of the proposed tie-in and the area/location of that hydrant.

(e)         The specific reason for requesting the non-emergency use of the Fire Water System.

(f)           The date and time that the permit ceases to be valid from.

(g)         The name and signature of Operations Representative who authorizes the permit.

(h)         The name and signature of the Industrial Security Section “Fire & Safety” Representative authorizing the permit.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 APPENDIX G, ATTACHMENT II

GUIDE TO COMPLETING THE NON-EMERGENCY FIRE WATER USE PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Non-Emergency FireWater Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               Have all other possible fire protection alternatives been thought of (i.e. Is the use of the Fire Water System absolutely necessary?)

·               Where will the hydrant tie-in be made? (Be specific regarding the hydrant number and the area/location)

·               What is the nature or scope of the work planned? (Be as exact as possible)

·               What is the duration of the proposed hydrant tie-in?

 

When this information has been well defined, proceed to Step 2.  (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Permit Requester )

 

Complete the top portion of the “Non-Emergency FireWater Permit”.  The top portion of the “Non-Emergency Fire Water Permit” contains all the information asked for in Step 1 and must be completed by the LUBEREF Job Supervisor assigned to this particular work activity.  When the top portion of the permit is completed in full, proceed to Step 3.

 

Step 3 ( By Permit Requester and Permit Authorizers Operations & Safety/Fire Rep. )

 

Present the completed top portion of the “Non-Emergency FireWater Permit” to the Control Room for approval  from Operations and Industrial Security Section “Fire & Safety” representatives.  If all is in order with the details written on the top portion of the permit, the Industrial Security Section “Fire & Safety” representative will sign the bottom portion of the permit and provide the details regarding the validity of the permit.  (NOTE: The Industrial Security Section “Fire & Safety” has final approval authority on all situations regarding the non-emergency usage of the FireWater System.).  Once the “Non-Emergency FireWater Permit” is completed in full, proceed to Step 4.

 

Step 4 ( By Safety & Fire Rep. )

 

Industrial Security Section “Fire & Safety” will issue the necessary fire hoses along with the permit. (NOTE: When issued, the “Non-Emergency FireWater Permit” must be attached to the hydrant in question.).

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX G, ATTACHMENT III

NON-EMERGENCY FIRE WATER USE PERMIT FORM

 

 

APPENDIX H

 

PERMIT TO WORK SYSTEM

 

FIRE WATER SYSTEM OUT OF SERVICE PERMIT & PROCEDURE

 


APPENDIX H, ATTACHMENT I

DETAILS OF THE FIRE WATER SYSTEM OUT OF SERVICE PERMIT

 

The purpose of the “Fire Water System Out Of Service Permit” is to provide adequate means of alternate fire protection for the Refinery when it is necessary to shut off a portion of the Fire Water System.  The “Fire Water System Out Of Service Permit” is divided into two (2) portions:

 

·              Work Requested/Job Information, and

·              Notification and Approvals.

 

The Work Requested/Job Information portion of the form covers the following:

 

(a)    The name of initiating Supervisor, or LUBEREF Representative, etc.

(b)    The date that the job will be carried out.

(c)     The location of Fire Water System component(s) to be taken out of service.

(d)    The reason(s) for taking the Fire Water System component(s) out of service.

(e)    A sketch or plot-plan where the FireWater System component(s) are located.

(f)      A list of alternative fire protection.

(g)    The date that the Fire Water System component(s) is expected to be out of service.

(h)     The expected down time of the FireWater System component(s).

 

The Notification and Approvals portion of the form covers the following:

 

(a)         Endorsement of Operations Department( Shift Supervisor )

(b)         Approval Signature from the Industrial Security Superintendent.

(c)         Distribution of completed form.

 

 


APPENDIX H, ATTACHMENT II

GUIDE TO COMPLETING THE FIRE WATER SYSTEM

OUT OF SERVICE PERMIT

 

Step 1 ( By Permit Requester )

 

Before filling out the “Fire Water System Out Of Service Permit”, stop and think about the work you are planning to carry out.  Ask yourself the following questions:

 

·               Is it necessary to take the proposed Fire Water System component(s) out of service?

·               What is the nature or scope of the work planned? (Be as exact as possible and list the reason for taking the proposed Fire Water System component(s) out of service)

·               What alternative fire protection systems are available?

·               What is the expected down time? (List the date(s) the proposed Fire Water System component(s) will be out of service)

 

When this information has been well defined, proceed to Step 2.  (NOTE: Partial information will delay the permit process.).

 

Step 2 ( By Permit Requester )

 

Complete the top portion of the “Fire Water System Out Of Service Permit”.  The top portion of the “Fire Water System Out Of Service Permit” contains all the information asked for in Step 1 and must be completed by the initiating Supervisor or LUBEREF Representative.  When the top portion of the form is completed in full, proceed to Step 3.

 

Step 3 ( By Permit Requester, Operations Shift Supervisor ,and Ind.Security Superintendent )

 

Present the completed top portion of the “Fire Water System Out Of Service Permit” to the Operations Shift Supervisor for his endorsement.  After he has endorsed the “Fire Water System Out Of Service Permit” present the completed top portion of the “Fire Water System Out Of Service Permit” to the Industrial Security Superintendent.  If all is in order with the details written on the top portion of the permit, the Industrial Security Superintendent will sign the bottom portion of the form.  (NOTE: The Industrial Security Superintendent has final approval authority on all situations regarding any proposed outages of the FireWater System.).  Once the “Fire Water System Out Of Service Permit” is completed in full, proceed to Step 4.

 

Step 4 ( By Safety & Fire Rep. )

 

Isolate the desired component(s) of the Fire Water System.  (NOTE: No work can begin unless the appropriate permits have been completed.).  As with all isolations, “Do Not Open/Close/Operate” Tags must be placed as appropriate on all valves, and an “Equipment Lock Out/Tag Out/Blinds Log” filled in.  It is the responsibility of the person carrying out the isolation to place the “Do Not Open/Close/Operate” Tags as appropriate on the valves and record the information in the “Equipment Lock Out/Tag Out/Blinds Log”.              WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX H, ATTACHMENT III

FIRE WATER SYSTEM OUT OF SERVICE PERMIT FORM


 

 

 

APPENDIX I

 

PERMIT TO WORK SYSTEM

 

BOX UP CERTIFICATE & PROCEDURE

 

 


APPENDIX I, ATTACHMENT I

DETAILS OF THE BOX UP CERTIFICATE

 

The purpose of the “Box Up Certificate” is to ensure that all equipment, tools, personnel, and debris are removed from the interior of a vessel, heater, storage tank, or similar enclosure after completion of the work activity.  It is also the purpose of the “Box Up Certificate” to confirm that the equipment is fit for continued service.  The “Box Up Certificate” is divided into three (3) portions:

 

·              Inspection and Signature Approval by the Maintenance Supervisor

·              Inspection and Signature Approval by the Inspection Engineer, and

·              Inspection and Signature Approval by the Operations Supervisor.

 

The portion for the Inspection and Signature Approval by the Maintenance Supervisor covers:

 

(a)    The name of the vessel, heater, storage tank, or similar enclosure that is being closed for operation,

(b)    Time/Date of the inspection, and

(c)     Signature

 

The portion for the Inspection and Signature Approval by the Inspection Engineer covers:

 

(a)    Time/Date of the inspection, and

(b)    Signature

 

The portion for the Inspection and Signature Approval by the Operations Supervisor covers:

 

(a)    Time/Date of the inspection, and

(b)    Signature

 


APPENDIX I, ATTACHMENT II

GUIDE TO COMPLETING THE BOX UP CERTIFICATE

 

Step 1( By Maintenance supervisor )

 

Complete the top portion of the “Box Up Certificate”.  The top portion of the “Box Up Certificate” contains information regarding the name of the vessel, heater, storage tank, or similar enclosure that is being closed, the Time/Date of the inspection, and must be completed by the Maintenance Supervisor.  The Maintenance Supervisor is responsible for checking that all scaffolds, tools, equipment, and debris have been removed from the internal of the vessel, heater, storage tank, or similar enclosure that is being closed.  When the top portion of the form is completed in full and signed off, proceed to Step 2.

 

Step 2 ( By Maintenance supervisor , and Inspection Engineer , and Shift Supervisor )

 

 

Present the completed top portion of the “Box Up Certificate” to the Inspection Engineer.  If all is in order with the details written on the top portion of the permit, the Inspection Engineer will sign the bottom portion of the form.  When the second portion of the form is completed in full and signed off, proceed to Step 3.

 

Step 3 ( By Maintenance supervisor , and Inspection Engineer , and Shift Supervisor )

 

 

Present the completed two portions of the “Box Up Certificate” to the Operations Supervisor.  If all is in order with the details written on the top two portions of the permit, the Operations Supervisor will witness the closure of man-ways, flanges, etc. and the first bolting before signing off on the “Box Up Certificate”, then sign the bottom portion of the form.  (NOTE: The Operations Representative must witness the closure of man-ways, flanges, etc. and the first bolting before signing off on the “Box Up Certificate”).  When all portions of the form are completed in full and signed off, proceed to Step 4.

 

Step 4

 

Continue with the close up the equipment inquisition .

 

 

 

 

 

WHEN IN DOUBT, ASK FOR ASSISTANCE!


APPENDIX I, ATTACHMENT III

BOX UP CERTIFICATE FORM