PETRONAS CARIGALI PERMIT TO WORK PROCEDURE To... · PERMIT TO WORK PROCEDURE PETRONAS CARIGALI SDN BHD . Permit To Work Procedure Main Table of Contents WW ALL S 05 002 Rev. 4, July

WW ALL S 05 002 Rev. 4, July 2013

PETRONAS CARIGALI

PERMIT TO WORK

PROCEDURE

PETRONAS CARIGALI SDN BHD

Permit To Work Procedure Main Table of Contents

WW ALL S 05 002 Rev. 4, July 2013

PETRONAS CARIGALI SDN BHD MAIN TABLE OF CONTENTS

Page i

PERMIT TO WORK PROCEDURE

Main Table of Contents

Preliminary Foreword

Distribution List

Amendment Summary

Abbreviations and Acronyms

Referenced Documents

Section 1 Introduction

Section 2 Roles and Responsibilities

Section 3 Permit to Work Application Process

Section 4 Certificates

Section 5 Work and Activities Management

Section 6 Training

Section 7 Inspection & Auditing

Appendices Appendix 1 Sample of Appointment Letter

Appendix 2 PTW and Certificates

Appendix 3 Steps for Filling-up PTW and Certificates

Appendix 4 Template for PTW Logbook

Appendix 5 PTW Sample Assessment Questions

Appendix 6 PTW Daily Audit Checklist

Appendix 7 PTW Weekly/Quarterly Audit Checklist

Appendix 8 PTW 6-Monthly Audit Checklist

Permit To Work Procedure Preliminary

WW ALL S 05 002 Rev. 4, July 2013

PETRONAS CARIGALI SDN BHD PRELIMINARY

Page ii

FOREWORD

Authority for Rev. 4 issue

Issue Approval

Document Custodian

The following person has been assigned as the document custodian:

Name Haslina Bt Abdullah

Reference Indicator Head

Position Head, Operations Integrity

Proprietary Information

This document contains proprietary information belonging to

PETRONAS Carigali Sdn Bhd and must not be wholly or partially reproduced nor

disclosed without prior permission from PETRONAS Carigali Sdn Bhd.


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DISTRIBUTION LIST

Copy No. Title Location

01 President, PCSB and CEO PDP MD – KL

02 Vice President PETRONAS and CEO PEX PEX – KL

03 DGM DD – KL

04 DR DD – KL

05 DRD (HSE) DD – KL

06 DFE DD – KL

07 DPP DD – KL

08 DRMB DD – KL

09 P&E DD – KL

10 DHSE DD – KL

11 FIN MD – KL

12 EPHSE MD – KL

13 HRM MD – KL

14 PED MD – KL

15 PED (HSE) MD – KL

16 SCM MD – KL

17 CAA MD – KL

18 SP MD – KL

19 TIM MD – KL

20 PM (CHO) MD – KL


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21 PD PMO

22 PSE PMO

23 SD SBO

24 SSE SBO

25 BD SKO

26 BSE SKO

27 PI (CHO) MD – KL

28 MO MO

29 MO (HSE) MO

30 VO VO

31 VO (HSE) VO

32 INO INO

33 INO (HSE) INO

34 UO (HSE) UO

35 TO TO

36 TO (HSE) TO

37 IRQ IRQ

38 IRQ (HSE) IRQ

39 XMAS PEX – KL

40 XSK PEX – KL

41 XSB PEX – KL

42 XPM PEX – KL


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43 XINT PEX – KL

44 XAFR PEX – KL

45 XATL PEX – KL

46 XSEAN PEX – KL

47 XSEAS PEX – KL

48 XMEA PEX – KL

49 BIE

SKO

50 BIE6

SKO

51 BRM

SKO

52 BTA

SKO

53 BWI

SKO

54 IO Iraq

55 OE KL

56 PDP KL

57 PI KL

58 PIE PMO

59 PIE6 PMO

60 PM KL

61 PRM PMO

62 PTA PMO

63 PWI PMO

64 SIE SBO


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65 SIE6 SBO

66 SRM SBO

67 STA SBO

68 SWI SBO

69 XTS PEX – KL

70 XGO PEX – KL

71 XGP PEX – KL

72 XGM PEX – KL

73 XBD PEX – KL

74 XPL PEX – KL

75 XHSE PEX – KL

76 XHR PEX – KL

Note to All Copy Holders: Should you are transferred to other OPU, or should it be impractical for you following your move to a new position, please return this manual to the Custodian. The Custodian will make arrangement for re-distribution.


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AMENDMENT SUMMARY

The Permit to Work Procedure shall be revised every three (3) years or earlier should there is change in relevant regulation, PETRONAS Technical Standard and/or findings arising from assurance exercise and incident investigations. This sheet must be completed in detail at each revision once this document has been approved. Details must include revision number, description and indication of which pages and paragraphs have been revised, date of revision approval, approvers title and signature.

Rev Description Date Approver Title Signature

2 Inclusion of: 1. PTS 60.2001

PETRONAS Group Guidelines for Permit to Work System

2. PTS 60.2102 Recommendation of Electrical Safety (Standard)

3. PTS 60.2212 Bypassing of SCE

4. PTS 60.2117 Energy Isolation Standard

Sep 2011 Head HSE Division

Saifuddin Shah B Sowkkatali

3

Inclusion of: 1. Requirement of Hot

Work in Hazardous Zone

2. Roles and Responsibilities of Contractors Management and Individual Working Under the PTW

3. Improvement to permits and certificates

4. Diving of Certificate

Dec 2012 Head HSE Division

Saifuddin Shah B

Sowkkatali

4 Minor amendment to the permits and certificates

July 2013 Head

HSE Operations

Hamadi B Tani

Notes: (1) Document Holders to update Amendment Record as and when amendments/new

revisions are received.


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(2) For description of amendment the Document Holder should indicate correction,

modification, update or deletion issue. (3) Document Holder to enter their company reference number, sign and date the

record of entry. (4) Where part amendments are issued, the relevant page(s) will be identified with a

lower case letter in the revision status line in the header.


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ABBREVIATIONS AND ACRONYMS

The abbreviations and acronyms used in this document shall have the following meaning: Applicant/RA

The person who applies for the PTW e.g. the foreman/ supervisor responsible for planning and execution of the work. The Permit Applicant can also be the Receiving Authority (RA). The Permit Applicant shall be responsible for the following:

discusses work with Work Leader (WL) and Authorised Supervisor (AS)

specifies location and work description

specifies tools and equipment

specifies known hazards and hazardous activities

Appointed Person (AP)

The person trained for certain duties (e.g. isolation/de-isolation of electrical equipment, synchronising, etc.) and has sufficient technical knowledge and experience to enable him to avoid danger.

Approving Authority (AA)

The person who is responsible for approving the PTW and shall ensure all precautions are specified and controls in place. He carries the overall responsibility for the facility and all work carried out. His responsibilities among others includes:

assign Authorised Gas Tester (AGT) and other required competent persons

approves/revalidates PTW

receives PTW handback

specifies controls/precautions for safe work

specifies other Certificates

Areas of the facilities assigned to the Approving Authority (AA) shall be clearly defined to ensure clear boundary of authority is set covering all areas of the facilities. There shall be no overlap between Approving Authority (AA). Where a PTW is required to cover work in more than one area it shall be approved by all the respective Approving Authority (AA).

The Approving Authority can be an Offshore/Onshore Installation Manager, Terminal Superintendent, Warehouse Manager or any person authorized by PETRONAS Carigali.

Approving Authority Representative (AAR)

The person authorised by the Approving Authority (AA) to carry out safety precautions prescribed in the PTW/Certificates prior to commencement of work.


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Authorised Competent Person (ACP)

The person registered with Energy Commission or equivalent local authority and authorised by Management. He has sufficient technical knowledge and experience to enable him to avoid danger and who can have authority delegated to him, according to his knowledge and experience to carry out operations in power systems and work on electrical equipment. He has the authority to issue and cancel Electrical Isolation Certificate and Limit of Electrical Access on Electrical Equipment/System.

Authorised Supervisor (AS)

Supervisor authorised by PETRONAS Carigali Management to endorse PTW. The Authorised Supervisor shall be a Production Supervisor or Operation Supervisor. In the event the Production Supervisor or Operation Supervisor is not on site, the Maintenance Supervisor or any person authorised by the Approving Authority can take the role of the Authorised Supervisor.

Authorised Gas Tester (AGT)

A person who is trained and qualified to carry out gas testing. The AGT should attend training provided by PETRONAS Carigali recognised training organisation. For countries that impose legal requirements on AGT, such requirements shall be complied with e.g. in Malaysia, the AGT for confined space entry shall meet requirements set by Department of Occupational Safety and Health (DOSH) Malaysia Code of Practice.

Certificate Written and signed statement that specified checks or tests have been carried out by an authorized person and that conditions are acceptable. Certificates do not replaced the PTW but are complementary.

Hot Work

Hot work is any work where heat is used and generated. Example of hot work are :

Welding, flame cutting, grinding, grit/sandblasting, etc (positive ignition sources)

any work which may generate incentive sparks or other sources of ignition e.g. taking of photograph using camera with flash, use of non-intrinsically safe equipment, including opening of junction boxes etc (potential ignition sources).

Cold Work Any work other than hot work defined above.

Example of cold work:

Erect/dismantle of scaffolding

Housekeeping etc.


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Confined Space An enclosed or partially enclosed space that is at atmospheric pressure during occupancy and is not intended or designed primarily as a place of work, and is liable at any time to have an atmosphere which contains potentially harmful levels of contaminants; have an oxygen deficiency or excess; or cause engulfment; and could have restricted means for entry and exit.

Display Board A board which displays all active work permits at an installation/facility. It is normally located in the main operations control room.

Gas Testing

Gas testing is done to check a workplace, prior to the commencement and during work activities for the level of oxygen, flammable and toxic gases. This is to alert personnel involved should the environment become dangerous.

Hazard Assessment

An evaluation of the potential hazards, their severity and likelihood associated with any work activity.

Isolation A physical barrier between a source of energy and a place of work.

Job Hazard Analysis (JHA) Job Hazard Analysis (JHA) is the application of the hazards and effects management process at the task level, identifying and assessing the hazards of each element of the task and defining appropriate controls and recovery measures.

Override/Bypass The temporary bypass of a safety device, to allow certain work to proceed without causing an unnecessary process shutdown or fire alarm (e.g.) fire detectors overridden during welding operations.

Personal Protective Equipment (PPE)

Equipment, clothing or devices used to protect employees from potential hazards that are or may become present during a job task.

Potential Hazard An event, circumstances or condition, if not controlled, has the potential to harm personnel, environment, asset or reputation.

Precautionary Measures Preventative and contingency steps taken to ensure a work site safe and to prepare for emergencies.


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Radiation Protection Officer/Supervisor (RPO/RPS)

The Radiation Protection Supervisor/Radiation Protection Officer (RPS/RPO) is a person with the technical competency and approved by Atomic Energy Licensing Board to supervise the implementation of the radiation protection programme including all the appropriate radiation protection regulations, measures and procedures.

Toolbox Talk

A safety briefing carried out by the Work Leader (WL) highlighting to all those directly or indirectly involved in the work of the potential hazards associated with the work and the precautions to be taken throughout the execution of the work. Carried out before work begins, preferably at the worksite.

Validity The period of time (as defined) during which an approved document such as the PTW, Certificate and other documents in this PTW system is valid for its intended purpose.

Work Leader (WL)

The person who leads or carries out the work:

confirms conditions of PTW and agreement by signing

explains Job Hazard Analysis (JHA) content and PTW conditions to workers

supervises and is at site at all times

ensures no deviation to PTW conditions

returns PTW to Receiving Authority (RA)

ensure all the safety precautions prescribed in the PTW/Certificates are carried out prior to commencement of work

Work Crew

A group of people working together led by the Work Leader (WL).

PTW Written and signed statement by an authorized person for work to be carried out under stated precautions.


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REFERENCED DOCUMENTS

Doc. No. Title JKKP DP(S) 127/379/3-1 Industry Code of Practice for Safe Working in a

Confined Space PTS 18.5101 PETRONAS Group Guidelines for Permit to Work

System PTS 18.5205 Electrical Safety Rules PTS 18.5226 Guideline Bypassing of Safety Critical Equipment PTS 18.5219 Energy Isolation Standard PTS 18.5218 Excavation WW ALL S 05 003 PETRONAS Carigali Confined Space Entry Procedure WW ALL S 04 018 PETRONAS Carigali Energy Isolation Guideline WW ALL S 04 019 PETRONAS Carigali Bypass of SCE Equipment

Guideline WW ALL S 04 012 PETRONAS Carigali Job Hazard Analysis Guideline

Permit To Work Procedure Introduction

WW ALL S 05 002 Rev. 4, July 2013

PETRONAS CARIGALI SDN BHD SECTION 1

Page 1

SECTION 1

INTRODUCTION

Contents

Paragraph Page No.

1 INTRODUCTION 2

1.1 Purpose 2

1.2 Scope 2

1.3 Permit to Work Requirement 2

1.4 Hot work in Non-Hydrocarbon Facilities 5

1.5 Hot Work in Hazardous Area 5


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1 INTRODUCTION

1.1 Purpose

This Procedure defines PETRONAS Carigali Permit to Work (PTW) system and the process of obtaining work permits including the requirements of obtaining Certificates where required.

1.2 Scope

The requirements defined in this procedure shall be applicable for all hazardous activities carried out at all work locations throughout PETRONAS Carigali global operations, including Contractors and Sub-Contractors engaged for work on Company facilities. Hazardous are activities that have been identified by the Hazards and Effects Management Process as vital to ensure asset integrity, prevent incidents, and/or mitigate adverse HSE effects. Examples of hazardous activities are pigging, production sampling, wireline activities, blasting, welding, etc.

1.3 Permit to Work Requirement

(1) The purpose of PTW system is to ensure that risks associated with work activities are managed to a level that is as low as reasonably practicable (ALARP). The PTW is a written document authorizing persons to carry out the work concerned, warning them of possible hazards and spelling out precautions needed for the job to be done safely.

(2) Listed below is the criteria for the application of PTW

system:

(a) For work carried out on PETRONAS Carigali facilities, PETRONAS Carigali PTW System shall be used;

(b) For work carried out on Contractor’s facilities,

Contractor’s PTW may be used subject to PETRONAS Carigali review and acceptability. When Contractor PTW system is used, PETRONAS Carigali representatives (e.g. OIM, Terminal Manager, CSR, Drilling Supervisor) shall be included as part of the signatory parties for acknowledgement.


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(3) For workover/infill drilling work carried out on the rig

floor, where Contractor’s PTW is applied, a photocopy of the Contractor’s PTW shall be provided to the OIM for reference.

(4) As a general principle, PTW shall be applied for all

activities which may harmfully affect the personnel, environment, asset or reputation carried out on PETRONAS Carigali facilities. The examples of work that requires PTW among others are as follows:

(a) Hot Work: Any activities or equipment which

may have the potential to generate incentive sparks or other sources of ignition such as welding, flame cutting, grinding, grit/sandblasting, taking of photograph using camera with flash, use of non-intrinsically safe equipment, including opening of junction boxes etc. (potential ignition sources). Refer to sub-section 1.5 for details of hot work requirement in hazardous area;

(b) Cold Work: Any activities or equipment which

does not have the potential to generate sparks such as erecting/dismantling of scaffolding, cold cutting, etc;

(c) Work in confined space i.e. Any enclosed or

partially enclosed space, either above or below ground or deck level, where entry is possible and where accumulation of dust or gases which are flammable or hazardous to health;

Examples of confined space are:

(i) Process vessels and related equipment

(vessel tower skirt and flare stacks), boilers;

(ii) Cooling tower, pipe, storage tanks, other

tanks including pontoon in floating roof tanks;

(iii) Spaces located below ground or deck

level, such as drain pits, sewage pits and associated tunnels, ducts, trenches, wells, shafts, cellars, vaults and unventilated rooms which may be considered confined space under specific circumstances;

(iv) The cargo, ballast or void space onboard

ship; and


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(v) The support columns/legs/pontoons of

fixed or mobile off-shore installations.

(d) Excavation work of the ground in excess of 150mm (brownfield);

(e) Mechanical lifting activities involving pedestal,

mobile and gantry crane. Lifting using gantry crane in workshop may be carried out without a PTW;

(f) Radiation work involving the handling of

radioactive materials such as radiography works, working in or on equipment containing radioisotopes and removing or servicing radioisotopes;

(g) Closure of any road that may affect the passage

of emergency response vehicles; (h) Electrical works in close proximity to live

conductors/equipment/apparatus,or testing of live voltage conductors;

(i) Diving activities e.g. inspection and

maintenance of subsurface structures, decommissioning of facilities, etc.;

(j) Work with bypass of safety critical equipment

that may jeopardise reliability of process control;

(k) Work requiring energy isolation e.g. physical, electrical or radiation; and

(l) Vehicle entry into PETRONAS Carigali

production facilities. (5) For work which requires Certificates, the Work Permit

shall be supplemented with the required Certificates.

(6) In cases of doubt as to whether a work activity requires a PTW, the PTW requirement shall be complied with if deemed necessary by the Approving Authority.


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1.4 Hot work in Non-Hydrocarbon Facilities

(1) Non-hydrocarbon facilities are facilities that do not process, store or operate hydrocarbon or any flammable materials in its facilities. Examples of non-hydrocarbon facilities are supply base, office, base camp, fabrication yard, etc.

(2) For hot work at non-HC facilities, the work may be carried out without conducting gas test in view that there is no expected presence of HC in the area.

(3) However, other controls and recovery measures in

making safe the activity shall still be implemented.

1.5 Hot Work in Hazardous Area

(1) Hazardous area are defined as below (based on IP

Model Code of Safe Practice Part 15): Zone 0: Hazardous area in which a

flammable atmosphere is continuously present or present for a long period

Zone 1: Hazardous area in which a flammable atmosphere is likely to occur in normal operation.

Zone 2: Hazardous area in which a flammable atmosphere is not likely to occur in normal operation and if it occurs will exist only for a short period.

Non- classified/ hazardous area

Area where flammable vapours, liquids or gas do not or are not expected to exist

Hierarchy of Hot Work Management

(1) Where possible, hot work should not be carried out in hazardous area.

(2) However, if the hot work is unavoidable, the next preference is to shutdown, depressurise and render hydrocarbon-free. This is to minimize the potential source of fuel that may be ignited by the spark produced from the hot work activities.


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(3) The requirements for carrying out hot work in hazardous area are as follows:

Zone Limitations

Zone 0 No hot work on live facility shall be allowed, unless the facility is shutdown, depressurise and render hydrocarbon-free.

Zone 1 For open flame hot work e.g. oxy cutting, grinding, etc., the facility shall be shutdown, depressurise and render hydrocarbon-free prior proceeding with hot work.

For blasting, the activity shall only proceed after conversion of instrument gas to instrument air, flanges are wrapped and the area is barricaded

Note: For blasting on process piping where the remaining wall thickness is less than the corrosion allowance, the piping/equipment shall be shutdown prior blasting.

Non-open flame/non-blasting hot work e.g. use of portable hand-held non-intrinsically safe (non-Ex) equipment in Zone 1 area may proceed with implementation of other control and recovery barriers

Zone 2 Open flame hot work on live facility shall only proceed with use of Pressurised Habitat

For blasting, the activity may only proceed after conversion of instrument gas to instrument air, flanges are wrapped and the area is barricaded Note: For blasting on process piping where the remaining wall thickness is less than the corrosion allowance, the piping/equipment shall be shutdown prior blasting.

Non-open flame/non-blasting hot work e.g. use of portable hand-held and mobile non-intrinsically safe (non-Ex) equipment e.g. mobile genset, mobile air-compressor, etc. in Zone 2 area may proceed with implementation of other control and recovery barriers.


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Non-classified/ hazardous/ safe area

Hot work may be allowed with the conduct of gas testing and implementation of other required control and recovery barriers identified in risk assessment

(4) Additionally, a rigorous risk assessment shall also be

conducted for all hot work activities to identify any other control and recovery barriers to ensure the risks associated with the work is minimised to ALARP.

(5) Regular gas testing at site shall be carried out for any

hot work activity.

Note: Gas test at start of shift or activity only is not

acceptable. AGT has the authority to withdraw a PTW if condition is deem unsafe.

(6) For facilities equipped with fixed gas detectors, the

gas detectors shall not be bypassed during the hot work activities.

(7) For hot work inside confined space, in addition to the

hot work requirement, the confined space entry requirement (e.g. medical declaration, CSE training, etc) shall be fully complied with.

(8) The process to allow the hot work activities to be

conducted on ‘live’ facility is summarized as Figure 1 and 2 below.

(9) For hot work in confined space, the conduct of the

work shall comply with WW ALL S 05 004 PETRONAS Carigali Confined Space Procedure.


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Need to conduct hot work on ‘live’

facility in Zone 1

Open-flame hot

work?Blasting (grit/ganite)?

Process piping/

equipment?

Corrosion > corrosion

allowance?

Non-open flame/Non-blasting

Convert instrument gas to

instrument air, wrap flanges

and barricade the area

Shutdown and blowdown

Conduct activity risk

assessment

Implement control/recovery

barriers

Proceed with Hot Work

End

Start

No No

No

No

Yes

Yes

Yes

Yes

Figure 1: Decision tree for hot work activities in Zone 1


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Start

Need to conduct hot

work on ‘live’ facility in

Zone 2

Open-flame hot

work?

Blasting (Grit/

ganite)?Non-open flame/Non-blasting

Conduct risk

assessment and

Implement Pressurised

Habitat

Process piping/

equipment?

Corrosion >

corrosion

allowance?

Convert Instrument gas to

Instrument air, wrap flanges and

barricade the area

Shutdown and Blowdown

Conduct activity risk assessment

Implement control/ recovery

barriers

Proceed with hot work

End

NoNo

Yes Yes

Yes

Yes

No

No

Figure 2: Decision tree for hot work activities in Zone 2

Permit To Work Procedure Roles and Responsibilities

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SECTION 2

ROLES AND RESPONSIBILITIES

Content

Paragraph Page No.

1 ROLES AND RESPONSIBILITIES 2

1.1 Permit Signatories 2

1.2 Contractors Management 7

1.3 Other Competent Personnel 7

1.4 Roles and Responsibilities at Remote Facilities 8


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1 ROLES AND RESPONSIBILITIES

The following are the key roles and their responsibilities in PTW. Personnel who are assigned to these roles as per the PTW Signatory Matrix below shall have completed the required training and passed the required assessment. PTW Signatory Matrix Signatories Personnel

Approving Authority (AA) Offshore/Onshore Installation Manager (OIM)

Authorised Supervisor (AS) Operations Supervisor/Maintenance Supervisor/Senior Technician/Technician

Approving Authority Representative

Senior Technician/Technician

Applicant/Receiving Authority Competent PETRONAS Carigali/Contractors’ Personnel

Work Leader Competent PETRONAS Carigali/Contractors’ Personnel

To ensure there is no conflict of roles, there must be a minimum of two distinct responsibility. The person who applies for the permit shall not be the same person as the one who shall approve this permit.

1.1 Permit Signatories

Applicant/Receiving Authority (RA)

Applicant/Receiving Authority shall be the person who will be directly involved with the work. He/she shall be responsible in the execution, planning and supervising of the work. The Applicant/Receiving Authority (RA) shall be responsible for:

(1) Describing in detail on the work activity, including the

tools and equipment to be used, number of workers involved, equipment/location of the work;

(2) Completing a JHA specifying hazards and precautions to be taken;

(3) Preparation of worksite, ensuring implementation of

all identified control and recovery barriers;

(4) Job is thoroughly discussed with the Authorised Supervisor (AS) and/or Approving Authority (AA);


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(5) The PTW top copy is displayed at the work site and

the workers briefed on the PTW including any potential hazards and the precautions taken or to be taken;

(6) The precautions shall be complied throughout the work activity;

(7) The workers shall be made to understand that if circumstances change, work shall stop and advice sought;

(8) Ensure that the scope of work in each PTW is limited to a single job;

(9) Ensure that the workers stay within the work limitations as defined in the PTW; and

(10) On completion or suspension of the work, the site is kept in a safe condition and the AS and/or AA shall be duly informed.

An Applicant/Receiving Authority may be Company or Contractor personnel. He/she shall have completed a three days PETRONAS Carigali PTW Certification Training including passing the required PTW assessment. The Applicant/Receiving

Authority shall be formally appointed through issuance of

appointment letter or approved list of Applicant/Receiving

Authority signed by Contract Holder or OIM.

Note: To prevent an RA from applying too many work permits, either for himself or on behalf of other work teams, the RA should discuss the number of permit allowed to be applied with the Approving Authority.

Work Leader (WL)

The Work Leader (WL) is responsible for planning and supervising the safe execution of the work. The Work Leader may also be the Applicant/Receiving Authority (RA). The WL shall:-

(1) Confirm the site conditions is safe for work execution

as required by the PTW and certificates and agree by signing;

(2) Brief the workers on JHA and PTW requirements;

(3) Supervise the work and remain at the work site at all


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times;

(4) Ensure that the scope of work in each PTW is limited to a single job;

(5) Conduct joint site inspection at the work site with the

AAR prior to approval of the PTW;

(6) Ensure there is no deviation from any condition as defined in the PTW. The WL may take on the additional responsibilities as an RA when deemed necessary; and

(7) Return the PTW to RA upon completion of work.

A Work Leader (WL) shall have completed a three days PETRONAS Carigali PTW Certification Training including passing the required PTW assessment. The Work Leader shall be formally appointed through issuance of appointment letter or approved list of Work Leader signed

by Contract Holder or OIM. Note 1: Preferably WL is the RA for the work. But in the absence of WL, anybody who is involve with the work and has completed the PTW Certification Training should be the RA. Note 2: To prevent ineffective work supervision, the WL should discuss the number of work to be supervised with the Approving Authority.


The Approving Authority Representative (AAR), who will be appointed among the authorised AAR by the Authorised Supervisor (AS), is responsible for the roles and responsibilities assigned by AA which may include one or more of the followings:

(1) All hazards associated with the job are identified and

risks have been reduced to as low as reasonably practicable;

(2) The authorized work does not endanger other ongoing operations in the facility;

(3) Physically mark/barricade and place tag on the

items/equipment to be worked onsite;

(4) Other permits/work activities that may interact are cross-referenced;


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(5) Verify implementation of all control stated in all supporting certificates and ensure that the certificates as well as relevant documents are attached and made known to all concerned parties;

(6) All the required equipment and PPE are adequate for

completion of work safely;

(7) Effective communication to ensure that the work site is inspected before work begins, suspended and on completion;

(8) Effective handover for outstanding work after each

shift/crew change; and

(9) The list of authorised PTW signatories is regularly updated.

AAR shall have completed a three days PETRONAS Carigali PTW Certification Training including passing the required PTW assessment. The Approving Authority Representative (AAR) shall be formally appointed through issuance of appointment letter or approved list of AAR

signed by the OIM.

Authorised Supervisor (AS) The person assigned as Authorised Supervisor (to be appointed by AA e.g. Production Supervisor, Maintenance Supervisor, CSR, etc.) shall ensure all precautions are specified, controls in place, and work is performed in a safe and efficient manner. The AS may also be the AA upon approval from respective management. Before endorsing the PTW, the AS shall verify and ensure the following:-



(2) The authorized work does not endanger other

ongoing operations in the facility; (3) Verify that all work preparation such as energy

isolation/ lockout-tagout have been completed and the applicable certificates have been approved;

(4) Other permits/work activities that may interact are

cross-referenced;


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(5) Endorse all supporting certificates and ensure that

the certificates as well as relevant documents are attached and made known to all concerned parties;


completion of work safely; (7) Appoint AAR from among the Authorised AAR for the

work to be responsible in physically verifying the worksite preparations;

(8) Effective communication to ensure that the work

site is inspected before work begins, suspended and on completion;




AS shall have completed a three days PETRONAS Carigali PTW Certification Training including passing the required PTW assessment. The AS shall be formally appointed through issuance of appointment letter signed by the PETRONAS Carigali Management e.g. Head of Country/Region.

Approving Authority (AA)

The person responsible for approving the work permit, shall ensure all precautions are specified, controls in place, and work is performed in a safe and efficient manner.

Before approving the Permit to Work, this person shall verify and ensure the following:-




(3) The Approving Authority Representative (AAR),

delegated by AA, is competent and aware of the conditions as stated in the Permit/Certificate and to implement precautions prior to start of work;

(4) Other permits/work activities that may interact are

cross-referenced;


WW ALL S 05 002 Rev. 4, July 2013


Page 7

(5) Approve all supporting certificates and documents

are attached and made known to all concerned parties;


completion of work safely;

(7) Communicate personally with the Applicant/RA on the contents and requirements of the PTW prior to hand-over of the permit and work execution;

(8) Effective communication to ensure that the work site

is inspected before work begins, suspended and on completion;




AA shall have completed a three days PETRONAS Carigali PTW Certification Training including passing the required PTW assessment. The AA shall be formally appointed through issuance of appointment letter signed by the PETRONAS Carigali Management e.g. Head of Country/Region.

Refer to Appendix 1 for sample of the appointment letter.

1.2 Contractors Management

Contractor’s Management shall ensure all their employees:

(1) Have undergone PETRONAS Carigali PTW awareness training and/or PETRONAS Carigai Certification Training (for signatories only);

(2) Understands PETRONAS Carigali PTW system; and

(3) Are qualified and competent to execute the respective duties as per contract requirement.

1.3 Individuals Working Under the Permit/Certificates

Individuals working under the permit/certificate, including contractors shall ensure that:

(1) They have received PTW awareness training/instruction and have a good understanding of


WW ALL S 05 002 Rev. 4, July 2013


Page 8

the PTW system;

(2) They do not start any work requiring a permit/certificate until it has been properly authorised and issued;

(3) They have received a briefing from the Work Leader (WL) on the particular task and understand the hazards and the precautions including those stipulated on Job Hazard Analysis (JHA) to ensure safe execution of the activities;

(4) Full compliance to the instructions/conditions specified in the permit/certificate;

(5) If in doubt, or if circumstances change, they shall stop work and consult their Work Leader (WL);

(6) When the work is stopped, make safe the site and the equipment; and

(7) The worksite is restored to its normal condition upon completion of work.

1.4 Roles and Responsibilities at Remote Facilities

When on a remote facility, the Approving Authority may delegate his roles and responsibilities to an Authorised Supervisor/AAR. The Authorised Supervisor may also delegate his roles and responsibilities to an AAR. The Applicant/Receiving Authority and the Approving Authority/Authorised Supervisor/Approving Authority Representative shall not be the same person.

Permit To Work Procedure Permit to Work Application

WW ALL S 05 002 Rev. 4, July 2013


Page 1

SECTION 3

PERMIT TO WORK APPLICATION

Content

Paragraph Page No.

1 PERMIT TO WORK APPLICATION PROCESS 2

1.1 PTW Application And Site Preparation 2

1.2 PTW Application and Site Preparation for Cold Work 5

1.3 Work Execution 7

1.4 Work Completion 8

1.5 Permit to Work Validity 13


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1 PERMIT TO WORK APPLICATION

(1) Application of permit via PTW system is required for

all hazardous activities which may have the potential to cause harm to personnel, environment, asset or reputation.

(2) PETRONAS Carigali PTW System utilises two permit forms (A3) for both cold work and hot work.

(3) During permit application, the mandatory sections to

be filled for both cold and hot work are Section 1-7 of the permit. Additionally, it is also mandatory to fill in Handback Section of the permit upon completion of work.

(4) For hot work, the additional sections that are

mandatory to be filled are Type of Hot Work Allowed and Hot Work Precautions in Section 1 and Section 3 of Hot Work Permit.

(5) The extension of cold work, Section 9 of the cold work

permit shall be filled in where it requires authorisation and approval from WL, AAR, AS and AA.

(6) For extension of wireline operations activities, Section

8 of the cold work permit shall be filled in where it requires daily endorsement from WL, AS and AA.

Template for permit form is shown in Appendix 2 and detail steps-by-steps instruction to fill in the permit is mentioned in Appendix 3.

1.1 PTW Application and Site Preparation for Hot Work

(1) The Applicant/RA fills in Section 1 to 4 of the PTW with the details of the hot work to be done, specifying the exact location and the tools to be used. Additionally, the Applicant/RA shall identify type of hot work and additional precautions for the hot work activities in Section 1 and 3 respectively.

(2) The Applicant/RA shall also attach together with the PTW the required certificates, JHA and other documents related to the work. In addition, it is also expected for the Applicant/RA to identify the hazards, precautions and Personal Protective Equipment (PPE) with respect to the work.


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(3) The Applicant/RA shall then discuss on the work with

the Work Leader (WL) and Authorised Supervisor (AS) to ensure the correct work scope as well as determination of hazards, precautions and PPE. In addition, the hazardous area classification shall also be confirmed by the AS to ensure the correct precautions are in place.

Note: For work that is conducted by Contractors where the Company Site Representative (CSR) is at site (e.g. drilling, diving, construction, etc.), the Applicant/RA shall discuss the work scope, hazards and control/recovery barriers required for the work with the CSR prior meeting the AS.

(4) The AS shall also verify that the JHA is communicated

to all personnel involved in the work during the toolbox meeting. The AS shall then approve the JHA.

(5) Additionally, where required, the AS shall propose additional precautions in minimizing the risk associated with the work to ALARP. If the nature of the work requires gas testing, i.e. hot work on hydrocarbon facilities, AS shall organise the gas tests to be carried out by an Authorized Gas Tester (AGT).

(6) For hot work and work in confined space, the AS shall determine the frequency of gas testing in the designated column of the Hot Work Precautions, Confined Space Certificate and Gas Test Form.

(7) The AS will verify the submission of certificates and identify the need for other certificates. The certificates number shall be recorded in Section 5 of the PTW form.

(8) After site preparation is completed, joint site visit shall

be carried out before commencement of work by the AAR, together with Applicant/RA and/or WL. Upon agreement by the AAR on the site preparation, the AAR and RA/WL shall indicate confirmation by signing in Section 6 of the PTW form and submit the Hot Work Permit to the Approving Authority (AA).


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(9) For work that needs to be communicated to other parties, the AA shall identify the relevant parties in Section 7 of the Hot Work Permit. The Applicant/RA shall then obtain the initial from the parties identified by Approving Authority (AA).

(10) For work that is conducted by Contractors where the

Company Site Representative (CSR) is at site (e.g. drilling, construction, etc.), the CSR shall be one of the mandatory parties to be informed of the work. He/she shall indicate acknowledgement by signing in Section 7 of the Hot Work Permit.

(11) After all the actions are completed, Section 7 of the

Hot Work Permit shall be signed by RA to indicate acceptance of the PTW requirement. The form shall then signed by AS for endorsement prior approval from AA.

(12) For work conducted on remote facilities, the

AAR/AS/AA may be the same person as the roles and responsibilities may be delegated to the most senior person on the facility.

Note: The Permit Applicant and the Approving Authority/Authorised Supervisor/Approving Authority Representative shall not be the same person.

(13) For unplanned hot work on remote facilities, the

endorsement and approval for the work shall be given by the AAR who assumed the functions of AS and AA. However, the work shall first be communicated to the AS and AA at main installations prior AAR endorsing and approving the permit.

(14) Among the information that needs to be communicated

are:

(a) Details of the hot work that needs to be carried out, including any special work instructions;

(b) Required precautions and PPE for the work; and

(c) Additional certificates or documents required for the work


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1.2 PTW Application and Site Preparation for Cold Work

(1) The Applicant/RA fills in Section 1 to 4 of the Cold Work Permit with the details of the work to be done, specifying the exact location and the tools to be used. The Applicant/RA shall also attach together with the PTW the required certificates, JHA and other documents related to the work. In addition, it is also expected for the Applicant/RA to identify the hazards, precautions and Personal Protective Equipment (PPE) with respect to the work.

(2) The Applicant/RA shall then discuss on the work with the Work Leader (WL) and Authorised Supervisor (AS) to ensure the correct work scope as well as determination of hazards, precautions and PPE. In addition, the hazardous area classification shall also be confirmed by the AS to ensure the correct precautions are in place.

Note: For work that is conducted by Contractors where the Company Site Representative (CSR) is at site (e.g. drilling, diving, construction, etc.), the Applicant/RA shall discuss the work scope, hazards and control/recovery barriers required for the work with the CSR prior meeting the AS.

(3) The AS shall also verify that the JHA is communicated

to all personnel involved in the work during the toolbox meeting. The AS shall then approve the JHA.

(4) Additionally, where required, the AS shall propose

additional precautions in minimizing the risk associated with the work to ALARP.

(5) For cold work in confined space, the AS shall determine the frequency of gas testing in the designated column of the required precautions (of the Cold Work Permit), Confined Space Certificate and Gas Test Form.

(6) The AS will verify the submission of certificates and identify the need for other certificates. The certificates number shall be recorded in Section 5 of the Cold Work Permit.

(7) After site preparation is completed, joint site visit shall

be carried out before commencement of work by the AAR, together with Applicant/RA and/or WL. Upon agreement by the AAR on the site preparation, the AAR and RA/WL shall indicate confirmation by signing


WW ALL S 05 002 Rev. 4, July 2013


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in Section 6 of the PTW form and submit the Cold Work Permit to the Approving Authority (AA).

(8) For work that needs to be communicated to other parties, the AA shall identify the relevant parties in Section 7 of the Cold Work Permit. The Applicant/RA shall then obtain the initial from the parties identified by Approving Authority (AA).

(9) For work that is conducted by Contractors where the

Company Site Representative (CSR) is at site (e.g. drilling, construction, etc.), the CSR shall be one of the mandatory parties to be informed of the work. He/she shall indicate acknowledgement by signing in Section 7 of the Cold Work Permit.

(10) After all the actions are completed, Section 7 of the

Cold Work Permit shall be signed by RA to indicate acceptance of the PTW requirement. The form shall then be signed by AS for endorsement prior approval from AA.

(11) For work conducted on remote facilities, the

AAR/AS/AA may be the same person as the roles and responsibilities may be delegated to the most senior person on the facility.

Note: The Permit Applicant and the Approving Authority/Authorised Supervisor/Approving Authority Representative shall not be the same person.

(12) For unplanned cold work on remote facilities, the

endorsement and approval for the work shall be given by the AAR who assumed the functions of AS and AA. However, the work shall first be communicated to the AS and AA at main installations prior AAR endorsing and approving the permit.

(13) Among the information that needs to be communicated

are:

(a) Details of the cold work that needs to be carried out, including any special work instructions;

(b) Required precautions and PPE for the work; and

(c) Additional certificates or documents required for the work.

1.3 Work Execution

(1) The Applicant/RA and/or WL shall brief all workers on

the hazards and conditions of PTW before work


WW ALL S 05 002 Rev. 4, July 2013


Page 7

commences. He shall also verify that the precautions are continuously implemented by those involved with the work and shall regularly check the work site to identify and correct any deviation to the PTW requirements.

(2) The top copy and any attached certificates are displayed at the work site by the WL and shall be available for inspection at any time. The second copy will be retained in the control room of the facility and the third copy is retained by the Applicant/RA.

(3) Process or operational conditions may change, so it is essential that the AS and/or AAR shall regularly check the work site to ensure that all precautions are maintained. In cases where additional gas test is required, the AS and/or AAR shall instruct for the gas test to be conducted and recorded in the Gas Test Form.

(4) The AA or AS or AAR shall stop the work at any time

if the conditions or work is deemed as unsafe. The PTW shall be suspended until the conditions are made safe. However, in the event where the conditions remain unsafe, the PTW shall be closed.

(5) For extension of wireline operation, Section 8 of the

Cold Work permit shall be filled. Thereafter, the WL, AS and AA shall sign daily to indicate agreement of the work extension. The conditions of work extension shall comply with the requirements specified in sub-section 1.5.

(6) For extension of cold work, Section 9 of the Cold Work permit shall be filled. The duration of the required extension shall be specified in this section. Thereafter, the WL, AAR, AS and AA shall sign to indicate agreement of the work extension. The conditions of work extension shall comply with the requirements specified in sub-section 1.5.


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1.4 Work Completion

(1) Upon work completion, the WL shall sign in Section 8 of the Hot Work Permit and Section 10 of the Cold Work Permit to indicate that work has completed and the site has been restored to its normal condition.

(2) The AAR shall then verify the worksite and sign-off the permit if the condition is satisfactory.

(3) The Applicant/RA, AS and AA shall then sign-off the

permit to indicate agreement on the work completion and permit handback (closure).


WW ALL S 05 002 Rev. 4, July 2013


Page 9

Start

Need to conduct work that requires PTW.

Attach the relevant certificate to the PTW

Applicant/RA shall discuss with WL and AS on the workscope, hazards, precautions and

PPE required for the work

AS will verity the submission of certificates and record the certificates number in Section 5

of PTW

Need other certificates?

Applicant to raise the required certificate and get it endorsed by the appropriate parties

AAR and Applicant/RA/WL conduct joint site visit

AAR and WL shall indicate confirmation in Section 6 of PTW form

AA to identify other parties where PTW needs to be communicated in Section 7 of PTW

form

Applicant/RA to obtain initials from the identified parties

Yes

No

Applicant fills in Section 1-4 of PTW form

Note: For work requiring gas test, AS shall determine the gas test

frequency


WW ALL S 05 002 Rev. 4, July 2013


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* Work Execution

Brief all workers on the hazards and conditions

RA / WL to ensure continuous implementation of precautions at site

WL to ensure respective copies shall resides at respective location

AS and/or AAR to check the worksite regularly

Safe work

condition?

Stop Work and suspend PTW

Implement additional control to make safe the work condition

Re-evaluate work condition

Safe work condition?Resume Work

End Work

Work Completion

** Work Completion

WL to sign Section 8 upon work completion

AAR verify the worksite

Worksite restored to normal condition?

Applicant/RA to

restore the

worksite to

satisfactory

Applicant/RA, AS and AA signed off at Section 8 to close PTW

End

Yes

No

Yes

No

No

Yes

Note: Refer to **

Figure 3: PTW Process Flow for Hot Work Permit


WW ALL S 05 002 Rev. 4, July 2013


Page 11

Start

Need to conduct work that requires PTW.

Attach the relevant certificate to the PTW

Applicant/RA shall discuss with WL and AS on the workscope, hazards, precautions and

PPE required for the work

AS will verity the submission of certificates and record the certificates number in Section 5

of PTW

Need other certificates?

Applicant to raise the required certificate and get it endorsed by the appropriate

parties

AAR and Applicant/RA/WL conduct joint site visit

AAR and WL shall indicate confirmation in section 6 in PTW form

AA to identify other parties where PTW needs to be communicated in Section 7 of PTW

form

Applicant/RA to obtain initials from the identified parties

Yes

No

Applicant fills in Section 1-4 of PTW form

Note: For work requiring gas test, AS shall determine the gas test

frequency

Work Execution

Note: Refer to *


WW ALL S 05 002 Rev. 4, July 2013


Page 12

* Work Execution

Brief all workers on the hazards and conditions

RA / WL to ensure continuous implementation of precautions at site

WL to ensure respective copies shall resides at respective location

AS and/or AAR to check the worksite regularly

Safe work

condition?

Stop Work and suspend PTW

Implement additional control to make safe the work condition

Re-evaluate work condition

Safe work condition?Resume Work

End Work

** Work Completion

WL to sign Section 10 upon work completion

AAR verify the worksite

Worksite restored to normal condition?

Applicant/RA to

restore the

worksite to

satisfactory

Applicant/RA, AS and AA signed off at Section 10 to close PTW

End

No

Yes

No

No

Yes

Work

Completed?

**Work Completion

For work requires

extension:

Fill in Section 8

(for cold work)

or section 9 (for

Non-Rig Coil

Tubing &

wireline

Operation.

Note: Refer

to **

Yes

No

Yes

Figure 4: PTW Process Flow for Cold Work Permit


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Page 14

1.5 Permit to Work Validity

(1) The PTW is valid when:-

(a) Work is conducted during the period for which it is issued or a maximum of one shift (i.e.) 8 - 12 hours;

(b) Equipment remains the same; (c) Work activity remains the same; (d) Crew/workers remain the same; (e) Work site conditions remain the same; and (f) Required signatures are in place.

(2) However, exceptions of the PTW validity may be

allowed for two conditions stated below: (a) Extension of PTW of a cold work (in Section 8 of

Cold Work Permit) should be allowed provided that work is conducted by the same crew (shift extension). It shall be revalidated to verify the conditions of the worksite remains the same and all the controls are still in place. The allowable extension of the cold work shall not exceed 4 hours; and

(b) Extension for wireline operations may be

allowed for up to seven (7) days, provided that requirement below are satisfied:

(i) On suspension of work on daily basis, the

well shall be made safe by making the SCSSV and SSV in operation mode;

(ii) Single control panel shall be switched to

Wellhead Control Panel (WHCP);

(iii) Tools shall be retrieved from the well; and

(iv) The operation is performed by the same crew on the same well.

Daily endorsement shall be recorded in Section 8 of the Cold Work Permit.


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Note: A PTW may require several certificates before it may be validated.

(3) In the event where there is change in AAR or AS or

AA during the work extension, the new AAR or AS or AA shall indicate their agreement for the work extension in Section 9 (for cold work) or Section 8 (for wireline operations).

(4) Should an Emergency Shutdown (ESD) or General

Platform Alarm (GPA) activated, all work shall stop immediately and the PTW shall be suspended. The work sites shall be secured and made safe and all personnel shall proceed to their designated muster stations.

(5) In the case of false alarm or emergency drill, the work

may resume after revalidation of PTW and the condition remains the same.

(6) However, in the event of confirmed emergency, all

PTW and associated certificates shall be cancelled and re-applied prior to resume work as worksite condition has changed.

(7) During equipment test run, all PTW for cold work and

wireline operations shall be suspended until completion of test run/troubleshooting. Meanwhile, all PTW for hot work shall be closed and re-apply to resume the work.

Permit To Work Procedure Certificates

WW ALL S 05 002 Rev. 4, July 2013


Page 1

SECTION 4

CERTIFICATES

Content

Paragraph Page No.

1 CERTIFICATES 2

1.1 General Certificate Application Process 4

1.2 Gas Test Form 6

1.3 Confined Space Entry Certificate 7

1.4 Electrical Isolation Certificate 7

1.5 Limit of Electrical Access Certificate 7

1.6 Physical Isolation Certificate 8

1.7 Lifting Certificate 8

1.8 Safety System Bypass/Override Certificate 9

1.9 Excavation Certificate 10

1.10 Radiation Certificate 10

1.11 Road Obstruction/Closure Certificate 11

1.12 Vehicle Entry Certificate 11

1.13 Diving Certificate 11


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1 CERTIFICATES

(1) Certificates shall be required to be attached together with PTW as part of PTW approval in providing the assurance to the AA that the work is safe to be conducted.

(2) The required certificates shall be completed and endorsed by the Subject Matter Expert (SME) of the activities in confirming that all precautions are in place prior PTW application.

(3) PETRONAS Carigali PTW system has twelve (12) certificates. Each is intended for a specific purpose, as the name implies, and each has a coloured border of diagonal stripes.

(4) The twelve certificates are:-

(a) Gas Test Form;

(b) Confined Space Entry Certificate;

(c) Electrical Isolation Certificate (EIC);

(d) Limit of Electrical Access Certificate (LoEA);

(e) Physical Isolation Certificate (PIC);

(f) Lifting Certificate;

(g) Safety System Bypass/Override Certificate (SSBOC);

(h) Excavation Certificate;

(i) Radiation Certificate;

(j) Road Obstruction/Closure Certificate;

(k) Vehicle Entry Certificate; and

(l) Diving Certificate.


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(5) In most cases, the certificates are normally associated with the work and dependent to the PTW. However, there are certificates that may be standalone due to some reasons as elaborated below:

Certificate Reason for Standalone

Safety System Bypass/Override Certificate (SSBOC)

The certificate may remains active after the completion of work e.g. may be due to spare parts unavailability, which requires the bypass of SCE equipment to be extended.

Physical Isolation Certificate

The certificate may remains active if work is yet to complete and the energy needs to remain isolated. However, the PTW needs to be closed as the PTW validity shall not exceed 16 hours.

Electrical Isolation Certificate

Radiation Certificate

Excavation Certificate

The certificate may remains active if work is yet to complete and the work area may remains excavated, barricaded and warning signs posted to prevent inadvertent access to the area. If the excavation area requires road closure, the road shall remains closed. However, the PTW needs to be closed as the PTW validity shall not exceed 16 hours.

Road Obstruction Certificate

The certificate may remains active if the work which involved road closure e.g. excavation, radiography test, etc., is yet to complete. However, the PTW needs to be closed as the PTW validity shall not exceed 16 hours.

(6) In cases where the work needs the application of more than one certificates, all the required certificates shall be filled up and attached together with the PTW.

Refer to Appendix 2 for all templates of certificates.

Where requirement to have competent personnel in

the conduct of the work by Contractor, the requirement shall be specified in the contract.


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1.1 Certificate Application Process

(1) In general, the process for certificate shall be following the steps below: (a) Applicant/RA to fill in general information and

work description; (b) SME for the activity (e.g. Entry Supervisor for

CSE, Diving Supervisor for diving, Crane Operator for lifting, etc.) will assure on the precautions required and the implementation of all the precautions. For non-specialised work that does not require specific SME, the WL will provide the assurance;

(c) The SME will then declare that the checks have

been conducted and sign the certificate; (d) The AAR will then conduct site verification and

declare that the precautions have been implemented;

(e) The AS will endorse that the activity is safe to

proceed; (f) The AA will approve and provide certificate

validation; and (g) Upon completion of work, the SME will confirm

that the work is completed and the AA will provide confirmation that he is aware that the work is complete and worksite maybe returned to normal operations.

(2) The certificate applications is summarised in the process flow below:


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Figure 1: General Process Flow for Certificate Application

Start

Applicant / RA fills in information and work description in the relevant

certificate.

Specialised

work?

WL will verify implementation of all

precaution and sign the certificate.

SME for the activity will verify implementation of all precautions, and

sign the certificate.

AAR conduct site verification and provide confirmation by signing the

certificate.

AS will endorse that the activity is safe by signing the certificate.

AA will provide approval and indicate certificate validation.

No

Yes


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1.2 Gas Test Form

(1) Gas Test Form shall be filled and attached to respective PTW which requires gas testing i.e. hot work and work in confined space.

(2) The Authorized Gas Tester (AGT) shall be the person responsible to carry out gas testing as well as filling in the Gas Test Form. He/she shall be certified, competent and authorized to conduct the gas testing. The training and competency requirement is deliberated in Section 6 of this document.

(3) The gas testing shall be conducted as part of site preparation to qualify that the work place is safe and the PTW may be approved for work to commence.

(4) Additionally, the gas testing shall be carried out on regular basis as per interval stated in the PTW. All gas test results shall be recorded in the Gas Test Form.

(5) During work execution, should the AGT found that the gas level is beyond the acceptable level during the periodic gas testing, the AGT shall decide to either suspend or stop the work.

(6) The acceptable parameters for gas testing are tabulated as below:

HHowever, for work in confined space, the gas test requirement shall meet the confined space entry conditions as stated in WW ALL S 05 004 PETRONAS Carigali Confined Space Procedure.

No. Gas type Acceptable parameters

1 Oxygen (without BA) 20% to 20.9%

2 LEL Less than 10%

3 H2S Less than or equal to 5 ppm


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1.3 Confined Space Entry (CSE) Certificate

(1) Confined Space Entry (CSE) Certificate shall be filled and attached to the PTW for all work in confined space.

(2) The Entry Supervisor shall be the person to declare that all precautions required for the work in confined space has been implemented.

(3) Where the host country/ legal required certified, competent and authorized AGT, those requirement shall be complied with. For example, in Malaysia, any work in confined space requires the AGT to attend training for authorised gas tester and entry supervisor where the AGT shall be certified based on the test conducted after the training.

(4) The detail requirements of work in confined space is defined in WW ALL S 05 004 PETRONAS Carigali Confined Space Procedure.

1.4 Electrical Isolation Certificate

(1) The Electrical Isolation Certificate shall be filled for work on electrical equipment, and confirms that an appointed and authorized competent person has electrically isolated the equipment to be worked on and has taken suitable precautions to prevent accidental reconnection.

(2) The detail requirements of the Electrical Isolation Certificate are defined in the WW ALL S 04 018 PETRONAS Carigali Energy Isolation Guideline.

1.5 Limit of Electrical Access Certificate

(1) The Limit of Electrical Access Certificate shall be filled for Testing of Live Voltage conductors or work in close proximity to live conductors/equipment/ apparatus.

(2) The ACP/AP shall be the person to declare that all

precautions required for the work near the live conductors/equipment/apparatus have been implemented.


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1.6 Physical Isolation Certificate

(1) The Physical Isolation Certificate shall be filled for work on process lines and equipment to confirm that the energy is positively isolated and free from liquid, gas and other hazardous material. In addition, the certificate confirms that the precautions are implemented to ensure the energy remains isolated.

(2) The detail requirements of the Physical Isolation Certificate are defined in the WW ALL S 04 018 PETRONAS Carigali Energy Isolation Guideline.

1.7 Lifting Certificate

(1) The Lifting Certificate shall be filled and attached to the PTW whenever any of the following conditions exist but not limited to:-

(a) Lifting over unprotected process equipment or

wellheads;

(b) Lifting dangerous goods;

(c) Lifting exceeding 8 tonnes;

(d) Lifting inside confined spaces;

(e) Lifting with sling not made of wire rope;

(f) Lifting with greater than four leg;

(g) Multiple crane lifts;

(h) Failure to fully illuminate load;

(i) Failure to fully illuminate path of load;

(j) When removing or installing well head hatch

cover/grating; and

(k) When a safety device is bypassed.


WW ALL S 05 002 Rev. 4, July 2013


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(2) The lifting checklist shall be filled by the Crane

Operator for critical lifting which meets below criteria:

(a) The percent of capacity between 86% - 100% of the load chart; or,

(b) Multiple cranes are used for lifting; or,

(c) Any other criteria classified as critical lifting as per PTS 18.5206: Lifting (previous PTS no. 60.2103).

(3) For lifting activities, the AAR should be the person

who has attended Rigging and Slinging Training e.g. deck foremen, area operator etc.

(4) Besides Lifting Certificate, the additional

documentation to supplement the PTW are:

(a) Lifting Plan (for critical lifting); and

(b) JHA. 1.8 Safety System Bypass/Override Certificate

(1) The Safety System Bypass/Override Certificate shall

be filled for any bypass/override/isolation/defeating of

SCE equipment. The act of disabling any of the SCE equipment may increase the risk to people, environment, asset and reputation due to inability of the affected system to function automatically in the event of an emergency during continued operations.

(2) The bypass/override/isolation/defeating of SCE

equpment shall be managed via two certificates i.e.:

(a) Bypass/override/isolation/defeating of SCE equipment due to Planned Preventive Maintenance; and

(b) Bypass/override/isolation/defeating of SCE equipment due to faulty/prolong bypass.

(3) The permission for bypass/override/isolation/

defeating SCE equipment shall be based on the Safety Integrity Level (SIL) of the SCE equipment or the level of risk posed due to bypassing of the SCE equipment.


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(4) The detail requirements of the Safety System

Bypass/Override Certificate are defined in the WW

ALL S 04 019 PETRONAS Carigali Bypass of SCE

Equipment Guideline. 1.9 Excavation Certificate

(1) The Excavation Certificate shall be filled for all excavation work deeper than 150mm.This certificate confirms that a competent person has checked the worksite of a planned excavation and studied layout drawings to ensure that the proposed excavation can be made without damage to existing buried facilities such as pipelines, drains and electric cables.

(2) The information and validity of the Excavation

Certificate shall be in line with the excavation plan.

(3) Besides Excavation Certificate, the additional documentation to supplement the PTW are listed as below, depending on the depth of the excavation:

(a) Excavation Plan;

(b) JHA; and

(c) Work site layout drawings.

(4) The detail requirements for excavation work is

defined in the WW ALL S 04 035 PETRONAS

Carigali Excavation Safety Guideline. 1.10 Radiation Certificate

(1) The Radiation Certificate shall be filled for handling

and isolating of equipment containing ionising radiation source.

(2) For handling of radiation source, the certificate shall

be attached to the PTW as part of its application and approval.

(3) For isolating of equipment containing ionising

radiation source, the certificate may be standalone.

(4) The RPO/RPS shall be the person to declare that all precautions required for the work involving ionising radiation source have been implemented.


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(5) The detail requirements for isolating the equipment containing ionising radiation source are defined in the

WW ALL S 04 018 PETRONAS Carigali Energy

Isolation Guideline.

1.11 Road Obstruction/Closure Certificate

(1) The Road Obstruction/Closure Certificate shall be filled whenever the closure of any road may affect or obstruct the emergency/escape route.

(2) The plot plan to indicate the road closure as well as

the alternative route shall be attached to the certificate.

1.12 Vehicle Entry Certificate

(1) The Vehicle Entry Certificate shall be filled for control of entry of non-company vehicle into the process areas.

(2) One permit is valid for more than one certificate and

each certificate is valid for one vehicle. 1.13 Diving Certificate

(1) The Diving Certificate shall be filled for any work

requiring diving activities e.g. pipeline inspection and maintenance, installation of subsurface structures, decommissioning, etc.

(2) The Diving Supervisor shall be the person to declare

that all precautions required for the diving work have been implemented.

(3) Besides Diving Certificate, the additional

documentation to supplement the PTW are:

(a) Diving Plan; and

(b) JHA

(4) For diving work within 500m radius of the platform, the relevant OIM shall be the AA of the PTW. However, for diving work outside 500m radius of the platform, the CSR should be the AA of the PTW.

Permit To Work Procedure Work and Activities Management

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SECTION 5

WORK AND ACTIVITIES MANAGEMENT

Content

Paragraph Page No.

1 WORK AND ACTIVITIES MANAGEMENT 2

1.1 Preparation 2

1.2 Co-ordination 2

1.3 Planning 2

1.4 Isolation 2

1.5 Communication 3

1.6 Display Board 3

1.7 Cross Referencing 3

1.8 PTW/Certificates Site Log Book 3

1.9 Tracking 4

1.10 Distribution 4

1.11 Toolbox Meetings 5


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1 WORK AND ACTIVITIES MANAGEMENT

1.1 Preparation

It is important to ensure that work activities, requiring a PTW, are planned and coordinated in order to avoid risks that may occur in simultaneous activities.

1.2 Co-ordination

This co-ordination is best achieved by having one person, usually the AA, to control the issue and return of all PTW.

1.3 Planning

Proper planning of work, requiring a PTW, shall take place to ensure the following:

(1) Approval for the work is obtained;

(2) All personnel are aware of the safety precautions and

ensure no interaction with other work activities; and

(3) Sufficient time is available to identify all potential hazards, implement precautions and worksite preparation.

It is therefore important that no work permit shall be issued unless adequate time is given for the identification of hazards and effects, precautions and control measures.

1.4 Isolation

An essential component of any safe system of work is the method and integrity of the isolation procedure. The isolation principle shall be adopted, prior to carrying out maintenance or repair, shall be determined by a number of factors, such as potential for pressure, dangerous substances, moving machinery and other hazards. Reference shall be made to WW ALL S 04 018 PETRONAS Carigali Energy Isolation Procedure.


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1.5 PTW Communication

PTW communication shall be carried out using the most understandable language. Effective communication shall include:

(1) A clear description and the scope of the work to be

carried out;

(2) Those affected by the work activity, whether directly or indirectly, are well informed on the potential hazards, precautions and controls; and

(3) All affected are well informed on the proactive

actions in the event of an emergency.

1.6 Display Board

Each installation shall use a display board for the permit in managing daily activities onboard the facilities which may cause additional hazards if those activities are carried out simultaneously. It is usually located in the main operations control room or at a central location on a remote facility.

1.7 Cross Referencing

In managing simultaneous activities, besides referring to the display board, the AS & AA shall also make a reference to the related permits and its associated documents to ensure that each activity does not introduce additional hazards to each other.

1.8 PTW/Certificates Site Log Book

(1) After the PTW and its associated certificates are approved, the details shall be recorded in a log book. A dedicated log book for a facility shall be maintained.

(2) The required information to be recorded include,

amongst others:

(a) PTW number;

(b) Certificates number;

(c) Date of PTW application;

(d) Summary of work description;


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(e) Name of Applicant/RA (including the name of his/her department/company);

(f) Location of work;

(g) Equipment name and tag number;

(h) Date and time of PTW closure;

(i) Status of certificates; and

(j) Date of certificate closure.

(3) The retention period of expired permit, certificate and all other relevant documents is at least one (1) year.

(4) The permit, certificate and all relevant documents

related to any incident shall be kept throughout the duration of the plants/facilities lifecycle.

(5) In cases where the local authority imposed a more stringent requirement on record keeping, this requirement shall be fully complied with.

Refer to Appendix 4 for template PTW logbook.

1.9 Tracking

(1) All PTW, including the associated certificates shall be tracked to closure.

(2) For standalone certificates, the certificates shall be tracked to closure via the PTW logbook to ensure requirements for revalidation is fully complied with.

1.10 Distribution

Copies of the permit and certificates shall be distributed as follows:

(1) The Top Copy, which has all the required signatures,

to be displayed at the work site whenever work is underway;

(2) The 2nd. Copy, to be displayed on the display board at the Permit Issue Point when work is in progress; and

(3) The 3rd Copy to be held by the Applicant/RA.


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1.11 Toolbox Meetings

Toolbox meetings or short briefings shall be given by either the Applicant/RA or the WL to all personnel who are involved in the work. It shall be conducted whenever PTW is applied and approved. For the same work that will continue for a few days where the crew may change, a new PTW shall be applied and therefore toolbox meeting shall be carried out. During the toolbox meeting, the plan for the activity is explained, individual responsibilities identified, procedures reviewed and hazards discussed.

Permit To Work Procedure Training

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SECTION 6

TRAINING

Content

Paragraph Page No.

1 TRAINING 2

1.1 Training and Competence 2

1.2 Training Criteria 2


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1 TRAINING 1.1 Training and Competence

(1) PTW Awareness training is mandatory for all PETRONAS Carigali and Contractors personnel working under the permit. The awareness training may be carried out by personnel who are familiar and have full understanding on PCSB PTW system i.e. PTW Trainer, PTW signatory parties, HSE personnel, etc.

(2) For PTW signatory parties, the PTW Certification training is mandatory to be attended. In addition, the written examination shall be carried out after the training to assess the competency level of the personnel to authorised as signatories in the PTW system. The certification training shall be carried out by a certified trainer that met the criteria as mentioned in sub-section 1.2 of this section.

(3) For competency assessment, the PTW signatory

parties shall passed 85% of the PTW certification assessment.

(4) The validity of the training shall be three (3) years.

(5) For work requiring certificates, the responsible

Subject Matter Experts (SME) may not be required to attend the certification training. However, if the SME are part of the PTW signatories, the SME shall attend the PTW Certification training.

(6) The minimum training requirements for different

parties in PTW system are:

PTW Awareness Training (1 day)

PTW Certification Training (including JHA and Confined

Space) (3 days)

Refresher Training (3 days)

Permit Applicant √ √

Approving Authority (AA) √ √

Authorised Supervisor (AS) √ √


√ √


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Receiving Authority (RA) √ √

Work Leader (WL) √ √

Authorised Gas Tester (AGT) √ √

Relevant Staff and Contractor Workers

√ √

(1 day)

(7) For competency assessment, the PTW signatory parties shall passed 85% of the PTW assessment.

Refer to Appendix 5 for sample of assessment questions. 1.2 Trainer Criteria

The criteria for PTW Certification trainer are as follows:

(1) Has attended PTW Certification training and passed

the assessment;

(2) Has attended Train-of-Trainer training; and

(3) Has minimum 5-years of experience in either HSE and/or operations

Permit To Work Procedure Inspection and Auditing

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SECTION 7

INSPECTION AND AUDITING

Content

Paragraph Page No.

1 INSPECTION & AUDITING OF PTW SYSTEM 2

1.1 System Audit and Monitoring 2


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1 INSPECTION & AUDITING OF PTW SYSTEM

The PTW system is the formal and final check prior to commencement of work activities. This critical system must function effectively every time.

1.1 System Audit and Monitoring

The extent and frequency of monitoring shall be determined by the size of the facility, the number of permits in use and the extent of discrepancies found on previous checks. As a minimum, the following schedule and frequency for auditing shall apply:

Figure 1: Level of System Assurance and Monitoring

6-MONTHLY AUDIT REGIONAL

HSE DEPT.

QUARTERLY PTW AUDIT BY

HEAD OF DEPARTMENT

WEEKLY PTW AUDIT BY OIM/PS/MS

DAILY MONITORING OF PTW SYSTEM BY SAFETY AND HEALTH OFFICER (SHO) AND AAR

LEVEL 1

LEVEL 2

LEVEL 3

LEVEL 4


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Level 4- Daily Monitoring of PTW System

The SHO and AAR shall carryout daily monitoring. It is suggested that each site develop its own criteria for audit compliances which shall include but not limited to:

(1) Display of permit at work site;

(2) Completeness of the PTW;

(3) Completeness of the PTW Site Log Book;

(4) Specified safety equipment in place;

(5) Precautions are adequate and implemented; and

(6) Work party briefed on conditions in the PTW and work

scope.

Refer to Appendix 6 for daily audit checklist.

Level 3 - Weekly PTW Audit

The OIM/PS/MS shall carry out weekly audit as detailed out in Appendix 7 and documented.

Level 2 – Quarterly PTW Audit

The Head of Department shall carry out Quarterly audit using the same weekly audit checklist as detailed in Appendix 7 and documented.

Level 1 – 6-monthly PTW Audit

The Regional HSE Department shall carry out 6-monthly review of the PTW system. This shall include the Permits, associated Certificates, Job Hazard Analysis and follow up on previous audit findings. Refer to Appendix 8 for annual audit checklist.

Permit To Work Procedure Appendices

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PETRONAS CARIGALI SDN BHD APPENDICES

Page 23

APPENDICES

Contents Paragraph Page No.

1 Sample of Appointment

A1-1

2 PTW and Certificates

A2-1

3 Steps of Filling-up PTW and Certificates

A3-1

4 Template for PTW Logbook

A4-1

5 PTW Sample Assessment Questions

A5-1

6 PTW Daily Audit Checklist

A6-1

7 PTW Weekly/Monthly Audit Checklist

A7-1

8 PTW Annual Audit Checklist

A8-1


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PETRONAS CARIGALI SDN BHD APPENDIX 1

Page A1-1

APPENDIX 1 Sample of Appointment Letter

PETRONAS CARIGALI SDN BHD (39275-U)

Ref. no.: HSE-250-03/2012/0261

13 July 2012 To all Distribution List APPOINTMENT AS PERMIT TO WORK (PTW) APPROVING AUTHORITY (AA) FOR PETRONAS CARIGALI SDN BHD I am pleased to inform you that you are hereby appointed as PETRONAS Carigali PTW Approving Authority (AA), in line with the recommendation made by PCSB HSE Management. In that role, you are expected to ensure that jobs are carried out safely by confirming: (1) All hazards associated with the job are identified and risks have been reduced to as low as

reasonably practicable;

(2) The authorized work does not endanger other on-going operations in the facility;

(3) The Approving Authority Representative (AAR), delegated by AA, is competent and aware of

the conditions as stated in the Permit/Certificate and to implement precautions prior to start

of work;


(5) All supporting certificates and documents are attached and made known to all concerned

parties;

(6) All the required equipment and PPE are adequate for completion of work safely;

(7) Effective communication to the Receiving Authority (RA) on the requirements of PTW prior

handover of the Permit for job execution;

(8) Effective communication to ensure that the work site is inspected before work begins,

suspended and on completion;

(8) Effective handover for outstanding work after each shift/crew change; and



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I believe you will be able to carry out the responsibilities entrusted to you diligently and ultimately contribute to a safer working environment within PETRONAS Carigali operations. I appreciate your contribution to the Company.

Thank you. For PETRONAS Carigali Sdn. Bhd. Joseph Podtung Head of Operations,

Sabah Operations, PETRONAS Carigali Sdn. Bhd.

PTW AA Distribution List:

1.


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Page A1-3


Ref. no.: HSE-250-03/2012/0261

13 July 2012 To all Distribution List APPOINTMENT AS PERMIT TO WORK (PTW) APPROVING AUTHORITY REPRESENTATIVE (AAR) FOR PETRONAS CARIGALI SDN BHD I am pleased to inform you that you are hereby appointed as PETRONAS Carigali PTW Approving Authority Representative (AAR), in line with the recommendation made by PCSB HSE Management. In that role, you are expected to ensure that jobs are carried out safely by confirming:

(1) All hazards associated with the job are identified and risks have been reduced to as low as reasonably practicable;

(2) Verify that all work preparations such as energy isolations are carried out in accordance to the procedure, the marking/tagging have been applied at locations and applicable certificates have been approved;



(4) All supporting certificates and documents are attached and made known to all concerned parties;

(5) All the required equipment and PPE are adequate for completion of work safely;

(6) Effective communication to ensure that the work site is inspected before work begins, suspended and on completion;

(7) Effective handover for outstanding work after each shift/crew change; and



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Page A1-4


Thank you. For PETRONAS Carigali Sdn. Bhd. Joseph Podtung Head of Operations, Sabah Operations,

PETRONAS Carigali Sdn. Bhd.

PTW AAR Distribution List: 1.


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Page A1-5


Ref. no.: HSE-250-03/2012/0261

13 July 2012 APPROVED LIST OF PERMIT TO WORK (PTW) APPROVING AUTHORITY REPRESENTATIVE (AAR) FOR PETRONAS CARIGALI SDN BHD Below are the list of appointed personnel as PTW AAR who has been trained and competent to carry the expected roles and responsibilities of AAR.

No Name Staff No. Designation Date of Training

Approved By, Abdullah Webb Head of Production, Sarawak Operations,

PETRONAS Carigali Sdn. Bhd.

PTW AAR Distribution List: 1.


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Page A1-7


Ref. no.: HSE-250-03/2012/0261

13 July 2012 To all Distribution List APPOINTMENT AS PERMIT TO WORK (PTW) AUTHORISED SUPERVISOR (AS) FOR PETRONAS CARIGALI SDN BHD I am pleased to inform you that you are hereby appointed as PETRONAS Carigali PTW Authorised Supervisor (AS), in line with the recommendation made by PCSB HSE Management. In that role, you are expected to ensure that jobs are carried out safely by confirming: (1) All hazards associated with the job are identified and risks have been reduced to as low as

reasonably practicable,

(2) The authorized work does not endanger other on-going operations in the facility,

(3) Other permits/work activities that may interact are cross-referenced,

(4) All supporting certificates and documents are attached and made known to all concerned parties,

(5) All the required equipment and PPE are adequate for completion of work safely,

(6) Effective communication to ensure that the work site is inspected before work begins, suspended and on completion,

(7) Effective handover for outstanding work after each shift/crew change.



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Page A1-7


Thank you. For PETRONAS Carigali Sdn. Bhd. Joseph Podtung Head of Operations,

Sabah Operations, PETRONAS Carigali Sdn. Bhd.

PTW AS Distribution List:

1.

Permit To Work Procedure

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PETRONAS CARIGALI SDN BHD APPENDIX 2 Page A2-1

APPENDIX 2 PTW and Certificate


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APPENDIX 3

STEP TO FILL-UP PTW AND CERTIFICATES

PERMIT TO WORK APPLICATION FOR HOT WORK PERMIT APPLICATION ON A MAIN INSTALLATION

The following outlines the steps to be followed when applying for a PTW on a main installation.

Note: 1) The Applicant/RA may also be the WL. 2) The certificate & PTW number shall be determined using the facility’s

certificate issuance running number.

Step 1: The Applicant/RA initiates the permit by filling out Sections1, 2, 3 & 4. Applicant/RA shall:-

In Section 1: Enter the following details:-

(1) Own name and identity number;

(2) Date of the application; (3) Own department/company’s name; (4) Facility where the work will be performed

(Platform/Terminal/Building); (5) Equipment tag number;

(6) Location of the worksite (Name of

Platform/Terminal/Building); (7) Any associated work order number; (8) Specific Worksite; and

(9) Work Description - Specific details of the

work to be done

(10) Type of hot work allowed

(11) Identify with a cross the area classification


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for the hot work activities.

(12) Any special work instruction, if applicable.

In Section 2: Identify with a cross any potential hazards

associated with the work. In Section 3: Identify with a cross relevant precautions required

for the work, including specific hot work precautions.

In Section 4: Identify with across the relevant PPE required for

the job. The Applicant /RA passes the three copies of the work permit to the Authorised Supervisor (AS) attached with c e r t i f i c a t e s a n d specific JHA. T h e Applicant /RA shall then discuss the work activity with the AS.

Step 2: The AS verify nformation specified by Applicant/RA and amend where necessary Sections 1, 2, 3 & 4 of the Hot Work Permit. The AS shall also fill in Section 5 of the PTW. The AS shall:-

In Section 1: Verify the requisition information e.g. the

equipment number, location, work description, type of hot work, etc. In addition, the AS shall verify and confirm the hazardous area classification for the hot work.

In Section2: Verify the hazards and hazardous activities

associated with the work. In Section 3: Verify all the precautions required before and

during the job. For hot work on hydrocarbon facilities, the AS shall determine the frequency of the gas testing required for the hot work. The AS shall also add any additional precautions if necessary.

In Section4: Verify the PPE required for the work. In Section 5: Verify the certificates, JHA and related drawing numbers submitted for the work and record the documents number. Identify with a cross for any additional certificates required. In Section 6: Nominate an Approving Authority Representative (AAR) and explain the precautions.


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Step 3: The AAR, Applicant/RA and the WL will then make a joint visit to the worksite. The AAR shall:

Bring the permit during joint site visit and check all the

specified precautions in Section 3 of the permit;

Confirm all the precautions have been implemented/checked by signing in Section 6 of the permit;

Request WL, who has witnessed all precautions implemented/checked to accept the responsibility for the job by signing in Section 6 of the permit; and

Step 4: The Approving Authority may suggest relevant personnel to be

informed so that they are aware of the work activity in Section 7 of the Hot Work Permit prior approval of the permit.

Note: For work that is conducted by Contractors where the Company Site Representative (CSR) is at site (e.g. drilling, diving, construction, etc.), the CSR shall be one of the mandatory parties to be informed of the work. He/she shall indicate acknowledgement by signing in Section 7 of the PTW form.

Step 5: The Applicant/RA/WL shall then obtain the initials of the identified personnel for acknowledgement prior approval of the Hot Work Permit. Thereafter, the Applicant/RA shall then sign the permit to indicate understanding and acceptance of all the conditions specified in the permit.

Step 6: The AS agrees with PTW and worksite preparations by signing in Section 7 of the Hot Work Permit.

Step 7: The Approving Authority (AA) shall:

Approve the permit when all the requirements are met; and

Return the permit to AAR after approval.

Step 8: The AAR will then distribute the permit as follows:-

Top and 3rd. copies to the Applicant/RA; and

2nd.copy to be placed on the display board.

Step 9: Applicant/RA, upon receiving the Top and 3rd copy of the PTW shall:


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Check the permit for completeness and the appropriate signatures;

Conduct toolbox meeting to brief all workers on the hazards associated with the work and conditions in the permit and JHA;

Issue Top copy of the Permit to WL; and

Retain 3rd copy for reference.

Step 10: The WL shall display the Top copy of the Permit at the worksite. Work may now commence.


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PERMIT TO WORK APPLICATION FOR COLD WORK PERMIT APPLICATION ON A MAIN INSTALLATION

The following outlines the steps to be followed when applying for a PTW on a main installation.

Note : 1) The Applicant/RA may also be the WL. 2) The certificate & PTW number shall be determined using the facility’s

certificate issuance running number.

Step 1: The Applicant/RA initiates the permit by filling out Sections1, 2, 3 &

4. Applicant/RA shall:- In Section 1 Enter the following details:-

(1) Own name and identity number; (2) Date of the application; (3) Own department/company’s name; (4) Facility where the work will be performed (Platform/Terminal/Building); (5) Equipment tag number; (6) Location of the worksite (Name of Platform/Terminal/Building); (7) Any associated work order number; (8) Specific Worksite; and (9) Work Description - Specific details of the

work to be done

(10) Identify with a cross the area classification for the cold work activities.

(11) Any special work instruction, if applicable.

In Section 2: Identify with a cross any potential hazards

associated with the work. In Section 3: Identify with a cross relevant precautions required


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for the work. In Section 4: Identify with across the relevant PPE required for

the job. The Applicant /RA passes the three copies of the work permit to the Authorised Supervisor (AS) attached with c e r t i f i c a t e s a n d specific JHA. T h e Applicant /RA shall then discusses the work activity with the AS.

Step 2: The AS verify information specified by Applicant/RA and amend where necessary Sections 1, 2, 3 & 4 of the Cold Work Permit. The AS shall also fill in Section 5 of the PTW. The AS shall:-

In Section 1: Verify the requisition information e.g. the

equipment number, location, work description, etc. In addition, the AS shall verify and confirm the hazardous area classification for the cold work.

In Section 2: Verify the hazards and hazardous activities

associated with the work. In Section 3: Verify all the precautions required before and

during the job. For cold work in confined space, the AS shall determine the frequency of the gas testing required for the work.

In Section4: Verify the PPE required for the work. In Section 5: Verify the certificates, JHA and related drawing numbers submitted for the work and record the documents number. Identify with a cross for any additional certificates required. In Section 6: Nominate an Approving Authority Representative (AAR) and explain the precautions.

Step 3: The AAR, Applicant/RA and the WL will then make a joint visit to the worksite. The AAR shall:

Bring a copy of permit during joint site visit and check all the

specified precautions in Section 3 of the permit;

Confirm all the precautions have been implemented/checked by signing in Section 6 of the permit;


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Request WL, who has witnessed all precautions implemented/checked to accept the responsibility for the job by signing in Section 6 of the permit; and


informed so that they are aware of the work activity in Section 7 of the Cold Work Permit prior approval of the permit.

Note: For work that is conducted by Contractors where the

Company Site Representative (CSR) is at site (e.g. drilling, diving, construction, etc.), the CSR shall be one of the mandatory parties to be informed of the work. He/she shall indicate acknowledgement by signing in Section 7 of the PTW form.

Step 5: The Applicant/RA/WL shall then obtain the initials of the identified personnel for acknowledgement prior approval of the Cold Work Permit. Thereafter, the Applicant/RA shall then sign the permit to indicate understanding and acceptance of all the conditions specified in the permit.

Step 6: The AS agrees with PTW and worksite preparations by signing in Section 7 of the Cold Work Permit.

Step 7: The Approving Authority (AA) shall:

Approve the permit 14when all the requirements are met; and

Return the permit to AAR after approval.

Step 8: The AAR will then distribute the permit as follows:-

Top and 3rd. copies tothe Applicant/RA; and

2nd.copy to be placed on the display board.

Step 9: Applicant/RA, upon receiving the Top and 3rd copy of the PTW shall:

Check the permit for completeness and the appropriate

signatures;

Conduct toolbox meeting to brief all workers on the hazards associated with the work and conditions in the permit and JHA;




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Step 10: The WL shall display the Top copy of the Permit at the worksite. Work may now commence.

Work Execution for Hot and Cold Work

Step 11: The AAR/WL shall regularly inspect the work site to verify that the

precautions stated on the permit are implemented throughout the work duration.

Step 12: The AAR/WL shall stop the work if:

Process or operational conditions changes; and

Any non-compliance to conditions that were specified in the

permit and other related documents.

Step 13: For work require gas testing, the AGT shall record the gas testing results in Gas Test Form. The testing frequency shall comply with the requirements determined by AS.

Work Extension for Cold Work

Step 1: For wireline operation that require extension, the WL shall formally

request the work extension by signing in Section 8 of the Cold Work Permit. The WL shall then obtain endorsement and approval from AS and AA, where they will need to sign in the same section of the Cold Work Permit.

Note: The extension of wireline operation shall not exceed 7 days,

where daily endorsement and approval shall be required. Step 2: For other cold work that require extension, the WL shall formally

request the work extension by signing in Section 9 of the Cold Work Permit. Upon site confirmation by AAR, the WL shall then obtain endorsement and approval from AS and AA, where each of them will need to sign in the same section of the Cold Work Permit.

Note: The extension of cold work activities shall not exceed 4 hours

after the shift ends. .


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WW ALL S 05 002

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Work Completion for Hot and Cold Work

Step 1: The Applicant/RA will restore the worksite to its normal condition

upon work completion. Applicant/RA shall sign in Section 8 of the Hot Work Permit or Section 10 of the Cold Work Permit.

. Step 2: The WL, shall confirm the worksi te condit ion by signing in

Section 8 of the Hot Work Permit or Section 10 of the Cold Work Permit for ALL copies of the permit.

Step 3: The AAR shall then inspect the worksite and shall:

Confirm that the site is restored to its normal condition satisfactorily; Note: In cases where the worksite restoration is not satifactory, the AAR shall instruct the Applicant/RA/WL to further restore the worksite. AAR shall carry out the re-inspection.

Sign in Section 8 of the Hot Work Permit or Section 10 of the

Cold Work Permit;

Return all the copies to the AS.

Step 4: The AS shall sign all copies of the permit in Section 8 of the Hot Work Permit or Section 10 of the Cold Work Permit, thus acknowledging that the work has been completed and that the worksite is restored to its normal conditions.

Step 5: AA shall then sign in Section 8 of the Hot Work Permit or Section 10

of the Cold Work Permit to confirm that the work is completed. PTW is closed and worksite is restored to its normal conditions.

Step 6: The AS shall then enter the closure details in the Work Permit Site

Log Book and retain all PTW copies for record.

Note: The handback process shall be carried out face-to-face between the Applicant/RA/WL, AAR, AS and AA.


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PERMIT APPLICATION ON A REMOTE INSTALLATION (PLANNED HOT OR COLD WORK)

At the Main Installation

Step 1: For work on remote facilities, the application of the PTW shall be

carried out at main installation. The Step 1 & 2 for permit application mentioned above shall be followed.

Note: The functions of the AA & AS shall then be delegated to the

AAR. The AAR will assume the functions and later will sign the respective columns for AA & AS in the permit.


informed so that they are aware of the work activity in Section 7 of the Hot Work Permit or Cold Work Permit prior approval of the permit.

Note: For work that is conducted by Contractors where the Company Site Representative (CSR) is at site (e.g. drilling, diving, construction, etc.), the CSR shall be one of the mandatory parties to be informed of the work. He/she shall indicate acknowledgement by signing in Section 7 of the PTW form.

At the Remote Installation

Step 3: The AAR, together with the WL and the Applicant/RA, shall bring

the three copies of the permit to the remote installation. At the remote installation:

The AAR and the Applicant/RA/WL shall make a joint visit to the

worksite;

At the worksite the AAR shall check the implementations of all the precaut ions specified in the permit;

When all the precautions have been implemented the AAR

a n d W L confirms this by signing in Section 6;

The WL will then sign as the RA (if the WL is the Applicant/RA),thereby accepting the permit conditions

AAR who is also act as the AS will endorse the permit in Section 7; and

AAR who also acts as the AA will approve in Section 7 of the


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permit to indicate agreement with all the requirements and that work may commence.

Step 4: The AAR shall distribute the three copies of the PTW as follows:-

Top and 3rd. copies to the WL (who is also the RA); and

2nd copy to be placed on the display board.

Step 5: Upon receiving the Top and 3rd copies of the permit, the WL or Applicant/RA shall:

Check the permit for completeness and the appropriate signatures;

Conduct toolbox meeting to brief all workers on the hazards

associated with the work and conditions in the permit and JHA;



Step 7: The WL or Applicant/RA will display the Top copy of the Permit at the worksite.

Work Execution for Hot and Cold Work on Remote Installation

Step 8: The steps for work execution shall be similar to Step 9, 10& 11

mentioned for work execution on main installation.

Work Completion for Hot and Cold Work on Remote Installation

Step 9: The steps for work completion shall be similar to Step 14 to

18mentioned for work execution on main installation.

Upon arrival at the Main Installation

Step 10: Upon arrival back at the main installation, the AAR shall inform the

AS and AA that the work has been completed. The AS shall then enter the closure details in the Work Permit Site Log Book and retain all PTW copies for record.


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CERTIFICATES APPLICATION Details to fill in few certificates are addressed in their respective procedures as follows:

Certificate Procedure/Guideline

Physical Isolation Certificate WW ALL S 04 018 PETRONAS Carigali

Energy Isolation Guideline Electrical Isolation Certificate

Safety System Bypass/Override Certificate

WW ALL S 04 019 PETRONAS Carigali

Bypass of Safety Critical Equipment Guideline

The detail step-by-step instructions to fill in other certificates are elaborated below: GAS TEST FORM APPLICATION The Gas Test Form shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader and the Entry Supervisor. The Gas Test Form shall be duly filled up as follows:

Step1: The Authorized Gas Tester (AGT) shall specify the general information in Section 1 of the certificate i.e. PTW number, date of work, facility, location, equipment, tag number and equipment service.

Step2: The AGT shall fill in his/her details e.g. name, personal ID, company,

certification number along with the issue date and expiry date in Section 2.

Step3: The AGT shall record the gas test result in Section 3 of the

certificate. Among the parameters that shall be recorded are date, time, oxygen level, percent LEL and percent H2S. The AGT shall then sign at the dedicated column for each gas test. The acceptable parameters indicated in the Gas Test Form shall be made reference during the gas testing.

Note: The frequency for gas testing shall follow the interval

determined by the AS.


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CONFINED SPACE ENTRY CERTIFICATE APPLICATION The Confined Space Entry Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader and the Entry Supervisor. The Confined Space Entry Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of the certificate i.e. PTW number, date of work, facility, location, equipment, tag number and equipment service. In addition, the information of the key personnel involved in the activities i.e. Applicant/RA, Work Leader and Standby Person, shall be filled in this section.

Step 2: The Applicant/RA shall specify the purpose of entry and type of entry

allowed in Section 2 of the certificate. Step 3: The Applicant/RA shall identify the precautions required for the work

in Section 3 of the certificate to ensure that the work will be conducted safely.

Note: The frequency for gas testing shall be determined upon

consultation with the AS.

Step 4: The Entry Supervisor shall carry out checks to ensure that the required precautions are in place and indicate confirmation in Section 4 of this certificate by writing ‘Y’ (Yes), ‘N’ (No) or ‘NA’ (Not applicable).

Note: For any ‘N”, the Entry Supervisor shall not allow the entry into

confined space to proceed until the issue is rectified.

Step 5: For any additional precautions required, the Entry Supervisor shall specify in Section 5 of the certificate.

Step 6: The Entry Supervisor shall sign in Section 6 of the certificate to

declare that he/she has done the checks and that the precautions are in place for the work to be carried out safely.

Step 7: The AAR shall sign in Section 7 of the certificate to confirm that the

precautions have been implemented and the work can be carried out safely.

Step 8: The AS sign in Section 8 of the certificate to acknowledge that the


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precautions are implemented and the work is safe to proceed. Step 9: The AA shall indicate the certificate validation and approve the work

in Section 9 of the certificate. Step 10: Upon completion of work, the Entry Supervisor shall sign Section 10

of the certificate to indicate that the work has completed and the worksite is safe and ready to resume its normal operations.

Step 11: The AA shall then close the certificate by signing in Section 11 of the

certificate to acknowledge the work completion and agree that the worksite may return to its normal operations.

Note: The closure of the certificate may be done in parallel with the closure of the PTW.

EXCAVATION CERTIFICATE APPLICATION

The Excavation Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader.

The Excavation Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of the certificate i.e. excavation certificate number, PTW number, facility, excavation equipment and tag number (if applicable). In addition, the Applicant/RA’s and Work Leader’s name and ID number shall also be specified.

Step 2: The Applicant/RA shall specify the details of the excavation work,

including the methods of excavation in Section 2 of the certificate.

Step 3: The Applicant/RA shall identify the precautions required for the work in Section 3 of the certificate to ensure that the work will be conducted safely.

Note: If the excavation work involved road obstruction, the Road Obstruction Certificate shall be filled up and attached together with the PTW application.

Step 4: The Work Leader (WL) shall verify the precautions identified by the Applicant/RA. For any additional precautions required, the WL shall specify in Section 4 of the certificate.

Step 5: The WL shall sign in Section 5 of the certificate to declare that the

precautions are in place for the work to be carried out safely.

Step 6: Prior commencement of the excavation work, relevant parties shall be


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WW ALL S 05 002

Rev. 4, July 2013


acknowledged to ensure that the worksite is safe to be excavated e.g. to identify location of any underground utilities piping, electrical cables etc. The Applicant/RA shall obtain the acknowledgement from relevant personnel which has been identified during formulation of the Excavation Plan in Section 6.




precautions are implemented and the work is safe to proceed.

Step 9: The AA shall indicate the certificate validation and approve the work in Section 9 of the certificate.

Step 10: Upon completion of work, the WL shall sign Section 10 of the

certificate to indicate that the work has completed and the worksite has been restored to its normal condition


certificate to acknowledge the work completion and agree with the worksite restoration.

LIFTING CERTIFICATE APPLICATION

The Lifting Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Crane Operator. The Lifting Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of

the certificate i.e. lifting certificate number, PTW number, facility, lifting equipment and tag number (if applicable). In addition, the Applicant/RA’s name and ID number shall also be specified.

Step 2: The Applicant/RA shall specify the details of the lifting work in

Section 2 of the certificate.

Step 3: The Crane Operator shall fill up the lifting information in Section 3 to determine: - Total lifting weight vs. The safe working load - Compliance to load chart capacity - Type of lifting i.e. critical or non-critical; to identify whether the lifting

checklist is required to be filled. - Availibility of Lifting Plan (if required)


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Step 4: The Crane Operator shall identify the precautions required for the

work in Section 4 of the certificate to ensure that the work will be conducted safely.

Step 5: The Crane Operator shall declare that he understands the scope of work, the required lifting equipment and precautions in Section 5 of the certificate.






Step 9: Upon completion of work, the Crane Operator shall sign Section 9 of

the certificate to indicate that the work has completed and the worksite has been restored to its normal condition.



Note: The closure of the certificate may be done in parallel with the

closure of the PTW. ROAD OBSTRUCTION CERTIFICATE APPLICATION

The Road Obstruction Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader.

The Road Obstruction Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of the certificate i.e. road obstruction certificate number, PTW number, facility, location and road name/number. In addition, the Applicant/RA’s name and ID number shall also be specified.

Step 2: The Applicant/RA shall specify the description of work, including the

reason of road obstruction in Section 2 of the certificate.


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Step 3: The Applicant/RA shall identify the precautions required for the work in Section 3 of the certificate to ensure that the work will be conducted safely.

Step 4: The Work Leader (WL) shall verify the precautions identified by the Applicant/RA. For any additional precautions required, the WL shall specify in Section 4 of the certificate.

Step 5: The WL shall sign in Section 5 of the certificate to declare that the

precautions are in place for the work to be carried out safely.

Step 6: The AAR shall sign in Section 6 of the certificate to confirm that the precautions have been implemented and the work can be carried out safely.



in Section 8 of the certificate. Step 9: Upon completion of work, the WL shall sign Section 9 of the

certificate to indicate that the work has completed and the worksite has been restored to its normal condition.



VEHICLE ENTRY CERTIFICATE APPLICATION

The Vehicle Entry Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader.

The Vehicle Entry Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of the certificate i.e. plant/facility and location of vehicle entry. In addition, the Applicant/RA’s name and ID number shall also be specified.

Step 2: The Applicant/RA shall specify the description of work in Section 2 of

the certificate.


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Rev. 4, July 2013


Step 3: The Applicant/RA shall fill up the details of vehicle operator e.g. name, ID number, license number and expiry in Section 3 of the certificate.

Step 4: The Applicant/RA shall fill up the details of vehicle e.g. vehicle model, registration number, fuel type, vehicle height, etc., in Section 4 of the certificate.

Step 5: The Vehicle Operator shall conduct visual inspection on the vehicles and state the status in Section 5 of the certificate. For any special precautions required, the Vehicle Operator shall specify in this section.

Step 6: The Vehicle Operator shall sign in Section 6 of the certificate to

declare that the precautions are in place for the work to be carried out safely.





in Section 9 of the certificate.

Step 10: Upon completion of work, the Vehicle Operator shall sign Section 10 of the certificate to indicate that the work has completed and the worksite safe and ready to resume its normal operations.





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DIVING CERTIFICATE APPLICATION

The Diving Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Diving Supervisor and the Client Site Representative (CSR).

The Diving Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of the certificate i.e. facility, location, equipment and tag number. In addition, the Applicant/RA’s name and ID number shall also be specified.


the certificate.

Step 3: The Applicant/RA shall identify the type of diving operation in Section 3 of the certificate. The diving operation shall be specified based on the diving plan. If there are more than one diving operation involved, the Applicant/RA shall cross all diving operations involved in the relevant boxes in this section.

Step 4: The Diving Supervisor shall carry out checks to ensure that the required precautions are in place and indicate confirmation in Section 4 of this certificate by writing ‘Y’ (Yes), ‘N’ (No) or ‘NA’ (Not applicable).

Note: For any ‘N”, the Diving Supervisor shall not allow the diving

operation to proceed until the issue is rectified.

Step5 : For any additional precautions required, the Diving Supervisor shall specify in Section 5 of the certificate.

Step 6: The Diving Supervisor shall sign in Section 6 of the certificate to

declare that he/she has done the checks and that the precautions are in place for the work to be carried out safely.

Step 7: The Diving Supervisor’s Superior on-Board shall sign in Section 7 of

the certificate to provide endorsement that all the required precautions have been implemented to make safe the diving operation.

Step 8: The CSR shall sign in Section 8 of the certificate to acknowledge that

the precautions are implemented and the work is safe to proceed. Step 9: The AS/AA/CSR shall indicate the certificate validation and approve

the work in Section 9 of the certificate.


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Step 10: Upon completion of work, the Diving Supervisor shall sign Section 10 of the certificate to indicate that the work has completed and the worksite is safe and ready to resume its normal operations.



Note: The closure of the certificate may be done in parallel with the closure of the PTW. LIMITOF ELECTRICALACCESS CERTIFICATE APPLICATION

The Limit of Electrical Access Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader.

The Limit of Electrical Access Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of

the certificate i.e. PTW number, facility, location, equipment and tag number. In addition, the Applicant/RA’s and Work Leader’s name and ID number shall also be specified.


the certificate. Step 3: The Authorised Competent Person/Competent Person (ACP/AP)

shall fill the information of live equipment in the adjacent vicinity as well as the precautions required in Section 3 of the certificate. The information required are: - Identification of live equipment - Location of warning sign posted - Precautions required to make safe the activities - Name of person(s) accompanying the ACP who have been briefed on

the risks and precautions required.

Step 4: The ACP/AP (different ACP/AP from Step 3) shall indicate confirmation that the work can be carried out safely in Section 4 of this certificate.

Step 5: The Applicant/RA/WL shall then indicate confirmation in Section 5 of this certificate that he has been briefed on the risk and precautions


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for the work and understand the obligations to implement the precautions to make safe the activities.

Step 6: The AAR shall sign in Section 6 of the certificate to confirm that that

the precautions have been implemented and the work can be carried out safely.




Step 9: Upon completion of work, the Work Leader shall sign Section 9 of the

certificate to indicate that the work has completed and the worksite is safe and ready to resume its normal operations.



Note: The closure of the certificate may be done in parallel with the closure of the PTW. RADIATION CERTIFICATE APPLICATION

The Radiation Certificate shall be completed and approved prior applying of PTW. In filling up the form, the Applicant/RA should discuss the information with the Work Leader. The Radiation Certificate shall be duly filled up as follows:

Step 1: The Applicant/RA shall specify the general information in Section 1 of the certificate i.e. PTW number, Positive Isolation Certificate (PIC), Energy Isolation Certificate (EIC), if applicable, facility, location, equipment and tag number. In addition, the Applicant/RA’s and Work Leader’s name and ID number shall also be specified.


the certificate including the purpose of the radiation work. Step 3: The Radiation Protection Officer (RPO), Radiation Protection

Supervisor (RPS) and Radiographer shall fill the information on the radiation work in Section 3. The information required are: - Type of personnel radiation monitoring - Type of radioactive source


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- Type of radiation The RPO, RPS and Radiographer shall then indicate the name of the

person authorised to carry out the radiation work including his/her exposure badge number and license number. The authorised person shall then indicate his agreement by signing at the same section.

Step 4: The RPO/RPS and Radiographer shall identify the precautions required for the work in Section 4 of the certificate to ensure that the work will be conducted safely.

Step 5: The RPO/RPS and Radiographer shall indicate confirmation that the

work can be carried out safely and the radiation source is positively isolated in Section 5 of this certificate.

Step 6: The Applicant/RA/WL shall then indicate confirmation in Section 6 of this certificate that he has been briefed on the risk and precautions for the work and understand the obligations to implement the precautions to make safe the activities.

Step 7: The AAR shall sign in Section 7 of the certificate to confirm that that

the precautions have been implemented and the work can be carried out safely.




Step10: Upon completion of work, the Work Leader shall sign Section 10 of

the certificate to indicate that the work has completed and the worksite is safe and ready to resume its normal operations.





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Appendix 4

PTW No. Certificate No. Date of PTW

Application

Summary of

Work

Description

Name of

Applicant/RA

and Department

Location of

Work

Equipment

Name and Tag

No.

Date and Time

of PTW

Closure

Status of Certificate

(Close/Open)

Certificate

Closure Date

TEMPLATE FOR PTW LOGBOOK


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WW ALL S 05 002

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APPENDIX 5 Sample of Assessment

HUMAN RESOURCE MANAGEMENT SAFETY TRAINING

ASSESSMENT REQUIREMENT

CANDIDATE MUST ATTAIN 85% AND ABOVE

Please read the question carefully and give comprehensive answers. The mark for each

correct answer is indicated on the right side of the page.

CANDIDATE‟S

NAME

STAFF No. / I.C No.

COMPANY

DEPARTMENT

WORK LOCATION

DATE

INSTRUCTOR‟S

NAME

ASSESSOR‟S NAME

EVALUATION

CONFINED SPACE ENTRY POST COURSE

ASSESSMENT


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1. Workers are not allowed to enter a confined space at all if the combustible gas content

exceeds:

A. 5%

B. 10%

C. 20% 2

D. 30%

2. A person is deemed to have entered a confined space if:

A. His upper body passes the vertical plane of the manhole.

B. His lower body passes the vertical plane of the manhole 2

C. His face passes the vertical plane of the manhole

3. An authorized Gas Tester carries out three (3) mandatory test. What are they?

(Circle the answer)

A. Hydrogen test

B. Nitrogen test

C. Oxygen test

D. Toxic gas test

E. Halon test

F. Carbon dioxide gas test 3

G. Flammable gas test

4. Whenever practicable, Double Block and Bleed can be used as a form of isolation

prior to confined space entry?

(Circle the answer)

A. True

B. False 2

Page

Total

9


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5. Entry into a confined is not allowed if the oxygen content is greater than:-

A. 20%

B. 21% 2

C. 22%

6. Where should spades and blanks be preferably installed?

A. Before the first isolation valve in a pipeline

B. After the first isolation valve in a pipeline

C. At the nozzle of the vessel 2

D. A minimum of 20 meters from the vessel

7. A. A minimum of how many persons should “snap” a lock at each isolation point?

A. One

B. Two 2

C. Three

B. Based on your answer in (a), who would these person/s be?

A. Approving Authority

B. Authorised Gas tester

C. Approving Authority Representative 2

D. Discipline Work Leader

8. No rescue from a confined space may be attempted without three (3) vital items of

equipment. What are these items?

1)

2) 3

3)

Page

Total

11


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9. What course of action should a standby person stationed outside a confined space

take, if there are indications that the person in the confined space are being adversely

affected by the atmosphere?

A. He must immediately raise the alarm and attempt to

rescue the persons himself

B. He must immediately raise the alarm and inform the

Entry Supervisor

2

C. He must immediately raise the alarm and after gathering

together the Fellow workmates, commence the rescue of

the persons.

10. A. Locks should be installed at each isolation point. How locks identifiable?

Answer:

2

B. As well as locks being installed at each isolation point, what else need to be

attached?

Answer:

1

Page

Total

TOTAL

MARK

5

25


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HUMAN RESOURCE MANAGEMENT SAFETY

TRAINING


CANDIDATE MUST ATTAIN 85% AND ABOVE Please read the question carefully and give comprehensive answers. The mark for each correct

answer is indicated on the right side of the page.

CANDIDATE‟S

NAME

STAFF No. /I.C No.

COMPANY

DEPARTMENT

WORK LOCATION

DATE

INSTRUCTOR‟S

NAME

ASSESSOR‟S NAME

EVALUATION

JOB HAZARD ANALYSIS POST

COURSE ASSESSMENT


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QUESTIONS TO CHECK UNDERPINNING KNOWLEDGE 1. The definition of a hazard is:-

A. An event which could harm equipment.

B. A circumstance which could harm personnel.

C. A condition which could harm the environment. 1

D. Both A & B.

E. Both B & C.

F. A,B & C.

2. The purpose of JHA is:-

A. To ensure a PTW is obtained prior to start work.

B. To ensure personnel have attended a toolbox

meeting.

1

C. To identify all potential hazards involved in a work

activity.

D. To ensure personnel are familiar with a work activity.

3. Which work activities are recommended to undergo a JHA?

A. Only hot work.

B. Only Confined Space Entry.

C. Both A & B. 1

D. All work activities.

4. JHA is a team effort. Who normally makes up the team?

A. The Production/Maintenance Supervisor.

B. The Discipline Supervisor.

C. Technician familiar with the work activity.

D. Expert / Specialist. 1

E. All of the above.

Page total

4


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5. What are the three (3) principle methods of conducting JHA?

A. Discuss the work activity with other regions.

B. Direct observation of the work activity being

performed.

C. Group discussion with personnel familiar with the

work.

3

D. Recalling previous observation

6. JHA is a three (3) stage process. What are these stages?

A. Recording the personnel involved with the work

activity.

B. Defining how to eliminate hazards.

C. Identifying potential hazards.

D. Recording how long a work activity takes to

complete.

3

E. Breaking the work activity into steps.

7. Explain the following terms which describe how chemicals can enter Blood stream?

A. Inhalation -

B. Ingestion - 3

C. Absorption -

8. Which of the following are “ergonomic hazards”?

A. High noise levels.

B. Lack of training.

C. Exposure to extreme temperatures

D. Work repetitiveness 3

E. Excessive vibration

Page total

12


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9. Identify with a cross (X), which of the following are control measures and which are

recovery measures?

Control

Measures

Recovery

Measures

A. Enclosing a Hazard

B. Additional supervision

C. Detection and alarm devices

D. Rescue equipment

E. Emergency procedures

5

10. List four (4) benefits of using JHA:

1)

2)

3)

4)

4

Page

total

Total

Mark

9

25


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PERMIT TO WORK CERTIFICATION

POST ASSESSMENT

CANDIDATE

NAME

COMPANY

DEPARTMENT

WORK LOCATION

DATE

INSTRUCTOR

NAME

ASSESSOR NAME

EVALUATION


CANDIDATE MUST ATTAIN AT 85% MINIMUM.

Please read the question carefully and giving comprehensive answers. The value of each question

is indicated in the box on the right hand side of the page.


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PART A 1. A non- hazardous area is classified as:

A. An area where flammable atmospheres are or expected to be present

B. An area where flammable atmospheres are not expected to be present

C. An area where flammable atmospheres are intermittently present

D. An area where flammable atmospheres are constantly present 2

2. Hazardous areas are categorized into three zones. These zones are:

A. Zone 1, Zone 2 and Zone 3

B. Zone A, Zone B and Zone C

C. Zone 0, Zone 1 and Zone 2

D. Zone N, Zone L and Zone H 2

3. How many Permits and Certificates are used in PETRONAS Carigali‟s facilities

A. 2 Permits and 8 Certificates

B. 3 Permits and 9 Certificates

C. 2 Permit and 12 Certificates

D. 7 Permit and 9 Certificates 2

4. Which permit is applicable if there is any „cold work‟ requiring a certificate?

A. A3 Permit

B. Hot Work Permit

C. Cold Work Permit

D. A or B 2

5. Who implements and initials the precautions, identified in Section 3 of the permits?

A. Work Leader

B. Approving Authority Representative

C. Applicant/RA & AS

D. Approving Authority 2

6. A joint site visit in Section 6 of PTW is carried out by

A. AAR & AA

B. RA & WL

C. AAR & RA/WL

D. AA & RA 2

Total Marks

12


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7. The hazards in section 2 and PPE in section 4 of the permit are identified with a

A. Tick

B. Signature

C. Initial

D. Cross or X 2

8. Which statement is correct on the display of PTW/Certificates

A. Top Copy on Display Board, 2nd

Copy at Worksite, 3rd

Copy with RA

B. Top Copy at worksite, 2nd

Copy with WL, 3rd

Copy on Display Board

C. Top Copy on Display Board, 2nd

Copy with RA, 3rd

Copy at Worksite

D. Top Copy at Worksite, 2nd

Copy Display Board, 3rd

Copy to RA 2

9. The main signatories on a PTW are

A. AA, AS, AAR, RA & WL

B. AA, AAR, RA & WL

C. AA & AAR

D. AA, RA & WL 2

10. The following Safety Critical Equipment (SCE) shall not be bypassed:

A. Pressure relieve devices

B. Thermal relieve devices

C. Electrical overload relay

D. All the above 2

Total Marks

12


Appendices

WW ALL S 05 002

Rev. 4, July 2013


11. If a Vehicle Entry Certificate is required, who visually inspects the vehicle?

A. Security personnel

B. PUSPAKOM

C. Approving Authority

D. Work Leader

E. Fire Warden 2

12. The activities below require a Radiation Certificate except:

A. Corrosion inspection

B. Welding

C. Weld survey

D. Commissioning of radiation source

E. Handling of TENORM 2

13. Identify the three (3) mandatory gas test:

A. Hydrogen Test

B. Nitrogen Test

C. Oxygen Test

D. Toxic gas Test

E. Flammable gas Test

F. Carbon dioxide 6

Total Marks

6


Appendices

WW ALL S 05 002

Rev. 4, July 2013


PART B 14. Match the appropriate personnel(s) in the Matrix Table below:

Signatories Personnel

Approving Authority (AA) Competent PCSB/Contractors‟ Personnel

Authorised Supervisor (AS) Competent PCSB/Contractors‟ Personnel

Approving Authority Representative Competent PCSB/Contractors‟ Personnel

Receiving Authority Operation Supervisor/ Maintenance

Supervisor/ Senior Technician/ Technician

Work Leader Offshore/Onshore Installation Manager

(OIM)

Permit Applicant Senior Technician/Technician

12

15. Write the main responsibility of the Approving Authority?

3

16. Write the main responsibility of the Authorised Supervisor?

3

Total Marks

18


Appendices

WW ALL S 05 002

Rev. 4, July 2013


17. For work on a remote installation the AAR can be delegated as

……………………………. and …………………………………

4

18. A PTW is initiated by ……………………………………….. who is called the

………………………………………..

4

19. The ……………………………………………. Supervises and remain at the work site at

site at all times while work is in progress.

2

20. When is the Hot Work permit applicable?

3

21. Short briefings by either the Receiving Authority or the Work Leader to the work crew is

called ……………………………………………………………………..

2

22. What are the six (6) conditions required for a PTW to be valid?

1)

2)

3)

4)

5)

6)

6

Total Marks

21


Appendices

WW ALL S 05 002

Rev. 4, July 2013


23. Name 3 certificates which can have an extended isolation period:

1)

2)

3)

3

24. With regards to PTW and certificates, what are the procedures if there is Emergency

Shutdown (ESD), General Platform Alarm (GPA), False Alarm or Emergency Drill

activated?

5

25. Bypass of SCE Equipment may be allowed for certain reasons:

1)

2)

2

26. Identify five (5) conditions where lifting certificate is required:

1)

2)

3)

4)

5)

5

27. Daily monitoring and auditing of PTW is conducted by

……………………………………………. and

…………………………………………………

2

17


Appendices

WW ALL S 05 002

Rev. 4, July 2013


28. For work in a confined space, the document required are PTW, Confined Space

………………………………………………. And Confined Space

………………………………………………..

2

29. An ……………………………………………………… certificate is required for digging

deeper than 150mm.

1

30. The

………………………………………………………………………………………………

…………. Certificate is used when the closure of any road in the facility may affect the

passage of emergency response vehicles.

1

31. An area in which a flammable atmosphere is expected to be present is defined as

……………………………………………………………………………………….Area.

1

32. Flammable gases and vapours are intermittently present. This area is classified as Zone

………………………………………………………………………………….

1

Total Marks

6


Appendices

WW ALL S 05 002

Rev. 4, July 2013


33. What is the retention period of completed PTW, certificates and all other relevant

document?

3

34. What is the retention period should there be any incident related to the particular PTW?

3

35. The Permit Applicant and the Approving Authority/Approving Authority Representative

shall not be the same person.

A. True

B. False 1

7

Total Marks

100


Appendices

WW ALL S 05 002

Rev. 4, July 2013



PERMIT TO WORK CERTIFICATION

ENERGY ISOLATION

POST ASSESSMENT 1

CANDIDATE

NAME

COMPANY

DEPARTMENT

WORK LOCATION

DATE

INSTRUCTOR

NAME

ASSESSOR NAME

EVALUATION


CANDIDATE MUST ATTAIN AT 85% MINIMUM.

Please read the question carefully and giving comprehensive answers. The value of each question

is indicated in the box on the right hand side of the page.


Appendices

WW ALL S 05 002

Rev. 4, July 2013


1. What is level of tagging and locking must the maintenance discipline working on the

equipment apply to the isolation points?

A. Apply locks and tags to isolation points and the Lockout Box.

B. Apply only tags to the isolation points indicated by operations.

C. Apply locks only to isolation points. 1

D. Lock and tag only the Lockout Box.

2. In the Group Lock Out Tag Out system, who is responsible for placing locks and tags on

all of the isolation devices and Lock Out Box?

A. The Receiving Authority and Approving Representative.

B. All workers working on the equipment.

C. The Approving Authority Representative under the guidance of the

Approving Authority.

D. The work leader 1

3. Which of the following situations requires energy isolation

A. When performing grass cutting operations.

B. When driving a petrol powered vehicle into the process unit.

C. Overhaul of a pump in medium pressure service. 1

4. Which of the following tags may be used for isolating a system in PETRONAS Carigali?

A. The red electrical isolation tag.

B. The blue Operations tag.

C. The yellow Radiation Tag.

D. All of the above. 1

5. Under the Group LOTO system which of the following statements is correct.

A. Each set of group locks has a common master key.

B. Each lock has an individual key. 1


Appendices

WW ALL S 05 002

Rev. 4, July 2013


6. In the Lock Tag Clear & Try process which of the following is the correct sequence?

A. Ensure the equipment is not running, isolate, lock & tag the power

source (breaker), ensure no one is near the equipment then try to

activate the local switch (switch on) ?

B. Isolate the power source, try to activate the local switch, then lock

and tag the power source?

C. Have another AAR isolate the power source while you stand by the

equipment and attempt to start it?

D. Ensure no one is near the equipment then attempt to start it, and then

do the isolation of the breaker and lock and tag? 2

7. Which key (s) is/are placed inside the Lockout Box?

A. The keys from maintenance isolation locks.

B. The operation Group lock key along with the keys from any electrical

or radiation equipment isolation

C. Only operation group lock master key.

D. Only electrical and radiation isolation keys. 1

8. Who is responsible to do the isolation of ionizing radiation sources?

A. The operations department where the equipment is located.

B. The instrument technician responsible for that area.

C. The ACP / AP

D. The RPO / RPS 1

9. Who must be present when the Clear & Try process is carried out after energy isolation is

completed in the Sub- station?

A. The AAR & WL

B. The ACP/AP & AAR

C. RA & WL

D. AA & ACP 1


Appendices

WW ALL S 05 002

Rev. 4, July 2013


10. When equipment Test Run is required which of the following is the correct process?

A. The RA responsible for the test run contacts the AA and the AA

informs the ACP to normalize the electrical isolation.

B. The RA responsible for the test run contacts the ACP who together

with the AAR normalizes the electrical isolation.

C. The RA responsible for the test run contacts the AA. The AA informs

all other RA for PTW issued on the PIC and withdraws their PTW.

The AA then requests the ACP to normalize the electrical isolation

using the EIC. The ACP and AAR perform the deisolation.

D. The AA initiates the process contacting the ACP and RA requesting

normalization. 2

11. Which is an Energy Source?

A. Electrical

B. Hydraulic

C. Chemical

D. All of the above 1

12. For Non-Electrical LOTO process, who installs their locks/tags FIRST?

A. Contractor

B. Operations

C. Safety Officer

D. None of the above 1

13. LOTO Tags are required for isolating energy sources?

A. True

B. False 1

14. Lockout and Tag-out procedure is only for work performed by Contractors?

A. True

B. False 1

15. Field/site On/Off Switch must be prior to performing work?

A. Shutdown

B. Isolated and Tagged

C. Tested

D. Both B and C 1


Appendices

WW ALL S 05 002

Rev. 4, July 2013


16. When removing lockout devices/tags, removes LAST.

A. Contractor

B. Operations

C. Maintenance

D. HSE 1

17. Tag color identifies the owner of the tag?

A. True

B. False 1

18. Which of the following methods can the Area Owner/Operator use to establish Zero

Energy for Equipment?

A. Close Valves

B. Turn Control to “Off” or “Neutral” position

C. Block, purge, vent or drain lines connected to the system

D. Discharge all stored pressure

E. All of the above 1

19. Method used to Isolate an electrical energy source is by a

A. Lock and red tag

B. Lock and blue tag

C. Lock and yellow tag

D. Lock and green tag 1

20. Method used to Isolate a radiation energy source is by

A. Lock and red tag

B. Lock and blue tag

C. Lock and yellow tag

D. Lock and green tag 1

21. Red tags have serial numbers.

A. True

B. False 1

22. Locks shall be numbered.

A. True

B. False 1

TOTAL

MARKS

25


Appendices

WW ALL S 05 002

Rev. 4, July 2013


APPENDIX 6 PTW Daily Audit Checklist

DAILY INSPECTION CHECKLIST

NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO

IT SAFELY

a) Time and Location c) Name of Auditors

Date Lead Auditor

Facility Auditor #1

Location Auditor #2

Audit Start

End

Date/Time:

Date/Time:

Auditor #3

b) Documents

Type of Documents

Document No

Date of Issue

Work Description

Time of

Approval/Endorsement

hrs Valid until hrs

No Checklist Yes No N/A Remark

1 REQUISITION

Is the PTW adequately specify;

Details of applicants name, department, staff

no. etc

Location, Facility and area classification

Work description

2 HAZARD IDENTIFICATION

Are hazards clearly identified?

- site verification

3 WORKSITE PREPARATION/PRECAUTIONS

Does correct precaution identified by AA?

Does Worksite Preparation taken - site verification

4 PERSONAL PROTECTIVE EQUIPMENT

Does Correct PPE identified by AA?

Does workers comply to PPE identify - site

verification

5 CROSS REFERENCE

Does Certification Cross Reference Identify (if any)

Does any JSA required (if any)

Does JSA signed and made available at site

- site verification

Does worker understand the precaution as stated in

JSA?


Appendices

WW ALL S 05 002

Rev. 4, July 2013


DAILY INSPECTION CHECKLIST


IT SAFELY


6 JOINT SITE VISIT

Does AAR checked the area and equipment

together with RA/WL on site

Does signature and sate information are properly

written by;

RA - joint site visit

AAR - joint site visit

RA/WL - permit acceptance

AA - permit approval

7 ACKNOWLEDGEMENT

Is acknowledgement required?

If acknowledgment by other party is required, was it

clearly stated and signed?

8 WIRELINE DAILY ENDORSEMENT (FOR

COLD WORK PERMIT ONLY)

Is the PTW validation being signed and dated

correctly?

Are revalidation not exceeding 7 consecutive days?

Are joint-site visit conducted before each

validation?

9 SHIFT EXTENSION (FOR COLD WORK

PERMIT ONLY)

Is the duration of extension clearly stated?

Is site verification carried out prior to approval of

extension?

10 HAND BACK

Does hand being signed and dated correctly by;

Receiving Authority

Approving authority

11 GAS TESTS – for Hot Work/Confined Space Work only (if any)

Have gas test taken?

Are frequency of gas test specify?

Are appropriate gas monitors fully operable and

calibrated at site?

Are Authority Gas Tester trained?

Has periodic testing been carried out as

appropriate?

OVERALL SUMMARY OF AUDIT ......................................................................................................................

......................................................................................................................

......................................................................................................................

......................................................................................................................

Lead Auditor‟s Signature:

Name:


Appendices

WW ALL S 05 002

Rev. 4, July 2013


APPENDIX 7

PTW Weekly/Quarterly Audit Checklist WEEKLY/QUARTERLY INSPECTION

CHECKLIST NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO

IT SAFELY


Date Lead Auditor

Facility Auditor #1

Location Auditor #2

Audit Start

End

Date/Time:

Date/Time:

Auditor #3

b) Documents

Type of Documents

Document No

Date of Issue

Work Description

Time of


hrs Valid until hrs


1 DISTRIBUTION AND DISPLAY

Are the copies of the permit properly distributed?

Are the copies prominently displayed?

2 WORK DESCRIPTION

Is the work description on the permit adequate, (i.e.)

does it adequately describe the work location, the

equipment to be worked on, and the exact nature

and scope of the work?

If not, explain efficiency:

3 VALIDITY

Does the permit clearly state the date and time

which it is valid.

Does the permit have all the necessary signatures?

Has the permit shift revalidation been signed and

dated by all relevant personnel?

4 HAZARDS

Have all hazards been identified?

Are they clearly identified?

Are they directly applicable to job being

undertaken?

5 PRECAUTIONS

Are appropriate precautions identified and specific

enough?

Have all boxes been addressed?

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution - Original: Display at Worksite Copy No. 1: Control Room


Appendices

WW ALL S 05 002

Rev. 4, July 2013


WEEKLY/ QUARTERLY INSPECTION


IT SAFELY


Have other affected personnel outside the permit

area been notified of the permit work?

Have all precautions been implemented at the work

site?

If not, explain deficiency:

6 SUPPORTING DOCUMENTS

Have all the supporting documents been identified

on permit?

Are the appropriate supporting documents attached

to the permit?

Are the supporting documents still valid?

7 GAS TESTS

Have gas tests been carried out?

Are tests valid for this period?

Are portable gas monitors fully functional at work

site and calibrated?

Are on-site personnel knowledgeable on how to

operate the equipment?

Have they been properly trained in its use?


appropriate?

8 PRECAUTIONS TAKEN BY RECEIVING AUTHORITY

Has Receiving Authority briefed everyone in the

work party?

Have all the persons in the work party read the

permit?

Do all persons fully understand the safety

requirements and the precautions stated on the

permit

Are they in compliance (i.e.) using PPE as specified

and observing the precautions etc.


appropriate?

If not, explain deficiency:

9 ISOLATION

Are isolation certificates attached to the

Are they cross-referenced?

Do certificates or attachments detail specific

isolation points?

Are all physical isolations chained and locked?

If more than one task on same isolation, has


Appendices

WW ALL S 05 002

Rev. 4, July 2013


WEEKLY/ QUARTERLY INSPECTION


IT SAFELY


10 PRECAUTIONS BY APPROVING AUTHORITY

Has task been fully discussed with person carrying

out any isolation?

Has task been discussed with Receiving Authority?

If more than one permits on equipment/system,

have all appropriate cross-references been made and

all necessary personnel been made aware ?

Does the tasks interfere with other person‟s

area of responsibility?

11 CHANGE OF SIGNATORY

Has handover of permit responsibilities been

discussed between relevant personnel?

Has handover been recorded?

Is Approving Authority aware of handover?

12 WORK SUSPENDED/ON HOLD/COMPLETED

Has site been left in a safe and tidy condition?

If work is not complete, are any isolation still

secure?

Is Approving Authority aware of status?

Is Control Room aware of status?

13 TRAINING AND COMPETENCY

Have personnel who are currently associated with

the permit received training in the company‟s PTW

system?

Is the type and frequency of training in accordance

with company policy?

Is evidence of their training and appointment

readily available?


......................................................................................................................

......................................................................................................................

......................................................................................................................


Name:


Appendices

WW ALL S 05 002

Rev. 4, July 2013


APPENDIX 8

PTW 6-Monthly Audit Checklist

PTW SYSTEM 6-MONTHLY AUDIT REPORT NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO

IT SAFELY


Date Lead Auditor

Facility Auditor #1

Location Auditor #2

Audit Start

End

Date/Time:

Date/Time:

Auditor #3

b) Documents

Type of Documents

Document No

Date of Issue

Work Description

Time of


hrs Valid until hrs


1 THE PERMIT TO WORK SYSTEM

Is the PTW system still suitable for its intended

purpose?

Is there a predetermined review period for the PTW

System

Is the PTW System in compliance to the regulatory

requirements of a plant or site?

Is this PTW system recognized throughout the site

or plant as an important part of all types of work?

Are the requirements of the PTW System

clearly defined and known to all concerned.

Is the PTW system extended to all Contractors and

their Employees?

Is there a control to ensure a person does not issue

and approve a permit?

Is a copy of the permit displayed at worksite and at

the point of issue so that all those concerned can

readily see and check work status.

Is there a set of documented isolation procedures

for working on Electrical and other with stored

energy hazards?

2 TRAINING AND COMPETENCY

Is there a record of all those trained and competent

including its validity, available in the worksite or in

the custody of the Area Authority?


Appendices

WW ALL S 05 002

Rev. 4, July 2013


PTW SYSTEM 6-MONTHLY AUDIT REPORT


IT SAFELY


Are the records of those trained updated in a timely

manner?

Do personnel who have special responsibilities

under the PTW System are properly authorized and

trained to undertake the duties required of them?

Do these people have sufficient time to carry out

these duties properly?

Do all those concerned attend refresher Training in

the PTW system to revalidate their certificates prior

expiry.

Is the training and assessments maintained?

Are contractors included in training and

competence requirements?

Are individuals trained and competent in this PTW

systems have been issued with either the

“Awareness Certificate” or “Competency

Certificate” upon completion of the relevant

training?

3 THE PERMIT

Have the Area/Approving Authority advised all

those concerned that any work activity must stop

if there are any hazards have occurred/ recurred?

Does the permit contain clear rules about how

a job should be controlled or abandoned in the

event of an emergency?

Are the jobs to be done clearly specified in the

Permit?

Are potential hazards at the work site clearly

identified and recorded in the Permit?

Are the precautions to be taken by the issuing and

performing authorities clearly identified in the

Permit?

Does the permit specify the geographical area of

work limitation in a plant?

Does the permit have all the required signatures to

indicate a person has read the permit and

understood the conditions in it?

Does the permit specify time limit for expiry or

renewal?


Appendices

WW ALL S 05 002

Rev. 4, July 2013


PTW SYSTEM 6-MONTHLY AUDIT REPORT NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT

SAFELY


Does the permit include a hand over mechanism for

work which extends beyond a shift or other work

period including work which has been suspended?

Is a hand back signature required when the job is

complete?

Is there a procedure to, “inform the Area

Authority” of any task which require a safety

system bypass and the contingency plans and

precautions in place?

4 CO-ORDINATION

Are copies of permits for different work activities

for the same equipment/area kept and displayed

together?

Are there procedures to ensure of all work activities

are coordinated so that one work activity does not

interfere or cause a safety hazard to another.

Is there provision in the PTW form to cross-

reference other relevant certificates and permits?

Is there a procedure to ensure that the agreement of

others who could be affected by the proposed work

is obtained before starting the work or preparations

for it?

Where there are isolations common to more than

one permit, is there a procedure to prevent the

isolation being removed before all the permits have

been signed off?

5 MONITORING

Is there a system of spot checks to ensure that

compliance to the PTW system?

Is there a process for reporting any incident that has

occurred during an approved work activity and

subsequent review of the work procedures?

Are audits carried out on the PTW system at least

once a year, preferably by external auditors from

the company?

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution - Original: Display at Worksite Copy No. 1: Control Room


Appendices

WW ALL S 05 002

Rev. 4, July 2013


PTW SYSTEM ANNUAL AUDIT REPORT NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT

SAFELY


......................................................................................................................

......................................................................................................................

......................................................................................................................


Name: