5887 on pr hm 013[1]+ptw+procedure

Pearl GTL Project Revision 4 Ras Laffan, Qatar of 59

Rev 1 Rev 2 Rev 3 Rev 4

Prepared By (Originator): J. Pile J. Pile J. Pile J. Pile

Checked By (Line Manager): T. MacFarlane T. MacFarlane T. MacFarlane T. MacFarlane

Reviewed By (PQM): S. Alkhedairy S. Alkhedairy S. Alkhedairy S. Alkhedairy

Approved By (Project Director): S. P. Watson S. P. Watson S. P. Watson S. P. Watson

Date: 29 Sep 06 11 Oct. 06 23 Oct. 06 15 Jan 07

Issue Status: IFL IFL IFL IFL

PEARL GTL PROJECT

HSSE

5887-ON-PR-HM-013

PERMIT TO WORK PROCEDURE

CONSTRUCTION PHASE

Permit To Work Procedure - Construction Phase Pearl GTL Project Revision: 4 Ras Laffan, Qatar of 59

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TABLE OF CONTENTS 1.0 PURPOSE............................................................................................................................... 5 2.0 SCOPE.................................................................................................................................... 5

2.1 Supporting Procedures ................................................................................................. 6 3.0 RISKS ..................................................................................................................................... 7 4.0 REFERENCES........................................................................................................................ 8

4.1 Project Reference Documents ...................................................................................... 8 4.2 Reference Associated Procedures ............................................................................... 8

5.0 DEFINITIONS AND ABBREVIATIONS.................................................................................. 9 5.1 Definitions....................................................................................................................... 9 5.2 Abbreviations ................................................................................................................. 9

6.0 PROCESS............................................................................................................................. 10 7.0 PROCEDURE ....................................................................................................................... 11

7.1 Risk Assessment.......................................................................................................... 11 7.2 Permit Planning ............................................................................................................ 12 7.3 PTW Coordination ........................................................................................................ 12 7.4 Permit to Work Forms.................................................................................................. 12 7.5 PTW Distribution .......................................................................................................... 13 7.6 Permit Authorisation.................................................................................................... 14 7.7 Validity Period and Revalidation................................................................................. 14 7.8 Shift Handover.............................................................................................................. 15 7.9 Changes and Emergency Conditions......................................................................... 15 7.10 Close-out and Return to Service................................................................................. 15 7.11 Records ......................................................................................................................... 15 7.12 Monitoring, Audit and Review..................................................................................... 16

8.0 RESPONSIBILITIES............................................................................................................. 16 8.1 Pearl GTL Project Manager / Asset Manager ............................................................. 16 8.2 Pearl GTL / PMC / IC / EPCM HSSE/SD Mangers ....................................................... 17 8.3 Permit Requestor ......................................................................................................... 17 8.4 Permit Coordinator....................................................................................................... 17 8.5 Issue Authority ............................................................................................................. 17 8.6 Supervisor..................................................................................................................... 18 8.7 Permit Holder................................................................................................................ 18 8.8 Authorised Gas Tester................................................................................................. 18

9.0 PERMIT TO WORK ACTIVITIES ......................................................................................... 19 9.1 Entry into Confined Spaces ........................................................................................ 19 9.2 Electrical Isolations and Work on Live Systems....................................................... 19 9.3 NDE and Ionising Radiation Activities ....................................................................... 19 9.4 Excavations and Piles.................................................................................................. 19 9.5 Operating Equipment Near Energised Overhead Electrical Services ..................... 19 9.6 Grating and Handrail Removal .................................................................................... 20 9.7 Hot Work in the Vicinity of Flammables or Explosives............................................. 20 9.8 Storage and Handling of Chemical and Hazardous or Toxic Materials................... 20 9.9 Explosive Devices and Tools Utilising Explosive Charges...................................... 20 9.10 Lifting of Personnel by Mechanical Means................................................................ 20 9.11 Diving Operations ........................................................................................................ 21

10.0 CONTROLLED PROCEDURE ACTIVITIES......................................................................... 21


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10.1 Pneumatic Testing ....................................................................................................... 21 10.2 Scaffolding.................................................................................................................... 21 10.3 Non-Routine and Heavy Lift Operations .................................................................... 22

11.0 TSTI AND PERMITS............................................................................................................. 22 11.1 Total Safety Task Instruction (TSTI) ........................................................................... 22

12.0 APPENDICES....................................................................................................................... 23

Appendix A Permit Control Area Plot Plan Appendix B Confined Space Entry Permit Appendix C Gas Test Certificate Appendix D Confined Space Entry / Exit Log Appendix E Non Destructive Examination (NDE) Permit Appendix F Radiological Material Storage Permit Appendix G Excavation Permit Appendix H Crane Suspended Work Platform Permit Appendix I Crane Suspended Work Platform Daily Checklist Appendix J Working within 6 meters of Energised Overhead Uninsulated

Electrical Lines Permit Appendix K Grating / Flooring / Hand-Railing Removal Permit Appendix L Hot Work Permit Appendix M Hazardous Material Storage Permit Appendix N Powder / Explosive Charge Activated Tools Permit Appendix O Permit to Work Inspection Check List Appendix P Permit to Work Register Appendix Q Total Safety Task Instruction Form Appendix R Deleted Appendix S Diving Permit Appendix T Safety System Override Permit Appendix U Permit to Work Form Appendix V Permit Revalidation Certificate Appendix W PTW Issuing Authority Appointees Appendix X Index of Permit Areas Appendix Y Risk Assessment Matrix (RAM) Appendix Z Risk Assessment Matrix – Definition of Terms


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Rev Issue Status

Date Revision Details

0 ICC 27 May 06 Issued for Internal Discipline Check 1 IFL 29 Sep 06 Document title, Purpose and Scope Sections revised to

clarify document use for Construction Phase only. Standard Permit to Work Form, PTW Register, TSTI Form and RAM added. New Sections 2.1, 9.0, 10.0 & 11.0 added.

2 IFL 11 Oct. 06 Revised. Appendices B to S revised. 3 IFL 23 Oct. 06 Attachment Q (TSTI) form revised items (17 & 18) 4 IFL 15 Jan. 07 General text revised as indicated in right hand margin.

Appendices B to O and V revised. Appendix Y was Appendix T. Appendix R deleted. Appendices T, U, V, W and X added.


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1.0 PURPOSE

The objective of this procedure is to describe for the ICs, EPCs, PMC and Early Works Contractors how hazardous construction activities are controlled in the workplace, and to identify the actions and responsibilities that are necessary to operate the Pearl GTL Permit to Work (PTW) system for the construction phase.

This procedure has been prepared by PMC, henceforth referred to herein as COMPANY acting for and on behalf of Qatar Shell GTL.

The IC, EPCM, Early Works Contractors and their Sub contractors shall henceforth be referred to herein as CONTRACTOR.

A further amendment to this procedure is planned to include an enhanced permit to work system to hazardous pre-commissioning and commissioning activities, start-up and early operations. A PTW procedure for construction work close to equipment undergoing commissioning will also be prepared.

A PTW will be applied during construction. Activities within RLC in an unfenced area are subjected to the RLC PTW system. Activities on site that can have an affect outside of a fenced off area are also subject to the RLC PTW system.

The construction PTW system will be used up until the commencement of commissioning activities at which time a further set of pre-commissioning, commissioning, start-up and operations PTW systems will be introduced.

This procedure does not address hazardous activities after the construction phase i.e. pre-commissioning, commissioning, start-up and production operations.

This procedure identifies the standards and sets the ground rules required to ensure, as far as is possible, that the PTW system is applied in a similar way.

2.0 SCOPE

This document describes the procedure for the onshore ICs, EPCs, PMC and Early Works Contractors will use whilst implementing the PTW system where required during construction activities.

It also describes the principles and essential features of the Pearl GTL PTW system. Providing details of the way in which planning, control and administration of work that is under permit control is achieved by Pearl GTL.

CONTRACTOR, ICs, EPCM's and Early Works Contractors, shall be governed by this PTW system.

The procedure includes descriptions of the following essential elements of the Pearl GTL PTW system:

• The methodology used to identify hazardous work, especially non-routine activities, that will be controlled by the Pearl GTL PTW system.

• The activities and types of work that will be controlled through the PTW system.

• A description of the permits that will be issued for various types of work.


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• The method for deciding which hazardous work requires additional control measures, such as confined space or excavation permits.

• The method used to ensure that a Health Risk Assessment (HRA) has been carried out and the results incorporated in the control measures for work under permit control as per the JSA.

• The persons who are authorised to issue permits and to specify the necessary controls on supporting certificates.

• The method used to assure the competence of permit signatories and others playing an active role in the Pearl GTL PTW system.

• Actions necessary for work planning, isolations, supporting certificates, issuing permits, precautions during work, revalidation, shift handover and close out of permits.

• A method for monitoring, auditing and reviewing the effectiveness of the PTW system, including the role of System Custodian.

• The geographical boundaries of permit control areas.

2.1 Supporting Procedures

This procedure is supported by the following procedures which specifically address the controls to be followed for the respective hazardous construction activities:

Work Permit Activity Reference Procedure

• Entry into Confined Spaces. - See procedure reference in Section 4.2, Ref. [1].

• Electrical Isolations and Work on Live Systems.

- See Electrical Lock Out / Tag Out (LOTO) Procedure in Section 4.2, Ref. [2].

• NDE and Ionising Radiation Activities.

- See Radiation Control and NDE ProcedureSection 4.2, Ref. [3].

• Excavations. - See Excavations Procedure Section 4.2, Ref. [4].

• Operating Equipment Near Overhead Electrical Services.

- See procedure references in Section 4.2, Ref. [5] and [13].

• Grating and Handrail Removal. - See Fall Prevention Procedure Section 4.2, Ref. [6].

• Hot Work in the vicinity of flammables or explosives.

- See Fire Prevention and Protection Procedure Section 4.2, Ref. [7].

• Storage, Handling and Use of Chemicals and Hazardous or Toxic Material.

- See Management of Hazardous Chemicals Procedure Section 4.2, Ref. [8].

• Explosive Devices and Tools Using Explosive Charges.

- See Small Tools and Equipment –Inspection and Safe Use Procedure


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Section 4.2, Ref. [9].

• Lifting of Personnel by Mechanical Means.

- See procedure references in Section 4.2, Ref. [5], [10], [15] and [16].

• Diving Operations. - See Diving Procedure Section 4.2, Ref. [11].

The following hazardous construction actives will be controlled by procedures following a job specific JSA.

Activity Reference

• Pneumatic Testing - This activity will be carried out under a Commissioning Permit to Work system.

• Scaffolding - See Ref. [12] in Section 4.2.

• Non-routine and Heavy Lift Operations

- See Ref. [13] in Section 4.2.

3.0 RISKS

Failure to adequately identify and control health, safety and environmental hazards in the workplace through a robust PTW system may result in serious injury, death, severe environmental pollution, damage to assets and loss of local and international reputation.

Failure to identify competent personnel to administer the PTW system may result in the PTW system being incapable of controlling hazards in the work place.

Failure to monitor the effectiveness of the PTW system may result in inadequate control of hazards in the work place.


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4.0 REFERENCES

4.1 Project Reference Documents

4.2 Reference Associated Procedures

No. Title Reference No. 1. Permit to Work EP95-0315 2. Pearl GTL HSSE/SD MS 3. Site Plan T-13.369.401 4. General Workplace Practices EP95 0270 5. Job Hazard Analysis EP95-0311 6. Emergency Response Procedure 50982721 7. Pearl GTL Permit to Work Procedure 51140025 8. Project Specification Part IV Procedures and

Requirements Chapter 9 – HSE Premise for the Implementation Phase

Appendix 1 Detailed HSES/SD Standards and Guidance Section 2.13 & 5.2.6

9. RLC Procedure for the use of the Consolidated Permit to Work for RLC Common Areas

QPR-RIE-010 Rev 3 Dated 04-07-2006

10. Confined Space Entry Shell Advisers Panel 2003

11. Electrical Safety Shell Advisers Panel 2003

12. Electrical Engineering Guidelines DEP 33.64.10.10-Gen 13. Ionising Radiation Safety Guide Shell Safety and Health

Committee 1993

No. Title Reference No. 1. Confined Space Entry Procedure 5887-ON-PR-HM-039 2. Electrical Safety Rules – Pearl GTL T-4.599.556 3. Radiation Control and NDE Procedure 5887-ON-PR-HM-040 4. Excavations Procedure 5887-ON-PR-HM-041 5. Power Operated Work Platforms 5887-ON-PR-HM-033 6. Fall Prevention and Protection Procedure 5887-ON-PR-HM-032 7. Fire Prevention and Protection Procedure 5887-ON-PR-HM-042 8. Management of Hazardous Chemicals Procedure 5887-ON-PR-HM-043 9. Small Tools and Equipment – Inspection and Safe Use

Procedure 5887-ON-PR-HM-027

10. Crane Suspended Work Platforms 5887-ON-PR-HM-032 11. Diving Operations 5887-ON-PR-HM-044 12. Scaffolding T.-13.377.451 13. Crane and Lifting Operating Procedure 5887-ON-PR-HM-024 14. Worksite Risk Management & TSTI 5887-ON-PR-HM-038 15. Inspection and Colour Coding of Plant, Equipment and

Tools Procedure 5887-ON-PR-HM-026

16. Plant, Vehicle and Heavy Equipment Inspection and Maintenance Procedure

5887-ON-PR-HM-030

17. Emergency Response Procedure 5887-ON-PR-HM-011


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5.0 DEFINITIONS AND ABBREVIATIONS

5.1 Definitions

Item Description Permit Document issued by the PMC to a specific contractor for a specific task

in a specific area authorising high risk tasks. See Section 8.0 Responsibilities.

5.2 Abbreviations

Item Description ALARP As Low As Reasonable Practicable EPCM Engineer Procurement and Construction Management EPCI Engineering Procurement Construction Installation Contractor G&P Shell Gas and Power SGS Shell Global Solutions International GTL Gas to Liquids HRA Health Risk Assessment HSE Health, Safety and Environment HSSE/SD MS Health, Safety, Security, Environmental / Social Development

Management System IA Issuing Authority IC Implementation Contractor JSA Job Safety Analysis NDE Non Destructive Testing PC Permit Co-ordinator PEFS Process Engineering Flow Sheets PMC Project Management Contractor PPE Personal Protective Equipment PTW Permit to Work RLC Ras Laffan City TSTI Total Safety Task Instruction


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6.0 PROCESS

S Start R Responsible for Activity

C Consulted

E End

I Informed X Meeting * Not to be the same person.

Activity Step

Perm

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* Pe

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Aut

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Aut

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Notes

1 Identify Work. S

2 Prepare work permit. R I Section 7.2

3 Identify hazards. C R C C C C Section 7.1

4 Identify precautions. C R C C C C 5 Identify interfaces. R C Section 7.3

6 Identify additional safety controls. C R C C C C

7 Prepare supporting safety documents. R Section 7.4

8 Complete safety preparations and complete safety certificates.

R C C

9 Issue permit. R

10 Accepting permit R

11 Distribute post permits and safety certificates.

R Section 7.5


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12 Brief work party. R

13 Revalidate permit and supporting certificates at start of each shift.

R C C C C Section 7.0

14 On completion of work close supporting safety certificates.

R C C

15 Check work site. R C

16 Close permit. R

7.0 PROCEDURE

The PTW system ensures that for activities generating additional risk in the workplace, additional controls are in place to reduce the risk to acceptable levels (ALARP).

7.1 Risk Assessment

The permit applicant shall confirm if there is an existing JSA prepared for the activity to be performed. If so implement the requirements for the JSA and confirm with the Construction HSSE department if further specific risk assessments are required. See Section 4.2 Ref. [14] for the procedure Worksite Risk Management and TSTI.

If there are no records of an existing JSA a risk assessment should be carried out, before putting a PTW into operation, to identify those activities and types of work where the:

• The inherent risks of the activity assessed as high or medium by the Risk Assessment Matrix identified in the HSSE/SD MS, see Appendix W.

• High risk construction activities where controls are not detailed in other procedures or work instructions.

The following personnel will carry out the process risk assessments:

• PMC and EPC Area Managers for the onshore construction. The boundaries of the working areas will normally be designated by secure fencing and signage

• Pearl GTL Asset Manager for operations in all areas within the fence line of the Pearl GTL Complex (see T-13.369.401) and specific external operated areas including Pearl Platform A; Pearl Platform B, Beach Valve and within 3rd party operated areas of responsibility where specific activities occur that may interfere with Pearl GTL’s operability e.g. Jetty, Offsite Storage, and Pipetracks.

For each phase of the Pearl GTL project Permit Control Areas will be identified, Appendix X, which define the extent of control needed for the activities and types of work that have


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been assessed. A plot plan which identifies the control areas is shown at Appendix A. Typically the types of control will be:

• TSTI - all tasks are subject to a TSTI, see Appendix Q.

• Permits will be issued as per Section 9.0.

An assessment of maintenance, inspection, repair, testing, construction, dismantling, modification and cleaning activities may require the control of a PTW.

7.2 Permit Planning

Work which it is intended to be placed under permit control must be carefully planned so that interaction with other work is minimised and controlled. The plan, which is made weekly and updated daily by the Construction Supervisor, must take into account the time required to identify the full extent of the work, conduct a hazard analysis and risk assessment, obtain the necessary materials and resources required to complete the work and make operational and engineering preparations. To this end a work permit application should be made a minimum of 24 hours in advance. Urgently required permits will only be issued for emergency work.

7.3 PTW Coordination

It is important to ensure that work activities, requiring a PTW, are coordinated with other CONTRACTORS and neighbouring activities in order to avoid risks caused by simultaneous activities. In Pearl GTL co-ordination will be achieved by nominating a single focal point normally (Construction / Shift Supervisor) who is responsible for the co-ordination of work activities within their own defined areas as defined for each phase of the project and for informing similar focal points where the work may infringe on another area. This role will be carried out in conjunction with the areas permit issuing authorities. The co-ordination duties of these individuals will be to:

• Coordinate all permit to work activities within the area, including those permits which are suspended, but where the work is not complete.

• Inform the relevant authority of any potentially hazardous situations arising from permitted work.

• Ensure all staff involved have an overview of significant ongoing work.

• Operate the permit issue point to reflect the current state of work.

• Provide a quality check on the completion of permits.

7.4 Permit to Work Forms

For construction activities PTW forms shall be used for all activities described in Section 9.0. Permit Forms are provided in Appendices B to Z.

To provide effective control of hazards in the workplace it is necessary that the permit form includes the following information:

• Clear precise description of the work, which includes the actual location of the work, the designated equipment to be worked on, the actual tools and equipment to be used and the planned work method. The description may require other


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documents to be attached to the permit these may include job hazard analyses, method statements, isolation lists, drawings or sketches.

• Identification of any interfaces with other work being carried out in the same area or in another adjacent area.

• Confirmation that all necessary preparations that have been made. Commonly these will be:

• Mechanical and electrical isolations.

• Clearance of process materials by draining, venting, flushing, purging or ventilation.

• Gas and / or dust testing to confirm that the equipment is free of any flammable, toxic or asphyxiate atmosphere.

• A description of any residual hazards that remain after preparations have been made. The hazards may include residual construction, materials, pressure, temperature and physical hazards arising from the location or work to be carried out.

• A description of any additional precautions or controls which are necessary during the work. Additional precautions or controls may include the use of specific personal protective equipment (PPE) or the frequency of gas testing and monitoring.

• Identification of the validity period.

• After discussing the details of the work, the preparations that have been completed and the controls specified on the permit, the permit issuing authority, focal point construction supervisor and Permit Holder sign the permit to authorise the commencement work and issue the permit. The Permit Holder undertakes to explain to the work party the details of the work, the hazards and the controls.

• Confirmation by the permit holder and the permit issue authority that the work has been completed or suspended and that the site has been left in a clean and safe condition.

7.5 PTW Distribution

Copies of the permit forms and certificates will be provided as follows:

• A signed working master copy to be held by the Permit Issuing Authority whilst the permit is in operation. (When the work is completed and the permit is closed this becomes the file copy).

• An updated copy shall be retained by the Permit Coordinator.

• An updated copy of the master for display at the worksite whenever work is under way.

As well as the permit forms and certificates, additional precautions required for the work can be provided by safety checklists, see Appendices. The checklists are useful for providing instruction and guidance to the Permit Holder and the workforce. The permit will


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always be prepared in English; however, the checklists may be prepared in several language versions if English is not the first language of the workforce.

7.6 Permit Authorisation

For each permit control area identified in the risk assessment and assessed as requiring permit control (see Appendices A and X), CONTRACTOR line management will identify those personnel who will fulfil the following roles within the permit system:

• Permit Issuing Authority, who is responsible for ensuring that all preparations are complete, and for authorising the work to proceed.

• Authorised Gas Tester, responsible for measuring flammable, toxic and asphyxiate gas, and to interpreting the results.

• Permit Holder, responsible for carrying out the work in accordance with the conditions on the permit.

It is important that the Permit Issuing Authority and the Permit Holder is not the same person. This is to prevent the possibility of a person issuing a permit to himself.

The Pearl GTL Training Manager will identify the levels of competence required for each role and will establish training requirements to maintain the competence. Records of PTW training and authorisation will be kept by the Pearl GTL Training Manager and the Pearl GTL HSSE Manager respectively to demonstrate competence and authorisation of permit signatories.

Only personnel who have successfully completed appropriate PTW training will be authorised to perform signatory roles. Authorisation will be subject to an expiry date no greater than 3 years. The need for refresher training, reassessment and reauthorisation at periods of less than 3 years will be subject to the results from PTW audits. An up-to date list of authorised personnel will be displayed at each permit issue point;

PTW awareness and the use of standard workplace PPE will form a part of the site induction training provided for the whole workforce.

7.7 Validity Period and Revalidation

Individual permits will have a validity period set by the Issuing Authority. The validity period of an individual permit will be based on a proper assessment of the time that the work will take. The maximum allowable period is 30 days after which time a new permit will be prepared. Permits should not routinely be given the maximum allowable validity.

Permits will be re-validated at the start of each shift in order that the Issuing Authority can be satisfied that the conditions under which the permit was originally issued remain unchanged and the permit holder is in control of work at all times. To achieve this the Issuing Authority ensures that:

• No other work is being carried out that could conflict with the work identified on the permit.

• The preparations carried out to make the worksite safe for work remain in place and are still valid.

• The precautions identified on the original permit are still valid.


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When re-validating a permit it is mandatory that permit issuing authority and the permit holder verify that the worksite remains safe by completing a worksite inspection before the permit is re-validated.

A person authorised as issuing authority may revalidate, close, suspend or cancel any permit.

7.8 Shift Handover

Shift handover increases the risk potential of all work due to the possibility of a failure to pass on information or by passing on incorrect information. In order to reduce this risk the issuing authority and permit holders from each shift must allow sufficient time for a detailed review, revalidation and discussion of the status of all permits.

7.9 Changes and Emergency Conditions

It is the duty of everyone to suspend work should working conditions change or the working environment became potentially hazardous. In the event of a necessary change in the permit conditions caused by the unavailability or suitability of tools or equipment or a need to change the work method or a change in weather conditions that add to the jobs’ risk or a significant change in the work team, the work will be suspended. The coordinator / issuing authority and permit holder will then reassess the work and conditions and issue a new or revalidate the permit before allowing the work to restart.

In the event of an emergency alarm on the site personnel will take the action identified in the Emergency Response Procedure Section 4.1 [Ref.6], this will often result in work stopping for a period of time and all permits being void. Post-emergency, but before work is restarted, work will be reassessed and permits revalidated / cancelled or suspended.

7.10 Close-out and Return to Service

When the work is complete all copies of the permit will be returned to the issuing authority. The issuing authority and the permit holder will then inspect the work site and jointly confirm that they are satisfied that the work has been completed and the worksite has been left in a safe and clean condition.

The issuing authority and permit holder will also ensure that all isolations (Electrical and Mechanical) been removed or are covered by another permit. They will then sign to confirm that isolations remaining in place are referenced to the relevant isolation certificate and work permit.

Where alarm systems or fire and gas detection / protection systems has been overridden in order to allow work to proceed, these will normally be cancelled as part of the permit method statement. However, the issuing authority must be satisfied that such overrides are no longer in place and have been cancelled.

The issuing authority and the permit holder are then able to sign the permit close out certificate to confirm that the work is complete.

7.11 Records

The master copy of completed permits, supporting documentation and certificates will be retained by the PMC / Asset Holder until the end of the project.


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The following records will be retained by the COMPANY, Pearl GTL PMC, Training Departments until the end of the project:

• PTW signatories’ course records,

• Permit training,

• Refresher training,

• Periodic inspection reports and check sheets,

• Independent audit reports and the results from management reviews.

7.12 Monitoring, Audit and Review

The Permit Issuing Authority, Permit Holder and / or HSSE personnel will monitor work under permit control on a daily basis. Monitoring will including spot checks to ensure that:

• Worksite safety precautions are adequate and controls are being implemented

• Permits have been completed correctly and being displayed at the worksite.

• The work party been briefed and have an understanding of what the work entails, the safety precautions that must be taken and the controls that must be implemented

Periodic inspections of the way the PTW system is being implemented will be carried out at 3 month intervals by an HSSE Advisor using a permit picked at random and the check list at Appendix O. The results from these inspections will be used to improve the operation of the PTW system and the training of those who use it.

An independent audit of the operation of the PTW system across the whole site will be carried out at 2 year intervals as required by the Pearl GTL HSSE Internal audit programme. The frequency of the internal HSSE audits will be dependent on results from the previous audits or the frequency of workplace incidents.

As part of the continuous improvement of HSSE Management that results from the management review process detailed in Pearl GTL HSSE MS Management Review Procedure, management will review the effectiveness of the PTW system annually and modify it where necessary

8.0 RESPONSIBILITIES

8.1 Pearl GTL Project Manager / Asset Manager

The Pearl GTL Project Manager/Asset Manager has overall responsibility for HSSE Management and is responsible for:

• Applying an appropriate PTW system and ensuring that it is implemented.

• Authorising personnel in PTW signatory roles on successful completion of appropriate PTW training.

• Ensuring that the PTW system remains suitable and effective, through monitoring, audit and periodic review.


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8.2 Pearl GTL / PMC / IC / EPCM HSSE/SD Mangers

The Pearl GTL / PMC / IC / EPCM HSSE/SD Mangers are responsible for:

• Developing the PTW system and providing advice in its application.

• Establishing and maintaining a competence programme for permit signatories.

• Monitoring the performance of the PTW system.

• Receiving feedback from users of the PTW system.

• Reviewing learning from incidents and periodic inspections of work controlled by permits.

• Organising audits of the PTW system.

• Conducting formal systematic reviews of effectiveness of the PTW system.

8.3 Permit Requestor

The Permit Originator is a representative of the department or contractor organisation that will carry out the work and is responsible for:

• Detailing on the permit the work to be done, the equipment to be worked on, the method to be used, the area, the tools and equipment to be used.

• Attaching to the permit any job hazard analyses, drawings or other details developed during planning of the work and assessment of the risks.

8.4 Permit Coordinator

The permit coordinator works under the delegated authority of the Project Manager / Asset Manager and is responsible for:

• Confirming that all hazards associated with the work have been identified and authorised permit signatories and authorised discipline engineers have provided their input and agree with the precautions.

• Identifying any conflicts between the proposed work and other activities in the area.

• Informing all people who may be affected by the work.

8.5 Issue Authority

• Signing off and cancelling the permit when the work is complete or suspended.

• Ensuring that all necessary supporting certificates, job hazard analyses and drawings are attached to the permit.

• Confirming that all operational preparations, including process clearance and isolations, have been completed.

• Specifying on the permit any additional precautions that need to be taken during the work, including use of safety equipment and PPE.


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• Ensuring that the Permit Holder knows the exact location of the work, all the hazards that may be present and all the precautions that must be taken during the work.

• Signing and issuing the permit.

8.6 Supervisor

• Confirming that the work site is safe for the work to proceed.

• Knowing the status of the work at all times and communicating the status to the oncoming shift at shift handover.

• Authorising the work to proceed on a shift-by-shift basis, after ensuring that no change in hazard has occurred and that the necessary controls remain in place.

8.7 Permit Holder

The Permit Holder is responsible for:

• Discussing the job fully with the permit issue authority before signing to accept the permit.

• Showing the work party the exact location and equipment to be worked on.

• Explaining to the work party the details of the work, any potential hazards and precautions to be taken.

• Ensuring that the precautions are maintained throughout the work, and that the work party and the work stays within the limits (area, types of work, time) specified on the permit.

• Displaying the permit and attachments at the work-site.

• Stopping the work and seeking advice from the permit issue authority if conditions at the worksite change.

• Ensuring that the work-site is left in a safe and tidy condition before handing back the permit on completion or suspension of the work.

• Providing and maintaining a list of all personnel working under the permit. (Note a record will be kept of those personnel who leave the permit control area).

8.8 Authorised Gas Tester

The Authorised Gas Tester is responsible for:

• Carrying out gas tests (oxygen, toxic and flammability) at the frequency specified on the permit and supporting certificates, see Appendix C.

• Stopping the work and instructing personnel to withdraw from the area whenever a gas test or change in conditions indicates that it is unsafe for the work to continue, then reporting back to the permit holder and permit issue authority.


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9.0 PERMIT TO WORK ACTIVITIES

The following construction work activities are considered to contain hazards that require control by the use of a specific Permit to Work system.

This list is not exhaustive and additional categories of work may require PTW control following a job specific Risk Assessment.

9.1 Entry into Confined Spaces

All confined space work shall be carried out under a PTW system described the Confined Space Entry Procedure Ref. [1] Section 4.2. Appendices B and C are applicable to this activity.

A confined space PTW confirms that isolations, precautions needed to eliminate hazardous gases or dust to provide a breathable atmosphere and to ensure that the space is safe for people to enter the confined space.

9.2 Electrical Isolations and Work on Live Systems

All electrical isolations and work on live systems shall be carried as described in the Electrical Safety Rules – Pearl GTL Procedure Ref. [2] Section 4.2.

9.3 NDE and Ionising Radiation Activities

All Non-Destructive Examination (NDE) activities and activities involving the use and storage of radioactive sources shall be carried out under PTW described in the Radiation Control and Non Destructive Examination (NDE) Procedure Ref. [3] Section 4.2.

Two permits are required for this activity, one to carry out the NDE work and a second permit for the storage of radio active materials. Appendices E and F are applicable to this activity.

9.4 Excavations and Piles

All excavation work shall be carried out under PTW system described in the Excavations Procedure Ref. [4] Section 4.2.

An excavation PTW specifies the precautions required to

• Identify buried cables and pipes during excavation work of greater than a spade depth (300mm).

• Protect people working in excavations.

Appendix G is applicable to this activity.

9.5 Operating Equipment Near Energised Overhead Electrical Services

Crane, lifting operations, and the use of powered operated elevated work platforms within six metres of an overhead electrical line shall be controlled by PTW system described in the,

• Crane and Lifting Operations Procedure Ref. [13] Section 4.2.

• Power Operated Work Platforms Procedure Ref. [4] Section 4.2.


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Appendix J is applicable to this activity.

9.6 Grating and Handrail Removal

Removal of edge protection, grating, stairs or ladders shall not be carried out without an approved PTW described in the Fall Prevention Procedure Ref. [6] Section 4.2.

Appendix K is applicable to this activity.

9.7 Hot Work in the Vicinity of Flammables or Explosives

Hot working in the vicinity of flammables or explosives shall not be carried out without control by a PTW system described in the Fire Prevention Procedure Ref. [7] Section 4.2.

It is expected that during the construction phase the storage of flammable and explosive substances shall be such that they do not interact with any planned hot work activities, therefore it is anticipated that during the construction phase that the risks and hazards associated with hot work will not normally be sufficient to require PTW control.

The exceptions to this will include:

• Work within 15m of flammable material storage areas. Therefore the contractor shall plan the flammable material storage locations in order to minimise the use of a Hot Work PTW;

• Any other activity identified via a risk assessment.

Appendix L is applicable to this activity.

9.8 Storage and Handling of Chemical and Hazardous or Toxic Materials

The storage and handling of hazardous materials (hydrocarbons, chemicals, toxic materials stored in tanks, drums and paint stores, etc) shall be controlled by a PTW system described in the Management of Hazardous Chemicals Procedure before it is put into use.

The PTW shall be renewed periodically as described Ref. [8] Section 4.2.

Appendix M is applicable to this activity.

9.9 Explosive Devices and Tools Utilising Explosive Charges

The use of construction tools that utilize an explosive charge shall be controlled by PTW system described in the Small Tools and Equipment Inspection and Safe Use Procedure Ref. [9] Section 4.2.

Appendix N is applicable to this activity.

9.10 Lifting of Personnel by Mechanical Means

The use of crane suspended work platforms shall be controlled by a PTW system described in the Crane Suspended Work Platforms Procedure Ref. [10] Section 4.2.

Appendices H and I are applicable to this activity.

The Permit to Work system shall be initiated under strict compliance for employee safety.


5887-ON-PR-HM-013

Prior to use of any work platform suspended from cranes or derricks for hoisting personnel, the highest level of Project Management (i.e. Construction Manager) shall determine if the use of conventional means is more hazardous or not possible because of structural design or worksite conditions.

CONTRACTOR shall submit a justification to the COMPANY Construction Manager for approval prior to issuing a Crane Suspended Work Platform PTW.

9.11 Diving Operations

All diving operations shall be controlled by a PTW system as described in the Diving Operations Procedure Ref. [11] Section 4.2.

Appendix S is applicable for this activity.

10.0 CONTROLLED PROCEDURE ACTIVITIES

10.1 Pneumatic Testing

Due to the potential of project wide impacts no pneumatic tests will be carried out without written permission from PMC.

Pneumatic testing shall only be carried out if there is no practicable alternative available. The contractor shall prepare a risk assessment for approval and consider as a minimum:

• Details of alternative leak test methods considered;

• Marked-up Process Engineering Flow Sheets and Plot Plan showing the work scope and the isolations;

• Details of the fabrication, verification and operability of test manifolds;

• Sizing, calibration and certification of pressure safety valve, relief valve, temperature and pressure recorders and test pressure gauges as required for individual tests

• Procedures for leak detection that minimises the potential for release of energy;

• Timing and duration of the test in order to minimise HSSE and schedule impacts at the Worksite;

• Extent of exclusion zones required and potential impact on other neighbouring contractor (IC, EPC and PMC Early Works contractors) work areas;

• Procedures for barricading of exclusion zones and also for the monitoring of the exclusion zone to prevent unauthorised access.

10.2 Scaffolding

Scaffolding quality shall be controlled via a “Scaffold tag” system and the Project Scaffolding Procedure T-13.377.451, Ref. [12] and further described in the Fall Prevention Procedure Ref. [6].


5887-ON-PR-HM-013

10.3 Non-Routine and Heavy Lift Operations

Non-routine and heavy lift crane operations shall be controlled via the preparation and approval of specific lifting plans as described in the Crane and Lifting Operations Procedure Ref. [13] Section 4.2.

11.0 TSTI AND PERMITS

11.1 Total Safety Task Instruction (TSTI)

Total Safety Task Instruction remains one of the basic safety control measures and all activities shall be subjected to a TSTI whether a permit is used for the activity or not. See Appendix Q.

11.1.1 Permit to work:

A Work Permit is applied to control activities where:

• Inherent risks of the activity assessed are high or medium by the Risk Assessment Matrix – See Appendix Y.

• High risk construction activities where controls are not detailed in other procedures or work instructions.

11.1.2 Confined Space Permit:

A Confined Space Certificate confirms isolations of the confined space and specifies the precautions needed to eliminate hazardous gases or dust, to provide a breathable atmosphere and to ensure that the space is safe for people to enter. See Appendix B.

11.1.3 Excavation Permit:

An Excavation Certificate specifies the precautions required to

• Identify buried cables and pipes during excavation work of greater than a spade depth (100mm).

• Protect people working in excavations. See Appendix G.

11.1.4 Override Permit:

A Safety System Override Permit (Appendix T) will allow work to proceed with control, protection and safety systems isolated or overridden, the permit will be cancelled as part of the permit completion arrangements identified in the method statement. Overrides should be in place for the shortest practicable time and should not necessarily wait until the work is completed.

11.1.5 Work Platform / Personnel Basket Permit:

Prior to use of any personnel platforms suspended from cranes or derricks for hoisting personnel, the highest level of Project Management shall determine if the use of conventional means is more hazardous or not possible because of structural design or worksite conditions.


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11.1.6 Grating Removal Permit

The removal of any floors or grating installed poses serious risk if not controlled properly.

The permit requires senior level approval, barricading and 100 % tie off to ensure the safety of all involved in the activity.

12.0 APPENDICES

Attachment Description

A Permit Control Area Plot Plan B Confined Space Entry Permit C Gas Test Certificate D Confined Space Entry / Exit Log E Non Destructive Examination (NDE) Permit F Radiological Material Storage Permit G Excavation Permit H Crane Suspended Work Platform Permit I Crane Suspended Work Platform Daily Checklist

J Working within 6 meters of Energised Overhead Uninsulated Electrical Lines Permit

K Grating / Flooring / Hand-Railing Removal Permit L Hot Work Permit M Hazardous Material Storage Permit N Powder / Explosive Charge Activated Tools Permit O Permit to Work Inspection Check List P Permit to Work Register Q Total Safety Task Instruction Form R Deleted S Diving Permit T Safety System Override Permit U Permit to Work Form V Permit Revalidation Certificate W PTW Issuing Authority Appointees X Index of Permit Areas Y Risk Assessment Matrix (RAM) Z Risk Assessment Matrix Risk Assessment Matrix – Definition of Terms


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Appendix A

Permit Control Area Plot Plan


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Appendix B – Confined Space Entry Permit

Permit No: Emerg. No. 4748888

Pearl GTL Project

CONFINED SPACE ENTRY PERMIT Date:

SECTION 1: Work request CONTRACTOR: PTW Requestor: Telephone number: Badge number: Detailed work location: Purpose of entry: SECTION 2: Hazards Hot work Oxygen (less than 20.0%

or greater than 21.5%) Flammable gases or vapours

(greater than 1% of LEL) Toxic gases or vapours

(greater than PEL / TLV)

Work at height / scaffolding

Contact with hazardous materials

High temperatures (hot surfaces / heat stress)

Mechanical / electrical hazard

Nitrogen Other hazards JSA required SECTION 4: PPE required Face Shield Boots Gloves Goggles Air Line Dust mask Chemical / Dust Respirator Chemical Resistant / Acid

Suit

SCBA Full Encapsulated Suit Other SECTION 5: Isolation and preparation for entry complete PEFS attached Lines blinded / broke Lock out / Tag out Purged / cleaned Inert complete Ventilation in place Lights (low voltage with

GFCI / handheld) Access good

Hot Work Scaffold approved Barriers / warning signs Other SECTION 6: Emergency Rescue plan attached Requires full body harness Requires mechanical hoist / life line Method of communication between Hole Watch and Entrants

Method of communication to Emergency rescue team

SECTION 7: Approvals Name Badge number Signature Date CONTRACTOR representative Supporting Signatory (Mechanical) Supporting Signatory (Electrical) PTW Issuing Authority

Gas test requirements Gas test frequency Permit start (time / date) Permit finish (time / date)

SECTION 8: PTW accepted by CONTRACTOR Name Badge number Telephone number Date Hole Watch

Alternative Hole Watch PTW Holder (Work supervisor) No. of craft working on the PTW TSTI reference

Name Badge number Signature Date PTW Issuing Authority

SECTION 9: PTW CLOSED PTW Issuing Authority Name Badge number Signature Date


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Appendix C – Gas Test Certificate


Pearl GTL Project

GAS TEST CERTIFICATE The gas test records shall be attached to the Confined Space

PTW and held by the Hole Watch

Date:

Gas Test One Name Badge number Telephone number Date and time Hole Watch Authorised Gas Tester Atmospheric Hazard Tested Acceptable Range of Hazard Actual Reading (Record) Acceptable (Yes / No) Oxygen Content 20.0% - 21.5% % Combustible Gas (% LEL) 0% % Other (specify): PEL = ppm ppm Other (specify): PEL = ppm ppm Gas Test Two Name Badge number Telephone number Date and time Hole Watch Authorised Gas Tester Atmospheric Hazard Tested Acceptable Range of Hazard Actual Reading (Record) Acceptable (Yes / No) Oxygen Content 20.0% - 21.5% % Combustible Gas (% LEL) 0% % Other (specify): PEL = ppm ppm Other (specify): PEL = ppm ppm Gas Test Three Name Badge number Telephone number Date and time Hole Watch Authorised Gas Tester Atmospheric Hazard Tested Acceptable Range of Hazard Actual Reading (Record) Acceptable (Yes / No) Oxygen Content 20.0% - 21.5% % Combustible Gas (% LEL) 0% % Other (specify): PEL = ppm ppm Other (specify): PEL = ppm ppm Gas Test Four Name Badge number Telephone number Date and time Hole Watch Authorised Gas Tester Atmospheric Hazard Tested Acceptable Range of Hazard Actual Reading (Record) Acceptable (Yes / No) Oxygen Content 20.0% - 21.5% % Combustible Gas (% LEL) 0% % Other (specify): PEL = ppm ppm Other (specify): PEL = ppm ppm Gas Test Five Name Badge number Telephone number Date and time Hole Watch Authorised Gas Tester Atmospheric Hazard Tested Acceptable Range of Hazard Actual Reading (Record) Acceptable (Yes / No) Oxygen Content 20.0% - 21.5% % Combustible Gas (% LEL) 0% % Other (specify): PEL = ppm ppm Other (specify): PEL = ppm ppm


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Appendix D – Confined Space Entry / Exit Log

Permit No: Emerg. No: 4748888

Pearl GTL Project

CONFINED SPACE ENTRY / EXIT LOG Keep with the confined space entry permit for a minimum of one year.

Date:

Location

HOLE WATCH INSTRUCTIONS You should be thoroughly familiar with the following duties when you assume the responsibilities of standby for a person(s) working inside a vessel or confined space. YOUR PRIMARY RESPONSIBILITIES ARE: • The safety of personnel working in the vessel or confined space. • Maintaining the conditions and requirements listed on the work permit. • Evacuating the vessel if you observe any condition which you considered hazardous. • Getting help if an emergency develops. NEVER ATTEMPT TO ENTER THE VESSEL OR CONFINED SPACE, EVEN IN AN EMERGENCY. THE CIRCUMSTANCES AND CONDITIONS OF THE JOB WILL DETERMINE THE SAFETY REQUIREMENTS AND WHAT YOUR STANDBY DUTIES ARE. HOWEVER, THE FOLLOWING DUTIES ARE BASIC TO ALL JOBS: • Do not leave your assignment while personnel are inside the vessel or confined space. • (The only exception is to get help in an emergency). If other duties require you to leave your standby post, have all

personnel evacuate the enclosure. • If you have any questions regarding your job, check with your foreman. • BE ALERT, and try to anticipate and / or prevent any conditions that could be hazardous. • Prevent interference of air lines and / or lifelines.


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• If you are required to have respiratory equipment and lifelines, be sure you know how to use this equipment. • Upon completion of the job, clean and return all special equipment to its original location.

Name Badge number Telephone number Date Hole Watch

PTW Holder (Work supervisor) AUTHORISED ENTRANTS Location Name Contractor Badge

number Date Time

in Time out

Time in

Time out

Time in

Time out

Time in

Time out


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Appendix E – Non Destructive Examination (NDE) Permit


Pearl GTL Project

Non Destructive Examination (NDE) PERMIT

Date:

SECTION 1: WORK REQUEST BY CONTRACTOR CONTRACTOR PTW Requestor Telephone number Badge number Work location details Plot Plan attached show work location

(target 2.5 microSv / hour; absolute maximum 7.5 microSv / hour)

Yes No

List impacted roads and mark on Plot Plan

Barricaded area extends beyond CONTRACTOR boundary Yes No

Start date requested Finish date requested SECTION 2: SOURCE DETAILS

Make / type X-ray apparatus Yes No Maximum tube voltage kV

Type Sealed Unsealed Maximum activity Ci Isotope

Radioactive source Yes No

Type of radiation Alpha Beta Gamma SECTION 4: RADIATION MONITORING Film badge Yes No Area monitoring Yes No Personal dosi meter Yes No Other SECTION 5: EMERGENCY CONTACTS If irregularities or disturbances occur one of the following two people shall be notified immediately Name Badge number Telephone number SECTION 6: APPROVALS Worksite NDE coordinator informed of NDE activity Yes No Name Badge number Signature Date CONTRACTOR representative PTW Issuing Authority Permit start (time / date) Permit finish (time / date) SECTION 7: PTW ACCPETED BY CONTRACTOR

Name Badge number Telephone number Date PTW Holder (Work supervisor)

Number of craft working on the PTW TSTI reference SECTION 8: PTW CLOSED Name Badge number Signature Date PTW Issuing Authority


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Appendix F – Radiological Material Storage Permit


Pearl GTL Project

RADIOLOGICAL MATERIAL STORAGE PERMIT

Date:

SECTION 1: REQUEST BY CONTRACTOR CONTRACTOR PTW Requestor Telephone number Badge number Storage location Plot Plan attached Yes No Qatari Licence number RLC Licence number Start date requested Finish date requested SECTION 2: SOURCE DETAILS

Make / type X-ray apparatus Yes No

Maximum tube voltage kV

Type Sealed Unsealed Maximum activity Ci Isotope

Radioactive source Yes No

Type of radiation Alpha Beta Gamma SECTION 3: EMERGECNY CONTACTS If irregularities or disturbances occur one of the following two people shall be notified immediately Name Badge number Telephone number

SECTION 4: APPROVALS Name Badge number Signature Date

CONTRACTOR representative PMC / IC HSSE Manager PMC / IC Construction Manager PTW Issuing Authority Permit start date Permit finish date

SECTION 5: PTW ACCEPTED BY CONTRACTOR Name Badge number Telephone number Date PTW Holder (Storage supervisor)

SECTION 6: PTW CLOSED Name Badge number Signature Date PTW Issuing Authority


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Appendix G – Excavation Permit


Pearl GTL Project EXCAVATION PERMIT Date:

SECTION 1: WORK REQUEST BY CONTRACTOR CONTRACTOR PTW Requestor Telephone number Badge number Purpose of Excavation Detailed Work location

Plot Plan attached

Yes No Size of excavation Width mm Length mm Depth mm SECTION 2: UNDERGROUND SERVICE REVIEW Drawings checked for underground facilities? Electrical Inst./ comm. Piping Civils Other

Temporary facilities (yes / no) Permanent plant (yes / no) List hazards and mark on drawing Owner of facilities contacted (yes / no) SECTION 3: CIVILS REVIEW

Footings No Yes Clearance = mm Pilings No Yes Clearance = mm

Obstructions identified

Other No Yes Clearance = mm Description of soil type Shoring / sloping requirements Access (specify number / position / type) SECTION 4: CONFINED SPACE Toxic / flammable gas / O2 deficiency potential (gas testing required) Yes No SECTION 5: PRECAUTIONS Lines located by detector Hand excavate / probe De-energise lines Insulate operator Ground tools Barricades Banksman required Other precautions SECTION 6: APPROVAL Name Badge number Signature Date Electrical / Instrument Piping HSSE Department Permit Issuing Authority Permit start date Permit valid until: SECTION 7: PTW ACCEPTED BY CONSTRUCTION


Number of craft working on the PTW TSTI reference SECTION 8: PTW CLOSED Name Badge number Signature Date PTW Issuing Authority


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Appendix H – Crane Suspended Work Platform Permit


Pearl GTL Project

CRANE SUSPENDED WORK PLATFORM PERMIT

Date:

The Permit to Work system is initiated for strict compliance and employee safety.

Prior to use of any work platform suspended from cranes or derricks for hoisting personnel, the highest level of Project Management (i.e. Construction Manager) shall determine if the use of conventional means is more hazardous or not possible because of structural design or worksite conditions.

CONTRACTOR shall submit justification below for Construction Manager approval. Reason for use

Job Hazard Analysis (JSA) reference

Submitted by Name Badge number Signature Date

Sub-Contractor HSSE Manager

Sub-Contractor Construction Manager

Approved by Name Badge number Signature Date

Construction Manager

NOTE: This copy shall be used for each lift and a copy kept inside the crane cab or operator's station. The form shall be filed in the HSSE Office files after use.


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Appendix I – Crane Suspended Work Platform Daily Checklist


Pearl GTL Project

CRANE SUSPENDED WORK PLATFORM DAILY CHECKLIST

Date:

Documentation of lift capacity information is required before using work platform suspended from cranes This Checklist to be filled out prior to using work platform and information shall be retained in project site files

SECTION 1: CRANE DETAILS Location Project Crane Identification No.: Contractor name Model/Type: Inspection Date: Length of Boom: Boom Angle: Radius: Meters: SECTION 2: OPERATORS Crane operator (name / badge no.) Rigger (name / badge no.) Person in basket #1 (name / badge no.)

Person in basket #2 (name / badge no.)



SECTION 3: LOAD (1) Basket Equipment number (2) Weight of Basket = Kg (3) Total Weight of occupants, tools and equipment = kg (4) Load Block weight = Kg (5) Whip Line Ball weight = Kg (6) Working load capacity (2) + (3) + (4) + (5) = Kg (7) Chart rated capacity at Operating Radius Kg (8) Maximum Load capacity = 50% of (7) = Kg NOTE: Because of the required safety factor, the working load capacity (6) can not be greater than the maximum load capacity (8) SECTION 4: SAFETY CHECK (9) Is platform suspended from crane that has controlled

lowering capability? (17) Tag lines provided to control basket?

(10) Has basket and all rigging equipment been inspected and valid?

(18) Area below basket barricaded?

(11) Four (4) or less employees inside basket (19) Safety harness worn by employees inside basket and secured?

(12) Is safety line provided for basket? (20) Weather conditions good? (21) Proof testing at 125% of rated capacity before lift witnesses

by Contractor Rigger and Contractor Equipment Inspector? (13) Has crane operator's inspection been performed (daily

crane checklist as per Crane and Lifting Operations procedure completed and attached (Section 7.1 of EPCM Construction HSSE Manual)?

(22) Crane has a valid JK GTL/Utilities Inspection sticker?

(14) Crane set up on firm footing and level with outriggers fully extended, if equipped?

(23) Anti two-blocking device or two block damage prevention feature functional and verified?

(15) Is working area for the crane free of power lines? (24) Basket has a valid JK GTL/Utilities Inspection sticker? (16) Radio communications provided if hand signals are not

feasible? (25) (25) Written approval for lift from JK GTL/Utilities

Construction Manager attached (and valid)

Comments

SECTION 5: APPROVAL TO LIFT Name Badge number Signature Date


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Documentation of lift capacity information is required before using work platform suspended from cranes This Checklist to be filled out prior to using work platform and information shall be retained in project site files

Sub-Contractor Operator / Crane Supervisor

Sub-Contractor Work Supervisor

Sub-Contractor HSE Supervisor

Sub-Contractor Area Supervisor

Contractor HSSE Supervisor

Contractor Area Superintendent


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Appendix J – Working Within 6 Meters of Energised Overhead Uninsulated Electrical Lines Permit


Pearl GTL Project

WORKING WITHIN 6 Meters of ENERGISED OVERHEAD UNINSULATED

ELECTRICAL LINES PERMIT

Date:

SECTION 1: WORK REQUEST BY CONTRACTOR Contractor PTW Requestor

Telephone number Badge number

Work location details Plot Plan attached show work location

Yes No

Work description Distance work platform will be from energized electrical lines

metres

SECTION 2: CONTRACTOR REVIEW Contractor Construction Superintendent name

Badge number

Telephone number Line voltage Special precautions

Permission to use lift

Yes / No SECTION 3: APPROVALS Name Badge number Signature Date

Lead Electrical Field Engineer / Electrical Superintendent

PTW Issuing Authority

Permit start date Permit finish date SECTION 4: PTW ACCEPTED BY CONTRACTOR


Number of craft working on the PTW TSTI reference SECTION 5: PTW Closed Name Badge number Signature Date



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Appendix K – Grating / Flooring / Hand-Railing Removal Permit


Pearl GTL Project

GRATING / FLOORING / HAND-RAILING REMOVAL PERMIT

Date:

SECTION 1: WORK REQUEST BY CONTRACTOR CONTRACTOR PTW Requestor Telephone number Badge number Request date: Planned duration of Work Area Specific work location SECTION 2: HSE PRECAUTIONS VERIFIED AT WORK LOCATION (PRELIMINARY APPROVALS) Yes No Details / type Has primary barricade been installed? Temporary cover with sign available at work location? Is 100% fall protection available and in place? Is warning sign at grade in place? Is warning sign at location in place? Is ownership tag in place? Is adequate lighting in place? Has a dedicated hole watch been identified? Has a secondary barricade been installed? Is a hole cover available at work location? Is a hole cover design needed? Are hole cover modifications required? SECTION 3: PRELIMINARY APPROVALS We have reviewed this request. We agree that removing the grating, floor covering, hand-rail is required to accomplish this activity. We have filled in the actions below and will sign final approval after all the requirements have been met. Name Badge number Signature Date CONTRACTOR Civil / Structural CONTRACTOR HSSE SECTION 4: FINAL APPROVALS Name Badge number Signature Date CONTRACTOR HSSE Manager PTW Issuing Authority (Construction Superintendent)

CONTRACTOR PTW Coordinator (PTW Registered)

Permit start date Permit finish date SECTION 5: PTW ACCPETED BY CONTRACTOR Name Badge number Telephone no. Date PTW Holder (Work supervisor) No. of craft working on the PTW TSTI reference SECTION 6: DAILY CHECK OF COMPLIANCE WITH PTW BY CONTRACTOR Name Badge no. Date Name Badge no. Date Day 1 Day 5 Day 2 Day 6 Day 3 Day 7 Day 4 SECTION 6: PTW CLOSED


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Name Badge number Signature Date PTW Issuing Authority


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Appendix L – Hot Work Permit


Pearl GTL Project HOT WORK PERMIT Date:

SECTION 1: WORK REQUEST BY CONTRACTOR CONTRACTOR PTW Requestor


Location of work Plot plan attached Yes No

Work description

Welding Burning Grinding Other SECTION 2: HAZARDS AND CONTROL Distance from flammable material storage m Housekeeping good and combustible

materials removed Yes No

Fire blanket or tray to prevents falling sparks

Yes No Fire watch required Yes No

Fire extinguisher required Yes No Number and type of fire extinguisher

SECTION 3: APPROVALS Name Badge number Signature Date

CONTRACTOR Fire safety Officer / HSSE Manager


Permit start date Permit finish date SECTION 4: PTW ACCEPTED BY CONTRACTOR

Name Badge number Telephone no. Date PTW Holder (Work supervisor)

Number of craft working on the PTW

TSTI reference

SECTION 5: PTW CLOSED Name Badge number Signature Date



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Appendix M – Hazardous Material Storage Permit


Pearl GTL Project

HAZARDOUS MATERIAL STORAGE PERMIT

Date:

SECTION 1: WORK REQUEST BY CONTRACTOR CONTRACTOR PTW Requestor


Storage location Plot plan attached

Yes / No

MSDS or Risk assessment attached

Yes / No

Material to be stored

Maximum quantities

SECTION 2: HAZARDS

Material hazardous properties Flammable Yes No

Combustible Yes No

Corrosive Yes No

Irritant Yes No

Toxic Yes No

Carcinogenic Yes No

Dangerous to the Environment Yes No

Distance from nearest building, fabrication shop, etc

Distance from nearest occupied buildings

Fire fighting equipment required

Environmental spill prevention measures

Warning signs required

Description of security measures

SECTION 3: APPROVALS Name Badge number Telephone No. Date

CONTRACTOR HSSE Manager

Electrical Engineer

Issuing Authority (HSSE Manager)

Permit start date Permit finish date SECTION 4: PTW ACCPETED BY CONTRACTOR

Name Badge number Telephone No. Date PTW Holder (Work supervisor)

SECTION 5: PTW CLOSED Name Badge number Signature Date

PTW Issuing Authority (HSSE Manager)


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Appendix N – Powder / Explosive Charge Activated Tools Permit


Pearl GTL Project

POWDER / EXPLOSIVE CHARGE ACTIVATED TOOLS PERMIT

Date

SECTION 1: WORK REQUEST BY CONTRACTOR

CONTRACTOR PTW Requestor


Work location

SECTION 2: ACTIVITY SPECIFIC DETAILS

Type of tool Type of charge

Size of stud Hot work PTW Yes No

Description of work

Special precautions

SECTION 3: OPERATORS

Name Badge number Name Badge number

OPERATOR #1 OPERATOR #2

OPERATOR #3 OPERATOR #4

SECTION 4: APPROVAL

Name Badge number Signature Date

CONTRACTOR HSSE Manager


Permit start date Permit finish date

SECTION 5: PTW ACCEPTED BY CONTRACTOR

Name Badge number Telephone no. Date PTW Holder (Work supervisor)

Number of craft working on the PTW

TSTI reference

SECTION 6: PTW CLOSED

Name Badge number Signature Date



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Appendix O – Permit to Work Inspection Check List


Pearl GTL Project

PERMIT TO WORK INSPECTION CHECK LIST

Date:

Contract No.

Contract Title: Contractor Name:

Area / Installation:

Inspector: Date:

Area / Site Manager:

Permit Issuing Authority: Permit Holder:

1) Permit No: 2) Date of Issue: 3) Type of Permit: 4) Description of work (inc. work location) Issue time: Valid until: 5) Distribution and display:

a) Have permit copies been properly distributed, and where necessary is a permit prominently displayed?

Yes / No

6) Is the work description on the permit adequate, i.e. does it adequately describe the work location, the equipment to be worked on, and the exact nature and scope of the work? Yes / No

If not, explain deficiency:

7) Validity a) The permit should clearly state the time and dates between which it is valid. Yes / No b) Is permit revalidation being signed and dated by Issuing Authority? Yes / No c) Are revalidations up to date? Yes / No

8) Hazards a) Are hazards clearly identified? Yes / No b) Are they directly applicable to job being undertaken? Yes / No

9) Precautions a) Are appropriate precautions identified and specific enough? Yes / No b) Have other affected personnel outside the permit area been notified of the permit work? Yes / No If yes, have they appended their signature? Yes / No c) Have all precautions been implemented at the worksite? Yes / No If no, explain deficiency

10) Gas Tests

a) Have gas tests been undertaken? Yes / No b) Are tests valid for this period? Yes / No c) Are portable gas monitors fully operable at worksite and calibrated? Yes / No d) Are on-site personnel knowledgeable on how to operate equipment? Yes / No e) Have they been properly trained in its use? Yes / No f) Has periodic testing been carried out as appropriate? Yes / No

11) Precautions Taken by Permit Holder

a) Has Permit Holder briefed everyone in the Work Party? Yes / No b) Have all the persons in the Work Party read the permit? Yes / No c) Do all persons fully understand the safety requirements and the precautions stated on the PTW? Yes / No d) Are they in compliance, e.g. using safety clothing as specified, isolating equipment at breaks, etc? Yes / No


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If not, specify 12) Isolation

a) Are isolation certificates attached to the permit? Yes / No b) Are they cross-referenced? Yes / No c) Do certificates or attachments detail specific isolation points? Yes / No d) Are all isolations secure? Yes / No e) Are all isolations tagged? Yes / No f) If more than one task on same isolation, has multiple lock/key system or other suitable control

been used? Yes / No

If so, give details 13) Precaution by Permit Issuing Authority

a) Has task been fully discussed with person carrying out the isolation? Yes / No b) Has task been discussed with Permit Holder? Yes / No c) If more than one Permit on equipment/system, have all appropriate cross-references been made

and all necessary personnel been made aware? Yes / No

d) Where tasks may impinge on other responsible persons/areas, have affected persons signed to acknowledge their awareness of the work? Yes / No

14) Handover a) Has handover of permit been done between Permit Issuing Authorities at shift change? Yes / No b) How is this being documented? ..................................................................................... c) Has a handover of jobs between Permit Holder been done? Yes / No d) How is this being documented? .....................................................................................

15) Work Suspended / On Hold / Completed a) Has site been left in a safe and tidy condition? Yes / No b) If work not complete, are isolations secure? Yes / No c) Is Permit Issuing Authority aware of status? Yes / No d) Is Control Room aware of status? Yes / No

16) Training a) Have personnel who are currently associated with this permit received training in the Pearl GTL

PTW system? Yes / No

b) Is the type and frequency of training in accordance with company policy? Yes / No c) Is evidence of their training and appointment readily available Yes / No

Summarise Overall Inspection:

Inspector:

Name (Capitals): Signature: Time: Date:


5887-ON-PR-HM-013

Appendix P - Permit to Work Register

Pearl GTL Project

PERMIT TO WORK REGISTER

Permit No. Date Issued:

Issued to – Company / Name:

Valid from / to:

Type of permit: Date completed:

Signature:


5887-ON-PR-HM-013

Appendix Q – Total Safety Task Instruction Form

Pearl GTL Project

Total Safety Task Instruction (TSTI) Template TSTI is a safety communication, task planning and risk management system.

(Complete each box before proceeding to the next box.)

(Box 1 and 2 by Front Line Supervisor) Task Planning (1) Permit/Work Order Number: Contractor: Craft/Dept: Date: / / Task Description:

Job Hazard Analysis / Method Statement Reference: Recognized Hazards: Unit/Area Specific Training:

Emergency Action Plan (Risk Management) (2) Area / Unit: Alarm Code: Emergency telephone number: Evacuation Route:

Nearest Safety Shelter Location: Assembly Area: Safety shower / eye washer located Yes No

Communication - Task Planning - Risk Management (Job Safety Analysis, JSA) Task Steps (3) Potential Hazards (4) Eliminate / Control Hazards (5)

Hazard Recognition / Considerations (Risk Management)


5887-ON-PR-HM-013

Physical (6) Arcing / sparking equipment Dust (weather created) Electricity, close proximity Electricity, loss of Engulfment Entanglement Falling objects Fall potential Fire / explosion Flying debris Heavy or bulky material High voltage - 5KV + Hot or cold surfaces Lighting – inadequate Moving hazards Pinching and crushing Radiation – X-ray

Physical (continued) (6) Sharp / jagged objects Pressurized systems and equip. Slips / tripping potential Structural - surface openings Tight/close work quarters Vibration (excessive) Water - drowning / hypothermia Other: Health (7) Airborne particles (work created) Chemical – liquid / vapour Contaminated soil or water Fatigue

Health (continued) (7) Heat stress Fumes Noise (excessive) Oxygen deficient atmosphere Temperature - extreme heat / cold UV rays – eyes / skin Other: Environmental – air, soil, water (8) Chemical spills / releases Wastewater Trash and housekeeping Other:

Task Planning Standard equipment required (9)

Example: Excavator, manlift, compressor, crane, forklift, truck

Special equipment and tools (10) Example: radios, special testing meters,

special tools, SCBA

Support craft and third party (11) Example: Equipment Vendor, laborers, special hole drilling, testing company

Risk Management Safe Work Practices (12) Asbestos abatement Confined space entry Crane lift study Electrical - close proximity Excavations and shoring Hot taps Lead abatement Line breaking / equipment

opening Lock-Out / Tag-Out MSDS and labeling Water for heat stress Other:

Basic Safeguards (13) Arc shields Barricades Crane suspended work platform Fire extinguishers located Fire watch Hole covers Hole watch Housekeeping Lighting - additional Post warning signs Scaffolding Tools and equipment in good

condition and colour coded Ventilation / exhaust systems

PPE Required (14) Arc suit Chemical resistant clothing Eye protection Fall protection Foot wear Hand protection Head protection Hearing protection Respirator (RPE) Weather resistant clothing Work breaks and shade for heat

stress Other:

Communication Stop work conditions (reminders) (15)

Adjacent work hazards Chemical spills or releases Excessive noise Fires and explosions Change in conditions Evacuation alarm Extreme weather Unusual odours


5887-ON-PR-HM-013

Supervisor and worker comments / change in conditions (16):

Acknowledgement I acknowledge receiving and understanding these instructions, I will fully comply with the assigned task requirements (17)

Initials and Surname (Print) Badge number Signature Date

FLS / Supervisor name: (Signature)

(Print) Date:

(Supervisor will ensure completed TSTI-JSA forms are forwarded to the appropriate Area Superintendent or Construction Manager)

Acknowledgement To be completed at the end of each shift. (18) I hereby declare that I have not been injured today.

Initials and Surname (Print) Badge number Signature Date

FLS / Supervisor name: (Signature) (Print) Date:

(Supervisor will ensure completed TSTI-JSA forms are forwarded to the appropriate Area Superintendent or Construction Manager)


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Appendix R – Deleted


5887-ON-PR-HM-013

Appendix S – Diving Permit to Work

Permit No: No.

Pearl GTL Project DIVING PERMIT to WORK Date

Permit Reference No.

HOLD


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Appendix T – Safety System Override Permit


Pearl GTL Project SAFETY SYSTEM OVERRIDE PERMIT Date

Description of Override Work Area

Location.

Type of Safety Protection System

Fire Level

Smoke Temperature

Gas Detection Pressure

Other (Please Specify)

Reason for Override

Method to be used

Requested By Issuing Authority

Name (Capitals) Signature Time Date

Certificate Validity This Certificate valid From Date Time

This Certificate Expires Date Time

This Certificate has been extended to

Date Time

Extension Approved by

Issuing Authority


Override Completed Authorised Engineer

Name (Capitals) Position (Capitals) Signature Date Time

Re-instatement


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Re-instatement Requested

Issuing authority


Comments and Observations

Override Cancellation

Safety System Override Re-instatement Complete and Tested

Authorised Engineer


White copy-Master/Issue Point Yellow copy-Work Site


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Appendix U – Permit To Work Form


Pearl GTL Project PERMIT TO WORK FORM Date

Contract No.:

Contract Title: Contractor Name:

Permit to Work Activity:

Method Statement/JSA: SECTION 1: Work Request By Contractor Contractor:

PTW Requestor:

Telephone number: Badge number:

Work location:

SECTION 2: Activity Specific Details

SECTION 3: Approvals Name: Badge no: Signature: Date:

PTW Issuing Authority:

Permit start date:

Permit finish date:

SECTION 4: PTW Accepted By Contractor Name: Badge no: Telephone no: Date: PTW Holder (Work

supervisor)

Number of craft working on the PTW:

TSTI reference:

SECTION 5: PTW Closed Name: Badge no: Signature: Date:

PTW Issuing Authority:


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Appendix V – Permit Revalidation Certificate


Pearl GTL Project

PERMIT REVALIDATION CERTIFICATE (Gas test required for excavation entry > 1.5 m)

Date

Days Date Time Issuing Authority - Signature Performing Party - Signature

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 12

Day 13

Day 14

Day 15

Day 16

Day 17

Day 18

Day 19

Day 20

Day 21

Day 22

Day 23

Day 24

Day 25

Day 26

Day 27

Day 28

Day 29

Day 30


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Appendix W – PTW Issuing Authority Appointees

PEARL GTL Project PTW - Issuing Authority Appointees

Initials and Surname

Authorized for Area/Project

Issuing Authority Signature

Autorisation Valid from / to:

Appointed by Initials and Surname (Only project Construction Director or his delegate can appoint)

Date appointment made

Signature of person doing appointment:

C Wright MOF Dec 06 – 09

D Harmon MOF Dec 06 – 09

R Emanuel MOF Dec 06 – 09

R Gillie MOF Dec 06 – 09

J Martinez Site Prep Dec 06 – 09

R Womack Site Prep Dec 06 – 09

C Harley Site Prep Dec 06 – 09

M Morgan Site Prep Dec 06 – 09

C Lange Site Prep Dec 06 – 09

C Armando Site Prep Dec 06 – 09

D Hannerman Site Prep Dec 06 – 09

M Eduardo Site Prep Dec 06 – 09

N Hinman Camp/WWT Dec 06 – 09

B Lewis Camp/WWT Dec 06 – 09

M Graham Camp/WWT Dec 06 – 09

J Ferrill Camp/WWT Dec 06 – 09

M Asisco Camp/WWT Dec 06 – 09

B Pedar Camp/WWT Dec 06 – 09

D Austiste Camp/WWT Dec 06 – 09

C Armando Camp/WWT Dec 06 – 09

D Smith Engineering Dec 06 – 09

R Miller Engineering Dec 06 – 09

E Larga QA/QC Dec 06 – 09

L De San Juan QA/QC Dec 06 – 09

O Pescon QA/QC Dec 06 – 09

N Enriquez QA/QC Dec 06 – 09

PWA du Plessis HSSE Dec 06 – 09

J Morney HSSE Dec 06 – 09

A Calingasan HSSE Dec 06 – 09

G Pienaar HSSE Dec 06 – 09

S Jones HSSE Dec 06 – 09

A Venter HSSE Dec 06 – 09

Permit To Work Procedure - Construction Phase Pearl GTL Project Revision 4 Ras Laffan, Qatar of 59

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Appendix X – Index of Permit Areas

Index of Permit Areas

C1 Buildings C4 Feed Gas Processing (FGP) C6 GTL Facilities C7 Off-Plot & Jetty C1-P Admin & CCR Area C4-H Receiving facilities C6-A GTL Facilities Ph 1 C7-V Loading Lines

C1-PA Admin & Control Bldgs. C4-HA Slug Catcher C6-AA 2nd Stage HPS C7-VZ General

C1-PB Storage / Warehousing C4-HB Cond. Stab. Common & Ph.1 C6-AB 1st Stage HPS C7-W LPG Storage

C1-PZ General C4-HC Cond. Stab. Ph.2 + Future C6-AC SGP C7-WZ General

C2 Air separation Units (ASU) C4-HD E-W Piperack C6-AD N-S Piperack C7-Z Loading Jetty

C2-F Units 1-4 Ph1 ASU's C4-HZ General C6-AZ General C7-ZZ General

C2-FA ASU-1 Ph 1 C4-J Processing Ph 1 C6-B GTL Facilities Ph 2 C8 Effluent Treatment Plant (ETP)

C2-FB ASU-2 Ph1 C4-JA AGR. & DMR C6-BA 2nd Stage HPS C8-N Effluent Treatment

C2-FC ASU-3 Ph 1 C4-JB NGL, LPG & Ethane C6-BB 1st Stage HPS C8-NA AOC, COC, etc.

C2-FD ASU-4 Ph1 C4-JC Chilled Water C6-BC SGP C8-NB Biotreater, etc. Ph. 1

C2-FE S/Stn & FAR's C4-JD E-W Piperack C6-BD N-S Piperack C8-NC Biotreater, etc. Ph. 2

C2-FF LIN & LOX C4-JZ General C6-BZ General C8-ND Effluent Water, RO, etc.

C2-FG N-S Piperack C4-K Processing Ph 2 C6-C GTL Power Generation C8-NE FAR

C2-FZ General C4-KA AGR. & DMR C6-CA Steam Turbine Generator C8-NF Future

C2-G Units 1-4 Ph2 ASU's C4-KB NGL, LPG & Ethane C6-CB Steam Generator & IA C8-NZ General

C2-GA ASU-1 Ph 2 C4-KC Chilled Water C6-CC Power Generation Buildings PMC PMC Office Complex

C2-GB ASU-2 Ph2 C4-KD E-W Piperack C6-CD Gas Turbine Generator

C2-GC ASU-3 Ph 2 C4-KZ General C6-CE BFW

C2-GD ASU-4 Ph2 C4-L SRU & SCOT C6-CF Condensate Recovery EPCM EPCM Office Complex

C2-GE S/Stn & FAR's C4-LA SRU & SCOT Ph. 1 C6-CJ E-W Piperack Ph. 1 (North)

C2-GG N-S Piperack C4-LB SRU & SCOT Ph. 2 C6-CK E-W Piperack Ph. 2 (South) C2-GZ General C4-LC Common Storage Area C6-CZ General TSF Pioneer Office C4-LZ General


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C3 Tank Farm C5 Liquid Processing Units ( LPU ) C6-U GTL General Utilities C Camp Complex

C3-M Gas Oil C5-D Units Ph 1 C6-UA CW Ph 1 + Waste Disp. (North)

C3-MA Gas Oil Tanks North C5-DA LDF C6-UB CW Ph 2 (South) CEW Early Works Camp

C3-MB Gas oil Tanks South C5-DB Downstream Units C6-UC Water Treatment CSTF JK Staff Camp

C3-MZ General C5-DC HMU & SMR Units C6-UD Flare CC1 Buildings Contractor Camp

C3-Q Kero, Naptha & Slops C5-DZ Common C6-UE Future CC2 ASU Contractor Camp

C3-QA Kerosene C5-E Units Ph 2 C6-UZ General CC3 Tanks Contractor Camp

C3-QB Naptha C5-EA LDF C6-Z General & Infrastructure CC4 Feed Gas Preparation(FGP) Contr. Camp

C3-QC Hot Slops Ph 1 C5-EB Downstream Units C6-ZC Main Cable Routes CC5 LPU/HMU Contractor Camp

C3-QD Hot Slops Ph 2 C5-EC HMU & SMR Units CC6 EPCM GTL / Util / BDI / Add'l. Plant Bldgs.

C3-QZ General C5-EZ Common MOF Material Offloading Facility Contractor Camp

C3-R Base Oil & Misc. CC7 Jetty & Offplots Contractor Camp

C3-RA Base Oil & Misc. (North) LD Laydown Areas (cont'd) CC8 Effluent Treatment Plant Contractor Camp

C3-RB Base Oil & Misc. (South) LDC7 Jetty & Offplots Fab & Laydown Area HTK Harbour Tanks CCM2B Civil & Mechanical Contractor Camp

C3-RZ General LDC8 ETP Fab & Laydown Area CC11 Spare Contractor Camp

LD Laydown Areas LDJK JK Fab & Laydown Area CGB1 Camp Area Greenbelt-1

LDC2 ASU Fab & Laydown Area LDEQ Heavy Equipment Yard WWT Waste Water Treatment CGB2 Camp Area Greenbelt-2

LDC3 Tank Fab & Laydown Area LDMT MMT Laydown Area CGB3 Camp Area Greenbelt-3

LDC4 FGP Fab & Laydown Area LDFS Main Fuel Storage CGB4 Camp Area Greenbelt-4

LDC5 LPU/HMU Fab & Laydown Area BAT Batch Plant

LDC6 GTL Fab & Laydown Areas

LDC6-1 GTL Descon Fab & Laydown Areas RCR Rock Crusher

LDC6-2 GTL J Warehouse & Laydown Area

LDC6-3 GTL K Warehouse & Laydown / S/blast Yard


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Appendix Y – Risk Assessment Matrix (RAM)

CONSEQUENCES INCREASING LIKEYHOOD

A B C D E

Seve

rity

Peop

le

Ass

et

Envi

ronm

ent

Rep

utat

ion

Never heard of in the industry.

Heard of in the industry.

Has happened in G&P or more than once per year in

the industry.

Has happened at QSGTL or more

than once per year in G&P.

Has happened more than once

per year at QSGTL.

0 No injury or health affect. No damage. No effect. No impact. Low Low Low Low Low

1 Slight injury or health effect FAC.

Slight damage. <$10,000.

Slight effect. <1m3 contained.

Slight impact. Local community. Low Low Low Low Low

2 Minor injury or health effect MTC.

Minor damage. >$10,000.

Minor effect. >1m3 no lasting effect.

Minor impact. Local media.

Low Low Low Medium Medium

3 Major injury or health effect LTD.

Moderate damage. $100,000 to $1m.

Moderate effect >10m3 requires clean-up.

Moderate impact. Regional media. Low Low Medium Medium High

4 PTD or up to 3 fatalities.

Major damage. $1m to $10m.

Major effect. >100m3 extensive clean-up.

Major impact. National media. Low Medium Medium High High

5 More than 3 fatalities.

Massive damage. >$10m.

Massive effect >100m3 extensive clean-up and remediation measures.

Massive impact. International media. Medium Medium High High High

Low Notes PTD Permanent Total Disability

Medium Risk Assessment Matrix FAC First Aid Case MTC Medical Treatment Case

High (RAM) LTI Lost Time Incident LTD Long Term Disability


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Appendix Z – Risk Assessment Matrix – Definition of Terms

Harm to People Asset Damage and Consequential Business Loss Severity Index No. Consequence

Severity Index No. Consequence

0 No injury or health effect. 0 No damage.

1 Slight Injury or health effect - Not affecting work performance and not affecting daily life activities. E.g.

• First aid cases and medical treatment cases.

• Exposure to health hazards that give rise to noticeable discomfort, minor irritations or transient effects reversible after exposure stops.

1 Slight damage – Cost is less than $10,000. E.g.

• No disruption to the operation.

2 Minor Injury or health effect - Affecting work performance, such as restriction to work activities or the need to take up to 5 days to fully recover. Or affecting daily life activities for up to 5 days. Or reversible health effects. E.g.

• Restricted workday cases or lost work day cases resulting in up to 5 calendar days away from work.

• Illnesses such as skin irritation or food poisoning.

2 Minor damage – Costs between $10,000 and $100,000. E.g.

• Brief disruption to operations.

3 Major injury or health effect – Affecting work performance in the longer term, such as absence from work for more than 5 days. Or affecting daily life activities for more than 5 days. Or irreversible damage to health. E.g.

• Long term disability (previously referred to as Permanent Partial Disabilities).

• Illnesses such as sensitisation, noise induced hearing loss, chronic back injury, repetitive strain injury or stress.

3 Moderate damage - Costs between $100,000 and $1,000,000. E.g.

• Partial shutdown.

4 Permanent Total Disability * (PTD) or one to three fatalities – Resulting from injuries or occupational illness. E.g.

• Illnesses such as corrosive burns, asbestosis, silicosis, cancer and serious work related depression.

• Car accident resulting in 1, 2 or 3 fatalities.

4 Major damage - Costs between 1 and $10,000,000. E.g.

• Up to two weeks shutdown.

5 More than three fatalities – Resulting from injuries or occupational illness. E.g. 5 Massive damage - Costs in excess of $10,000,000. E.g.


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• Multiple asbestosis cases traces to a single exposure situation.

• Cancer to a large exposed population.

• Major fire or explosion resulting in more than 3 fatalities.

• Substantial or total loss or operation.

Environmental Effect Impact on Reputation Severity Index No. Consequence

Severity Index No. Consequence

0 No effect. 0 No impact.

1 Slight effect – Slight environmental damage – contained within the premises. E.g.

• Small spill in process area or tank farm area that readily evaporates.

1 Slight effect.

• Local public awareness but no discernible concern.

• No media coverage.

2 Minor effect – Minor environmental damage but no lasting effect. E.g.

• Small spill -off site that seeps into the ground.

• On-site ground water contamination.

• Complaints from up to 10 individuals.

Single exceedance of a statutory or other prescribed limit.

2 Minor impact.

• Local public concern.

• Local media coverage.

3 Moderate effect - Limited environmental damage that will persist or will require cleaning up. E.g.

• Spill from a pipeline into soil/sand that requires removal and disposal of large quantities of soil / sand.

• Observed off-site affects or damage. E.g. fish killed, vegetation damaged.

• Off-site ground water contamination.

• Complaints from community organisations (or more than 10 complaints from individuals).

3 Moderate impact - Significant impact in region or county.

• Regional public concern.

• Local stakeholders, e.g. community, NGO’s, industry and government are aware.

• Extensive attention in local media. Some regional or national media cover.


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• Frequent exceedance of statutory or other prescribed limits with potential long term effects.

4 Major effect - Severe environmental damage that will require extensive measures to restore beneficial uses of the environment. E.g.

• Oil spill at a jetty during tanker loading or off-loading that ends up on local beaches requiring clean up operations.

• Off-site ground water contamination over an extensive area.

• Many complaints from community organisations or local authorities.

• Extended exceedance of statutory or other prescribed limits with potential long term effects.

4 Major impact – Likely to escalate and affect group reputation.

• National public concern.

• Impact on national stakeholder relations. National government and NGO involvement with potential for international NGO action.

• Extensive attention in national media. Some international coverage.

• Potential for regulatory action leading to restricted operations or impact on operating licences.

5 Massive effect – Persistent severe environmental damage that will lead to loss of commercial, recreational use or loss of natural resources over a wide area. E.g.

• Crude oil spillage resulting in pollution of a large part of a river estuary and extensive clean- up and remedial measures.

5 Massive impact – Severe impact on group reputation.

• International public concern.

• High level of concern amongst governments and action by international NGO’s.

• International media attention.

• Significant potential for effect on national / international policies with impact on access to new areas, grants of licences and/or tax legislation.