Sesa Goa Limited

Change Control Form

Date of Request:18/062012 Is the Change: Permanent Dept.: Electrical
Form No: CCF/ / /

Yes/No
YES

If Temporary for how long:

Location/Plant:

BF3

Equipment: Diesel Pump

Purpose of Change: DG should start if all the three pumps ( Medium Pressure Pumps 1,2 &3) trips

Present Problem: DG doesnt start if all the three pumps ( Medium Pressure Pumps 1,2 &3) trips.

Details of basic change:

Benefit Expected: Currently DG is starting on power failure. After making the above said changes DG can start if all the three pumps gets tripped due to any cause.

CHECKLIST FOR CHANGE Sr.No 1 2 POTENTIAL CHANGES Has the same change been unsuccessful elsewhere? Have risks and hazards associated with this equipment been identified? 3 4 Has there been any change to materials of construction? Could this change create any new hazards during construction or in later service? 5 Has this design been previously changed? NO NO NO YES NO NO NO

6 7

Is there any change to procedures or operating conditions? Is there any impact on existing safety equipment (Trips, alarms etc.)?

NO NO

8 9

Are there any additional features for safety required? Are there any changes required to training or procedures as a result of this change? OTHER REQUIREMENT

NO NO

No 1 2 3

Requirements HIRA And Aspect Impact Special Training Changes to existing procedures / work instructions (Ref WI No: )

Responsibility

Target Date

4 5

New procedures/work instructions Changes in: Drawing or other document

Verification by HODs: Production Mechanical Electrical Instrumentation Safety & MR

Approved By Business Manager, PIP.