Work Permit Oil Refinery

INDIAN OIL SAFETY MANAGEMENT SYSTEM

[ SURAKSHA ]

WORK PERMIT SYSTEM

ISMS STANDARD - 1006 First Edition, November’ 2007

INDIAN OIL CORPORATION LIMITED

REFINERIES HEAD OFFICE SCOPE COMPLEX, CORE – 2,

7, INSTITUTIONAL AREA, LODHI ROAD, NEW DELHI – 110 003

ISMS Standard-1006 Page 1 of 34

ISMS STANDARD - 1006

First Edition, November 2007

WORK PERMIT SYSTEM

IMPORTANT

Mandatory requirements (or "must") are characterised by the word "SHALL" throughout the text. Advisory requirements or recommendations are indicated by the word "SHOULD."

Prepared by :

COMMITTEE ON STANDARDISATION OF SAFETY SYSTEMS

INDIAN OIL CORPORATION LIMITED

REFINERIES HEAD OFFICE SCOPE COMPLEX, CORE – 2,

7, INSTITUTIONAL AREA, LODHI ROAD, NEW DELHI – 110 003


NOTES

This document is prepared for use in the Indian Oil Corporation Limited, Refineries Division. This is the property of Indian Oil Corporation Limited, Refineries Division and shall not be reproduced or copied and loaned or exhibited to others without written consent from Executive Director (Operation), IOCL, Refineries Division, New Delhi. Though every effort has been made to assure the accuracy and reliability of data contained in this document, Committee hereby disclaims any liability or responsibility for loss / damage resulting from its use. This document is intended only to supplement and not replace the prevailing statutory requirements.


PREFACE

Over the years of operation, Refineries under the umbrella of Indian Oil Corporation Limited [i.e. IOCL], adopted variety of safety practices in line with the requirements of statutes, national and international norms & Standards and safety management system in safety practices. Based on safety assessment studies and some serious accidents that occurred in the recent past in IOCL Refineries, emphasized the need for the review of existing safety practices of IOCL Refineries.

With this in view, it has been decided at IOCL (RD), Head Office (H.O.) to standardize the key Safety Management System elements for the Refineries Division exploiting internal knowledge bank and resources. In accordance with this decision, a committee has been constituted by Executive Director (Operation), IOCL, H.O., for the said purpose under his convenership. The present document on “Work Permit System”, prepared by the Committee on Standardisation of “Work Permit System”, is based on the various national and international codes, OISD Std., best practices prevailing in the IOCL Refineries and accumulated knowledge & experience of the members. Provisions of this standard if implemented objectively will help in improving safety standards at work places and thereby reducing the possibility of undesired incidents in IOCL, Refineries.

No change in the standard is permitted at unit level. Suggestions for amendments / changes, if any, to this standard shall be addressed to:

The Executive Director (Operation),

Indian Oil Corporation Limited Refineries Head Office

Scope Complex, Core – 2, 7, Institutional Area, Lodhi Road,

New Delhi – 110 003


COMMITTEE ON WORK PERMIT SYSTEM LIST OF MEMBERS

Sl. No. Name Designation Location Position in

Committee

1. Shri N. K. Bansal ED (O) R&P, H.O. Convener

2. Shri S. K. Das CM (QA & Systems) Mathura Refinery Member

3. Shri A. Chaudhuri CPNM Haldia Refinery Member

4. Shri D. Chakraborty CTSM Barauni Refinery Member

5. Shri Sunil Kumar CM (F&S) Gujarat Refinery Member

The committee expresses sincere gratitude to Shri A. Panda, GM (S&EP), H.O., New Delhi for his immense support and guidance in formulating this standard. The committee also extends sincere thanks to Shri G. B. Tolmare, CM (SHE), C.O., New Delhi for his contribution, involvement and sharing of knowledge & experience which has helped in framing the standard.


CONTENTS Section Attribute Page No. 1. Purpose 6 2. Scope 6 3. Definitions & Abbreviations 6 4. Introduction 7 5. Works, Require Permit 8 6. Work Do Not Require Permit 8 7. Type of Work Permits, Clearances & Formats 9 8. General Requirements of work Permit 11 9. Responsibilities of Permit Signatories 13 10. Work Permit Procedure / Guidelines 15 11. Training and Awarness 32 12. Review 32 13. Audit of Work Permit System 32 14. References 33 Annexures 1. Format for “Cold Work Permit” 34 1A. Dos and Don’t for Cold Work 38 2. Format for “Hot Work/Entry Into Confined Space Permit 39 2A. Dos and Don’t for Hot Work 45 2B Dos and Don’ts for Entry intro Confined Space 46 2C Format for Pre Entry Checklist for Confined Space 47 2D Format of “Attendance Sheet” 49 2E Format for “Confined Space Box-up Clearance” 50 3 Format for “Excavation Permit” 52 3A Dos and Don’ts During Excavation Work 54 3B Format for “Excavation Permit” 55 3C Format for “Road Closure” 57 3D Format for “Information about main road closure” 58 4 Format for “Electrical Isolation/Energisation Permit-HT 59 5. Format for Electrical Isolation/Energisation Permit-LT 61 6. Format for “Permit to Work on HT Line/Equipment” 63 6A. Format for “Trip Reset of HT Equipment” 65 7. Format for “Permit to Work on LT Line/Equipment” 67 7A. Format for “Trip Reset of LT Equipment” 69 8. Format for “Working At Height” 71 8A Format for “Pre Erection Checklist for Scaffold” 74 8B Format for “Scaffold Check” 75 8C Format for “Medical Certificate” 76 9 Format for “Radiation Permit” 78


Work Permit System

1 PURPOSE

The purpose of this standard is to describe procedures and guidelines on work permit system to carry out jobs of inspection, testing, maintenance, alternation, repair, upkeepment and construction in safest possible manner. The implementation of this system will help in bring down the risks at work sites to acceptable level, thereby reducing possibility of any accident, fire, explosion, property damage and adverse effect on environment.

2. SCOPE

This standard shall be applicable to all the Refinery premises of Indian Oil Corporation Limited.

3. DEFINITIONS AND ABBREVIATIONS

a) Hot Work: An activity that can produce a spark or flame or other source of ignition having sufficient energy to cause ignition, where the potential for flammable vapors, gases, or dust exists. This includes all works, which produces spark, running of IC engine, breaking of concrete, use of ordinary torches, use of battery operated devices etc.

b) Cold Work: Cold Work is an activity that does not produce sufficient heat to ignite a

flammable air- hydrocarbon mixture or a flammable substance. c) Radiation Work: Any activity that is carried with a source of ionizing radiation, which

does not produce sufficient heat to ignite a flammable air- hydrocarbon mixture or a flammable substance.

d) Working at Height: Any activity that is carried out at 2.0 meters & above on temporary

structure, scaffolds or on a structure not meant to do particular job safely. e) Excavation: Any job, which requires excavation / digging of earth.

An Excavation is any man-made cut, cavity, trench, or depression in an earth surface that is formed by earth removal. A Trench is a narrow excavation (in relation to its length) made below the surface of the ground. In general, the depth of a trench is greater than its width, and the width (measured at the bottom) is not greater than 15 ft (4.6 m). If a form or other structure installed or constructed in an excavation reduces the distance between the form and the side of the excavation to 15 ft (4.6 m) or less (measured at the bottom of the excavation), the excavation is also considered to be a trench.

f) Confined Space: It is an enclosure with known potential hazards and restricted means of

entrance and exit. It is not meant for normal occupancy of people and is usually not well ventilated such as vessels, boilers, storage tanks, large diameter piping etc. The excavation more than 1.2 M deep, entry into floating roof tanks, when roof is more than


3M down from the top, space located below ground level such as pits, drain channels etc shall also be considered as confined space.

g) Lower Explosive Limit (LEL): LEL is the minimum concentration of a vapour in air (or

other oxidant) below which propagation of flame does not occur on contact with an ignition source. This is usually expressed as volume percentage of the vapor in air.

h) Upper Explosive Limit (UEL): UEL is the maximum concentration of a vapor in air (or

other oxidant) above which propagation of flame does not occur on contact with and ignition source. This is usually expressed as a volume percentage of vapors in air.

i) Pyrophoric Substance : Substances that ignites spontaneously in air at ambient

temperature. In hydrocarbon industries iron sulphide is the most commonly observed pyrophoric substance and is called as pyrophoric iron.

ij Self Contained Breathing Apparatus (SCBA): It is an life saving personal protective

apparatus consisting of a face mask, combined with a hose and source of fresh air generally in form of a cylinder of compressed air, to be carried by bearer.

k) Gas Safety Inspector (GSI)/Issuer: GSI means a designated officer authorized to perform all necessary tests before signing a work permit. He must satisfy himself by a personal inspection that the tank / vessel /line /equipment/ any other confined space involved is safe for the work intended. He can independently issue Cold work permit and permit for working at height.

l) Fire Permit Signatory (FPS)/Issuer: FPS means a designated officer authorized to issue work permit. He is ‘Fire Permit Signatory’/‘Issuer’ in case of Hot work/ Vessel entry/ Excavation permit and for any other permit. He issues the permit for the particular job after addressing the checklist points of permit for the units/ areas, where he is the in-charge. FPS will sign the permit after getting satisfied that GSI has carried out all the tests/checks and signed the permit.

m) Receiver (Permittee) : The ‘Receiver’ the designated person authorized to receive

work permit. Receiver generally is the executing department officer, who has to execute the particular job for which permit has been issued. The executing officer can be Engineer In-charge / Site in-charge of the job or any other nominated officer for executing dept. (normally service dept).

n) Blanket permit: The hot work permit issued to areas after due consideration to safety (the fire hazard is minimum and hazards due to adjoining facilities taken into consideration) with approval of local management for a maximum period of 1 month. Such permit shall not need shift-wise renewal, however the executer has to ensure that permit conditions are complied throughout the work period.

4. INTRODUCTION

The human element of the system has one of the biggest potentials for either causing or preventing an accident. Safe job performance by operating, maintenance personnel and contractors has a tremendous positive impact on safety.


The objectives of the Work Permit System are to exercise control over the maintenance, repair and construction activities by assigning responsibilities, ensuring clear cut communication between interested functions & safety considerations to the job, its hazards & the precautions required. It ensures that the work is properly defined, authorised, operating personnel are aware what is going on, precautions to be taken are specified and the persons executing the job understand the nature and extent of hazards involved.

Work Permit System is an important element of safety management system and implementation of this in true spirit shall help in ensuring a safe working environment, thereby reducing possibility of injury to personnel, protect property, avoid fire, explosion & adverse affect on environment.

5. WORKS, REQUIRE PERMIT

Normally all maintenance, repair, construction work shall be carried out with a proper work permit. Jobs where work permit is required include but not limited to followings: • Major and minor maintenance work • Inspection • Construction • Alteration • Any hot work (including use of normal battery driven equipment in operating areas) • Cleaning activities of process equipment • Entry into confined space • Excavation • Vehicle entry into process areas • Work at height • Handling of materials using mechanized means in operating areas • Erection and dismantling of scaffold • Radiography • Isolation and energisation of electric equipment/ facilities

6. WORKS EXEMPTED/ PARTIALLY EXEMPTED FROM REQUIREMENT OF PERMIT

• Routine work carried out by operations Dept. personnel (e.g. pump change over,

furnace lighting, operating valves etc.). It is considered that safety measures are built-in in system while carrying out above works and covered in Operating manuals.

• Routine work carried out on equipment taken into workshop by maintenance dept. and routine operation of workshop equipment (except hot work permit).

• Routine testing of samples and handling chemicals in Quality Control Laboratory (except hot work permit).


• Jobs carried out during emergencies (fire/ explosion, rescue, uncontrolled release of hazardous chemicals etc.) to control the emergency.

• Work carried out at construction site with management approval (except permit for hot work, radiography and working at height)

7. TYPE OF WORK PERMITS, CLEARANCES AND FORMATS

Depending on the nature of the job, there are 7 types of work permit formats covering various works as mentioned below:

7.1 Cold Work Permit

This permit is required for carrying out any activity of maintenance/ cleaning / testing inside refinery that does not produce sufficient heat to ignite a flammable air- hydrocarbon mixture or a flammable substance. The format for “Cold Work Permit” is enclosed as Annexure-1. “Dos and Don’ts for Cold Work Permit” duly signed shall be attached with each permit. The same is enclosed as Annexure-1A. The list of job includes blinding, de-blinding of equipment/ facilities, tightening/ loosening of bolts, insulation, painting of lines, cleaning of equipment, repairing on instruments on facilities etc.

7.2 Hot work / Entry In To Confined Space Permit and clearances

Hot Work Permit is required for carrying out any activity, which produces sufficient heat to cause fire in a inflammable air- vapour mixture. Entry to Confined Space Permit is required for entry into any confined space. The Format for “Hot work / Entry To Confined Space Permit” is enclosed as Annexure-2. Duly signed “Dos and Don’ts for Hot Work Permit” shall be attached with each Hot Work Permit. The same is enclosed as Annexure-2A. Similarly duly signed “Dos and Don’ts for Confined Space Entry ” shall be attached with each Permit for Confined Space Entry. The same is enclosed as Annexure-2B. Before Issuing Permit for “Entry into Confined Space”, the requirement of “Pre Entry checklist for Confined Space” format shall be complied. The format for same is enclosed as Annexure-2C. The attendance of each entrant of confined space shall be taken by attendant at man way of equipment. The format for same is enclosed as Annexure-2D. Each confined space, where entry has been made is required to be box-up after obtaining necessary clearance. The format for “Confined Space Box-up Clearance” is enclosed as Annexure-2E.

7.3 Excavation Permit and Clearances

Excavation permit is required for carrying out any excavation inside Refinery. The format for “Excavation Permit” is enclosed as Annexure-3.


Duly signed “Dos and Don’ts during Excavation Work” shall be attached with each Excavation Permit. The same is enclosed as Annexure-3A.

Duly filled signed and registered “Excavation Clearance” is prerequisite for any Excavation Permit. The format for the same is enclosed as Annexure-3B. Wherever temporary closure of road / cutting of road or blockage of main roads is required in a refinery. The necessary approval shall be obtained in format for “Road Closure, enclosed as Annexure-3C. The information about the closure of main road shall be circulated in format, enclosed as Annexure-3D.

7.4 “Electrical Isolation and Energisation Permit and Clearances

For all electrical isolation and energisation of electrical equipments (HT) “Electrical Isolation and Energisation Permit-HT” Permit is required. The same is enclosed as Annexure-4. For all electrical isolation and energisation of electrical equipments (LT) “Electrical Isolation and Energisation Permit-LT” Permit is required. The same is enclosed as Annexure-5. To work on High Tension (HT) line and / or equipment, “Permit to work on High Tension (HT) Line /Equipment” is required. The same is enclosed as Annexure-6. To work on Low Tension (LT) line and / or equipment, “Permit to work on Low Tension (LT) Line /Equipment” is required. The same is enclosed as Annexure-7. For Trip reset of HT equipment, the clearance shall be taken on format “Trip Reset Clearance Certificate for HT Equipment”. The same is enclosed as Annexure-6A. For Trip reset of LT equipment, the clearance shall be taken on format “Trip Reset Clearance Certificate for LT Equipment”. The same is enclosed as Annexure-7A.

7.5 Working at Height Permit

For all working at height (of 2M or above) a permit for “Working at Height” is required. The format for same is enclosed as Annexure-8. Before erection, when scaffold materials are kept at site of erection, “Pre Erection Checklist for Scaffold” shall be carried out in prescribed form. The same is enclosed as Annexure-8A All tubular scaffolds needs to checked and certified before being used. The format for checking and certifying is enclosed as Annexure-8B. The medical certificate for workmen, required to work at height is required. The format for same is enclosed as Annexure-8C.


7.6 Radiation permit

The all jobs, which generate ionizing radiation, “Radiation Permit” is required. The format for same is enclosed as Annexure-9.

8 GENERAL REQUIREMENTS OF WORK PERMIT 8.1 All maintenance/ alteration/ construction jobs in the refinery shall be carried out under

valid “Permit to Work” only. Normally operating personnel do not require work permit for carrying out routine work, however in exceptional cases where they are likely to be exposed to certain risks, work permit is required. The requirement of work permit in such cases is to be decided by FPS of the area/ Unit in-charge.

8.2 Separate permit should be issued for each job. Multiple jobs in a single permit are

prohibited, except Entry to confined space and hot work inside the confined space in particular equipment. In such cases a composite permit can be issued and permit must address all the applicable aspects for both the works.

In a confined space where various agencies are required to work simultaneously, a risk identification and assessment may be carried out by a team of permit issuer and various executing agencies and the team may develop a plan for safe execution of work. The assessment will include a job safety analysis for each job separately as well as in totality. For job safety analysis please refer standard on “Job Safety Analysis”. The work plan is required to be approved by Management. In such cases a single permit for “Entry into confined space” can be obtained.

8.3 Permits and clearances shall be in printed forms, in duplicate or triplicate, depending on nature of job, serially numbered, Format Number and different colour code should be adopted for different types of permits and clearances.

8.4 Duly signed “Dos and Don’ts” for related jobs shall be attached with each permit and

safety guidelines mentioned shall be complied at work site. 8.5 Depending on nature of jobs, type of permit required shall be decided. 8.6 Working at Height Permit' shall be required for working at a height of 2.0 meters and

above on a temporary structure or on a fixed structure, not meant for carrying out particular job safely.

• For all scaffolds, pre-erection checklist in prescribed form shall be carried out before start

of erection and the safety guidelines shall be complied.

• Safety harness with lifelines secured with a fixed structure is a must for working at height. Provision of safety net should also be made.

• All scaffolds shall be checked and certified in prescribed form before use.

• The workmen involved in working at height should have medical certificate from a doctor.


Permit for working at height jobs, the following is to be ensured:

I. All tools should be carried in tool kits to avoid their falling. II. Throwing or dropping of material/ equipment from height is prohibited. III. Avoid jumping from one member to another of a structure. Use proper passageway. IV. Both hands should be free, while climbing the ladder. Bypassing the steps of ladder

should be avoided. V. Avoid movements on overhead beam without proper fall protection. • For details of hazards, precautions and other safety features refer standard on “Scaffold

Safety” and “Working At Height”. 8.7 All excavation permit, excavation clearance is mandatory in prescribed form. Additionally

for Closure of road, permission to be taken in prescribed form and information of the same shall be circulated to all concerned in prescribed format.

• For Excavation Permit jobs, the following shall be ensured:

A warning or protective barricade of 1 meter height with red & white band/ self-glowing caution board should be provided around excavation site.

Excavated material should be piled at least one meter away from the edge of the excavation / trench or depth of the trench whichever is more.

Provision of minimum two entries/exits should be made. Additionally in case of long trench for each 7.5 M and part there of, there should one ladder.

Safe angle of repose or proper shoring/strutting to prevent cave-in should be provided as per relevant codes and safe operating practices.

Excavation clearance shall be obtained from various dept. in prescribed format before applying for excavation permit.

8.8 For Radiation Permit jobs, the following shall be ensured:

A warning or protective barricade of 1 meter height should be provided around the surrounding area, meeting the distance requirement as mentioned in permit and radiation sings & symbols to be displayed prominently by permittee.

8.9 Permit issuing authority shall satisfy that permit conditions are met before issuing permit.

It is also to be ensured that permit conditions are maintained in course of execution of the job.

8.10 Before issuing a permit, equipment is to be inspected to ensure that the equipment/

facility is prepared for safe execution of the assigned work, the area is cleaned and all safety precautions have been adopted. Wherever necessary, ensure that equipment is isolated, drained/ depressurized, properly purged, water flushed, gas tested (including


oxygen deficiency test) through portable gas meters and readings have been recorded in the permit.

8.11 No hot work shall be permitted unless the Explosimeter shows zero. Entry into confined

space, where no hot work is to be carried out, may be permitted if combustible gases are up-to 5% of lower explosive limit (LEL). Entry with an air-supplied mask may be permitted with LEL up to 20 %. The oxygen level should be at least 19.5 vol. % and the concentration of toxic gases below the threshold limit (TLV for H2S- 10 PPM, CO- 50 PPM, Cl2- 1 PPM, NH3- 25 PPM & SO2- 2 PPM).

8.12 Confined Space box-up” clearance in prescribed form shall be obtained for only those

spaces, where “Confined Space Entry” permit has been taken. The clearance shall be obtained in duplicate and a copy shall be returned to issuer on completion of work.

8.13 For all “Electrical isolation and energisation of equipment / line-HT” or “Electrical isolation

and energisation of equipment / line-LT” permit (Inter Dept.) shall be taken, depending on the case. Similarly “Permit to work on HT line and Equipment” or “Permit to work on LT line and Equipment” shall be taken by P&U Dept., depending on the case. Clearance certificate shall also be taken “Trip Reset of HT Equipment” or ”Trip Reset of LT Equipment” as the case may be. For further details refer standard on “ Energy Isolation- Electrical and Process”.

8.14 All concerned shall be trained on “Work Permit System” for proper implementation. 1 day

training shall be mandatory for signatory of permit. Further refresher course shall be attended at a gap not exceeding 2 years. Area manager shall kept a record of such training ensure that no untrained person is signing the permit. He shall also initiate action in advance to train the person, whose validity is expiring.

9. RESPONSIBILITIES OF PERMIT SIGNATORIES: 9.1 FIRE PERMIT SIGNATORY (FPS):

FPS shall check the permit, submitted by GSI to assess the safety requirement mentioned in the permit for their adequacy and may check physically some critical checklist compliance such as gas test, isolation, tagging, LOTO implementation etc. and recommend corrective measures before signing the permit.

For all critical activities, he will thoroughly check the work site condition (such as hot work

in running unit / near OSW lines, working at height, entry in confined space, radiography etc.) and compliance of permit conditions at site before signing.

With his experience he may visualize additional hazards/ risks in jobs, which needs to be

addressed and will add this in permit for compliance.

Before signing he shall ensure that conditions mentioned in permit by GSI is fully complied at site.


He should withdraw the permit, if the conditions in permit/ clearance is violated or the job is no more safe due to some other reasons. The information about the withdrawal should be communicated to all concerned.

9.2 GAS SAFETY INSPECTOR (GSI)/ISSUER:

To prepare the equipment/ facility/ area properly prepared before handing over for Maint./ Repair/ construction / inspection as per written down procedure.

Ensure that equipment/ facility and area is safe for particular work. Permit is properly filled up and precautions are categorically mentioned. Gas test has been carried out, if required. (Gas test is mandatory for hot work and entry

into confined space). GSI shall ensure before signing any work permit that the atmosphere tested is gas free or

gas levels are within permissible limits for the assigned job and satisfy himself that all necessary precautions have been taken so that the atmosphere remains under control during the work.

Avoid giving general/ vague remarks on permit, which is not specific. For working at height, ensure that there is provision of safe access to the work site and

there is provision of ladder/ platform/ scaffold for safe execution of work. Check those scaffolds provided are with green tags.

Ensure positive isolation of energy and decide about the extent of isolation required for the job. Refer chapter on “Energy isolation- electrical and process.

Permit or clearance shall not be issued until and unless he is satisfied that points mentioned in work permit has been fully complied and the area as such is safe to perform the particular work. Positive isolation of all energy sources shall be ensured for confined spaces.

Close the permit on completion of work and retain the copy for at least three months. Copies of “ Hot work/ Entry into confined space ” shall be returned to Fire station after close out.

Keep your copy of permit always with you. Don’t sign the permit without authority.

9.3 Receiver (Permittee) / Executing Authority:

On issue of permit, Receiver (Permittee) should go through the permit and pass the instruction down the line as has been mentioned in the permit for compliance. In case of any doubt, he should clarify from Issuer.

Do not sign without authority. Ensure that precautions mentioned in the permit are complied at site. Ensure that equipment being used is safe to perform the task in particular area. Ensure that all power driven equipment including the cables, insulation of cables & cable

joints etc. are as per standard and are maintained in healthy condition. Make the permit available at work site all the time during the work. Work at specified location only. Ensure use of approved type of spark arresters on exhaust of every IC engine. The checking and certifying including providing tag on each scaffold shall be the

responsibility of executing authority. All jobs shall be done as per established maintenance practices and relevant safety

norms.


Check and ensure availability of valid medical fitness certificate for workmen, working at a height of 2M or above under “Work at Height” permit.

Clear the site on completion of work. Close the permit on completion of work and hand it over to issuing authority.

9.4 REFINERY SHIFT MANAGER

• Carry out random check of work sites under permit, particularly the jobs at critical locations such as in process units in operation, Tank farm, Gantries, LPG facilities, construction sites etc. and take immediate corrective measures. He will log the same, report to concerned HOD and discuss in RSM meetings.

9.5 HEAD OF DEPARTMENT

• To assess necessity of job beyond normal working hours. • To assess the adequacy of safety precautions mentioned in permit and may reinforce, if

required. • May get an independent check to see the safety compliance at site.

9.6 FIRE STATION OPERATOR (DURING REGISTARTION)

• Check that authorized signatories have signed the permit at respective column. • Permit is properly filled up such as period, location, nature of job etc. and all the columns

of the checklist are addressed. • Gas test has been done and their reading mentioned in case of Hot work and Entry into

Confined Space permit. • Report to Shift in-charge of Fire station, if stand by coverage form Fire station has been

asked. 9.7 DEPUTY GENERAL MANAGER

• To check the need of blanket permit for the work and dyke cutting for a tank. • Is the area safe for the job for the purpose of blanket permit? • To assess the adequacy of safety precautions mentioned in permit and may reinforce, if

required. • May get an independent check to see the safety compliance at site. • For dyke cutting check that resources are mobilized at site to arrest any accidental

release of tank containment. 10. WORK PERMIT PROCEDURE / GUIDELINES 10.1 GENERAL REQUIREMENTS

Refinery Management shall issue the appropriate authority limits for various types of permits. For blanket hot work and dyke cutting, permits should be obtained from DGM of concerned area and the facility should be restored as quickly as possible.


Entire refinery shall be divided into various zones. For each zone, Gas Safety Inspector (GSI) and Fire Permit Signatory (FPS) shall be authorized. Normally, 'A' and 'B' grade officers are made GSI and officers in grade 'C' and above are designated as FPS. In addition, SRSM/RSM shall be authorized as FPS for the entire refinery. All HODs of their respective area are authorized to sign as FPS.

Dy. General Manager/General Manager at Refinery units shall authorize Gas Safety

Inspectors (GSI), Fire Permit Signatories (FPS) and Permittee/ receivers for all types of work permit. List of authorized Gas Safety Inspectors, Fire Permit Signatories and Permittee/ receivers shall be updated and issued to all concerned at least once in a year.

All permits shall be clearly filled for validity of time & date, nature of work and location of work by permittee/ receiver before seeking permit from issuer. For obtaining work permit, permittee shall fill up above information and send duly signed copy to the issuer.

Work permit is a document, which certifies that all practicable precautions have been taken for carrying out the job safely. Hence, it is desirable that the work permit form shall be filled up by the GSI after checking and ensuring that the site/ facility / equipment as mentioned in the permit is safe to perform the assigned job. GSI shall satisfy himself that all precautions have been taken to ensure that the work site is free from hydrocarbon & toxic gases and there is no oxygen deficiency and will remain so during execution of the job. After filling the permit format the issuer shall hand over the signed permit to receiver. In case of Hot work/ entry into vessel/ Boxing up of vessel/ excavation/ Vehicle entry permit, FPS has to crosscheck that the preconditions of permit is complied at site, before signing the permit. The receiver will go through the permit, check the compliance and sign the permit before carrying out the job. The receiver will pass the necessary instructions to working personnel as mentioned in the permit before start of job.

In case, electricity is involved, GSI shall request P&U Department for electrical isolation in prescribed permit (Annexure-4). No work permit shall be issued unless electrical isolation is obtained. Extent of isolation for safe execution of job shall be as per standard on “Energy isolation- electrical and process”

Permits shall be available and displayed at the job site while the job is being executed. The issuer and F&S Dept. shall retain their copies of work permit.

All copies of permits shall be collected, signed and returned to the issuing authority after

completion of the job by the permittee. It is to be ensured that the area has been cleared of all debris, scraps, additional materials etc. and all temporary electrical connections have been removed.

The issuer on receiving back the permit would satisfy himself regarding completion of the job and that the area has been cleaned and made safe for operation. On confirmation he shall also sign the Cold work permit/ Working at height permit/ Radiation permit and keep the records of closed out permit for period of three months. In case of Hot work/ Entry to Confined Space and Excavation permit, the permit shall be forwarded to F&S Department along with the issuer's copy and the record of closed out permit shall be maintained at Fire & Safety Department for a period of three months.


All permit must be displayed at work site at suitable locations. To protect the permit from weather condition, it shall be displayed in waterproof plastic cover. Wherever required a separate stand may be kept at site to display the permit.

In specific cases such as Unit turnarounds the authority to sign / approve the permit can

be sub-delegated for specific period by local management by an Office Order, issued by respective GM of the unit. However in all such cases, officers of IOCL be signatories of the permit.

The location of hot work and road cut shall be indicated in Red Colour and green colour

respectively (colored pin may be used) on refinery layout drawing, displayed in control room of Refinery Fire Station.

10.2 COLD WORK PERMIT

Cold Work Permit in Prescribed format shall normally be valid for single shift only and clearance on the same permit can be renewed/ extended up to a maximum of seven calendar days. GSI/ FPS of the area shall issue clearance renewal in each shift after checking permit conditions/precautions and complying the same.

GSI/ FPS of the area is authorized to issue the permit.

The permit is issued in duplicate. Original (yellow in colour) shall be issued to receiver /executer watermarked as “Executer copy” and 1st copy (white in colour) for issuer shall be watermarked as “Issuer Copy”. Permit shall be considered issued on signature of issuer and receiver. The original permit shall be water marked as issuer copy and duplicate as executer copy.

Important Do’s and Don’ts copy (preferably bilingual- English and local language) duly signed by Receiver and Issuer shall be attached to permit for Cold Work Permit. The copy shall be available at site along with original permit copy.

10.3 HOT WORK/ ENTRY INTO CONFINED SPACE

Hot work / Entry into Confined Space Permit shall be filled in prescribed form. For each entry into confined space permit, the compliance of “Pre entry check-list for confined space” is a prerequisite.

Permit shall be issued in triplicate. The original (Pink in colour) shall be for permittee/

executer shall be water marked as “Executer copy”. The duplicate (white in colour) shall be watermarked as “F&S Dept. copy” and triplicate (green in colour) shall be watermarked as “Issuer copy”.

The permit shall be issued equipment wise, specifying the exact location of work.

Equipment number shall be categorically specified in the permit. Where the equipment number cannot be specified, the sketch of the area should be enclosed. In such cases the Hot work permit can be obtained for a distance of only 15 M on either side of hot work spot. Beyond 15 M from hot work spot, separate permit is required.


Normally permit shall be considered issued for the job after “Clearance renewal” is signed by GSI and receiver. This clearance on the same permit can be renewed/ extended up to a maximum of seven calendar days. GSI/ FPS of the area shall issue clearance renewal in each shift after checking permit conditions and ensuring compliance.

During Shut down “Hot work / Entry into Confined Space” shall be considered issued for job after “Clearance renewal” is signed. This clearance on the same permit can be renewed/ extended up to a maximum of fifteen calendar days and additional clearance sheets shall be attached with permit for extended clearance renewal. GSI/ FPS of the area shall issue clearance renewal in each shift after checking permit conditions and ensuring compliance of the same.

• Blanket hot work permit shall be issued with the authorization of DGM of issuing department for a period of maximum one month, where normal clearance renewal is not required on the same permit. While issuing permit the possible impact of nearby operating areas must be taken into consideration. For Q.C. Laboratory and Workshop or any place, where hot work is required almost everyday and the area is safe for the hot job, the blanket permit can be issued after compliance of permit conditions.

Blanket hot work permit can be issued for project construction work in non-operating areas. However, for cutting process lines, specific permit shall be required. However in such cases executer shall constantly keep a watch to ensure that permit conditions are complied at site.

For Hot work / Entry into Confined Space Permit after signature by both GSI and FPS shall be registered at Fire Station by F&S operator. Fire and Safety operator shall allot a number on the permit with validity and put his signature. Receiver/ permittee shall retain the original copy (pink in colour), Fire and Safety Department shall retain the duplicated copy (green in colour) and Issuer shall retain the triplicate copy (white in colour).

For carrying out “Hot work / Entry into Confined Space”, Permit beyond normal working hours (General Shift) or on Sundays/Holidays, permission shall be obtained from HOD/DGM. In case concerned HOD/DGM is not available on duty, SRSM/RSM may give the permission on instruction from HOD/DGM for emergency/ urgent nature of job.

The man way for entry in confined space shall be manned by Attendant all the times, till last man comes out from inside. He shall maintain attendance sheet for all entries in prescribed form.

For carrying out Hot work / Entry into Confined Space beyond normal working hours (General Shift) or on Sundays/Holidays, the clearance shall be obtained from SRSM/RSM.

Whenever hot job is discontinued at work site for a day due to some reason, when the hot work permit is valid, the executor has to make an entry in prescribed register at Fire Station in advance. Fire station shall be kept informed when no job is done under the valid hot work permit. The compliance of permit conditions must be ensured by signatories ( Issuer & permittee) before restarting the work.


“Do’s and Don’ts” copy (preferably bilingual- English and local language) shall be

attached to permit signed by Receiver and Issuer for “Hot work/ Entry into Confined Space permit”. The copy shall be available at site along with original permit copy.

All hot work permit shall get automatically cancelled on occurrence of fire against that permit, unless it is rechecked & certified by issuer & Fire and Safety department officer. All such permits shall be withdrawn and handed over to Fire Station by issuer/ receiver of the permit.

For further details about hot work refer Standard on “Hot Work” and for entry into

confined space refer standard on “ Confined Space Entry”.

All confined space, where man entry has been made against permit shall be boxed up after obtaining “CONFINED SPACE BOX-UP” clearance in prescribed form.

Equipment and surrounding areas shall be checked to ensure that they are free from any

inflammable gas using a portable gas tester. Frequency of repeating this test or the need for continuous monitoring shall be determined and shall be arranged accordingly.

Gas testing of atmosphere shall be mandatory for all hot works and Entry into confined

space permit.

Any heavy oil deposit, dried vegetation or other flammable / combustible materials within 8 M of a hot work site shall be cleared away.

No hot work shall be allowed within 15 M of any sample point, drain or relief valve outlet

unless precautions have been taken to prevent the escape of flammable liquids and vapour.

If there is any drain or ditches into which flammable liquid can escape, the drain shall be

dammed and pumped dry within 15 M of the work site.

The outlet of all units drain seals within 15 M of the hot work shall be plugged to isolate them from rest of the drain line.

All drain covers and surface manhole covers within 15 M of hot work site shall be covered

by flame retardant fabric cloths / wet tarpaulin and wet sand. Particular care shall be taken to ensure that these seals are maintained in good condition.

If welding or grinding is to be done at height, then precautions shall be taken to prevent

the spread of sparks and molten metal by surrounding the work area with fire-resisting or flame retarding tarpaulin. Arrangement shall also be made to quench and extinguish sparks and molten slag by applying water through a hose.

A minimum number of 2 fire extinguishers shall be available for each hot work within 8 M

from the place of work.


A hose with a control type discharge nozzle, capable of reaching up to the hot work point and connected to fire hydrant shall be provided during all hot work. There shall be either be a continuous flow of water through the hose or it shall be kept pressurized up to the discharge nozzle.

For detail safety requirements & precautions for hot work refer standard on “Hot Work”

and for safety precautions during Entry into Confined Space including gas test, refer standard on “Confined Space Entry”.

10.4 EXCAVATION PERMIT:

For excavation permit, permittee shall obtain the Excavation clearance in prescribed format from the respective discipline like Area in-charge, Civil Maintenance, Electrical Maintenance, Telecom, IS, Production/ P&U, Instrumentation, Inspection and Fire & Safety as a prerequisite condition to Permit two days before commencement of work. The clearance form shall be in duplicate. Original for permittee (pink in colour) shall be watermarked as “Executer copy” and duplicate for F&S Dept. (white in colour) watermarked as “F&S Dept. copy”.

Permit for excavation shall be in triplicate. Original (pink in colour) shall be watermarked

as “Executer copy”, duplicate for GSI (white in colour) watermarked as “F&S Dept. Copy” and third copy (green in colour) watermarked as ”Issuer copy”.

For road cutting, approval from HOD of issuing Dept. in Excavation Permit shall be

obtained. Additionally the permission for road blockade shall be obtained by E-I-C one day before commencement of working prescribed format. HOD (F&S) shall circulate the road blockade information to all concern one day before commencement of work. For detail please refer Standard on “Safety during Excavation Work”.

In case of dyke cutting, permission of concerned DGM hall be obtained in prescribed

form. For cutting tank dyke containing Hydrocarbons, the job should normally be carried out between sunrise & sunset and the site should be kept manned all the times. Wherever, job is of continuous nature, the cut dyke should not be left unattended; unless it is temporarily closed with sand bags, G.I sheets etc. to ensure that in case of any leak, the oil should not come out of the dyke enclosure.

• The Maximum validity of excavation clearance shall be for 15 days, except in case of

construction sites & non-operational areas, where it shall be for a maximum period of 1 month. It shall be obtained at least 2 days before commencement of the work. If the work continues beyond one month, the fresh excavation clearance is required to be obtained. The excavation creance shall be followed by EXCAVATION PERMIT, which shall be obtained at least 1 day before commencement of job.

• Excavation permit shall be issued in triplicate. On issue, the original (Pink colour) shall be

with executer, 1st copy with Fire Station and 2nd Copy with issuer of permit. On issue, the registration of permit is required to be done at Fire station. This will be done for a maximum period of maximum 7 days with renewal in each shift by GSI. However during


shut down of units/ facilities the permit can be registered for maximum 15 days with shift wise renewal and during construction site for a maximum period of 30 days.

• Other appropriate Work Permits are also to be obtained prior to start of excavation work.

Copy of excavation clearance shall be attached to the Excavation Permit and serial number of excavation clearance shall be mentioned on the Excavation Permit.

• In addition to an Excavation Clearance, a Cold Work Permit is required if hand tools are

being used for excavation or a Hot Work Permit if powered tools or mechanical equipment are being used.

• For excavations more than 1.2 meter deep a Confined Space Entry Permit is required.

Gas tests shall be done as per entry permit requirements. • For any other work inside the excavation, appropriate work permits shall be obtained in

addition to above. • Executing Dept. officer (executor) shall ensure compliance to precautions specified on

the Work Permits and Excavation Clearance. Issuing authority shall monitor these conditions.

• Each signatory of excavation clearance, who has underground facilities near to

excavation site shall monitor the site daily while the excavation is in progress, to ensure that the respective underground facilities are not damaged. Issuer shall check the site for damages before closing the work permit.

• Excavations adjacent to building, structures, pipe tracks, etc., may require temporary

supports or strutting. Concerned civil engineer (executor) shall sign the Work permit and provide the relevant safety recommendations. Certain recommendations may require to be implemented before starting of excavation work.

• Ladder shall be positioned projecting a minimum of 1 meter above the edge of the

excavation. There should be at least two means of exit for persons working inside large excavation within 7.5 meters of travel distance.

• All walkways across any excavation shall be of scaffold construction with handrails (Refer

chapter on Scaffold Safety). Jumping across excavations is not allowed.

• Executor shall barricade the excavation to avoid the hazard of persons and vehicles falling in. Reflective warning notices, traffic cones and flashing lights (only in non hazardous areas) should also be provided at the edge of excavation and at a safe distance ahead.

• During night, adequate illumination inside and outside the excavation shall be maintained

as long as site is not restored to normal condition.

• All materials, equipment and excavated soil shall be kept at least one meter away to prevent "fall in" injuries and collapse of excavation.


• Executor shall inspect strutting and shoring materials before their use. Minimum section

size for poling boards shall be 200mm x 50mm (8" x 2"), while walling 150mm x 50mm (6" x 2") and struts 100mm x 50mm (4" x 2").

• Sheeting shall project at least 450mm (18") above ground level to prevent falling objects.

• Executor shall check the excavation safeguards, shoring, sloping and supporting system

daily before starting the job and after every rainstorm or other hazard-increasing occurrence.

• Engine driven equipment should not be used inside confined excavations. If required,

confined space precautions shall be followed. Exhaust gases from the engines of excavators, etc., shall be kept clear of the excavation.

• Trial excavations shall ensure safety of underground facilities before use of mechanical

excavators.

• Excavation work shall cease if any underground services are discovered or damaged during excavation. Matter shall be reported to the concerned Division without delay. The work shall be restarted only after approval has been obtained from concerned Dept. and a new Work Permit obtained.

• Executor shall report any damage to underground services or any other incident

immediately to the E-I-C and Area in-charge.

• Prevention of drowning: Adequate fencing, warning notices, etc., are to be provided around an excavation deeper than 1.2 meters and contains enough water to present the risk of persons being drowned. The fencing shall be removed only for the minimum time required for the passage of equipment and materials. If the excavation is in an area where persons could easily gain access, suitable rescue equipment such as safety harness with life line, lifebuoys, rescue jackets, inflatable boats etc shall be provided on or near the site.

10.5. ELECTRICAL ISOLATION AND ENERGISATION PERMIT

• Before issuing any permit for maintenance of equipment, having electrical connection, the Shift-in-charge (Operation) shall request the In-charge of P&U Dept. for isolating equipment electrically through format for “Electrical Isolation and Energisation Permit-HT” or “Electrical Isolation and Energisation Permit-LT” depending on the case. These permits have 3 parts with tear off facility; Part-III shall remain with Equipment custodian/ shift in-charge of operation. Permits are issued in duplicate. Request for isolation shall be made by Shift in-charge to Electrical operation (P&U). After isolation, one portion of permit (Part-I) shall be retuned to Operation in-charge. On completion of work the relevant portion of permit (Part-II) shall be forwarded by Equipment custodian / shift in-charge of operation to electrical operation for re-energisation, which shall be done and a copy of permit (Part-II) shall be returned to Equipment custodian / shift in-charge of operation by electrical operation.


• Permit to “work on HT line & Equipment” or “work on LT line & Equipment” is an intra

departmental protocol of Electrical Department and shall be used by Electrical Maintenance, Electrical Testing and Electrical operation. These permits have 3 parts with tear off facility and is issued in single copy. It shall be initiated by in-charge of electric maintenance (Part-1) and endorsed by Equipment custodian / shift in-charge of operation before forwarding the same to electrical operation for de-energisation. After de-energisation, Permit to work certificate (Part-II) shall be initiated by electrical operation, which will be forwarded to electrical maintenance, who will do the job and issue to Job completion Certificate in same form. Part-III of form for re-energisation shall be done by electrical operational and the certificate for re-energisation shall be issued in same form.

• “Trip Reset Clearance Certificate for HT Equipment” or “Trip Reset Clearance Certificate for LT Equipment” shall be issued is duplicate by Electrical Operation to Equipment Custodian / Shift In-charge of operation as per requirement .

• Lock out and Tag Out ( LOTO) of equipments/ facilities will be integral part of the electrical isolation and energisation permit system.

• After completion of maintenance activity, removal of man and material and clearing of site and ensuring that equipment is safe for operation, owner dept. agency shall declare that equipment is safe for operation and fill the clearance for charging which includes the date and time of returning the permit.

• After ensuring that equipment is safe for operation the electrical operation group shall energise the equipment. The date and time of energizing the equipment shall be recorded on permit.

• A list of personnel authorized for issuing electrical permits shall be issued by the HOD (P&U) and be prominently displayed in switchgear room. This list shall be updated annually or whenever there is a transfer/retirement of concerned personnel.

• For detail procedure refer standard on “Energy Isolation- Electrical and Process”. 10.6 PERMIT FOR WORKING AT HEIGHT

Permit for Working At Height issued in prescribed format shall be considered issued for job after “Clearance renewal” is signed. This clearance on the same permit can be renewed/ extended up to a maximum of seven calendar days. GSI/ FPS of the area shall issue clearance renewal in each shift after checking permit conditions and ensuring the compliance of the same.

For carrying out job beyond normal working hours (General Shift) or on Sundays/Holidays, permission shall be obtained from respective HOD.

Working at height should be avoided in adverse weather conditions, such as during rain, high wind, combination of high temperature & humidity.


“Pre-Erection Checklist For Scaffold” shall be filled up and requirement shall be fully complied before going for erection of any tubular scaffold. The checklist shall be in duplicate. Original copy shall be for executer and duplicate for issuer.

All scaffolds shall be of tubular construction and checked using prescribed format and certified before being tagged. No working at height permit shall be issued unless the scaffold is checked and certified in prescribed form and tagged in green colour, showing “Ready for Use”. In case a scaffold is in continuous use for more than a week, it shall be re-checked and certified at an interval of every week. A scaffold is also required to be checked and certified, whenever any alternation / modification is done in scaffold or if the scaffolds are subjected to severe climatic conditions. All scaffold not ready for use shall be tagged in Red colour. For details please refer chapter on “ Scaffold Safety”.

The permit is issued in Triplicate. The original (green in colour) and 2nd copy (white in

colour) will be for the Permittee/ Receiver. Issuing authority will retain 1st copy (white in colour).

All ladder shall be inspected in prescribed format by custodian once in month. Pre-use of

ladder shall be a carried out by user before every use in prescribed format. For formats please refer standard on “Work at Height”.

The persons working at height should be medically examines for their fitness for working

at height. The format for Medical Certificate is attached. The certified shall be issued by registered medical practitioner and it will be valid for a period not exceeding 1 year.

10.7 RADIATION PERMIT

Radiation Permit shall normally be issued valid for single shift only and clearance on the same permit can be renewed/ extended up to a maximum of seven calendar days. GSI/ FPS of the area shall issue clearance renewal in each shift after checking permit conditions.

Radiation permit is divided into two parts. Part-2 will be filled by radiography agency and officer of inspection department will endorse the permit. The permittee/ receiver shall fill the permit for validity of time & date, nature of work and location of work before seeking permit from issuer. For obtaining work permit, permittee shall fill up above information and send duly signed copy to the issuer. After checking and filling the Part-1 of the permit format the issuer shall hand over the signed permit to receiver. The receiver will go through the permit, ensure the compliance and sign the permit before starting the job.

GSI/FPS of the area is authorized to issue the permit.

The permit is issued in duplicate, the original copy (Blue in colour) for receiver shall be water marked as “Executer copy” and duplicate copy (white in colour) for issuer shall be watermarked as “Issuer Copy”.

10.8 Issue Of Permit


• Permittee i.e. under whose direct supervision the job is to be carried out shall raise the requirement for appropriate permit. All permits shall be issued in triplicate/ duplicate. Based on type of job, following permit shall be used:

a. Cold Work Permit b. Hot Work/ Entry into Confined Space Permit c. Excavation Permit d. Permit for Working at Height e. Radiation Permit

• The permit for “Electrical isolation and Energisation Permit” shall be initiated by custodian

of equipment (Operation in-charge), whereas “Permit to Work on High Tension/ Low Tension Line / Equipment shall be initiated by in-charge of electrical maintenance.

• In case the job is planned to be executed through a contractor, permit shall be raised and signed by maintenance/project/ construction engineer and not by the contractor.

• The period of validity, in terms of the date, start time and completion time should be entered.

• The location of the work shall be specified clearly in terms of the plant, plant area, building, vessel or equipment. Identification number of the equipment shall be mentioned. Wherever it is necessary location sketch should be attached with the permit for clarity.

• Area in-charge / GSI shall check the permit conditions prescribed in the format. Permit shall be issued only after satisfying all the conditions. Additional precautions and remarks, if any, shall be clearly mentioned. All the items shall be marked appropriately in the boxes under heading “Done” and “Not Required”.

10.9 Explanatory Notes To Work Permit On “Cold Work, Hot Work/ Entry to Confined

Space”

Explanatory notes to fill up the work permit and its check-listed items are elaborated below to amplify the underlying concepts and highlight their significance:

a. Exact Location (Area / Unit / Equipment no): Exact location of the area or the unit in

which the work is to be carried out shall be written against it. For example; AVU / 12 C - 101, Tank farm A, Tank 501 etc.

b. Description of work: Precise description of the work to be performed shall be written. Sketches with signature should be attached wherever possible to avoid miscommunication.

c. Equipment / Area inspected: Equipment or area where work is to be conducted, should be inspected to ensure that it is safe to carry out the work and assess other safety requirements / stipulations. In case of equipment / vessel box-up permit, it should be ensured that the work is complete, all personnel are out, no maintenance gear is left behind and debris removed.


d. Surrounding area checked / cleaned: Unsafe conditions for performance of work may

arise from surrounding area. It should be cleaned-up to remove flammable material such as oil, rags, grass etc.

e. Sewers, Manholes, Closed Blow Down (CBD) etc. and Hot Surfaces covered: Flammable gases may be released from nearby sewers. Hot un-insulated surfaces (equipment / pipelines) may provide a source of ignition and therefore, these are to be properly covered to prevent fires.

f. Hazard from other routine / non-routine operations considered and persons alerted: Other activities (routine / non-routine) being carried out near-by, which can create conditions unsafe for performance of the permit work, should be taken into consideration and the concerned persons should be alerted accordingly.

g. Equipment electrically isolated and tagged: Before issuing a permit, it shall be ensured that electrical isolation has been done, switches are locked-out and cautionary tags duly signed with date and time are attached.

h. Running water hose / Portable extinguisher provided / Fire water system available: Running water hose and portable fire extinguisher are required to flush / dilute in case of release of any hazardous chemical or to quench sparks and to put out small fires immediately. In order to meet any contingency, it should be ensured that the fire water system including firewater pumps, storage, network etc. is checked and kept ready for immediate use.

i. Equipment blinded / disconnected / closed / isolated / wedge opened: Equipment for which the work permit is being issued, should be isolated from the rest of the plant in order to ensure that there is no change in the work environment with respect to presence of toxic / flammable gases, liquids, hazardous chemicals etc. in the course of the work. Blinding is one of the most effective ways of isolation. Blinds should be installed as close to the equipment as possible. If lines cannot be blinded, these should be disconnected and the open ends should be made safe by installing pipe caps / plugs, blind flanges etc.

j. Equipment properly drained / depressurised: Equipment under pressure should be depressurised after isolation. This should be followed by draining / purging / water flushing etc. as the case may be.

k. Equipment containing liquid hydrocarbons should be drained completely. There may be a possibility of overlooking of liquid collected in pockets or inaccessible areas such as level gauges, small nozzles / bleeders on vessels, laterals in pipe work etc. All low point drains should be in unplugged condition.

l. Equipment properly steamed / purged: Purging of equipment (tanks, vessels, pipelines etc.) is done to make them free of flammable hydrocarbon and toxic gases. Steam / Inert Gas is used for gas freeing of vessels and pipes in refineries and other locations. Other means of purging is by displacement with water and final traces of gas removed by properly earthed air eductor. All high point vents should be unplugged while purging. It


should be done in a systematic manner to cover the entire equipment / plant and continued till the concentration of toxic / flammable gas is lowered to allowable level.

m. Equipment water flushed: Water flushing is an effective means of cooling, cleaning and even gas freeing of equipment. It is also employed to remove traces of acids / chemicals. Equipment metallurgy must be considered before using sea / saline water. Sometimes, flushing with demineralised water would be necessary depending upon the metallurgy of the equipment.

n. Gas / Oxygen deficiency test done: Gas test includes measurement of:

• Hydrocarbons by Explosive meter. • Oxygen Deficiency by Oxygen Meter. • Toxic gases like Hydrogen Sulphide, Carbon Monoxide, Sulphur dioxide by multi-gas

meter. • Nickel Carbonyl, and Chlorine etc. by techniques like Indicator Tube method, Lead

Acetate Paper etc.

For details of gas testing refer standard on “Confined Space Entry”.

o. Shield against sparks provided: Hot works like welding, grinding etc generates sparks, which can provide source of ignition to the surroundings. In order to protect operating area from the hazards of sparks generated, shields are to be provided to contain the sparks generated. The shield material shall be non-flammable and should be kept wet with water.

p. Proper ventilation and lighting provided: Where natural ventilation is not available, fans / air eductors are provided. These are also required for speedy dispersal of fumes generated by welding job. Only approved reduced voltage extension lights (not exceeding 24 volts) are to be allowed for work inside confined space from consideration of personal safety.

q. Proper means of exit provided: Proper means of exit is required in case of emergencies developed on account of the work or otherwise. Availability of an alternate route of escape should be considered.

r. Area cordoned off and caution boards provided: To prevent any unwarranted entry in the work area and also to caution other personnel taking actions which may endanger people working on the permit job, precautionary tags / boards are to be provided to display like "No Entry" sign on roads or "Caution - Men at Work Inside" on the manhole of a vessel, "Danger - Radiography in progress" etc.

s. Portable equipment / Hose nozzles properly grounded: As a precaution against static electricity generation, portable equipment / hose nozzles e.g. nozzle of a shot blasting gun, are to be grounded. Use of hydrocarbon lines for earthing should be avoided. 30 mili-amp circuit breaker shall be installed on electrical circuits / cables feeding power supply to portable equipment.


t. Trained Attendant provided for entry to confined space: Whenever a person is entering in a confined space, minimum two designated trained persons shall be kept at the man-way or entry point. The designated person shall be in constant communication with the persons inside the confined space and take corrective action in case of any emergency situation.

u. Standby personnel provided for fire watch from Process / Maintenance / Contractor / Fire Department: Depending on the criticality of the job, work permit issuer shall decide the type of standby to be provided i.e. from which department, of which level, how many and also additional fire fighting support facilities etc.

v. Iron Sulphide removed / kept wet: Pyrophoric substances may be present in operating area / equipment handling hydrocarbon. Iron Sulphide scale is the most common pyrophoric substance encountered. These should be either removed to safe locations or kept wet all the time to prevent their auto-ignition.

w. Checked spark arrestor on mobile equipment: No vehicle / engine without PESO approved spark arrestor shall be permitted in operating areas.

x. Checked for oil / gas trapped behind lining in equipment: Before undertaking hot jobs, a check should be done for oil / gas trapped behind lining in the equipment.

y. Communication Facility to stand by persons : Adequate communication facility (if required intrinsically safe or hand free communication) shall be provided to standby persons to remain in touch with persons inside confined space during the job and respond quickly, if help required.

z. Attendant person with rescue equipment/ SCBA : Attendant at man-way of confined space shall be trained in rescue and use of respirator equipments and shall have the facility at site, to extend help whenever required. He shall communicate effectively to emergency teams, if so required.

aa. Continuous inert gas flow arranged: This is required where entry into confined space is required in inert atmosphere. The continuous inert gas flow shall be arranged in order to maintain the oxygen concentration and other gases within limit.

10.10 Precautions For Working At Height:

10.10.1 Scaffolding (Refer Standard on Scaffold Safety) (i) The erection of any tubular scaffold shall not begin before the checking of scaffold

material at site (w.r.t quality and quantity), preparations at site, availability of PPE, availability of trained personnel for erection etc. in prescribed format on “ Pre Erection Checklist for Scaffold”. The requirements of checklist must be complied before start of erection of scaffold at site. This check-list shall be filled up in duplicate. The original shall be retained by executer and 1st copy with issuer (area in-charge).

(ii) All scaffolds after erection must be checked and certified in prescribed form by scaffold

supervisor and Officer of executing Dept.


All scaffolding shall be inspected after completion of erection and then at least every seven days or after weather likely to have affected stability of scaffold or on all alterations.

(iii) All Scaffolds, which has been checked and certified for use shall be tagged with “Green

card” duly filled and signed by scaffold supervisor and Officer of executing Dept. All incomplete scaffold, scaffold under modification/ alteration / not fit for use shall have “Red tag” ,

Green Tag: Means scaffold is safe for use. The tag should be properly filled –up and signed. Red Tag: Means not for use.

(iv) Scaffold erected on firm ground and sole plate & base plate have been used. A good

base is essential, so that the ground or floor on which the scaffolding is going to stand should be carefully examined. Soil or made up ground will need consolidating. Sole plates at least 9" x 1½" (230 mm x 40 mm) cross section are required to spread the load on earth, made up ground, asphalted surface etc. Sole plates shall extend under at least two standards and joints shall be positioned so that they fall within one half to one third of the distance between any two adjacent standards. At the end standard the sole plate shall project a similar distance. No sole plate is required if scaffold is erected on concrete surface. However base plates are compulsory for all scaffolds.

(v) Platforms have been provided with Toe board, guardrail & area below is barricaded.

TOE-BOARD (Also known as a Kicking Board) - A board positioned at the edge of a platform or place so as to prevent persons, tools and materials falling from the platform or place. GUARDRAIL - (Also known as a Handrail) - A tube connected at the edge of platform and other places to prevent persons falling from platform or place at a height of about 1M form platform. For all work platforms TRAP means any gap in floor of platform or 1” of more, TRIP means overlapping of scaffold boards or any projection on floor of platform, which may cause trip of person and FREE FROM FALL means the platform provided with adequate Toe guard, Guard rail and Mid-rail to avoid any fall from height.

(vi) Proper means of access to the scaffold including use of standard aluminum ladder shall

be provided.

Access to a working platform is best achieved by providing a separate ladder tower (for high scaffolds) or cantilevered access platform so as not to obstruct the platform and to minimize the possibility of persons falling through the gap in the guardrail or decking

For details of scaffold refer Standard on “Scaffold Safety”.

10.10.2Roof Work (For detail refer Standard on “Working at Height”)


i) All roof-work operations should be pre-planned and properly supervised. ii) Roof work shall only be undertaken by workers who are physically and psychologically fit

and have the necessary knowledge and experience for such work. iii) Work on roofs shall not be carried on in weather conditions that threaten the safety of

workers. iv) Crawling boards, walkways and roof ladders shall be securely fastened to a firm

structure. v) Roofing brackets shall fit the slope of the roof and be securely supported. vi) Where it is necessary for a person to kneel or crouch near the edge of the roof,

necessary precautions shall be taken. vii) On a large roof where works have to be carried out at or near the edge, a simple barrier

consisting of crossed scaffold tubes supporting a tubing guardrail may be provided. For detail refer Standard on “Working at Height”.

viii) All covers for openings in roofs shall be of substantial construction and be secured in position.

ix) Roofs with a pitch of more than 10 shall be treated as sloping. x) When work is being carried out on sloping roofs, sufficient and suitable crawling boards

or roof ladders shall be provided and firmly secured in position. xi) During extensive work on the roof, strong barriers or guardrails and toe-boards shall be

provided to stop a person from falling off the roof. xii) Where workers are required to work on or near roofs or other places covered with fragile

material, through which they are liable to fall, they shall be provided with suitable roof ladders or crawling boards strong enough and when spanning across the supports for the roof covering to support those workers.

xiii) A minimum of two boards shall be provided so that it is not necessary for a person to stand on a fragile roof to move a board or a ladder, or for any other reason.

10.10.3 Work on Tall Chimneys

i) For the erection and repair of tall chimneys, tubular scaffolding shall be provided. A safety net shall be maintained at a suitable distance below the scaffold.

ii) The scaffold floor shall always be at least 65 cm below the top of the chimney. iii) Under the working floor of the scaffolding the next lower floor shall be left in position as a

catch platform. iv) The distance between the inside edge of the scaffold and the wall of the chimney shall

not exceed 20 cm at any point. v) Catch platforms shall be erected over:

• The entrance to the chimney; • Passageways and working places where workers could be endangered by falling objects.

vi) For climbing tall chimneys, access shall be provided by:


(a) Stairs or ladders; (b) A column of iron rungs securely embedded in the chimney wall; (c) Other appropriate means such as access tower, elevator etc.

vii) When workers use the outside rungs to climb the chimney, a securely fastened steel core rope looped at the free end and hanging down at least 3 m shall be provided at the top to help the workers to climb on to the chimney.

viii) While work is being done on independent chimneys the area surrounding the chimney shall be enclosed by fencing at a safe distance.

ix) Workers employed on the construction, alteration, maintenance or repair of tall chimneys should not:

• Work on the outside without a safety harness attached by a lifeline to a rung, ring or other secure anchorage;

• Put tools between the safety harness and the body or in pockets not intended for the purpose;

• Haul heavy materials or equipment up and down by hand to or from the workplace on the chimney;

• Fasten pulleys or scaffolding to reinforcing rings without first verifying their stability; • Work alone; • Climb a chimney that is not provided with securely anchored ladders or rungs; • Work on chimneys in use unless the necessary precautions to avoid danger from smoke

and gases have been taken. • Work on independent chimneys shall not be carried on in high winds, icy conditions, fog

or during thundering/lightening. x) All persons intended to work on chimney shall be exposed to medical examination and

must carry valid Medical Certificate, showing their fitness for the job in prescribed form. Validity of such certificate shall be only 1 year.

10.11 Surrendering of Work Permit

On completion of a Cold work, Radiation and Working at height, the permits (original with copies) shall be signed by permittee and returned to the issuer. The issuer shall retained the copies of various permits in chronological order in folder for a period of minimum 3 months from the date of closure of permit or from the date of commissioning of facilities, whichever comes later.

On completion of a “Hot work/ Entry to Confined Space” and “Excavation”, the permit (original and copies) shall be signed by permittee and returned to the issuer along with clearance certificate. The issuer will then send the permits to F&S Department along with their copies. F&S Department shall record the completion of the job and keep the permits (with all copies) for record. Hence, after completion of the job, shift in-charge of F&S shall retained the copies of various permits in chronological order in folder for a period of minimum 3 months from the date of closure of permit or from the date of commissioning of facilities, whichever comes later.


In case of serious lapse or violation of permit conditions, where safety of the working personnel or equipment is likely to be affected, the execution of the job can be stopped by permit issuing/ executing dept, Fire and Safety personnel, RSM or any other personnel authorized by the management for the purpose.

In case of any accident or fire at the work site, the permit shall get automatically cancelled. Fresh permit shall be obtained for restarting the job.

10.12 Surveillance and Withdrawal of permit

The permit issuing authority and executing authority shall inspect the work site frequently to ensure that permit conditions are being complied and maintained.

Officers and staff of F&S Dept. shall make surprise checks at the sites where jobs against work permit are in progress. Surprise checks shall be carried out on a structured checklist and findings shall be documented. Date and time of such surprise checks shall be recorded. The corrective measures shall also be taken.

The permit can be withdrawn by issuing authority, executing authority, F&S personnel, RSM or any person authorized by management in case of violation of permit condition, plant emergency or any other unsafe situation.

11. Training and Awareness

Any person who is authorized to issue or receive the work permit shall be imparted training for a period of not less than one day covering various aspects of work permits system. Further all the person authorized to issue/ receive the work permit shall be given a minimum of one day training once in two year on the work permit system and records maintained.

Training and awareness programs are to be organized from time to time for issuer & receiver of permit to make them conversant about work permit system. These programs should include “class room” as well as “on the job training” like

• Filling of permits, assessing hazards and correction, Work Permit procedure • Atmosphere monitoring with portable gas testers. • Use of PPE including SCBA & airline respirators • Carrying out different jobs safety

Awareness programs should be arranged in the form of “Class room training” as well as “On the job training” for contractors (Supervisor and their workmen) about work permit system.

12. REVIEW

Review of work permit system shall be carried out at least every once two years or following a major and/or high-potential incident / accidents or change in statuary requirements / norms.


13. AUDIT OF WORK PERMIT SYSTEM

The Work Permit System shall be audited at least annually by a multi disciplinary team constituted by refinery management for the purpose. For the audit the detail format shall be developed by the refineries. The audit shall include checking of procedure for permit/ clearances being followed and physical check at site. The guidelines for audit checklist are as follows:

• The permit, clearances and format have been properly filled up and recommendations are mentioned categorically.

• The permit signatories including HOD and DGM are trained and they have been trained within 2 years. Check the content of training program to assess the coverage on “Work Permit System” . Ask questions from workmen, supervisors, and signatories of permit about their knowledge on subject to assess the effectiveness of training program.

• Check for training record of toolbox talk and effectives of training. • Check for detail procedure including closing of permits, record keeping. • Check work sites to observe deviation from procedures, permits, clearances and format.

14. REFERENCE

• OISD STD.-105 • OISD GDN-192 • PETROLEUM ACTS & RULES AND FACTORIES ACT • OSHA STD- 29CRF 1910.146 • OSHA 1910.1200 • SAFE WORK IN CONFINED SPACES BOOKLET BY HSE, UK • GUIDELINES ON SAFETY, HEALTH & ENVIRONMENT MANAGEMENT

SYSTEM BY IOCL, SHE, CO. • SAFETY MANUALS OF IOCL REFINERIES


ANNEXURE-1 Format No. IOCL/Name of Refinery/CW/ 01

INDIAN OIL CORPORATION LTD. ____________ REFINERY

COLD WORK PERMIT

Sl. No.

Work clearance From : __________ Hrs. of date_________ To ________ Hrs. of Date________ Issued to (Department/ Section/ contractor) ……………………………………………………………….. Exact Location of work (Area/ Unit/ Equipment No. etc.) ……………………………………………. Nearest Fire Alarm Point : Description of work ___________________________________________________________________________

Sign. of Permittee _____________

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT (Tick mark in the appropriate box. Checklist items marked with asterisk ( * ) shall be complied by

receiver) Sr

No. Item Done Not

Reqd. Sr

No. Item Done Not

Reqd.1 Equipment / Work Area

inspected 6 Equipment water flushed

2 Surrounding area checked, cleaned and covered

7 Equipment properly steamed / purged

3 Equipment blinded/disconnected / closed / isolated / wedge opened

8 Proper ventilation and lighting provided

4 Equipment properly drained and depressurized

9* Area cordoned off & caution boards / tags provided.

5 Equipment electrically isolated and tagged vide Permit no. -------------------

10 Gas test: HC / Toxic etc. HCs = % LEL Toxic gas = PPM

Remarks: 1. The activity has the following expected residual hazards (Tick the relevant items):

Lack of Oxygen

Toxic Gases Pyrophoric Iron

Corrosive Chemicals

H2S Gas

Combustible gases

Steam Condensate

Others , if specify

1

2. Following additional PPE to be used in addition to standards PPE (Helmet, Safety Shoes, Hand gloves, Boiler suit) (Tick the relevant items):

Face Shield

Dust Respirator

Lifeline Compressed Air Set

Goggles Fresh Air Mask

Safety Harness

Earmuff

Others

3.Additional precaution if any:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

FIRE PERMIT SIGNATORY (FPS) / GAS SAFETY INSPECTOR (GSI)/ ISSUER

PERMITTEE (RECEIVER)

Signature :____________ Date _________ Name: ____________________________ Designation: ___________Tel. No.: ______

Signature :_____________ Date _________ Name: ______________________________ Designation: ___________ Tel. No.: ______

Closing of the work permit: Receiver : Certified that the subject work has been completed / stopped and area cleared

Issuer: Verified that the job has been completed and area cleared and is safe from any hazard.

Date & Time

Name & Designation

Signature Date & Time

Name & Designation

Signature

2

Clearance Renewal: ( Permit No :

Time Issuer Receiver Date

From To

Gas Test Reading

Additional precautions if any, Name and

designation of GSI / FPS

Signature of GSI / FPS

Name and Desig. of Permittee

Signature of Permittee

3

General Instructions: 1. The work permit shall be filled up carefully and accurately in clear handwriting ensuring that

complete information is provided in all the sections / subsections and none of column is left blank. Sketches should be provided wherever possible to avoid miscommunication.

2. Appropriate safe guards and required personnel protective equipment (PPEs) shall be determined by a careful analysis of the potential hazards and the operations to be performed prior to starting the work.

3. Requirement of standby personnel from Process / Maintenance / Contractor / Fire & Safety etc if any shall be mentioned in the additional requirement.

4. In case of fire alarm all work must immediately be stopped. In case of Emergency Sirens, all work must be stopped and all nonessential personnel must leave work site and processed to designated areas.

5. For renewal of work clearance, the issuer shall ensure that the conditions are satisfactory for the work to continue. If the conditions have changed, it may be necessary to issue a new permit or amend the existing permit.

6. This permit shall be valid for a period of 8 hours only, unless it is renewed/ extended. This clearance on the same permit can be renewed / extended up to a maximum of seven calendar days.

7. Original permit must be available at work site at all times. 8. On completion of the work, the permit shall be closed and returned to the issuer. 9. The permit shall be issued in duplicate. Original permit (Yellow) shall be issued by receiver/

executer and duplicate (White) shall be retained by issuer. 10. Enclose important Do’s and Don’ts duly signed with each permit. 11. Safety Toolbox talk has to be ensured by receiver before start of work and record for the

same shall be maintained. 12. Obtain separate permit for “Working at Height”, if required.

4

___________ REFINERY

ANNEXURE-2 DO’S & DONT”S FOR COLD WORK

(Attach with all Cold work permit) Permit No.-

Do’s: 1. Ensure the availability of valid work permit before start of work. 2. Ensure that work permit conditions are fully complied at site. 3. Equipment should be properly isolated from all sources of energy before start of work. 4. Ensure that walkways and passages are free from all slip/ trip and fall hazard. 5. All draining of oil should be in closed OW&S system and the draining of oil on floor will make the

work area and area around the work unsafe. 6. Ensure proper illumination of work place while working in dark. 7. Ensure use of non-sparking tools in Hydrogen/ Flare / LPG / etc. service lines / Equipment and areas

such as in LPG storage, bottling and loading area, HGU, Gantries etc. 8. Executor should ensure the quality of hand tools and their health. 9. Always first wedge open the flanges. 10. Use of proper PPE must be ensured during cold work by executor. Use of safety helmet and shoe is

mandatory for all works inside refinery 11. While carrying out cold work inside confined space, proper ventilation and illumination should be

ensured before start of job. 12. Electric cable should be free from joints with sound insulation. Portable electrical equipment should

have no loose connections. 13. All portable/ mobile electrical equipment should be connected with ELCB. 14. Executor should ensure that the lifting machine (Crane), tools & tackles are properly tested and SWL

and date of testing is displayed on equipment. 15. Barricading of the area below lifting machine (Crane), chain pulley blocks etc. should be ensured

before starting the job. 16. Gas test should be carried out before issuing cold work permit, wherever required. 17. Remove all scarps and unused material from site on completion of work. 18. Executor should know the nearest Fire Alarm point, Fire Order, Fire Station phone number

(…………..), First-Aid center phone no. (……….), nearest safety shower, Escape route & location of designated assembly points and siren code before start of work.

Don’ts: 1. Never stand or work under suspended loads. 2. Never enter work area without safety helmet and shoe. 3. Do not wear loose/ synthetic cloths while on work 4. Do not use short cuts on work 5. Do not use lamp of more than 24 V while working in confined space. 6. Do not run a machine without putting back the guard on it’s exposed moving part. (Signature of receiver) (Signature of issuer)

5

WORK PERMIT SYSTEM

ANNEXURE – 2 Format No.: IOCL/Name of Refinery/HW-CS/XX

Indian Oil Corporation Ltd.

(Refineries Division) ________REFINERY

PERMIT FOR HOT WORK / ENTRY INTO CONFINED SPACE

(Strike out if not applicable)

Sl. No.:

Permit Regn. No.:

Previous Permit Regn. No.:

Registered by: ____________(Signature)

Name: ___________________________

Date: _____________

PERMIT TYPE NORMAL SHUT DOWN BLANKET Please tick [√] in required permit type

Work Clearance From ______ Hrs.of date _________ To ______ Hrs. of Date _________ (Valid for the shift unless renewed) Issued to (Department / Section / contractor) _________________________________________ Work order No. ___________________ Exact Location of work (Area / Unit / Equipment No. etc.) __________________________________________________________________________________________________________________________________________________________ Nearest Fire Alarm No.__________

Description of work _____________________________________________________________ ___________________ Name of Permittee __________________________ Date ___________ [Signature of Permittee]

FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT [Please put tick [√] in the appropriate box. Checklist items marked with asterisk (*) shall be complied by receiver. For hot job in confined space, Sl. No.: B13 shall be ticked for “Done” only]

Sr. No. Item Done Not

Reqd.Sr. No. Item Done Not

Reqd.A General points 10 Iron sulfide removed / kept wet 1 Equipment / Work Area

inspected 11 Equipment electrically isolated and tagged

vide permit no.

2 Surrounding area checked, cleaned and covered

12 Gas Test: HCs = % LEL; O2 = % Toxic gas = ppm,

3 Sewers, manholes, CBD etc and hot surfaces nearby covered

13* Running water hose / Fire extinguisher provided. Fire water system available.

4 Considered hazard from other operations and concerned persons alerted.

14* Area cordoned off and Precautionary tags / Boards provided.

For Hot work / Entry to confined Space 1 Proper ventilation and Lighting providing

5 Equipment blinded/disconnected / closed / isolated / wedge opened

2 Proper means of exit / escape provided

6 Equipment properly drained and depressurized

3 Standby personnel provided from Process / Maint / Contractor / Fire / Safety dept.

7 Equipment properly steamed / purged

4 Checked for oil and Gas trapped behind the lining in Equipment

8 Equipment water flushed 5* Shield provided against spark 9 Free access for approach of

fire tenders has been 6* Portable equipment / nozzles properly

grounded

ISMS STANDARD – 1006 1

maintained. 7* Attendant at man way provided for entry ned space (2 Persons)

into confi

Sr.

eqd. one Not R .No. Item Done Not Sr.

R No. Item D eqd For Hot work / Entry to confined Space

8* Adequate communication provided to stand by person. ce.

13* Gas cylinders are kept outside the confined spa

9* Trained Attendant provided with rescue equipment/ SCBA.

14* Checked spark arrestor on mobile equipments

10 Space adequately cooled fsafe entry of person.

X

or 15 Welding machine checked for safe location

11 Continuous inert gas flow arranged.

16 Permit taken for w orking at height vide permit no.

For Vehicle Entry 12 orary electrical

ns being used for

1* Approved type Spark Arrestor on the

mobile equipment / vehicle provided.

Check for Earthing / ELCB of all tempconnectiowelding

Remarks:

t it o in re d s [ c relevant items]: 1. The ac

iv y has the foll w g expected si ual hazard Ti k (√) the O2

Deficienc y Toxic Gases Pyrophoric Iron C orrosive

Chemicals

H2 Gas S Combustible gases Steam

Condensate Others

Please specify others

2. win e used in add n t st .e. Helmet, Safet oes, Hand gloves & Suit [T elevant items]

FolloBoiler

g PPEs shall b itio o andard PPEs i y Shick (√) the r

Face Shield

Dust R r espirato

Lifeline Compressed Air set

Others (if any), Please

Goggles Fresh Air Safety Ear Muffler specify Mask Harness

3. Additional Precautions [if any]_____________________________________________________ ______ _______ ___ ___________ ___________ ____ ___ ______ _ _________ _________ __

______________

_________________

__________________

_________

_________

____ _______

Recipient Signature Designation Name Date Tel. No. Fire Permit Signatory

Issuer)(

Gas Safety Inspector (GSI)

Permittee / Receiver

Functional DGM [#] Not icabAppl le

C oncerned Area HOD /RSM [**] - Do -

Executing HOD [**] - Do -

[**]: Concerned Area HOD / RSM shall sign when Hot Work / Entry into Confined Space Permit is needed

beyond normal working hours / round the clock / Sundays & holidays.

]: Functional DGM shall sign if the Job requires blanket permit where clearance renewal is not required. [#


C

losing of Work Permit Attributes Receiver Issuer F&S nt Departme

Declaration Certified that the subject work has

en completed / stopped and area eaned.

has been ompleted and area cleaned and is afe from any hazard.

Closed Permit Received be

cl

Verified that the jobcs

Signature Name Designation Date Time [hrs.]

General Instructions:

1. Work Permit shall be filled up carefully and no column shall be left blank. Provide sketches, if required.

l non-essential personnel must leave work site and proceed to designated areas. and tools are allowed in

plied mask shall be permitted with LEL of up to

].

up to a maximum of seven calendar days, except in case of

ne for a day or more (except holidays/ Sundays),

officer can check the permit / stop the

all be kept at site as record and signed by personnel associated with the work.

2. Appropriate safe guards and PPEs shall be determined by analysis of the potential hazards prior to starting the work.

3. In case of fire alarm all work must immediately be stopped. In case of Emergency Sirens, all work must be stopped and al

4. Only certified vehicle / engines and permitted type of electrical equipment operating areas.

5. Welding machines should be located in non-hazardous and ventilated areas. 6. Gas test is mandatory. No hot work shall be permitted unless the explosive meter reading is Zero. 7. Vessel entry, where no hot work is to be carried out, shall be permitted if combustible gases are up to

5% of lower explosive limit [LEL]. Entry with an air-sup20%. The Oxygen level shall be at least 19.5% vol. and the concentration of toxic gases below the threshold limits [TLV of H2S: 10 ppm & CO: 50 ppm

8. When a person is entering confined space, the receiver must keep minimum two trained attendants-designated persons at the manhole or entry point. For renewal of w9. ork clearance, the issuer shall ensure that the conditions are satisfactory for the work to continue. If the conditions have changed, it should be necessary to issue a new permit or amend the existing permit.

10. Permit shall be considered issued for job after “Clearance renewal” is signed. This clearance on the same permit can be renewed / extended plant shutdown, where permit can be issued for a maximum period of 15 days. Blanket permit may be issued for a maximum period of 30 days.

11. During the registration period of permit, if job is not doreceiver shall enter in prescribed register at Fire Station in advance about the discontinuity of job.

12. This permit must be available at work site at all times. 13. On completion of the work, the permit must be closed and submitted to F&S as record by receiver.

Hot work shall include welding, grinding, gas cutting, burning, open flame, soldering, shot blas14. ting, chipping, riveting, drilling, camera flashing, power tools, IC engines, Mixer machines, use of certain non explosion proof equipment, vehicle entry or any other activities which may generate heat or spark.

The permit shall be issued in triplic15. ate. Permittee shall retain pink copy, first copy shall be retained with F&S and second copy shall be remained with issuing authority, all these copies shall however bear the Fire Station Registration Number.

16. Permit issuing authority, RSM & F&S personnel or any authorizedjob and even cancel the permit on safety norms violation any time.

17. Enclose important Do’s and Don’ts duly signed with each permit. 18. All precautions given in permit must be clearly adhered by the permittee. 19. Daily Toolbox talk / safety briefing to be ensured by the permittee before start of job. A register on

toolbox talk sh


20. Pre-use check of portable gas testers must be done to ensure its operability by GSI before the gas test

Clearanc e

at work site.

e Ren wal:

Time [hrs.] Signature With Name and Designation Signature of

Date

From

To

Gas Test Values for HC, Toxic and O2 etc. [Write names of toxic gases______________________________________] Ad

ditio

nal P

reca

utio

ns

[if a

ny],

Oth

erw

ise

men

tion

“NIL

”

GSI / FPS Permittee

RS

M

Con

cern

ed a

rea

HO

D**

End

orse

men

t by

F&S

**

LEL

Gas Test: HC: %Toxic: PPM O2: %

LEL


LEL


LEL


LEL


LEL


LEL


LEL


LEL


2

Gas Test: HC: %LEL Toxic: PPM O : %

(**): When Work Permit has b is anticipated to be extended beyond Normal Working H ission with signature

een issued for Normal Working Hours but workours, concerned area HOD shall endorse perm


In case of Fire, dial

____ ____ REF ERY

_________

__ _ IN ANNEXURE – 2A

Do’s & Don’ts For Hot Work rmit] [This page shall be enclosed with all Hot Work Pe

Permit Regn. No.: Do’s:

1. Ensure the availability of valid work permit and clearance before start of work. 2. Ensure that work permit conditions are fully complied at site. 3. Area shall be free from all flammables & combustibles and the OWS man-ways, drains etc.,

where there is likelihood of presence of hydrocarbon during the course of work shall be covered and sealed.

4. In case of gas welding/ cutting, cylinders (acetylene cylinder must) should be kept in upright

a CCE approved

First-Aid center phone no. (_______), nearest safety shower, Escape route & ignated assembly points and siren code before start of work.

and their health. n, if shrouds are not provided.

position and these should be easily identifiable by its colour. 5. Hose connections of gas cylinders should be checked before starting of hot job. The hoses

must be free from all cuts & kinks and distinct in color (Maroon for acetylene and black for oxygen).

6. Executor must ensure use of proper PPEs during hot work. 7. In case of welding/ cutting/ gauging etc., it should be ensured that spark is arrested at site

only, especially while carrying out hot work at height. 8. Executer shall ensure use of flash back arrestor in gas cylinders while using oxy-acetylene

sets. Use welding lighters only to light the welding torch. 9. While carrying out hot work inside confined space, proper ventilation and illumination should

be ensured before start of job. 10. Electric cable shall be free from joints with sound insulation. Portable electrical equipment

should have no loose connections. 11. All portable/ mobile electrical equipment shall be connected with ELCB. 12. Executor shall ensure that the lifting machine (Crane), tools & tackles are properly tested and

SWL and date of testing is displayed on equipment. 13. Barricading of the area below lifting machine (Crane) should be ensured before carrying out

the job. 14. Gas test shall be carried out before issuing hot work permit and the work area must be free

from hydrocarbon. area have15. Executor shall ensure that all vehicles entering inside battery

spark arrestor on exhaust. Vehicle shall move on designated route only. Executor must know the nearest Fire Alarm point, Fire Order, Fire Station phone number16. (_________), location of des

17. Executor shall ensure the quality of hand tools18. Ensure valve cap on cylinders during storage and transportatio

Don’ts:

1. Never stand or work under suspended loads. 2. Never enter work area without safety helmet and safety shoe. 3. Do not wear loose/ synthetic cloths while on work.

. Do not use short cuts on work 45. Do not

. Do not use lamp of mor e working in confined space

6 use electrode holders as cable connectors for extension of w . 7 eep acetylene cylinders in horizontal condition, even if they are empty. 8 ver use grinder without wheel guard on abrasive wheels.

e than 24 V whil . elding cable

. Never k. Ne

Recipient RECEIVER ISSUER


Signature Name

Date

AN 2BNEXURE- __________ REFINERY

DO’S AND DON’TS FOR ENTRY INTO CONFINED SPACE

( Attach with all “ Entry into vessel” Permit) Permit No.

DO’S : 1. Check for valid work permit “Entry into Confined Space” before entry into

ur source of energy

gas test must be carried out before issuing permit to ensure that there is

of person the concentration of

ace, having oxygen

onfined space,

e-2D ).

n for rescue / emergency handling, if so required.

.

of

tructed, approachable and free from all emergency use.

work areas. Use air mask for areas,

confined space. 2. Ensure that the confined space is positively isolated from yo

and has been made free from harmful gases. 3. Proper ventilation and illumination of space must be ensured. 4. Wherever forced ventilation is used. The gas test should be carried out after

minimum 10 minutes of stopping the eductor / fan / blower. 5. Thorough

no pocket of gas available inside and the place is safe for performing the particular task inside confined space. For entrytoxic gases should not exceed TLV and oxygen must be minimum 19.5 % by volume.

6. Use suitable respiratory protection for entry in the confined spdeficiency or having toxic gases more than TLV.

7. Attendant should be available all the times at man way entry of ctill the work is in progress inside. The permit should be available with him and he shall maintain attendance in prescribed form (Annexur

8. Attendant must be in constant touch with persons working inside and know the actions to be take

9. The low voltage light limited to 24 V should be allowed inside confined space. All electric connection shall be provided with ELCB.

10. Wherever possible lifelines with safety harness should be used for entry into confined space

11. Special precautions are required for entry into inert gas atmosphere. It requires the controlled condition inside confined space as well as mandatory use compressed breathing air supply to person going inside with alternate air supply arrangement.

12. Keep at least 2 access / exit for each confined space, wherever possible. The access should be unobs

13. Use required PPE and personal gas monitors while entering inside. Use of Safety helmet and safety shoe is mandatory for allwhere there is likelihood of accumulation of gas during the work such as in severs, OWS line etc.


14. The person in confined space should pass the warning signal to stand by person in

gas ure of work, being performed inside such as removal of

ON’TS

case of any suffocation/ difficulty for help. 15. Carry out regular gas test of confined spaces, where there is possibility of

generation due to natsludge, hot works etc.

D . Do not use light of more than 24 V inside confined space.

absence at man way. 3. Do not obstruct the man ways from any side of confined space. ( Signature of receiver ) (Signature of Issuer )

12. Do not give any other responsibility to stand by person, which may cause his


ANNEXURE-2C

Format No.-IOCL/Name of Refinery//CS/02

……….Refinery

PRE ENTRY CHECKLIST FOR CONFINED SPACE

(To be filled up and complied before each entry into confined space. The compliance shall be followed by

‘Confined space entry permit’)

Sl. No. ……….

Associated Permit : Hot Work/ Vehicle entry Permit Cold Work Permit Confined Space Entry Permit Radiography Permit Excavation Permit Electrical isolation/ Energisation Permit Working at height permit A. Exact location of work: (Unit/ Area/ Equipment No.)………………………………………………………………………… ……………………………………………………………………………………………………………………………………….. B. Description of work:……………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………… C. Expected date and time of entry………………………………… Expected date of completion……………………….

D. Maximum No. of entrants allowed : E. Name of trained attendant for entry (Training validity 1 years) S.N. Name Trained on S.N. Name Trained on 1. 2. 3. 4. F. Name of trained entrants for entry (Training validity 1 years) S.N. Name Trained on S.N. Name Trained on 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15 16. G. Communication facility provided and procedure established : Yes (must be “yes” only) H. Rescue Procedure established: Yes (must be “yes” only) I. All electrical equipment is of intrinsically safe/ FLP type Done To be done Not required j. Safety signs, boards and barriers are available: Done To be done I. Debriefing and key point tipping to authorized entrants Done To be done Name and designation of Permittee / Entry engineer: Signature with date J. Checklist to be filled up by permit issuer (GSI) :

1

S.N. Item Required Not required

Done S.N Item Required Not required

Done

I. ENERGY ISOLATION V.* PPE 1. Pumps or lines blinded,

disconnected or blocked 1. Full Body harness

with life line provided.

2. Positive isolation of electrical source, with LOTO.

2. SCBA / air line available at site

3. Other sources such as air, water, steam, gas blinded, disconnected or blocked.

3. Retrieval equipment available at site.

II. VENTILATION 4. Dust respirator provided

1.* Mechanical ( must be air eductor or FLP type for inflammables)

5. Protective clothing, hand gloves, foot wear, safety helmet, ear protection

2. Natural ventilation only 6. Eye / face protection III. Portable gas tester checked

for healthiness X X VI.* Hoisting equipment

IV. Continuous gas monitoring required

VII.* Resuscitator-inhilator

K. Gas testing reading after opening of man way : 1.Flammable……………..% LEL 2. Oxygen…………% by volume 3. H2S…………. PPM 4. CO…………………. PPM 5. Any other gas………………PPM

Note : Check-list marked with * shall be complied by the executer. L. Subsequent gas tests after preparation of equipment: (To be continued till the equipment is safe for entry) Date Time Flammable (%LEL)

(5% LEL or less) Oxygen (% by volume) (Min. 19.5%)

H2S in PPM (Max.10 PPM)

CO in PPM (Max. 50 PPM)

Any other gas (in PPM)

The control measures and precautions appropriate for the safe entry and execution of the work in the confined space

have been implemented and the persons required to work in the confined space have been advised of and understand the requirements .

ISSUER ( Person in Direct Control)

RECEIVER/ENTRY ENGINEER (Person/ Contractor Supervisor working in confined space)

Date…………………..Time ………………. Signature: Name…………………..Designation………..


*- Points shall be complied by entry engineer/ receiver and checked by issuer. Note : 1. Pre entry confined space checklist shall be used before every Confined space entry permit. 2. No confined space permit shall be issued, till the requirements of checklist are complied.

2

ANNEXURE-2D


ATTENDANCE SHEET FOR PERSONS INSIDE CONFINED SPACE (To be maintained by Attendant at man way of confined space)

Date: Equipment No………………… Confined space permit no………… Valid up to………….

S. N.

Name of person entering Date of Entry Time of Entry in Hrs.

Time of Exit in Hrs. (mention

date, if changed)

Sign of Attendant

NOTE:

1. This attendant sheet shall be filled and maintained at man way of confined space by stand by person for all entries in confined space.

2. This will be an integral part of permit system. E-I-C shall ensure that the stand by person has been imparted training for the job and he knows the job. He should remain in touch with persons inside during the job.

3

ANNEXURE-2E


Sl No.:

INDIAN OIL CORPORATION LTD. __________ REFINERY

CONFINED SPACE BOX-UP CLEARANCE

(Required only for boxing up of those confined spaces, where entry permit has been obtained for carrying out the work)

Boxing up clearance from: __________ Hrs. of date_________ To__________ Hrs. of Date________ Issued to (Department/ Section/ contractor)………………………………………………………….. Location of work (Area/ Unit/ Equipment No. etc.) ………………………………………………….. All the work in above confined space has been completed and equipment may be checked for boxing up.

Sign. Of Permittee _________________

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE

ISSUING THE CLEARANCE (To be checked with valid permit for confined space)

Sr no

Item Done Not Reqd.

Sr no.

Item Done Not Reqd

1. Equipment / Work Area inspected

6. Illumination and ventilation has been removed in my presence after checking and manhole cover has been engaged.

2. Surrounding area checked, cleaned and covered

7 The safety sign for “safe entry” has been removed from man way

3. Space is free from all unwanted materials such as scraps/ debris, surplus items, left over tools & tackles and combustible materials.

8. Danger sign to caution all against entry has been displayed at man way.

4.

Space is free from all combustible material.

9 .Additional precaution if any:……………………………………………………………………………

5. Space is free from all persons

4

Gas Safety Inspector (GSI) Signature _________________________ Name ____________________________ Desig. ____________________________ Tel No. ___________________________

Permittee/ Receiver Signature ____________________________ Name _______________________________ Desig. _______________________________ Tel No. ______________________________

COMPLETION OF WORK

The boxing up of equipment has been done safely. Area at man way is cleared of all unwanted materials and freely accessible.

Permittee/ Receiver Signature ____________________________

Name ____________________________ Desig. ____________________________

The equipment has been checked; the boxing up of equipment has been done. The equipment/ area is free from all unwanted materials and freely approachable for safe operation of equipment.

GSI Signature ____________________________ Name ____________________________ Desig. ____________________________

NOTE :

1. This clearance is required for boxing up of only those confined spaces, where the permit for entry into confined space has been obtained for carrying out the hot work.

2. The boxing up clearance for equipment shall be applied by site engineer in duplicate and issued

by GSI after checking. While checking inside confined space, GSI shall have a valid permit for entry as per procedure. After completion of work original copy of clearance shall be returned to issue. Duplicate copy shall be retained by site engineer.

3. The close clearances shall be retained by issuer.

5

ANNEXURE-3 Format No. IOCL/Name of Refinery/EW/01


EXCAVATION PERMIT

(This permit is to be issued by area in-charge and registered at Fire Station)

Sl No.: Permit Registration No.: Registered by____ _____ (Sign)

Name____________________ Date_______

PERMIT TYPE

NORMAL SHUTDOWN CONSTRUCTION Please tick the type of permit required

1.A. Asset custodian Dept……………………………… Date ……….……….

1B. Exact Location of Excavation

…………………………………………………….………… ……………………(Attach marked up drawing)

In Plant Area Tank Dyke Along Pipe way Along Cable way

Across Road/Footpath In Open Ground Across Drainage Flume Others

1C. Size of Excavation (Approx) …………… M deep, ………….m wide ……………m long

1D. Purpose :………………………………………………………………………………………….

2A. Commencing Date. ……………Time ….…. Expiry Date………………………Time………..

2B. Executing Dept……………………………….. Contractor…………………………………….

2C Name of permittee with Design………………..…. Signature …………………….T.No……..

3. Permission is granted as described above :

3A. Excavation Clearance is obtained and attached Regt. No……………..

4. Associated permits/ Safety Requirements:

Cold Work Permit Hot Work Permit Confined space permit (Depth >1.2 m)

Hand Excavation Only

Provide warning sign Provide flashing light (FLP in case of hazardous area)

Barricade Provide shoring Batter the sides to 45 degree or less Provide Fire

Extinguisher Provide means of

access Excavated soil 1 m min. away from

edge Body harness/ lifeline Gumboot/ safety suit Any other (specify):……………………….

Expected residual hazards 1………………………………… 2………………………………… Mechanical excavation allowed only for

Permit Issuer (GSI) Name & Design..……………… Signature………………….. Date……….

HOD of issuing Dept. for road cutting Name and Design………………………

Signature………………….. Date……….

DGM of issuing Dept. for dyke cutting Name and Design.………………………


6

7

5. Excavation Renewal (shift wise)

Renewed up to Date Hours

Requested by (Name & sign)

Additional precautions, if any

GSI signature

Permittee (Name & sign)

6. Excavation closure : Excavation site restored to normal / safe condition Yes Backfilled Yes No Properly compacted Yes No Reasphalted/repaired with concrete Yes No Facilities/ supports restored Yes No Remarks : Executer/ Permittee Name…………………………… Signature………………….. Date………. Agree that excavation restored to our satisfaction. Remarks : GSI /FPS Name……………………………………… Signature………………….. Date………. Note :

• The permit must be obtained one day in advance. Keep the Excavation clearance attached with permit. • Permit must be available at site all the time during the work. • Permit shall be in triplicate. Original in pink color shall be for permittee, first copy (white) for issuer and

second copy (green) for Fire Station. • The permit shall be issued normally for a period not exceeding 7 days with renewal in each shift.

However for shut down units/ facilities, it can be issued for a maximum period of 15 days with renewal in each shift and for construction activities a maximum period of 30 days.

• The PPE such as Safety Helmet, Safety shoe, boiler suit and hand gloves is mandatory for work. • Daily Safety tool box talk including key point tipping to contractor personnel shall be carried out by

permittee before commencement of work and the record of same shall be maintained.

8

ANNEXURE-3A __________ REFINERY

DO’S AND DON’T’S DURING EXCAVATION WORK

(Attach with all Excavation permit) Permit No.

DO’S:

1. Ensure that clearance has been obtained from various dept. in prescribed form for all excavation works.

2. Ensure that Excavation Permit and clearance has been obtained for excavation work and the same is valid.

3. All excavations and open trenches must be barricaded around the opening. Warning lamp can be used for operating area and roads during darkness (use FLP type fixture in hazardous area).

4. There must be sufficient and safe means of access and escape for excavated sites. 5. Excavation area should be free from fumes/ gases heavier than air because it may cause

asphyxiation or poisoning. All excavation of depth more than 1.2 M or more should be treated as Confined space and permit for entry into confined space should be obtained.

6. Excavation to a depth of 1 M or more shall be cut stepped back to give a suitable slope or securely held by bracing so as to avoid the danger of side to collapse.

7. All trenches 1.2 M or more in depth shall at all times be equipped with at least one ladder for each 100 feet length of excavation or fraction thereof. All such ladders shall be extended from bottom of the trench to at least 1 M above the surface of the ground.

8. Barricading of 1M height (with red & white band/ self glowing caution boards) should be carried out for excavation beyond 1.5 M depth.

9. All cutting shall be carried out from top to bottom. 10. Special precautions are required for using mechanical excavators inside refinery as it requires Hot

work permit to operate the same in operating areas of refinery (except on roads). 11. Practice to giving permission to cut half road and utilizing half road for movement of vehicle

should be avoided, unless the conditions mentioned in Sl.–4 (Don’ts ) is complied. 12. Use suitable PPE as per job requirement mentioned in work permit. 13. Inform all incidents to your supervisor and Fire station immediately.

DON’T’S:

1. Under no circumstances under cutting to be carried out. 2. Excavated earth shall not be dumped within 1 M of the edge of the excavation or depth the trench

whichever is more. 3. Excavated earth should not be dumped on nearby pathway/ approaches, on product/ steam line, in

front of emergency facilities such as Fire hydrants/ monitor, Fire Alarm points, Inlet of foam pourers etc. and on OWS man hole covers.

4. No vehicle should be allowed to go too close to the edge of the excavation because it may cause side collapse. Maintain at least 2 M distances from the edge of the excavation. Adequate and well-anchored stop blocks should be provided on the surface to vehicle being driven reversed into the excavation.

5. No mechanical excavation is to be carried out up to a depth of 1.5 M from the ground level in operating areas. In such cases manual excavation is required to be carried out up to a depth of 1.5 M from the ground level.

6. No one should be allowed to move on edge of excavation. (Signature of receiver) (Signature of issuer)

ANNEXURE-3B Format No. IOCL /Name of the Refinery/EW/02


EXCAVATION CLEARANCE

(THIS IS NOT AN EXCAVATION PERMIT)

Sl No.: Registration No.: Previous permit registration No (if any). Registered by __________ (Sign) Name____________________ Date_______

Exact Location of work (Area/ Unit/ Equipment No. etc.)………………………………………………

Description of work ………………………………………………………………………………………..

Sketch of the area of excavation enclosed.

Permission is solicited from ……….Hrs. on (date)………………..to………………Hrs. on

(date)………..

Signature of Executer………………………. Name and Designation of executor……………………

___________________________________________________________________________ 1. Underground Power Cable: Existing Not existing Permission given: Yes No Precaution, if any………………………………………………………………………………………

Signature …………………….. Date ……………………… Area: DMEL/SELE/ELE ____________________________________________________________________________ 2. Underground Telecommunication Cable: Existing Not existing Permission given: Yes No Precaution, if any……………………………………………………………………………………….

Signature ………………….. Date ……………Area: DMEL/SELE/ ELE (Tele Com) ____________________________________________________________________________ 3. Underground Firewater Line: Existing Not existing Permission given: Yes No Precaution, if any……………………………………………………………………………………….

Signature …………………….. Date ………………Area: DMFS/SFSO/FSO ____________________________________________________________________________ 4. Underground Oil/Sewer Line, Drinking Water line, Above Ground Open Drain:

Existing Not existing Permission given: Yes No Precaution, if any……………………………………………………………………………………….

Signature …………………….. Date ………………Area: DMCL/SCLE/CLE ____________________________________________________________________________

9

10

5. Underground Computer Cable: Existing Not existing Permission given: Yes No Precaution, if any……………………………………………………………………………………….

Signature …………………….. Date ……………………… Area: DMIS/SMISO/MISO ____________________________________________________________________________ 6. Underground Product Line, Utility Line: Existing Not existing Permission given: Yes No Precaution, if any……………………………………………………………………………………

Signature …………………….. Date ……………………… Area: GSI ____________________________________________________________________________ 7. Underground Instrument Cable: Existing Not existing permission given: Yes No Precaution, if any………………………………………………………………………………………

Signature …………………….. Date ………………… Area: DMIT/SITE/ITE ____________________________________________________________________________ 8. Underground Cathodic Protection Cable : Existing Not existing permission given:

Yes No Precaution, if any………………………………………………………………………………………….

Signature …………………….. Date …………………Area: DMIP/SIPE/IPE ____________________________________________________________________________ INSTRUCTION :

1. The excavation clearance is required for all excavations including road and dyke cutting. Obtaining this clearance is prerequisite for EXCAVATION PERMIT.

2. This clearance shall be obtained for a maximum period of 15 days, except at construction sites, non-operational areas, where it shall be for a maximum period of 1 month.

3. This clearance shall be kept attached with Excavation permit at site. 4. The clearance shall be issued in triplicate, original (pink) for permittee, first copy (white)

for issuer and second copy (yellow) for Fire station. The clearance shall be initiated by executer.

5. On issue, original copy will be with executor, duplicate copy with Fire Station and triplicate copy with area in-charge / GSI (Gas Safety Inspector).

6. The clearance by area in-charge/ GSI shall be given just before clearance by shift FSO and registration at Fire Station. At last shift FSO will also check that clearances from all other dept. have been received.

7. This clearance shall be considered issued after registration at Fire Station. 8. When job is completed, the receiver shall collect all the copies, and enclose them with

closed copy of Excavation Permit before handing over to permit issuer. Permit issuer in turn after closing the permit will return the same to Fire Station.

11

9. For cutting of road in addition to this clearance, format for Road Closure and Excavation permit shall be required. The Road Closure Format shall be filled and submitted to Fire Station by the executor at least one day before starting the work..

10. All road cuttings shall be properly barricaded with precautionary signs and alternate routes shall be displayed at the site by the executor.

11. Duly signed “Dos and Don’ts during excavation work” shall be integral part of excavation permit. All points mentioned in “Dos and Don’ts “ must be complied at site.

ANNEXURE-3C

Format No. IOCL/Name of Refinery/EW/03


FORMAT FOR ROAD CLOSURE

1A. Exact Location of road blockade

…………………………………………………….………… ……………………(Attach marked up drawing)

1B. Purpose :………………………………………………………………………………………….

1C. Commencing Date. ………………………. Date of completion……………………………….

1D. Executing Dept……………………………….. Contractor…………………………………….

1E. Permit for the job to be executed has been obtained: Yes No

1F Name of executor ……………………………. Signature ………………………….T. No……..

2. Permitted with following precautions:

2A. Name of Issuer (GSI)……………………………. Signature …………………….T.No…………

3. Permission is granted as described above with following safety precautions:

Display of Speed limit Use traffic cone & barricading tape Mark alternate route

Display other safety signs Display red light during night (FLP type in hazardous area)

Display of safety sign Any other requirement (Specify) …………………………………..

Shift Officer of F&S Dept. Name…………………………


Important Notes:

1. Permission for road blockade should be obtained in duplicate. Original (in pink colour) shall be with executer and duplicate (white in colour) at Fire station.

2. The permission shall be obtained at least one day before commencement of work.

3. The information about road blockade shall be sent by HOD (F&S) to Area in-charge, RSM/SRSM, HOD of affected facilities, HOD (A&W)/ HOD (HR), DGM (PN), DGM (P&U), DGM (MN), GM (T) and to other concerned officers in prescribed format.

4. Duly filled and signed format must reach to Fire station one day before the commencement of job during general shift hours.

5. Provision of road blockade, diversion of traffic, display of safety signs etc. as per procedure shall be arranged by executor with consent of shift officer (F&S).

12

ANNEXURE-3D

Format No. IOCL/Name of Refinery/EW/04


FORMAT FOR INFORMATION ABOUT MAIN ROAD CLOSURE

From : HOD (F&S) To : Area in-charges, CPNM, CPUM, CM

(A&W), executor Your Ref: Date of issue:

A. Road closure permission given for Road No. B. Location of Road C. Duration of closure From……………………….to…………..…………

D. Alternate route

Sketch of road to be cut and alternate route: Note : 1. All drivers, using the route shall be advised to exercise caution and use alternate route by their controlling departments. 2. This information can be circulated through mail. Signature of HOD (F&S) Date CC : SRM/SRSM Concerned HODs Concerned DGMs GM (T) – For information please

13

ANNEXURE-4

Format No.: IOCL/**/EI/01

PART-III

Sr. No.: ELECTRICAL ISOLATION / ENERGISATION PERMIT - HT [To be filled by Operation-In-Charge of working area on receipt of job completion certificate – PART – I & II] Unit Equipment Tag No. De-energized On Date & Time Name Signature

Energized On Date & Time Name Designation Signature Please see INSTRUCTIONS overleaf.

Format No.: IOCL / ** / EI / 01 PART-II Sr. No.:

ELECTRICAL ISOLATION / ENERGISATION PERMIT - HT Re-Energise Clearance Certificate For HT Equipment

[To be filled by Operation-In-Charge of working area]

Unit Dat Date Requirement: Emergency Ordinary All Locks & Tags removed

Equipment Earthing Found Intact

All Clearances Returned with Job Completion Certificates All tools, equipments, manpower and unused materials have been removed and surrounding area of the said equipment has been cleaned. Kindly energise the above equipment. Date : Name :

Time : Designation : (Signature)

JOB COMPLETION CERTIFICATE [To be filled by Authorised Person of Electrical Operation]

The equipment is energised after performing following Checks / Activities:

YES NO N/A 1. Damaged internals of Breaker / MCC rectified

2. Temporary safety ground/s removed

3. IR Value of Cable / Equipment Checked-found O.K.

4. Back lid / cover of Breaker boxed up

5. All LOTO of isolating device removed

6. Control fuse put back in place

7. Power fuse put back in place

8. Breaker control plug put back on its base

9. Breaker checked in test position & found O.K.

10. Trip circuit found healthy

11. Breaker racked in to service position

12. Control supply switched on

13. Space heater supply switched on

14. Breaker / MCC Module front door closed

15. MCC [MCC Module] switched on Date : Name :


Format No.: IOCL/**/EI/01 PART-I

Sr. No.:

ELECTRICAL ISOLATION / ENERGISATION PERMIT - HT

De-Energise Clearance Certificate For HT Equipment [To be filled by Operation-In-Charge of working area]

Unit Date Equipment not in operation

Requirement: Emergency Ordinary

LOTO operation performed on “Local Switch” Kindly de-energise the above equipment.

Date : Name :

Time: Designation: (Signature)


The equipment is de-energised after performing following Checks / Activities:

Isolation device is in SS No. and it’s ID

YES NO N/A 1. Equipment not in operation

2. All back feeding circuits isolated

3. Control supply switched off

4. Space heater supply switched off

5. Breaker/MCC put off & front opened

6. Breaker racked out

7. Control fuse pulled out

8. Power fuse pulled out

9. Back lid of Breaker panel opened

10. Breaker / MCC internals visually checked

11. Line discharged & Voltage test done

12. Temporary safety ground provided

13. Breaker/ MCC back/front lids closed

14. LOTO performed on Breaker / MCC

Date: Name :


India Oil Corporation Ltd.(Refineries Division)

________ REFINERY (OFFICE COPY)

India Oil Corporation Ltd. (Refineries Division)

________ REFINERY

Equipment Tag No.


________ REFINERY

EquipmentTag No.

1

ANNEXURE-4

INSTRUCTIONS

1. This certificate shall comprise of three parts, bearing common Serial Number and shall be printed on a single page separated by two vertical perforations. The PART-I is for de-energisation, the PART-II is for re-energisation and PART-III is office copy to be retained by the department of Operation-In-Charge.

2. This Clearance certificate shall be issued in duplicate. (White and

Pink copies). Both the copies to be given to Electrical Operation. On completion of the job Authorised Person of Electrical Operation shall sign on both the copies of this certificate and shall return the original white copy to the section of Operation-In-Charge. Electrical Operation shall retain the second pink copy.

3. For any equipment, the de-energising and re-energising clearance

certificates shall bear the same serial numbers. The check boxes shall be ticked only to mark the selection.

4. The issuing department of this clearance certificate should be

informed immediately after de-energising / re-energising the equipment. However, permission for any activity on the isolated equipment shall be granted by the Operation-In-Charge only after Authorised Person of Electrical Operation returns the original certifying job completion.

5. Switching off and isolation of space heater circuit shall be

mandatory along with de-energisation of a motor unless specifically requested in writing by Electrical Maintenance to keep it ON.

6. After ensuring that spring is not in charged condition and

damaged internals of Breaker is rectified, rack in the breaker and put the local / remote switch in remote position.

7. The nomenclature for Sr. No. which shall be followed and printed

on the Clearance Certificate is given as under: “XXX / ZZZZ / YY”

where XXX: three digit Book Number, ZZZZ: Four digit Clearance Number and YY: Last two digits of current year.

8. The two stars (**) in Format No. shall be replaced with abbreviated name of the respective Refineries like HR, MR, BR, GR, DR etc. in the final print.

INSTRUCTIONS


2. This Clearance certificate shall be issued in duplicate.

(White and Pink copies). Both the copies to be given to Electrical Operation. On completion of the job Authorised Person of Electrical Operation shall sign on both the copies of this certificate and shall return the original white copy to the section of Operation-In-Charge. Electrical Operation shall retain the second pink copy.

8. For any equipment, the de-energising and re-energising

clearance certificates shall bear the same serial numbers. The check boxes shall be ticked only to mark the selection.

3. The issuing department of this clearance certificate should

be informed immediately after de-energising / re-energising the equipment. However, permission for any activity on the isolated equipment shall be granted by the Operation-In-Charge only after Authorised Person of Electrical Operation returns the original certifying job completion.



6. Any damage observed by visual checking of Breaker /

Switch internals shall be informed to Electrical Maintenance through Authorised Officer of Electrical Operation.

7. The nomenclature for Sr. No. which shall be followed

and printed on the Clearance Certificate is given as under:

“XXX / ZZZZ / YY” where XXX: three digit Book Number, ZZZZ: Four digit Clearance Number and YY: Last two digits of current year.

8. The two stars (**) in Format No. shall be replaced with

abbreviated name of the respective Refineries like HR, MR, BR, GR, DR etc. in the final print.

2

ANNEXURE-5

Format No.: IOCL/**/EI/02

PART-III

Sr. No.: ELECTRICAL ISOLATION / ENERGISATION PERMIT - LT [To be filled by Operation-In-Charge of working area on receipt of job completion certificate – PART – I & II] Unit Equipment Tag No. De-energized On Date & Time Name Signature

Energized On Date & Time Name Designation Signature Please see INSTRUCTIONS overleaf.

Format No.: IOCL/**/EI/02 PART-II Sr. No.:

ELECTRICAL ISOLATION / ENERGISATION PERMIT - LT Re-Energise Clearance Certificate For LT Equipment


Unit Dat Date

y Ordinar Requirement: Emergenc y All Locks & Tags removed

Equipment Earthing Found Intact

All Clearances Returned with Job Completion Certificates All tools, equipments, manpower and unused materials have been removed and surrounding area of the said equipment has been cleaned. Kindly energise the above equipment. Date : Name :



The equipment is energised after performing following Checks / Activities:



3. IR Value of Cable / Equipment Checked-found O.K.

4. Back lid of Breaker boxed up

5. All LOTO of isolating device removed

6. Control fuse put back in place

7. Power fuse put back in place

8. Breaker control plug put back on its base





13. Space heater supply switched on


15. MCC [MCC Module] switched on Date : Name :


Format No.: IOCL/**/EI/02 PART-I

Sr. No.:

ELECTRICAL ISOLATION / ENERGISATION PERMIT - LT De-Energise Clearance Certificate For LT Equipment


Unit Date Equipment not in operation

Requirement: Emergency Ordinary

LOTO operation performed on “Local Switch”

Kindly de-energise the above equipment.

Date : Name :

Time : Designation: (Signature)


The equipment is de-energised after performing following Checks / Activities:

Isolation device is in SS No. and it’s ID

YES NO N/A 1. Equipment not in operation

2. All back feeding circuits isolated


4. Space heater supply switched off

5. Breaker/MCC put off & front opened

6. Breaker racked out

7. Control fuse pulled out

8. Power fuse pulled out

9. Back lid of Breaker opened


11. Line discharged & Voltage test done


13. Breaker/ MCC back/front lids closed

14. LOTO performed on Breaker / MCC

Date: Name :


India Oil Corporation Ltd.(Refineries Division)

________ REFINERY (OFFICE COPY)



________ REFINERY ________ REFINERY

Equipment Tag No.

EquipmentTag No.

1

ANNEXURE-5

INSTRUCTIONS


2. This Clearance certificate shall be issued in duplicate. (White and

Pink copies). Both the copies to be given to Electrical Operation. On completion of the job Authorised Person of Electrical Operation shall sign on both the copies of this certificate and shall return the original white copy to the section of Operation-In-Charge. Electrical Operation shall retain the second pink copy.

3. For any equipment, the de-energising and re-energising clearance

certificates shall bear the same serial numbers. The check boxes shall be ticked only to mark the selection.

4. The issuing department of this clearance certificate should be

informed immediately after de-energising / re-energising the equipment. However, permission for any activity on the isolated equipment shall be granted by the Operation-In-Charge only after Authorised Person of Electrical Operation returns the original certifying job completion.



6. After ensuring that spring is not in charged condition and

damaged internals of Breaker is rectified, rack in the breaker and put the local / remote switch in remote position.

7. The nomenclature for Sr. No. which shall be followed and printed

on the Clearance Certificate is given as under: “XXX / ZZZZ / YY”

where XXX: three digit Book Number, ZZZZ: Four digit Clearance Number and YY: Last two digits of current year.



INSTRUCTIONS


2. This Clearance certificate shall be issued in duplicate.

(White and Pink copies). Both the copies to be given to Electrical Operation. On completion of the job Authorised Person of Electrical Operation shall sign on both the copies of this certificate and shall return the original white copy to the section of Operation-In-Charge. Electrical Operation shall retain the second pink copy.

3. For any equipment, the de-energising and re-

energising clearance certificates shall bear the same serial numbers.

4. The issuing department of this clearance certificate should

be informed immediately after de-energising / re-energising the equipment. However, permission for any activity on the isolated equipment shall be granted by the Operation-In-Charge only after Authorised Person of Electrical Operation returns the original certifying job completion.



6. Any damage observed by visual checking of Breaker /

Switch internals shall be informed to Electrical Maintenance through Authorised Officer of Electrical Operation.

7. The nomenclature for Sr. No. which shall be followed

and printed on the Clearance Certificate is given as under:




2

ANNEXURE-II

Format No.: IOCL / ** / EI / 03 PART-III Sr. No.:

Permit to work on High Tension (HT) Line & Equipment

RE-ENERGISATION INSTRUCTION FOR ISOLATED POWER LINE / EQUIPMENT

[To be filled by Permit Issuing Authority]

Job completion certificate has been received from the Requisitioner / Executor for the power line / eqipment de-energised earlier. No other job clearance has been issued on this power line / equipment. Kindly re-energise the above mentioned power line / equipment. OIC of Affected Plant / Area is in agreement with the proposal.

Date : Permit Issuing Authority:

Time: OIC of Affected Plant / Area:

(Signature)

RE-ENERGISATION CERTIFICATE [To be filled by Authorised Person of Electrical Operation]

The above mentioned power cable [Feeder] / equipment is re-energised after performing following Checks / Activities:



3. IR Value of Cable/Equipment Checked-found O.K.


5. All Locks & Tags of Breaker removed

6. All fuses put back in place

7. Breaker control plug put back in place






13. MCC [MCC Module] switched on Date: Signature : Time: Designation: (Name)

Please see INSTRUCTIONS overleaf.


Permit to work on High Tension (HT) Line &

Equipment

PERMIT TO WORK CERTIFICATE [To be filled by Permit Issuing Authority]

Permit is hereby issued to ____________________ ______, ________ & _______ [Name, Designation & Dept.] for working on ______________________ _________________from __________ & ________ [Date & Time] after proper Isolation/de-energisation of the power cable / feeder / system and ensuring safe working condition after performing Lock Out and Tag Out [LOTO] operation on Breaker / Switch. This permit is valid till the return of job completion certificate.

Date: Name:


PRE-EXECUTION CHECKUP OF ISOLATED SYSTEM [To be filled by Requisitioner / Executor]

Following checkup of the isolated cable / equipment / electrical system has been done before starting the work to ensure safe working condition.

YES NO N/A

1. Breaker is in racked out position

2. No line voltage observed on voltage test

3. Local safety ground provided

4. LOTO done on Breaker / MCC Module Date: Name:


JOB COMPLETION CERTIFICATE [To be filled by Requisitioner / Executor]

This is to certify that the work related to ___________ ___________________________ has been completed

/ stopped due to urgent requirement. All tools, unused materials and manpower have been removed. Locally provided temporary safety ground has been removed. Locks & Tags removed from Breaker / Switch / Panel.

The system is safe for charging.

Date: Signature : Time: Designation: (Name)


Format No.: IOCL / ** / EI / 03 PART-I Sr. No.:

Permit to work on High Tension (HT) Line & Equipment

REQUISITION FOR CLEARANCE [To be filled by Requisitioner / Executor]

Power Line / Equipment To Be Isolated_____________________

Nature Of Job ___________________________________________

Tentative Duration of Work ________________________________

Plant / Area That Will Be Affected ___________________________

Requisitioned BY [Name] __________________________________

Designation ___________________________________

Date _____________Time ________hrs._____________________ [Signature Of Requisitioner]

The above-mentioned equipment / related power cable may be de-energised as requested.

Signature: [Permit Issuing Authority] [OIC of Affected Plant / Area]

DE-ENERGISATION CERTIFICATE [To be filled by Authorised Person of Electrical Operation]

The above mentioned power cable [Feeder] / equipment is de-energised after performing following Checks / Activities:

YES NO N/A 1. All back feeding circuits checked & isolated


3. Breaker/MCC switched off & front lid opened

4. Breaker racked out & control plug removed

5. All fuses pulled out and kept at proper place

6. Back cover / lid of Breaker Panel opened


8. Line discharged through Earth Rod

9. No line voltage observed on Voltage Test


11. Breaker/ MCC back/front lids [covers] closed

12. LOTO performed on Breaker/MCC Module Date : Signature : Time: Designation: (Name)



________ REFINERY Power & Utility Department





1

ANNEXURE-II

2

-II

2

INSTRUCTIONS INSTRUCTIONS

1. This Permit To Work clearance certificate is an intra departmental protocol of Electrical Department and shall be used by Electrical Maintenance, Electrical Testing and Electrical Operation to de-energisation & re-energisation of HT lines and equipments for the purpose of maintenance / project work.

2. This certificate shall comprise of three parts,

bearing common Serial Number and shall be printed on a single page separated by three vertical perforations. The PART-I is for de-energisation, the PART-II is the Permit To Work certificate and Job Completion Certificate and PART-III is for re-energisation.

3. This Clearance certificate shall be issued in

original (White) in sequence of PART-I, PART-II & PART-III. PART-II shall be issued only after PART-I is returned back to Permit Issuing Authority with endorsement of de-energisation. Similarly, PART-III shall be issued only after PART-II is returned back to Permit Issuing Authority with endorsement of job completion. PART-III shall also be returned to the Permit Issuing Authority after re-energisation and the Permit Issuing Authority shall keep all the three parts as record.

4. While filling each part, permit type i.e. HT or LT,

for power line / equipment shall be chosen carefully.

5. The nomenclature for Sr. No. which shall be

followed and printed on the Clearance Certificate is given as under:


6. The check boxes shall be ticked only to mark

the selection. 7. The two stars (**) in Format No. shall be

replaced with abbreviated name of the respective Refineries like HR, MR, BR, GR, DR etc. in the final print.

INSTRUCTIONS






4. While filling each part, permit type i.e. HT

or LT, for power line / equipment shall be chosen carefully.

5. The nomenclature for Sr. No. which shall be followed and printed on the Clearance Certificate is given as under:





INSTRUCTIONS










“xxx / zzzz / YY” where XXX: three digit Book Number, ZZZZ: Four digit Clearance Number and YY: Last two digits of current year.

6. The check boxes shall be ticked only to mark the

selection. 8. The two stars (**) in Format No. shall be replaced

with abbreviated name of the respective Refineries like HR, MR, BR, GR, DR etc. in the final print.

ANNEXURE-6A Indian Oil Corporation Ltd. Format No.: IOCL / ** / EI / 05 (Refineries Division) Sr. No.:

________REFINERY

TRIP RESET CLEARANCE CERTIFICATE FOR HT EQUIPMENT [To be filled by Operation-In-Charge of working area]

Unit Equipment Tag No. Date Requirement of Trip resetting: Emergency Ordinary Equipment tripped in running condition Equipment tripped after starting Kindly reset the tripped Breaker / MCC Module for running the equipment. Date ____________ Designation ____________ Signature _________________________ Time ____________ Name ___________________________________________________

JOB COMPLETION CERTIFICATE

[To be filled by Authorised Person of Electrical Operation] TRIP reset of the above intimated Breaker / MCC Module has been done after performing following Checks / Activities:

YES NO 1. Glowing of “TRIP” indication lamp on panel observed

2. Relay status indicator visible from out side of the Panel

3. Panel front door opened using lock defeat

4. Equipment tripped on overload

5. Equipment tripped on other reason

6. Trip reset of the Breaker / MCC Module done

Remarks: Equipment tripped due to operation of ___________________________________. Please refer the problem to Electrical Maintenance for rectification. Date: Signature : Time: Designation: (Name)

1

ANNEXURE-6A

INSTRUCTIONS

1. This certificate shall comprise of one page bearing Serial Number and shall be printed on a single page.

2. This Clearance certificate shall be issued in duplicate. (1st Copy:

White and 2nd Copy: Pink). Both the copies are to be given to Electrical Operation. On completion of the job Authorised Person of Electrical Operation shall sign on both the copies of this certificate and shall return the original white copy to the section of Operation-In-Charge. Electrical Operation shall retain the second pink copy as record.

3. Issuer of this clearance certificate shall record the issuance of this

trip reset clearance certificate against Sr.No., Date and equipment tag no. in Log Book.



2

ANNEXURE-7

Format No.: IOCL / ** / EI / 04 PART-III Sr. No.:

Permit to work on Low Tension (LT) Line & Equipment

RE-ENERGISATION INSTRUCTION FOR ISOLATED POWER LINE / EQUIPMENT

[To be filled by Permit Issuing Authority]

Job completion certificate has been received from the Requisitioner / Executor for the power line / eqipment de-energised earlier. No other job clearance has been issued on this power line / equipment. Kindly re-energise the above mentioned power line / equipment. OIC of Affected Plant / Area is in agreement with the proposal.

Date : Permit Issuing Authority:

Time: OIC of Affected Plant / Area:

(Signature)

RE-ENERGISATION CERTIFICATE [To be filled by Authorised Person of Electrical Operation]

The above mentioned power cable [Feeder] / equipment is re-energised after performing following Checks / Activities:



3. IR Value of Cable/Equipment Checked-found O.K.


5. All Locks & Tags of Breaker removed

6. All fuses put back in place

7. Breaker control plug put back in place






13. MCC [MCC Module] switched on Date: Signature : Time: Designation: (Name)




PERMIT TO WORK CERTIFICATE [To be filled by Permit Issuing Authority]

Permit is hereby issued to ____________________ ______, ________ & _______ [Name, Designation & Dept.] for working on ______________________ _________________from __________ & ________ [Date & Time] after proper Isolation/de-energisation of the power cable / feeder / system and ensuring safe working condition after performing Lock Out and Tag Out [LOTO] operation on Breaker / Switch. This permit is valid till the return of job completion certificate.

Date: Name:


PRE-EXECUTION CHECKUP OF ISOLATED SYSTEM [To be filled by Requisitioner / Executor]

Following checkup of the isolated cable / equipment / electrical system has been done before starting the work to ensure safe working condition.

YES NO N/A

1. Breaker is in racked out position

2. No line voltage observed on voltage test

3. Local safety ground provided

4. LOTO done on Breaker / MCC Module Date: Name:


JOB COMPLETION CERTIFICATE [To be filled by Requisitioner / Executor]

This is to certify that the work related to ___________ ___________________________ has been completed

/ stopped due to urgent requirement. All tools, unused materials and manpower have been removed. Locally provided temporary safety ground has been removed. Locks & Tags removed from Breaker / Switch / Panel.

The system is safe for charging. Date: Signature : Time: Designation: (Name)


Format No.: IOCL / ** / EI / 04 PART-I

Sr. No.:


REQUISITION FOR CLEARANCE [To be filled by Requisitioner / Executor]

Power Line / Equipment To Be Isolated_____________________

Nature Of Job ___________________________________________

Tentative Duration of Work ________________________________

Plant / Area That Will Be Affected ___________________________

Requisitioned BY [Name] __________________________________

Designation ___________________________________

Date _____________Time ________hrs._____________________ [Signature Of Requisitioner]

The above-mentioned equipment / related power cable may be de-energised as requested.

Signature: [Permit Issuing Authority] [OIC of Affected Plant / Area]

DE-ENERGISATION CERTIFICATE [To be filled by Authorised Person of Electrical Operation]

The above mentioned power cable [Feeder] / equipment is de-energised after performing following Checks / Activities:

YES NO N/A 1. All back feeding circuits checked & isolated


3. Breaker/MCC switched off & front lid opened

4. Breaker racked out & control plug removed

5. All fuses pulled out and kept at proper place

6. Back cover / lid of Breaker Panel opened


8. Line discharged through Earth Rod

9. No line voltage observed on Voltage Test


11. Breaker/ MCC back/front lids [covers] closed

12. LOTO performed on Breaker/MCC Module Date : Signature : Time: Designation: (Name)



________ REFINERYower & Utility Departme

P nt





1

ANNEXURE-7

2

-7

2

INSTRUCTIONS INSTRUCTIONS














INSTRUCTIONS






4. While filling each part, permit type i.e. HT

or LT, for power line / equipment shall be chosen carefully.

5. The nomenclature for Sr. No. which shall be followed and printed on the Clearance Certificate is given as under:


6. The check boxes shall be ticked only to

mark the selection. 7. The two stars (**) in Format No. shall be


INSTRUCTIONS











5. The check boxes shall be ticked only to mark the

selection. 6. The two stars (**) in Format No. shall be replaced

with abbreviated name of the respective Refineries like HR, MR, BR, GR, DR etc. in the final print.

ANNEXURE-7A Indian Oil Corporation Ltd. (Refineries Division) Sr. No.:

________REFINERY

TRIP RESET CLEARANCE CERTIFICATE FOR LT EQUIPMENT [To be filled by Operation-In-Charge of working area]

Unit Equipment Tag No. Date Requirement of Trip resetting: Emergency Ordinary Equipment tripped in running condition Equipment tripped after starting Kindly reset the tripped Breaker / MCC Module for running the equipment. Date ____________ Designation ____________ Signature _________________________ Time ____________ Name ___________________________________________________

JOB COMPLETION CERTIFICATE

[To be filled by Authorised Person of Electrical Operation] TRIP reset of the above intimated Breaker / MCC Module has been done after performing following Checks / Activities:

YES NO 1. Glowing of “TRIP” indication lamp on panel observed

2. Relay status indicator visible from out side of the Panel

3. Panel front door opened using lock defeat

4. Equipment tripped on overload

5. Equipment tripped on other reason

6. Trip reset of the Breaker / MCC Module done

Remarks: Equipment tripped due to operation of ___________________________________. Please refer the problem to Electrical Maintenance for rectification. Date: Signature : Time: Designation: (Name)

1

ANNEXURE-7A

INSTRUCTIONS

1. This certificate shall comprise of one page bearing Serial Number and shall be printed on a single page.

2. This Clearance certificate shall be issued in duplicate. (1st Copy:

White and 2nd Copy: Pink). Both the copies are to be given to Electrical Operation. On completion of the job Authorised Person of Electrical Operation shall sign on both the copies of this certificate and shall return the original white copy to the section of Operation-In-Charge. Electrical Operation shall retain the second pink copy as record.

3. Issuer of this clearance certificate shall record the issuance of this

trip reset clearance certificate against Sr.No., Date and equipment tag no. in Log Book.

2

Annexure-8

Format No. IOCL/Name of Refinery/WH/01

INDIAN OIL CORPORATION LIMITED ___________ REFINERY

PERMIT FOR WORKING AT HEIGHT

(REQUIRED FOR WORKING AT HEIGHTS OF 2.0 METERS & ABOVE)

This permit authorizes for provision of safe access / platform/ working arrangement at height for carrying out the job. In addition depending on nature of

work, separate work permit must be obtained.

Sl. No.

FROM : _____ HRS DATE_________ TO ______ HRS DATE________ NAME OF THE AGENCY / CONTRACTOR……………………………………………………………. NAME OF THE SITE SUPERVISOR…………………………………………………………………… JOB/WORK ORDER NO__________________LOCATION OF WORK ___________________ DESCRIPTION OF WORK ______________________________________________________ TOTAL NO. OF WORKERS ALLOWED __________________________________________ PERMITTEE SHALL CHECK THE FOLLOWING ITEMS FOR COMPLIANCE BEFORE SOLICITING THE PERMISSION. YES NOT REQ 1. Have scaffolds been checked and certified in prescribed form by scaffold supervisor?

2. Have scaffolds been tagged with green card duly filled and signed by scaffold supervisor?

3. Is scaffold rechecked and re-certified weekly?

4. Is scaffold erected on firm ground and sole plate & base plate have been used?

5. Is the hanging baskets used of proper construction, tested and certified for the purpose.

6. Is the work platform made free of hazards of all traps/ trips/ slips & fall?

7. Have cat ladders, crawling boards etc been used for safe working at sloping roof 8. Has edge protection provided against fall from roof/ elevated space? THE FOLLOWING ITEMS SHALL BE CHECKED FOR RISK ASSESMENT BY ISSUER AND COMPLIED BY PERMITTEE BEFORE SOLICITING THE PERMISSION.

9. Is the platforms been provided with Toe board, guardrail & area below is barricaded.

10. Checked whether safety harness & necessary arrangement for tying the life-line,

fall arresters etc provided to the worker for working at height.

11. Have precaution been listed below for safe working at height for source of energy

Such as electricity

11 Is proper means of access to the scaffold including use of standard aluminum ladder

provided ?

12. Is the raised work surface properly illuminated?

13. Is the workers are working near unguarded shafts, excavations or hot line?

14. Checked for provision of collective fall protection such as safety net

1

15. Additional PPE recommended ____________________________________________________________________________

ADDITIONAL PRECAUTION REQUIRED, IF ANY

____________________________________________________________________________

____________________________________________________________________________

Fire Permit Signatory /Gas Safety Inspector (Issuer) Signature _______________________________ Name ___________________________________Desig. ___________________ Tel No. ________

Permittee/ Receiver Signature __________________________ Name _____________________________ Desig. ______________ Tel No. ________

Concerned Area HOD/RSM ** Signature & Date _____________________

Permittee HOD ** Signature & Date ____________________

** Required in case: Permit is needed beyond normal working hours (8.00 Hrs to 17.00 Hrs.)/ round the clock/ Sundays & holidays. Closing of the work permit: Receiver : Certified that the subject work has been completed / stopped and area cleared


Date & Time

Name & Designation


Name & Designation

Signature

Clearance Renewal:


From To

Additional precautions if any, Otherwise mention “NIL”

Name of GSI / FPS

Desig. of GSI / FPS


Name of Permittee

Desig. of Permittee

Sig-nature of Permittee

2

INSTUCTIONS: - 1. This permit will be issued in Triplicate. GREEN COPY (ORIGINAL) and WHITE COPY

(TRIPLICATE) will be for the Permittee. ISSUING AUTHORITY will retain WHITE COPY (DUPLICATE). This permit shall be valid for a period of 8 hours only, unless it is renewed/ extended. This clearance on the same permit can be renewed/ extended up to a maximum of seven calendar days.

2. After the completion of the job, copies of work permit should be returned to the ISSUER. 3. Items applicable must be ticked (√). 4. All works at height shall be discontinued during rain/ high wind/ floods. 5. Stop all jobs in case scaffold is sagging unduly. Report to EIC. 6. Metallic tubular scaffolding and standard aluminium ladders are only to be used. 7. All works must stop on instruction from permit issuing authority, permittee and officers of F&S

Dept. or whenever unsafe condition is detected. 8. Permittee shall obtain permission from the respective disciplines. 9. Permittee to ensure the compliance of safety precaution required mentioned in permit 10. Use of approved type full body safety harness along with lifeline is must for working at height

of 2.0 M and above. 11. Permit must be available at site during the work. 12. Use of safety helmet and shoe is mandatory for all work sites. 13. Permittee shall ensure that all working personnel have taken SAFETY TRAINING before start

of work. Toolbox talk and key point tipping shall be given by permittee daily before start of work.

14. Sketches should be provided, if required. 15. Term “TRAP” means a gap of 1 inch or more in scaffold platform, “TRIP” means projected

object on floor of work platform such as overlap of scaffold boards etc., “SLIP” means oily/ slippery floor of scaffold platform and “FALL” means Fall prevention measures such as guard rail/ toe guard is in place.

3

ANNEXURE-8A Format No. IOCL/Name of Refinery/WH/03

..….Refinery

PRE ERECTION CHECKLIST FOR SCAFFOLDS

(To be filled up and complied before erection of scaffold at site, before giving permit to start the erection)

Sl. No. ……….

Type of scaffold to be erected : Independent scaffold Independent tied scaffold Mobile scaffold Quick fix scaffold Birdcage scaffold Truss scaffold System scaffold Slung scaffold Drop scaffold Any other (specify)………… A. Exact location of work: (Unit/ Area/ Equipment No.)………………………………………………………………………… ……………………………………………………………………………………………………………………………………….. B. Description of work to be performed…………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………… C. Expected date and time to start erection………………………………… Expected date of completion…………………

D. Maximum No. of persons allowed on scaffold after erection : E. Associated Permit : Hot Work / Entry into Confined Space Permit Cold Work Permit Confined Space Entry Permit Radiography Permit Excavation Permit Electrical isolation/ Energisation Permit Working at height Permit F. For the scaffold sufficient quantity of materials are available at site: S. N

Items Yes No Not Required

S.N. Items Yes No Not Required

1. Scaffold pipes* X 2. Scaffold couplers * X 3. Deck boards* 4. Base plate* X 5. Sole plate 6. Toe board# 7. Reveal pin 8. Standard aluminum

ladder (as per IS/ BS)#

9. Mettle Wire to fix ladder #

10. Tags (RED & GREEN)*

X 11. Toe board clip # 12. Joint pin 12. Approved full

body safety harness with lanyard/ life line **

13. Double fork type lanyard with energy absorber##

14. Fall arrester 15. Safety Net *- Compulsory for all scaffolds, used for working at height by persons. # Compulsory for scaffold of height 1.8 M and above. ## Compulsory during scaffold erection, repair, modification & dismantling and also when ladder is not in use. ** Compulsory for 2 M and above.

4

S. N.

Name Trained on S.N. Name Trained on

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

G. Name of trained scaffold supervisor (Training validity- 1 years) : 1…………………………..…2……………………………. H. Quality of scaffold materials available at site: S.N. Items Yes No S.N. Items Yes No1. Are scaffold tubes not

damaged/ deformed? * 2. Are scaffold boards / sole

plates damaged/deformed? **

3. Is couplers suitable type and free from defects?

4. Are base plates free from defects?

5. Are standard metal wires available for tying ladder?

6. Are Standard alluminium ladder (s) free from defects, deformity and temporary repairs.

*- Refer drawing no. **- Refer drawing no. Name and designation of site engineer / E-I-C: Signature with date I. Safety check by issuer : S.N. Items Yes No Not

RequiredS.N. Items Yes No Not

Required1. Area inspected for

erection of scaffold and found surface consolidated/ hardened

X2. Is safety harness

(s) with lanyards available and in good condition?

3. Are other PPE such as fall arrester available?

4. Is Safety net available?

5. Is 100% safety briefing given by Site engineer before start of work?

X6. Are scaffold

materials properly stacked at site, without obstruction approach routs?

7. Are warning signs, barricading tapes available at site?

7. Is medical certificate for persons working at a height of 2M and above available?

ISSUER (GSI) RECEIVER/EXECUTER (Site engineer)

5



IMPORTANT NOTES: -This pre erection checklist shall be filled up by executer and issuer before start erection of each scaffold. -Pre-erection checklist shall be filled by E-I-C in duplicate and submit to issuer for further check. On further check by issuer, the executer shall comply with all requirements as mentioned in checklist and sign the checklist. - Duplicate copy shall be returned to issuer after compliance, whereas original shall be retained by executer. -Check-list points marked as “NO” must be attended and addressed in this format.

6

ANNEXURE-8B

Format No. IOCL/Name of Refinery/SS/02

REFINERY CHECK LIST FOR SCAFFOLD

UNIT LOCATION/

EQUIPMENT DATE/

INSPECTED TYPE OF

SCAFFOLD ERECTERED

BY

Item Checkpoint Condition Comments Action Foundation Firm and even Standards Vertical Staggered joints Right spacing Not damaged Ledgers Level Staggered joints Not loose Not damaged Transoms Right spacing Not loose Right support Bracing Ties None missing Not loose Fittings Right fitting Not damaged Check couplers Ladders Proper angle Right length Properly secured Separate landing Right extension Guardrails Right height Right length None missing Toe-boards Others General Comments Contractor’s Supervisor/ Engineer Maintenance Engineer/

Civil/ Mechanical/ Inst. Engr. Name Signature Date & Time

Contractor shall carry out further periodic inspections every seven days. Above signatories must approve any change made to the scaffold after signing this check list.

7

ANNEXURE-8C Format No. IOCL/Name of Refinery/WH/04

MEDICAL CERTIFICATE

Form for Medical Check Up for the Workman engaged by the Contractor

(Working at Heights)

Certified that I ___________________ have examined Shri ____________________Age _________ who has signed below in my presence. The details of his examination as required are given in the enclosed medical examination report. I certify that all clinical and pathological tests were done in my hospital/dispensary under my instructions and I find him fit. General and physical examinations of Shri ________________ do not reveal any abnormality. He does not suffer from any acute / chronic skin disease or any contagious or infectious disease. He is medically fit to work at height of 2.0 meters and more since he is free from Vertigo, Epilepsy or Fits, general giddiness and height related disease. His B.P., Pulse, Eye sight etc. are normal. In my opinion Shri ____________________ is physically and mentally fit for job in _____________ _______________________ Signature of the workmen Date: _____________________________ Signature and Rubber stamp of medical practitioner with name Note: This certificate is to be given on the letter head of the registered medical practitioner who is possessing allopathic qualification as recognized by the Indian medical council. Below the signature, the rubber stamp of the medical practitioner should be affixed. Te letterhead normally should contain the following: 1) Name of the Medical practitioner: 2) Qualifications: 3) Registration Number: 4) Designation: 4) Address:

8

ANNEXURE-9 Format No. IOCL/Name of Refinery/RP/01


RADIATION PERMIT

(This permit is to be issued by area in-charge and registered at Fire Station)

Sl No.:

Valid from : _________Hrs Date_______ To __________ Hrs Date________

Permission is granted to Dept./ Section/ contractor ………………………………………………..

Name of radiography agency ………………………………………………………………………..

Name of site supervisor (Level-2 holder) …………………………………………………………..

Specific Location of work …………………………………………………………………………….

Name, Design & Signature of Permittee……………………………………

Part-1 (TO BE FILLED BY RADIOGRAPHY AGENCY) RADIATION SOURCE

Type of Radiation : X-Ray Gama Ray Ir-192/ Co-60 No. of Source:_________________ Radiation Activity (Intensity) : _____________ Kv/ Ci

MEASUREMENT OF CONTROL ON RADIATION EXPOSURE

• Collimater: Yes No Not Required

• Radiation Survey Meter: Yes No

• Film Badge: Yes No

• Concrete Wall Barrier: Yes_____mr/ hr No Not Required

• Pocket Dosimeter: Yes No

• Alarm/ Lamp : Yes No Not Required

• Cordon off Distance:___________ in Meters. Others :_______________________ No. of Persons involving in Radiation Work :___________________ Radiography site in charge Name / Signature of officer (Insp. Dept.) _______________________ Name/ Signature :_______________________________

IOCL, Refinery Registration No. of agency:

1

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT BY ISSUER

Part-2 (Please put tick [√ ] mark in the appropriate box) Item Done Not

Req. Item Done Not

Req. 1. Equipment/ work Area

inspected. 2. Associated permit taken

for the job (specify the types and permit no.).

3. Area cordoned off (in

case of radiography) with proper symbol.

4. Proper lighting provided.

5. Radiation survey

meter available at site.

1. Following additional PPE to be used in addition to standards PPE (Helmet, Safety Shoes,

Hand gloves, Boiler suit) (Tick the relevant items):

Face Shield

Dust Respirator

Lifeline Compressed Air Set

Goggles Fresh Air Mask

Safety Harness

Earmuff

Film badge/ dosimeter Others

2. Additional precaution, if

any__________________________________________________________________ ________________________________________________________________________ HOD/RSM ( In case of working beyond office hours) Signature ___________________________ Name _________________________ Desig. ________ Tel No.______

GSI/ FPS Signature _________________________Name ___________________ Desig. ___________________ Tel No. ________

Permittee/ Receiver Signature ___________________ Name __________________ Desig.______________ Tel No. ______

SPECIAL INSTRUCTIONS

1. This permit shall be valid for a period of 8 hours only, unless it is renewed/ extended. This clearance on the same permit can be renewed / extended up to a maximum of seven calendar days.

2. In case of fire alarm all work must immediately be stopped. In case of Emergency Sirens, all work must be stopped and all nonessential personnel must leave work site and processed to designated areas.

3. This permit must be available at work site at all times. 4. This permit is to be made in duplicate: Blue & white colour. Blue copy is issued to

Permittee/ Executor. The White copy is to be retained by issuing authority.

2

3

5. On completion of job, area to be cleared and copies of permit to be returned to the issuer after closing of permit. The same shall be closed by issuer and kept as record.

6. All the columns in the form should be filled properly. No column should be left blank. 7. Announcement to be made and removal of nonessential persons are to be ensured from

condoned off area before commencement of job. The barricading is to be done with warning tape with display of Radiation hazard symbol at site by the site radiographer after carrying out the radiation survey.

8. The radiography should preferably be carried out at a time, when occupancy is least. 9. Radiation source movement within the site is to be maintained as per BARC norms. 10. The supervisor must be available at site during the radiography work. 11. “Level-2 holder” means “Radiological Safety Officer” designated by the employer and

who in the opinion of the competent authority is qualified to discharge the functions under Rule-13 of The Gazette of India No.-44, Oct’30, 1971.

12. The distance for barricading is decided by RSO depending upon on strength of radiation source, occupancy factor and radiation work load.

Closing of the work permit: Receiver : Certified that the subject work has been completed / stopped and area cleared


Date & Time

Name & Designation


Name & Designation

Signature

Clearance Renewal:


From To

Additional precautions if any, Otherwise mention “NIL”

Name and Desig. of GSI / FPS


Name and Desig. of Permittee

Signature of Permittee

Signature of RSM (In case of work beyond normal working hrs.)

4

ACCIDENT BRINGS TEARS, SAFETY BRINGS CHEERS

Work Permit Oil Refinery

Documents

intra departmental

aid center

digit book

key point

power fuse

space heater

nearest safety

lower explosive