PTW System

VALERO KROTZ SPRINGS
SHG #3
Page 1 of 43
Revised: 10/6/03
Acceptable Entry Conditions.................................3

Appendix 1..............................................................25
Appendix 2..............................................................30
Atmospheric Testing........................................15, 18
Authorized Entrant..............................................3, 9
Lighting/Electrical Power......................................20
Line Break............................................................3, 5
Blanket Safe Work Permit...............................3, 11

Bulk Chemical Loading or Unloading...................6
Nitrogen.....................................................................5
Nitrogen Purge.......................................................23
Non-Hazardous Confined Space........5, 19, 23, 30
Non-Pressurized Building Containing Enclosure6
C
Check List...............................................................26
Cold Work...........................................................3, 11
Company Employees...........................................24
Competent Person............................................3, 29
Confined Space....4, 16, 19, 20, 22, 23, 25, 29, 30,
31, 32, 34
Confined Space Entry....................................22, 28
Confined Space Permit................18, 19, 20, 30, 34
D
Definitions.................................................................3
Demister...........................................................12, 19
Designated Attendant.......................................4, 10
E
E&SA Department.......................................9, 21, 23
Entry. .3, 4, 5, 14, 16, 19, 20, 21, 22, 23, 25, 29, 30,
31, 32
Entry Supervisor...........4, 10, 19, 20, 29, 30, 31, 32
Excavation.................3, 4, 15, 16, 18, 25, 26, 27, 29
Excavation Constraints........................................16
F
Fire Watch..........................................4, 7, 10, 12, 13
G
General Instructions on Safe Work Permitting.25
H
Hazardous Atmosphere..........................................4
Hot Work.......................................................5, 12, 13
I
Immediately Dangerous to Life and Health
(IDLH)....................................................................5
Inerting......................................................................5
In-Service Welding..................................................5
Inspection.........................................................22, 42
Issuing the Confined Space Permit....................20
Issuing the Safe Work Permit..............................11
Issuing The Vehicle Entry Permit.......................14
M
Mounted Enclosure.................................................6
O
Owning Department. 5, 6, 9, 10, 11, 12, 13, 14, 15,
16, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29,
30, 32, 34
P
Permit Enforcement................................................6
Permit Expiration/Renewal..................................11
Permitting for Cold Work......................................11
Permitting for Confined Space............................18
Permitting For Hot Work......................................12
Permitting for Vehicle Entry.................................14
Personal Protective Equipment11, 12, 15, 19, 25,
31, 34
Precautions.....11, 12, 15, 19, 22, 26, 29, 30, 31, 32
Preparation of the Confined Space Permit.......19
Pressurized Building Containing Pneumatic
Controls.................................................................6
Purged Or Pressurized Equipment.......................6
Purpose.....................................................................3
Pyrophoric............................................12, 19, 25, 30
R
Removal of Entrance (Manway) Covers...........18
Rescue..........................................6, 9, 10, 22, 25, 31
Respiratory Protection..........................................21
Responsibilities........................................................6
Retrieval System.....................................................6
S
Safe Work Permit............................................22, 25
Scope........................................................................3
Signing the Confined Space Permit...................19
Signing the Safe Work Permit.............................11
Special Conditions..........................................11, 20
T
Testing.................................................................6, 19
Training...................................................................24
U
Unipure....................................................................40
V
Vehicle Entry......................................................6, 14
Ventilation.........................................................21, 31
Vessel...........................3, 4, 5, 12, 21, 25, 30, 31, 39
W
Walk in Enclosure...................................................6
Welding............................4, 5, 21, 26, 35, 36, 37, 38
Work Scope............................................................25
Work Supervisor..................................................7, 9
SHG #3
Page 2 of 43
Revised: 10/6/03
SAFE WORK PERMIT GUIDELINES

1.0
PURPOSE
This guideline defines minimum permit requirements, procedures, limitations and provides
forms for the issuance of safe work permits within the facility.
2.0
SCOPE
This guideline applies to all persons including Valero and contractor personnel and defines
permit requirements, procedures, limitations and forms used in the issuance of safe work
permits, including cold work, hot work, vehicle entry, excavation and confined space entry
permits to assure consistent safe work permitting within the facility. A safe work permit is
required for any Maintenance, repair or construction work within the facility. Permits are
generally not required for work performed in office buildings and Maintenance shops except for
confined space entry and hot work on equipment that has been in service. Cold work
performed by owning area personnel does not require a safe work permit.
3.0
DEFINITIONS
Acceptable Entry Conditions - The atmospheric, access/ egress, and work area
conditions that must exist in a confined space before entry is allowed.
Authorized Entrant - A person who is authorized under the terms of the confined
space entry permit to enter and exit the space.
Blanket Safe Work Permit - A cold work permit issued within a defined section (see
Section 5.1 - Permitting for Cold Work and Line Break) to allow work on a grouping of
closely interrelated or similar pieces of equipment (e.g., groups of exchangers, pumps,
vessels and connecting piping, etc.).
Cold Work - Any work activity which does not supply sufficient heat or spark energy to
provide a potential ignition source for a flammable mixture. This includes general work,
scaffolding, cleanup, etc. Hot work, vehicle entry, excavation or confined space entry
are not classified as cold work.
Competent Person - For the purposes of excavations, an authorized person who is

trained in and is capable of identifying existing and predictable hazards in the
surroundings, or working conditions which are unsanitary, hazardous or dangerous to
employees, and who has authorization to take prompt corrective action to eliminate
them.
Confined Space - A space that is:
Sufficiently large and so configured that an individual can bodily enter and
perform assigned work;
Has limited or restricted means of entry or exit;
Is not designed for continuous occupancy; and
May contain one of the following:
Contains or has the potential to contain a hazardous atmosphere;
Contains a material that has the potential of engulfing an individual;
Has an internal configuration such that an entrant could be trapped or

asphyxiated by inwardly converging walls or by floors which slope
downward and taper to a smaller cross-section; or
Contains any other recognized serious safety and health hazard.
Examples of confined spaces include but are not limited to: (a) tanks, (b)
reactors, (c) vessels, (d) towers, (e) drums, (f) sumps, (g) external floating roofs
greater than 12 inches below the maximum fill level, (h) excavations greater
than 4 feet deep, and (I) tower skirts.
In addition, temporary shelters used for welding, inspections, etc., where

there is a potential for build-up of toxic materials or oxygen depletion may be
considered a confined space. These must be evaluated on a case by case
bases by the owning department.
Designated Attendant A qualified individual ("hole watch") stationed outside a

confined space as required by the confined space entry procedure.
Entry - The action by which an individual passes through an opening into a confined
space. Entry is considered to have occurred as soon as any part of the entrant's body
breaks the plane of an opening into the space.
Entry Supervisor - The individual (Superintendent, Shift Supervisor, Lead Technician)

responsible for confined space entry activities. This function cannot be delegated.
Fire Watch - A qualified person designated to monitor the area of hot work involving
welding or cutting, take appropriate action to reduce risk of fire and if necessary
extinguish an incipient stage fire.
Hazardous Atmosphere - An atmosphere that may expose entrants to the risk

of death, impairment of ability to exit, injury or acute illness from one or more of the
following causes:
Flammable gas, vapor or mist in excess of 10 percent of the lower explosive

limit (LEL)
Atmospheric oxygen concentrations below 19.5% or in excess of 23.5%
Atmospheric concentration of any substance which could result in employee

exposure in excess of its permissible exposure limits (PEL)
Any other atmospheric condition that is Immediately Dangerous to Life or Health

(IDLH)
Hot Work- Work that causes or requires the use of open flames, arcs, sparks, or other
forms of high temperature ignition sources that could initiate a fire or explosion.
Examples of hot work include welding, burning, soldering, hot tapping/stoppling, drilling,
grinding, abrasive blasting, chipping, the operation of impact wrenches, the operation of
electronic or electrical equipment that is not intrinsically safe, opening explosion proof
electrical enclosures and any other work that may generate sufficient heat that it would
pose a possible ignition source.
Immediately Dangerous to Life and Health (IDLH) - Any condition that (a) poses an
immediate or delayed threat to life; or (b) would cause an irreversible adverse health
effect; or (c) would interfere with an individual's ability to escape unaided from a
confined space. The level of contaminant that would pose an IDLH atmosphere is
substance specific.
Inerting - The displacement of an atmosphere in a confined space by a

noncombustible gas such as nitrogen, to such an extent that the resulting atmosphere
will not support combustion or life.
NOTE - This condition results in an IDLH (oxygen deficient) atmosphere. Inert confined
space entries are not normally done by company personnel.
In-Service Welding - The practice of welding on equipment (e.g., tank, pipe, vessel,
exchanger, etc.) which has not been purged (gas free) and has not been removed from
service through conventional methods. This includes but is not limited to grinding,
burning or welding.
Joint Job Site Visit - A visit to the job area by an Operations person and the person to do
the work (or a representative of the person(s) to do the work) to ensure the safety of
the workers and the operation by identifying the hazards associated with the job and
the measures and equipment to be used to mitigate or eliminate the hazards. Safety
Department personnel may be included in the visit for higher risk or more unusual jobs.
The hazards listed and referred to in sections B E of the permit form should be
considered, as well as all other potential hazards. When a job extends beyond the valid
date of the first permit, the extent of the Joint Job Site Visit evaluation may be reduced
(as compared to the first permit Joint Job Site Visit) if appropriate in the judgment of the
joint visitors.
Line Break - The intentional opening of a process system that may contain flammable,
corrosive, or toxic material, or a material under pressure or temperature such that an
unplanned opening of the system may result in injury to workers. Examples include
spreading flanges, opening exchangers, pulling pumps, cold cutting pipe, etc. Line
break, depending on equipment used, could be cold work or hot work.
Non-Hazardous Confined Space - A confined space which normally exists without

IDLH conditions. Entry into such spaces requires the issuance of a confined space
entry permit. No blinding is required by the Owning Department as part of the permit
issuance. Non-hazardous confined spaces are floating roof tank tops, tower skirts,
sunken valve and pump manifold areas, cooling tower cells, and fin fans.
Owning Department - The unit/area/department that is responsible for the location in

which the work is performed.
Owning Department Representative - Individuals who have received training and a

certification of competency in the issuance of permits and associated gas testing.
Certification of competency requires passing a standardized written examination.
Retrieval System - The equipment used for non-entry rescue of persons from confined
spaces such as a safety harness and life line.
Testing - The process by which the hazards that may confront personnel performing
hot work, vehicle entry, or authorized entrants of a confined space are identified and
evaluated.
Vehicle Entry - The entry of any motorized vehicle into the battery limits of a process
unit, inside tank farm diked areas, or other restricted areas except for trucks loading or
unloading at racks.
Mounted Enclosure small enough to prevent complete physical entry (e.g., cabinet,
junction box, analyzer enclosure, etc.).
Walk-in Enclosure similar to mounted enclosure, but large enough to allow complete
physical entry (e.g., walk-in compressor control equipment).
Non-Pressurized Building Containing Enclosure(s) building containing purged or

pressurized equipment (e.g., analyzer building, blend building, etc.)
Pressurized Building Containing Pneumatic Controls pressurized building

containing control equipment that has the potential to release purged air (e.g.,
pressurized control room)
4.0
RESPONSIBILITIES
Individual/Group
Owning Department
Assigned Responsibilities
Potential Oxygen Deficiency Labeling:
Mount and maintain warning of O2 deficiency hazards and
entry requirements on enclosures and buildings potentially subject to
O2 deficiency.
Permit Preparation:
Prepare equipment or area
Prepare and issuing all permits
Issue permits for all bulk chemical loading or unloading activities.
Initially review the Process Unit Overview with all contractors and
inform them of the location of posted Process Unit Overviews
Perform a joint job site visit as required in the permit preparation
procedure (Appendix 1).
Ensure that work proceeds in accordance with the terms of the permit
issued.
Ensure that the recipients of the permit understand its terms and
limitations.
Ensure that work will not cause any negative impacts to the
environment.
Ensure that the atmosphere is continuously monitored during a
confined space entry as outlined in the Confined Space Permit
Preparation section of this guideline.
Permit Enforcement/Follow up:
When the permit must be updated during the shift while the permit is
valid, enter the update time(s) in the Permit Timing box and initial by
the updated items.
Cancel the permit if conditions of the permit are not being met or if the
area or equipment conditions change requiring either the termination or
re-issuance of the permit.
Ensure that the permit issuance procedures are being followed.
Ensure that the terms of specific permits are being followed.
Reviewing and signing hot work permits.
Ensure that completed entry and confined space entry permits are
returned to the Safety Department.
Individual/Group
Work Supervisor or
designee (company
or contractor)
Ensure that all work carried out by personnel in their work crew is
covered by valid permits.
Ensure that all members of the work crew review the permit
requirements and sign the back of the permit form to confirm their
understanding. If the permit is changed or updated, ensure that all
members of work crew re-sign to confirm understanding of the
change(s).
Review and sign all permits issued for confined space entry, hot work,
hot taps, supplied air work, or work requiring additional safety
equipment such as slicker suits, goggles, face shields, etc., such as
that required for work in acid or caustic areas.
Ensure that a trained designated fire watch and/or designated
attendant is provided when needed.
Ensure that all personnel in their work crew that may enter a confined
space are trained as authorized entrants.
Determine the number of entry portals required for a confined space.
Ensure that the permit form is available at the job site at all times while
the job is underway.
Determine the number of entry attendants needed for multiple portal
entries into a confined space.
Determine the type or method of communication used between the
designated attendant(s) and authorized entrants.
Ensure that the atmosphere is continuously monitored during a
confined space entry as outlined in the Confined Space Permit
Preparation section of this guideline.
Ensure that all personnel in their work crew are aware of and trained in
the relevant chemical and process hazard information for the area in
which they are working.
Individual/Group
Work Supervisor or
designee (company
or contractor)
HSE Department
Authorized Entrants
(company or
contractor)
Obtain proper permits from the Owning Department and review and
accept the permit terms and restrictions prior to starting work.
Provide estimated number in work crew.
Assure that a joint job site visit as required in the permit preparation
procedure (Appendix 1) is performed.
Review the permit with the work crew.
NOTE: CONTRACTORS MUST REVIEW THE PROCESS UNIT

OVERVIEW WITH ALL PERSONNEL INVOLVED IN THE WORK
ACTIVITIES DESCRIBED ON THE PERMIT PRIOR TO STARTING
WORK.
Ensure that the work described in the permit is completed and/or left in
a safe condition prior to leaving the work area, including cleaning the
area up.
Check in with the confined space designated attendant when entering
and exiting a confined space.
Maintain their copy of the permit at the work site.
Ensure the Owning Department fully understands the scope of the
work to be done.
Sign and return their copy of the permit to a person in the Owning
Department when the work is complete or the permit expires.
Provide advice/training as required in gas testing.
Sign initial confined space entry permits. (Non-Hazardous Confined
Spaces excepted, See section 5.5.1)
Annually review the confined space entry program using completed
permits to determine where improvements, if any, can be made to
better protect confined space entrants (the annual review is
documented).
Maintain files of completed work permits involving gas tests indefinitely.
Establish general standards for acceptable entry conditions.
Establish general standards for equipment required under this SHG.
Develop and implement procedures and resources for rescue and
emergency services.
Adhere to the terms and restrictions of the confined space entry
permit.
Check in and out of the confined space with the designated attendant.
Use the safety equipment specified on the entry permit properly.
Know the hazards that may be encountered during the entry and the
effects of overexposure to potential contaminants.
Stay in communication with the attendant during entry and promptly
following any emergency instructions.
Exit the space based on their own judgment, an order from the
attendant, or an alarm.
Individual/Group
Entry Supervisor
Fire Watch
Designated Attendant
(Hole Watch)
Determine if acceptable conditions are present at a confined space.
Authorize entry.
Oversee confined space entry activities
Know and properly communicate the hazards that may be faced during
entry and the effects of exposure to the hazards.
Terminate entry as required.
Have NO OTHER RESPONSIBILITIES that would interfere with his/her
reliably fulfilling fire watch duties.
Maintain vigilance for changes in area or work conditions that may
increase the chance for a fire or explosion and stopping work
accordingly.
Have a charged water hose or fire extinguisher available and
extinguish incipient fires that may start as the result of hot work being
performed. The area must be kept wet/damp at all times if required by
the permit.
When exposed combustibles (wood, paper, rags, dry grass, etc.) are
present within 35 feet of the work area firewatch can only leave the
area after hot work has been stopped for thirty minutes or a relief
attendant has been obtained.
Have NO OTHER RESPONSIBILITIES that would interfere with his/her

reliably fulfilling hole watch duties.
Know the hazards that may be encountered during entry and the
effects of exposure to the hazards.
Maintain an accurate roster of personnel who enter and exit the
confined space.
Remain outside the confined space.
Monitor the atmospheric testing equipment used for continuous
monitoring and respond appropriately.
Communicate with entrants and monitor status of a change in
conditions that would create a need to evacuate the confined space.
Maintain a means of communicating with the Owning Department
and/or Maintenance.
Order an evacuation of the confined space, performing non-entry
rescue if conditions warrant, or summon rescue or emergency
services.
(THE ATTENDANT WILL NOT ATTEMPT ENTRY RESCUE!)
Ensure that only authorized entrants are allowed into the confined
space.
5.0
PERMITTING PROCEDURES
5.1
Permitting for Cold Work
ACTION
Preparation of the
Cold Work Permit
(refer to Appendix 1 for
additional details on
the completion of the
permit form)
Signing the Safe

Work Permit
Issuing the Safe Work

Permit
Permit
Expiration/Renewal
DESCRIPTION
Upon receipt of a Maintenance work order or request, the Owning
Department will prepare a Safe Work Permit based on:
Understanding the nature and extent of the work to be done.
A review of the impact of the work on the operability/safety of the
process or general area by conducting a job site visit before the
permit is issued. Prior to more hazardous activities this visit is made
collectively with the Maintenance/contract craftsmen BEFORE THE
WORK IS ALLOWED TO BEGIN (see Appendix 1, Section B).
Communicating to the persons who will perform the work, the
personal protective equipment and other precautions that need to be
taken to perform the work safely.
Ensure that the equipment to be worked on is appropriately prepared
(i.e., locked out, drained, steamed, blinded, etc.), and if being worked
on while still operating, what additional precautions are necessary.
(Bring the green copy of the permit in the field for a reference during
jobsite preparation.)
Ensure that all personnel who may be impacted by the work are
aware that the work is commencing.
By the Owning Department representative.
By the work supervisor, designee or contract craftsmen.
By the Owning Department to the Maintenance/contract craftsmen
that will perform the work.
Permit to remain on the job site until completion of the work or the
permit expires, whichever occurs first.
Permit must be legibly written/completed.
Unless special provisions are made, a new permit is required at the
beginning of each new work shift for the Owning Department and
work crew.
Expired permits and permits on work that has been completed are
returned to a person in the Owning Department that issued it and
forwarded to Safety.
Special Conditions
During process unit turnarounds, blanket safe work permitting of
Blanket Safe Work
crafts for cold work can be done with prior agreement of Owning
Permitting
Department and work crew supervisor.
5.2
Permitting For Hot Work
PERMITTING FOR
HOT
WORK
ACTION
Preparation of the Hot
Work Permit
completion of the
permit form)
DESCRIPTION
Department will prepare a Hot Work Permit based on:
Understand the nature and extent of the work to be done.
Review the impact of the work on the operability/ safety of the process
or general area by conducting a job site visit before the permit is
issued. This visit is made jointly with a representative of the work
crew BEFORE THE WORK IS ALLOWED TO BEGIN (see Appendix
1, Section B).
Performing gas testing of the area as appropriate where the work will
be performed; the boundaries of the area to be tested depend on the
nature of the work to be done.
Ensure that the results of any gas tests taken are included on the
permit, including the serial number and date of last calibration of the
instrument used.
Communicate to the persons who will perform the work, the personal
protective equipment and Fire Watch precautions that need to be
NOTE - HOT WORK NOT INVOLVING OPEN SPARKS OR FLAMES
MAY NOT REQUIRE THE DESIGNATION OF A FIRE WATCH
ATTENDANT (SEE NOTES IN APPENDIX).
Ensure that the equipment or area is appropriately prepared, i.e.,

sewers covered, equipment drained and cleaned, combustibles
removed, blinds in place, etc. (Bring the green copy of the permit in
the field for a reference during jobsite preparation.)
NOTE: HOT WORK INVOLVING VESSELS OR DRUMS EQUIPPED WITH A

DEMISTER PAD, THE DEMISTER PAD WILL BE REMOVED OR FIRE
PROTECTED. In addition, where pyrophoric materials are concerned refer to
SHG #13.
Signing the Hot Work

Permit
Issuing the Hot Work

Permit
Permit
Expiration/Rene
If a Fire Watch is required, ensure that a fire extinguisher or charged

water hose is available at the scene of the work.
Ensure that the name of any designated Fire Watch is included on the
form.
By the Owning Department representative and the individual who did
the gas testing. (The name of the person doing the gas testing may
be printed in the space provided.)
By the company work crew representative and/or contractor work
crew representative.
By the Owning Department to the company work crew representative
or contractor representative.
Permit to remain at the job site until completion of the work (including
extended Fire Watch) or the permit expires, whichever occurs first.
Work described in the permit must commence within 2 hours of gas
testing; if it does not, a new gas test will be required prior to beginning
ACTION
wal
Completed Work
DESCRIPTION
work.
In work areas where exposed combustibles (wood, paper, rags, dry
grass, etc.) are present within 35 feet of the work area, the firewatch,
or a relief attendant, is required to remain at the work site for a
minimum of thirty minutes after completion of permit-related hot-work
activities before turning in the work permit.
Unless special provisions are made, a new permit is required (and gas
test, if appropriate) at the beginning of each new work shift for the
Owning Department and work crew.
5.3
Permitting for Vehicle Entry

ACTION
Preparation of the
Vehicle Entry Permit
completion of the permit
form)
Signing the Vehicle

Entry Permit
DESCRIPTION
Upon receipt of the request for a vehicle entry permit, the Owning
Department representative will prepare a Vehicle Entry Permit based on:
A review of the impact of the vehicle entry on the operability/safety of
the process or general area by visiting the general areas where the
vehicle(s) will enter, drive through and/or be operated.
A gas test of the areas affected by the vehicle entry.
instrument used.
Ensure that all personnel who may be impacted by the work are aware
that the work is commencing.
Ensure that the travel route is defined and communicated (including
pathways, street names and/or gate numbers), and a spotter is
assigned if necessary.
Issuing the Vehicle

Entry Permit
Permit
Expiration/Renewal
By the Owning Department representative and the person who did the
gas testing and site inspection.
By the company work crew or contractor representative, driver of the
vehicle, or the contract craftsmen.
By the Owning Department to the company work crew/ contractor
representative.
Permit to remain at the job site until completion of the work or the
permit expires, which ever occurs first.
Work described in the permit.
Initial vehicle entry must be made within 2 hours of any initial gas
testing; if it does not, a new gas test will be required prior to beginning
work.
If the vehicle or the work shuts down for more than two hours, a new
gas test is required.
5.4
Permitting For Excavation
ACTION
DESCRIPTION
Atmospheric Testing
Preparation of the
Excavation Permit
Must be performed prior to ANY entry (other than entry required for
performing atmospheric testing of large confined spaces).
Confined Space work described in the permit must begin within 2 hours
of gas testing; if it does not, a new gas test will be required prior to
beginning work.
NOTE - The atmosphere during any initial entry for testing will be assumed
to be IDLH; PPE for personnel entering to perform gas testing will be
selected accordingly.
Will be performed by a trained, Owning Department representative with

advice as required from Safety.
Will be performed in the order of oxygen, flammable, and then air toxins
unless the analyzer monitors for all simultaneously.
Will be performed with an instrument that has been calibrated.
Continuous monitoring may be required under special situations as
outlined in the Confined Space Permit Preparation section of this
guideline.

form)
Prior to beginning the excavation and as part of permit preparation, the

Maintenance Department will contact if appropriate local or state
authorities, companies or utilities. Contractors must contact the
Maintenance Department before any excavation work is done.
Department will prepare an Excavation Permit based on:
A review of the impact of the work on the operability/ safety of the
process or general area by conducting a job site visit before the permit
is issued. Typically, this will require a visit made jointly with the
company work crew or contractor representative BEFORE THE
WORK IS ALLOWED TO BEGIN (see Appendix 1, Section B).
Drawings of underground tanks, lines and utilities will be reviewed as
needed.
Perform gas testing of the area as needed.
instrument used.
Communicate to the persons who will perform the work, the
personal protective equipment and other precautions that need to be
Ensure that the immediate and surrounding area to be involved is
appropriately prepared, i.e., sewers covered, perimeter barricaded,
equipment drained and cleaned, combustibles removed, a spoil area
or container established, etc.
ACTION
Signing the
Excavation Permit for
Confined Space Entry
(See SHG 19.)
DESCRIPTION
Issuing the Excavation

Permit
Excavation
Constraints
Permit
Expiration/Renewal
By the Owning Department representative and the person who did the
gas testing.
By the company work crew or contractor representative.
By the company or contractor competent person if the excavation is
deeper than 4 feet and must be entered.
By the Owning Department to the company work crew or contractor
representative.
Permit to remain posted in the area until completion of the work or the
permit expires, whichever occurs first.
If the excavation is deeper than 4 feet and must be entered:
It must be inspected by the company or contractor competent person
to assure that it is properly shored or sloped and barricaded and has
adequate access and egress.
It must be permitted as a confined space prior to entry (see Confined
Space Entry table below) and will require a confined space
attendant (hole watch).
Excavated soil must be kept at least 2 feet from the edges of the
excavation.
It must be re-inspected by the company or contractor competent
person after a rainstorm or any event that may compromise the
integrity of the excavation walls.
All adjacent structures, buildings, walls, etc. must be braced or
underpinned to prevent collapse into the excavation.
Trenches and excavations will have barriers set back far enough to
prevent vehicular traffic from causing cave-ins.
Excavation work described in the permit must begin within 2 hours of
gas testing; if it does not, a new gas test will be required prior to
beginning work.
returned to a person in the Owning Department that issued it.
5.5
Permitting for Confined Space
ACTION
DESCRIPTION
Any
conditions
making
it
unsafe
to remove a cover will be eliminated to
Removal of Entrance
the
extent
practical
before
the
cover
is removed. Owning department
(Manway) Covers
will assure the following actions are taken to make a space "safe" :
Blinding and/or disconnecting all lines entering the space.
Cleaning the space thoroughly by draining, water washing, steaming,
or other suitable means.
Locking out/tagging out/disconnecting devices such as mixers,
radiation sources, etc.
When entrance covers are removed, the opening shall be promptly
guarded by a railing or barrier to prevent accidental entry or falls,
etc., until the space is permitted and made ready for entry.
A sign stating "DANGER CONFINED SPACE - Enter By Permit
Only" will be immediately placed at the entry portal by whoever
removes the entrance cover. Owning department is responsible for
making the sign available.
Adequate means of exit must be provided such as a ladder or steps so

Excavations
that a person must not have to travel more than 25 feet to exit.
CONFINED
SPACE
ACTION
PERMIT
Atmospheric Testing
DESCRIPTION
Must be performed prior to ANY entry (other than entry required for
performing atmospheric testing of large confined spaces).
Confined Space work described in the permit must begin within 2 hours
of gas testing; if it does not, a new gas test will be required prior to
beginning work.
NOTE - The atmosphere during any initial entry for testing will be assumed
to be IDLH; PPE for personnel entering to perform gas testing will be
selected accordingly.
Will be performed by a trained, Owning Department representative with

advice as required from Safety.
Will be performed in the order of oxygen, flammable, and then air toxins
unless the analyzer monitors for all simultaneously.
Will be performed with an instrument that has been calibrated .1

Will be done initially with air movers off; subsequent retesting can be
done with the air movers remaining on.
CONFINED
SPACE
ACTION
PERMIT
Preparation of the
DESCRIPTION
Department will prepare a Confined Space Permit based on:
Confined Space
Understanding the nature and extent of the work to be done so that
Permit
potential hazards can be identified, described in the permit and suitably
(refer to Appendix 2
addressed.
for additional details
Assuring that all pre-entry preparations of the space have been

on completion of the
completed (e.g., blinding, steaming, chaining/locking of valves, locking
permit form).
out of electrical and radiation sources, opening of bleeders, access and
egress from the space is easy, etc.) by conducting a joint job site visit
with the company work crew or contractor representative (see Appendix
1, Section B). (Bring the green copy of the permit in the field for a
reference during jobsite preparation.)
Perform initial entry gas testing of the space (see notes above on
Atmospheric Testing).
Ensure that the results of the gas test are included on the Confined
Space Permit, including the serial number(s) and date of last calibration
of the instrument(s) used to perform the testing.
Communicate to the persons who will perform the work, the hazards, the
required personal protective equipment, and other precautions needed
to perform the work safely.
Assigning qualified individuals to be the designated attendant(s) (hole
watch).
Ensure that the atmosphere is continuously monitored during a confined
space entry when special conditions exist such as but not limited to the
following:
- Use of inert gases
- Possibility of restricted ventilation
- Possibility of introduced toxic gases
The Owning Department or Safety Department can require
continuous monitoring during confined space entry when conditions
initiate additional concerns.
Ensure that all personnel who may be impacted by the work are aware
that the work is commencing.
NOTE: For spaces containing demister pads consider the provisions of
SHG #13 Pyrophoric Iron Sulfide Deposits.
Signing the Confined By the Owning Department representative who performed the gas
testing.
Space Permit
By the Entry Supervisor.
By a Safety representative (INITIAL CONFINED SPACE PERMIT ONLY,
NON-HAZARDOUS CONFINED SPACE EXCEPTED).
CONFINED
SPACE
ACTION
PERMIT
Issuing the Confined
Space Permit
Confined Space
Permit
Renewal/Expiration
Special Conditions/
Deviations
Lighting/Electrical
Power
DESCRIPTION
Is issued to the space, not to any specific craft or contractor.
Must describe the method of communication between the attendant and
personnel inside the space.
Is used by the designated attendant to keep a running tally of entrants
entering and leaving the space.
Is used by the attendant to keep a record of initial and subsequent gas
tests of the space.
Must remain with the designated attendant or posted at the entry portal,
normal access ladder/stairs, or other effective location for review.
Can be issued for the job duration but will not exceed 24 hours.
Must be canceled and reissued after a significant plant emergency that
may compromise the validity of the permit conditions.
Must be canceled and reissued if the configuration or use of the space
changes in such a way that hazards are increased.
If any of the entrants detect a potentially hazardous atmospheric
condition, the permit must be pulled until an investigation is made by the
Entry Supervisor. This action would be noted on the comment section
(reverse side) of the permit form. If nothing is found, the permit should
be marked in the comment section as "REVALIDATED."
If the Confined Space Permit is canceled, all craft specific permits
referencing this permit must be canceled and reissued as well.
After completion of the work or expiration of the permit, it must be
returned to a person in the Owning Department for cancellation and
subsequent return to Safety for filing.
NEW CONSTRUCTION:
Any deviations of confined space entry permitting requirements will be a
joint decision by Maintenance, Engineering, Operations and Safety.
Artificial lighting or power used within a confined space will meet the
following requirements:
Use a 12-Volt power supply or a 120-Volt system with ground fault
circuit interrupters (GFCI's).
Meet the requirements for Class I, Division 2, Groups C & D rating
where possible explosive or flammable atmospheres cannot be
eliminated.
CONFINED
SPACE
ACTION
PERMIT
Ventilation
DESCRIPTION
Welding
Respiratory
Protection
Grounded air movers will be provided for all vessel confined space
entries where the design of the vessel will allow.
If the temperature within the space is in excess of 105 o F, it will not be
permitted for entry without special provisions determined by discussion
between the Operations, Maintenance or Contractor Supervisor and
Safety.
Ventilation systems meeting the requirements detailed below must be
implemented, or supplied air respirators must be worn by welders and
other personnel inside the space when welding in the following confined
spaces:
Work space is less than 16 feet high;
Volume of the space is less than 10,000 ft3 per welder;
Work areas where there are partitions, structural barriers, or other
barriers that significantly obstruct airflow (such as baffles, trays, or
limited access openings)
If the space meets one of the criteria above, one of the following
ventilation options must be implemented or supplied air utilized by all
persons in the space:
Provide at least 2000 ft3 / min of airflow for each active welders; or
Provide each welder with a local exhaust device capable of maintaining
a velocity of 100 fpm toward the air intake.
When arc welding inside of a confined space is suspended for lunch,
breaks or shift change, the electrodes shall be removed from the holders
and the holders located so that accidental contact cannot occur. Also,
the welding machine must be disconnected from the power source or
turned off in the case of a diesel-powered machine.
When gas welding or cutting inside of a confined space the torch valves
must be closed and the fuel-gas and oxygen supply to the torch must be
positively shut off at a point outside the confined space whenever the
space is evacuated for extended work stoppage (i.e. breaks or lunch).
Where practicable, the torch and hose must also be removed.
If cleaning and/or forced air ventilation do not adequately remove air
contaminants from the confined space or the work is such that it will
introduce additional contaminants into the atmosphere within the space,
RESPIRATORY PROTECTION WILL BE USED.
Required respiratory protection will be specified by the Owning
Department Supervisor with advice as needed from Safety.
Entry into an IDLH atmosphere will only be made after alternatives are
explored and found impractical and agreement is reached between
the Operations, Maintenance and the Safety
Manager/Superintendent or HS&E Director.
Entry into an IDLH atmosphere will require that all entrants be
equipped with a positive pressure air line respirator with an
emergency egress pack and a safety harness and lifeline.
ACTION
Rescue
DESCRIPTION
Non-entry rescue retrieval systems will be worn by authorized entrants
unless the retrieval equipment would increase the overall risk of entry or
would not contribute to the rescue of the entrant.
Authorized entrants will wear rescue retrieval systems including:
an approved harness,
retrieval line where it aids in rescue
Wristlets and a retrieval line can be an acceptable alternative if the
harness is infeasible or less effective.
The other end of the retrieval line will be attached to a fix point outside
the permit space for spaces less than 5 feet deep.
For spaces more than 5 feet deep, a mechanical retrieval device outside
the permit space will be available to allow prompt rescue.
NOTE: Unless the harness or retrieval system increases the hazard to
the individual(s) within the space. (Ex: trayed towers, desalters, fin fans,
etc.)
Rescue Team personnel will be available prior to issuing any Confined
Space Entry Permit.
ACTION
Preparation of the
Confined Space
Entry Permit
(Refer to Appendix 1 for

additional details on the
form).
Signing the Confined

Space Entry Permit
Issuing the Confined

Space Entry Permit
Renewal/Expiration
5.5.1
DESCRIPTION
SAFE WORK PERMIT FOR CONFINED SPACE ENTRY MUST BE
ISSUED FOR EACH CRAFT OR CONTRACTOR.
Inspection activities (Maintenance, Safety, Engineering) may be
performed under an active craft or contractor permit. Owning
Department personnel signing the permit must be aware of all work to be
performed, including inspection activities.
By the Owning Department representative.
By the company work crew or contractor representative.
Must reference the number of the Confined Space Permit (issued to the
confined space).
Is issued by the Owning Department to the Maintenance/ contract
craftsmen that will perform the work.
Will contain any special precautions or restrictions pertinent to that
particular task or craft.
Must be available at the work site for review.
Is issued for one Maintenance or Owning Department work shift.

Must be canceled and reissued after any change in plant conditions or a
plant emergency that may compromise the validity of the permit
conditions.
After completion of the work or expiration of the permit, the permit must
be returned to a person in the Owning Department for cancellation and
subsequent return to Safety for filing.
Permitting for "Non-Hazardous" Confined Space Entry
Certain spaces meeting the OSHA definition of "confined space" exist within the refinery by
virtue of equipment of process design or layout. They are "confined spaces" either due
to their limited access or egress and are "not designed for continuous occupancy."
These spaces are identified by warning signs. Non-Hazardous confined spaces are:
External Floating Roof Tank Tops (Refer to SHG #16 for special requirements)
Tower Skirts
Equipment Installed more than 4 Feet Below Grade Within Concrete Containment
Basins (e.g., Valve and Pump Manifold Areas and Some Tanks)
Cooling Tower Cells
Fin Fans (may not have warning signs)
Entry into such spaces requires the issuance of a confined space entry permit. However, no
blinding or area preparation is typically required by the Owning Department personnel as
part of the permit issuance.
HS&E personnel do not need to sign the Confined Space Permit for "non-hazardous"
confined space entry. All other signatures and requirements typical of the
preparation and issuance of these and the subsequent confined space entry permits
issued to each work group entering the confined space remain the same.
5.6
Permitting For Enclosures That May Contain Hazardous Gases
For Mounted Enclosures, Walk-In Enclosures, and Non-Pressurized Building Containing

Enclosures, appropriate labeling will be mounted warning of the potential hazards of
oxygen deficiency and of the entry requirements, where applicable.
For Walk-In Enclosures, and Non-Pressurized Building Containing Enclosures, access will be
controlled with a lock-and-key, a safe work permit, and monitored with initial air sampling
for oxygen content.
6.0
TRAINING
6.1
Company Employees
Prior to the assignment of duties under this SHG, employees will be trained in the execution of
the duties for which they are responsible.
Records of the training will be maintained in the plant Training Department files.
This training will include classroom and hands on training on the proper use of gas testing
equipment for permitting purposes.
6.2
Contractors
Prior to the assignment of duties under this SHG, contractor employees will be trained in the
execution of the duties for which they are responsible.
During their safety orientation, contractors will be informed of Valeros permitting procedures.
Process Unit Overviews are posted at each unit and shall be reviewed with each employee.
Contractor representatives will participate in the joint job site visits and discuss with the Valero
permit issuer the exact nature and extent of the work planned. Coordination of the work
with the Valero Maintenance and Owning Department will be required. The details of how
this coordination will be handled will be agreed upon with the Valero contractor
representative prior to the start of work.
Valeros' confined space entry procedure comprises the minimum standards for any entry. If
any measure in excess of these requirements will be used by the contractor, this
information must be communicated to the Valero permit issuer prior to the issuance of the
work permit.
APPENDIX 1 - SAFE WORK PERMIT PROCEDURE

General Instructions on Safe Work Permitting
NOTE: The following sections refer to the corresponding letter on the Permit Form (See
Attachment 1).
A.
B.
WORK SCOPE
This section shall be completed by the Owning Department.
When filling out the Permit, use as much detail as possible to encompass the complete work
scope. The work scope section contains information concerning the types of work involved
to complete the task, the specific location, the equipment to be worked on, the work to be
performed, and the craft/company that will do the work and the estimated number of
employees in the crew.
More than one box may be checked. For example, a work permit for an excavation could also
require a vehicle entry as well as a Confined Space Entry Permit. List each vehicle and
route of entry.
Generally, each craft and company must be issued its own Permit.
POTENTIAL HAZARDS
This section is to be completed by the Owning Department.
BEFORE opening a vessel, Owning Department and Maintenance personnel should also
consider whether pyrophoric iron sulfide or other deposits may be present. If pyrophoric
materials may be present, personnel should follow the refinery pyrophoric hazard safety
instructions as part of preparing and issuing the safe work permit. (See SHG 13)
All of the actual or potential hazards which apply to the specific work activity will be checked.
The Owning Department is responsible for providing relevant chemical and process hazard
information to contract work crews. Process Unit Overviews and Material Safety Data
Sheets are available to contractors at specified locations.
C.
PERSONAL PROTECTIVE EQUIPMENT
This section is to be completed by the Owning Department and the Maintenance or

contractor work crew representative. Assistance to answer personal protective equipment
needs can be obtained from the Personal Protective Equipment (PPE) Hazard Assessment
forms (Attachment 3) or from the facility Safety Department.
All personal protective equipment necessary to work safely will be checked or listed.
Where rescue by entry is not possible, a mechanical retrieval device will be required
to allow non-entry rescue. The end of the lifeline must be attached to a fix point outside
the permitted space or to the mechanical retrieval device.
H2S monitors are required to be worn by individuals entering areas that may contain H2S
as outlined in SHG #40.
D.
CHECK LIST
This section is to be completed by the Owning Department and the name of the person
verifying the actions indicated on the bottom of the blocked area that includes Section B,
C, D, and E.
Check all boxes that apply.
A joint job site visit, i.e., a collective visit to the work site by an Owning Department
representative and a work crew representative, is REQUIRED for hot work, hot tap/stopple
work, confined space entries, excavations, opening lines or equipment, and work requiring
the use of supplied breathing air. The person issuing the permit must determine, by the
nature of the hazards involved, the requirement of a joint job site visit in regards to work
not listed. The purpose of the collective visit is to identify and discuss the work to be done,
procedures to be used, and precautions to be taken. Information generated by this
discussion, in conjunction with the green copy of the permit, is used to prepare the safe
work permit.
Check JSA Completed box if a Formal (written) Job Safety Analysis is done.
The Owning Department representative will review the area for potential or actual hazards and
bring the green copy of the permit into the field for reference as part of the permit
preparation. The Maintenance representative will visit the site of the work to ensure that
the area has been made ready for work activities.
Even for repetitive or continuing type work, the Owning Department representative should
revisit the area each time the permit is reissued or renewed to assure that conditions have
not changed and that adequate housekeeping is being maintained, even during
construction activities. Some examples of repetitive type work are general clean-up or
housekeeping tasks, general preparatory work (i.e., scaffold building, creation of lay down
areas, and multiple day new construction, such as tank/unit construction, etc).
E.
PRECAUTIONS
This section is to be completed by the Owning Department.

The precautions indicated are to be taken by the Maintenance/Contractor before the work
is started.
All designated fire watches and/or designated attendants must be named on the permit
and wear red vests. Fire watches shall be required whenever cutting and welding is
performed in locations where a fire might develop, or where the following conditions may
exist:
(1)
(2)
(3)
Appreciable flammable or combustible material is present in the general area closer

than 35 feet to the location of the cutting/burning;
Wall or floor openings are present within a 35-foot radius that do or may expose
flammable or combustible materials; or
Combustible/flammable materials are adjacent to the opposite side of metal
partitions, walls, piping, ceilings, or roofs and are likely to be ignited by conduction
or radiation.
In the event the designated attendant recognizes the need to evacuate the confined space,
an air horn (or any agreed to signal) will be sounded to notify the authorized entrants.
PERMIT VERIFICATION PERFORMED BY
The name of the unit Operator performing the field Check List tasks, Section B, and
communicating with the Maintenance/Contractor representative regarding section C, D,
and E will be printed by the Operator completing the permit. Radio verification from the
unit Operator must be obtained ensuring these items have been completed, understood by
the Maintenance/Contractor employees and the area is safe for work to commence.
VERIFICATION RECEIVED BY
The Operator receiving the radio verification from the field Operator will sign his/her name in
this section.
MAINTENANCE/CONTRACTOR REPRESENTATIVE
A Maintenance/Contractor representative must sign his/her name in this section. This is to

verify that the checked items in section D has been completed and the checked items in
sections B, C, and E have been reviewed by Operations and understood by the
Maintenance/Contractor representative.
A new permit is required for each Owning Department/Maintenance work shift.
PERMIT ISSUED BY
The Owning Department representative (person writing the permit) will sign this section once
all the permit conditions have been identified, verified and/or met.
F.
ATMOSPHERIC TESTING
This section is to be completed by the Operations Lead Process Tech and/or

qualified Owning Department representative.
The Operations Lead Process Tech or qualified Owning Department representative
will perform all necessary atmospheric testing for hot work. The results of the testing will
be recorded on the permit along with the time the test was taken and the serial number(s)
and type of the gas testing equipment used. The name of the individual performing the
testing will also be printed on the permit in the blank indicated "Tested By:".
Gas tests must be taken as part of a hot work permit issuance where the work will
be done in an area that is electrically classified as a Division 1 or 2 area, which includes
the following types of areas:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
ISBL (Inside Battery Limits) within any process operating unit;

Within the confines of any tank farm dike or retaining wall;
Within active hydrocarbon tank truck, rail car, or barge/ship
loading/unloading areas;
In the area of gaseous hydrogen storage;
Within 30 feet of active open process sewers and/or separators;
Within 25 feet of active hydrocarbon conveying pipelines; or
Within any excavation.
Neither hot work permits nor gas tests are normally needed for hot work within plant
shops. Permits and/or gas testing may be needed when process equipment, vessels,
drums, and containers are moved into shop areas for work.
Hot work permits are needed, but gas tests are not normally needed, for hot work
performed within office buildings, labs or control rooms.
The Serial Number and Calibration Date of the gas testing device(s) used will be
recorded on the permit along with the brand or type of equipment.
During the preparation of the hot work permit, it should be determined whether
periodic follow up or continuous testing will be required due to the nature of the work. This
decision is based on whether the work activities themselves or conditions within the work
area may change the atmospheric quality during the work. Questions regarding
uncertainties will be referred to the Safety Department for resolution.
When the qualified Owning Department representative is performing the
atmospheric testing for HOT WORK, the following conditions must be met prior to issuing
the permit:
Oxygen
Combustible Gas (LEL)
19.5%
to
23.5%
0%
Additional information on vapors or gases that may be present within a confined

space may also be available on Material Safety Data Sheets for materials that have
occupied the confined space.
Determine if these initial conditions could change over time due to the type of work
to be done, a change in confined space conditions, etc.
If the atmosphere quality could change over time, then the atmosphere within the
space will either be periodically or continuously monitored to assure that personnel in the
area are not endangered.
When testing for atmospheric hazards, oxygen will be tested first, then combustible
gases and vapors, and then toxic gases and vapors. (NOTE - The MSA Passport and
similar instruments test all of these parameters simultaneously.)
At a minimum, retesting of the atmosphere is required at the beginning of each
Maintenance work shift. If work does not begin within two hours of a gas test, the area or
space must again be retested.
When checking for combustible gases, the reading may not be accurate if there is
insufficient oxygen. There must be at least 10% oxygen in the atmosphere for the LEL
reading to be correct.
Gas testing in the presence of excessive steam will cause the gas-testing
instrument to provide inaccurate readings and may damage the meter.
If temperatures are in excess of 150 o F, readings will not be accurate.
Check the meter to ensure that it responds properly prior to each use. If the meter
does not respond properly, tag it and return it to the designated location within the refinery
for recalibration and/or repairs.
Combustible liquids may be present which do not vaporize and register on the
meter. These hazards must be visually identified.
G.
ADDITIONAL SIGNATURES
Various representatives must sign this section depending on the type of work to be
performed.
FOR CONFINED SPACE ENTRY
This section must be signed by the qualified Maintenance Tech/Contractor

Representative and the Owning Area Superintendent, Lead Process Tech or trained
equivalent (i.e., the designated Entry Supervisor). A representative of the Safety
Department must sign ONLY the initial Confined Space Permit (the permit issued to the
space).
The Maintenance Lead Tech/Contractor Supervisor will sign the permit only after
he/she understands all of the conditions and restrictions included on the permit and has
field verified the blinding and/or separation.
For an employee or contractor to enter and work in a confined space under
conditions "Immediately Dangerous to Life and Health," the person must be equipped with
a positive pressure air line respirator with an emergency egress air supply and a safety
harness attached to a life line (if the harness for the respirator does not already provide a
ring for a life line attachment). All other necessary protective equipment must be worn.
FOR EXCAVATION
H.
Permits for excavations deeper than 4 feet that will be entered will be considered a
confined space and must be signed by a Valero or Contractor Competent Person after
assuring that the following precautions have been taken:
The excavation is properly shored or sloped and barricaded.
Proper access and egress is present.
Any water accumulation has been removed and any continuous source has been
stopped or controlled.
All adjacent structures, buildings, walls, etc. have been braced or underpinned to
prevent collapse.
Measures have been taken to remove materials such as rocks or soil from the
edges of the excavation that could pose a falling hazard; all excavated materials are at
least 2 feet from the edges of the excavation.
Appropriate gas tests have been taken.
Procedures are in place whereby the company or Contractor Competent Person will
be contacted to re-inspect the excavation prior to entry after a rainstorm or other hazard
increasing occurrence.
JOB/PERMIT COMPLETION
At the end of the work shift or at the completion of the work (whichever occurs first),
a Maintenance/Contractor representative must return the permit to a person in the control
room or point where the permit was issued - AND check whether the job is complete/
incomplete and whether the work area has been cleaned. Complete the signature, date
and time sections.
If the work was performed as a result of a MOCA and a PSSR is required, the
Owning Department Representative shall ensure the necessary tag(s) is placed and note
this on the permit.
If the permit was a Confined Space Entry Permit, the Owning Department
representative should promptly sign the bottom line of the permit indicating that the permit
is canceled.
APPENDIX 2 - CONFINED SPACE PERMIT

(Permits Issued to the Space or Vessel)
GENERAL INSTRUCTIONS ON COMPLETING PERMIT
Note: The following sections refer to the corresponding letter on the permit form.
A.
WORK SCOPE
When filling out the Permit, identify the specific location of the confined space (i.e., refinery
area, the specific equipment to be worked on, and describe the work to be done. A
complete understanding of this information is important to the permit writer since it will
often influence the type of gas testing to be done as well as the decision regarding whether
periodic retest or continuous monitoring of the confined space atmosphere is needed.
Unless special provisions are made, a new permit is required at the beginning of each new
work shift for the Owning Department. This should be reflected in the VALID UNTIL time
frame box provided.
B.
CHECKLIST
The considerations necessary for proper preparation of a confined space for entry are
listed under three headings: vessel draining/purging, vessel isolation, and potential
hazards.
Each item under these heading should be considered as to whether this action is
necessary for preparation of the space. A check mark or "x" should appear in one of the
three boxes next to each consideration.
If a consideration does not apply to a particular confined space, the box marked "N/A" (Not
Applicable) should be marked.
If a confined space permit is being written for an excavated hole, most, if not all of the
items under Vessel Draining/Purging and Vessel Isolation will be marked as N/A except for
Access/Egress To/From Space Okay.
IT IS IMPERATIVE THAT FREE ACCESS TO and EGRESS FROM CONFINED SPACES
BE MAINTAINED AT ALL TIMES WHEN ENTRY IS UNDERWAY.
Any potential hazards that may still be present in the space after preparation should be
identified as a reference when preparing the confined space entry permit for a particular
craft or Maintenance group.
BEFORE opening a vessel, owning area and Maintenance personnel should also consider
whether pyrophoric iron sulfide or other deposits may be present. If pyrophoric materials
may be present, personnel should follow the refinery pyrophoric hazard safety instructions
as part of preparing the vessel for entry.
The Entry Supervisor and Qualified Owning Area Representative must field evaluate for the
initial confined space entry and review the Confined Space Permit. The entry supervisor
may delegate to a qualified representative, the field evaluation for non-hazardous confined
spaces and renewed confined space entries. The field evaluation and permit review help
assure that all appropriate precautions and restrictions are considered such as:
All lines entering the confined space are disconnected or blinded (any exception to this
must be approved by the affected Department Manager).
The vessel must be cleaned as thoroughly as possible by draining, water washing,
steaming, forced ventilation or other suitable means before any employee enters the
confined space for additional cleaning or other work.
Irritating fumes, dust and mist, if present or may be generated, will warrant either additional
cleaning, local exhaust ventilation or personal protective equipment.
C.
PRECAUTIONS
When opening confined spaces for entry, danger signs will be posted at the entry portal
indicating " Enter by Permit Only" (or equivalent wording). These signs must be posted as
soon as the confined space is opened and will be removed when closed.
When entrance covers/manways are removed, the opening will be promptly guarded by a
railing, temporary cover, or temporary barrier that will prevent an accidental fall through the
opening and that will protect employees in the confined space from foreign objects entering
the space.
Equipment that is always open to the atmosphere such as tower skirts, tanks with open top
floating roofs, etc., and is identified as a confined space will be identified with the wording
"Enter by Permit Only."
During confined space entry, communications between designated attendants and
authorized entrants must be maintained throughout the entry. Methods of communication
that may be used include visual, air horns, voice, radio, rapping or tapping codes, signaling
tugs on a rope, etc., all of which may be used by the attendant to ascertain that work
activities are continuing normally.
In the event the designated attendant recognizes the need to evacuate the confined space,
an air horn (or any agreed to signal) will be sounded to notify the authorized entrants.
At least one trained designated attendant will remain outside the confined space and be in
constant communication with the authorized entrant inside the confined space and have a
means to summon rescue personnel and/or the Entry Supervisor. If the designated
attendant must leave for any reason, he/she must be properly relieved or the entrant(s)
must exit the confined space. The individual relieving the designated attendant must
record their name on the field copy of the Confined Space Permit.
Forced ventilation (e.g., air horn, air mover, or blower) is recommended for all (except inert
or IDLH) confined space entry, and when used, MUST BE GROUNDED.
Plant air valves used for ventilation equipment must be identified and the attendant must
be aware of its location.
Any mixer or other such device inside a confined space must be mechanically or
electrically disconnected. (See Lock, Tag, & Try, SHG #11)
Any radiation sources affixed to the space must have their shutters closed and locked.
Tanks/vessels that have been in leaded gasoline service must be considered a lead hazard
and all precautions taken until cleaned and a lead in air analysis completed.
As part of the initial entry permit for desalters, crude oil and cat feed tanks, a radiation
exposure measurement should be taken to assure significant levels of NORM (Naturally
Occurring Radioactive Material) are not present. These measurements can be arranged by
contacting the Environmental or Safety staff.
Artificial lighting should consist of equipment suitable for use in a confined space, (e.g.,
sealed flashlights, low voltage lighting with bulb protectors, ground fault circuit interrupters,
etc.).
Prior to IDLH entry, a Safety Department representative or Rescue Team member must be
notified.
D.
ATMOSPHERIC TESTING
Gas testing devices will be bump-tested prior to each shift and results logged.
The Owning Area Supervisor or qualified Owning Department representative will perform all
necessary atmospheric testing for confined space entry work. The results of the testing will
be recorded on the permit along with the time the test was taken and the serial number(s)
and type of the gas testing equipment used. The individual performing the testing will also
sign the permit in the blank indicated "Tested By:"
The Serial Number and Calibration Date of the gas testing device(s) used will be recorded
on the permit along with the brand or model number of the device(s).
Initial testing performed in preparation of the Confined Space Permit must be reviewed with
a representative of the Safety Department who will also sign the permit.
respiratory protection required:
Oxygen
Combustible Gas (LEL)
Hydrogen Sulfide (H2S)
Benzene
Carbon Monoxide (CO)
Sulfur Dioxide (SO2)
Ammonia (NH3)
19.5% to 23.5%
0%
< 10 ppm
< 0.3 ppm
< 35 ppm
< 5 ppm
< 50 ppm
Entry into a confined space may be allowed at concentrations higher than the above if
additional precautions such as respiratory protection is used. Questions concerning
appropriate respirators for confined space entry should be referred to Safety.
Additional information on vapors or gases that may be present within a confined space
may also be available on Material Safety Data Sheets for materials that have occupied the
confined space.
In NO case will a confined space be permitted for entry with >10% LEL.
The Owning Area Superintendent, Lead Process Tech or trained equivalent as the Entry
Supervisor must evaluate all confined space conditions as follows:
Test the conditions in the permit space to determine if acceptable entry conditions exist
before entry is authorized.
Determine if these initial conditions could change over time due to the type of work to be
done, a change in confined space conditions, etc.
When testing for atmospheric hazards, oxygen will be tested first, then combustible gases
and vapors, and then toxic gases and vapors. (NOTE - The MSA Passport and similar
instruments test all of these parameters simultaneously.)
When checking for combustible gases, the reading may not be accurate if there is
insufficient oxygen. There must be at least 10% oxygen in the atmosphere for the LEL
reading to be approximately correct.
Gas testing in the presence of excessive steam will cause the gas-testing instrument to
provide inaccurate readings and may damage the meter.
If temperatures are in excess of 150 o F, readings will not be accurate. Snapshot readings
taken in ambient temperatures colder than 50 o F. may not be accurate.
The meter should be checked with calibration gas to ensure that it responds properly prior
to each shift's use. If the meter does not respond properly, it should be tagged and
returned to the designated location within the refinery for recalibration and/or repairs.
Combustible liquids may be present which do not vaporize and register on the meter.
These hazards must be visually identified.
Air movers will be shutdown so that natural draft only is present for the INITIAL test of a
confined space. Subsequent tests (including subsequent re-issuance of Confined Space
Permits) can be made with the air mover remaining on.
E.
QUALIFIED OWNING DEPARTMENT REPRESENTATIVE
This individual has been trained and certified through the refinery permitting training
program to issue permits and perform gas testing.
F.
ENTRY SUPERVISOR
This individual is the qualified Valero representative, the Unit Superintendent or Lead
Process Tech.
G.
SAFETY REVIEW
Before initial entry the Safety representative will review the permit for completeness, to
assure that all appropriate gas tests have been taken and documented, and to review the
personal protective equipment specified to help assure that it is appropriate for the tasks
indicated and the expected conditions within the space.
All confined space permits must be canceled. If the signature line is not signed by the
qualified Owning Department representative or the Unit/Area Supervisor, then the permit is
canceled as of the time indicated in the VALID UNTIL blank at the top of the page.
Once the permit has been completed or canceled, it should be returned to the refinery
Safety Department for retention and subsequent review.
SHG #3
Page 34 of 43
Revised: 10/6/03
Task With Exposure/Hazard Potential

Cutting on Wood (hand saw)
Drilling on wood
Hand sanding on wood
Spray painting in an enclosed area
Hammering/nailing wood
Building/dismantling scaffold
Insulating (where dust is generated)
Building forms for concrete
Installing walkways
Removing insulation with hydrocarbon leak
Use power tools
Concrete pouring
Concrete demolition
Work on unprotected surface 6 ft or above
Use power sander in an enclosed area
River work (drift removal)
Other
Foot
Eye/Face
Head
Hand
Clothing
Respiratory
Ear Plugs or Muffs
Blasting Hood w/Air
Welding Hood w/Air
Supplied Air/Full Face mask
Mask-Organic/Acid Vapor
Mask-Dust 9970
Mask-Organic Vapor
Life Jacket
Acid Resis Gloves
Bunker Suit
Encapsulated suit
Slicker Suit
Acid Resis Gloves
Chemical Resis Gloves
Gloves
Flash Hood
Welding hood
Welding mask
Goggles
Hearing protection should be worn as required based

on noise level warnings in each operating area or
tasks indicated.
1
Refer to shade protection table
2
Acids, caustics, amines and other process
chemicals
3
Includes benzene, toluene, xylene, hexane,
ethylbenzene
4
Where PEL may be exceeded
Metatarsal Guards
Safety glasses with side shields unless goggles

or other equipment is specified
Safety shoes are recommended
Rubber Boots
Nomex/fr cotton
Fall Protection
Face Shield/ / Safety Glasses
ATTACHMENT 1 - PERSONAL PROTECTIVE EQUIPMENT HAZARD ASSESSMENT

Minimum requirements to enter Process
Areas:
Hard hats
Hearing
X
X
X4
X
X
X3
X
X
X
X
X
X
SHEET 1 MAINTENANCE CARPENTERS
SHG #3
Page 35 of 43
Revised: 10/6/03

Instrument calibration
Installation/removal of instruments
Install/remove instruments in H2S service
Blow down taps
Blow down taps (H2S)
Run electrical conduit/tubing/wiring
Energize/de-energize equip. (13.8 kV or more)
Replace fuses/breakers (hot)
Wire/unwire motors/switches
Repair air conditioners
X2
Hand
X3
X3
X3
X3
X3
X
X
Clothing
X2
X2
X2
X2
X2
Respiratory
X2
X
X4
X
X
X
X4
X4
SHEET 2 MAINTENANCE I&E
Ear Plugs or Muffs
Blasting Hood w/Air
Welding Hood w/Air
Mask-Dust 9970
Mask-Organic Vapor
Flash Suit
Pyrolons
Acid Resis Gloves
Bunker Suit
Encapsulated suit
Slicker Suit
Electricians Gloves
Acid Resis Gloves
Gloves
Head
X2
Repair chlorinated system

Troubleshoot & repair S/D and alarm circuits
Soldering
On-line analyzers changing filter
Work on unprotected surfaces 6 ft or above
Eye/Face
Flash Hood
Foot
Welding Hood
Other
Welding Mask
Hearing protection should be worn as required based on noise

level warnings in each operating area or tasks indicated.
1
2
Acids, caustics, amines and other process chemicals
3
Includes benzene, toluene, xylene, hexane, ethylbenzene
4
Goggles
Safety glasses with side shields unless goggles or other

equipment is specified
Rubber Boots
Nomex/fr cotton
Fall Protection
Face Shield/Safety Glasses

Minimum requirements to enter Process Areas:
Hard hats
Hearing
SHG #3
Page 36 of 43
Revised: 10/6/03
Task With Exposure/Hazard

Potential
Using air driven equipment/power tools

Alignment of pumps
Cleaning of tools with solvent in vat
Cleaning of pumps/parts with solvent
in vat
Grinding/buffing on equipment
Sandblasting cabinet
Drilling on equipment
Torchburning
Removal of pumps in hydrocarbon
service
Removal of pumps in chemical service
Operating shop equipment
Welding
Lathe operations
Work on unprotected surfaces 6 ft or above
Operating overhead hoist/crane
Eye/Face
Head
Hand
X
X1
Clothing
X2
X2
Respiratory
X4
Ear Plugs or Muffs
Blasting Hood w/Air
Welding Hood w/Air
Mask-Dust 9970
Mask-Organic Vapor
Pyrolons
Acid Resis Gloves
Bunker Suit
Encapsulated suit
Slicker Suit
Acid Resis Gloves
Gloves
Flash Hood
Foot
Welding hood
Other
Welding Mask/ Goggles
Hearing protection should be worn as required

based on noise level warnings in each operating
area or tasks indicated.
1
2
Acids, caustics, amines and other process
chemicals
3
Includes benzene, toluene, xylene, hexane,
ethylbenzene
4
Goggles
Safety glasses with side shields unless

goggles or other equipment is specified
Rubber Boots
Nomex/fr cotton
Fall Protection
Face Shield/Safety Glasses

Minimum requirements to enter Process
Areas:
Hard hats
Hearing
X
X
X
X
X
X
X1
X3
X3
X4
X2
X2
SHEET 3 MILLWRIGHT/PUMP MECHANIC/MACHINIST
X4
SHG #3
Page 37 of 43
Revised: 10/6/03

Remove/install piping & equipment
Working on drained neutralized equipment
Grinding/buffing
Cutting/torchburning
Cold cutting
Working on contaminated hydrocarbon equip
Working on contaminated chemical equip.
Hot tapping
Blind installation/remove (*flareline)
Bolt busting
Relieve valve removal & installation (flareline)
Operating Equipment
Remove exchanger bundles
Paint removal
Welding/arc gouging (*antimony or NORM present)
Rigging
Work on unprotected surface 6 ft or above
Initial Line breaking/blind installation (
Transfer chemical to/from truck
Reactor overhead blind (FCCU)
Poly reactor drilling and loading
River work (drift removal)
WWT work (over water w/o railings)
Catalyst handling
Eye/Face
X
X
X
X
X
X
X2
X1
X
X
X
X
X
X
X
X
X
Hand
X3
Clothing
Respiratory
X5
X2
X5
X
Blasting Hood w/Air
Ear Plugs or Muffs

Hearing
X2
X
X
X3
X3
X2
X4
X4
X
X3
X*
X4
X*
X*
X2
X
X
X
X*
X
X
Welding Hood w/Air
Mask-Dust 9970
Mask-Organic Vapor
Life Jacket
Acid Resis Gloves
Bunker Suit
Encapsulated suit
Slicker Suit
Fire Proximity Suit
Acid Resis Gloves
Gloves
Head
X
X1
X2
Flash/Torch Hood
Welding hood
Foot
Welding mask/Goggles
Other
Goggles
Safety glasses with side shields unless goggles or other

equipment is specified
Hearing protection should be worn as required based on noise level
warnings in each operating area or tasks indicated.
1
2
3
4
5
Refer to SHG #57
Rubber Boots
Nomex/fr cotton
Fall Protection
Safety GlassesFace Shield/

Hard hats
X
X3
X2
X
X4
X
X
X
X
X
X
X
SHEET 4 MAINTENANCE PIPEFITTER / BOILERMAKER / WELDER
SHG #3
Page 38 of 43
Revised: 10/6/03

Work on unprotected surfaces 6 ft & higher
Response to spills/no outside assistance
Lubricating pumps
Opening & closing in line hydrocarbon valves
Opening & closing in line chemical valves
Venting, purging, draining & preparing equip. containing hydrocarbons
Venting, purging, draining & preparing equip. containing chemicals
Taking hydrocarbon samples including LPG
Taking HOT hydrocarbon samples
Taking chemical samples
Loading/unloading hydrocarbon from trucks (connecting & disconnecting)

Loading/unloading hydrocarbon from rail cars (connecting & disconnecting)
Loading/unloading chemical to and/or from trucks
Minor packing adjustment
Unplugging bleeders with or without a bleeder unplugging device
Lighting burners
Switching chlorine cylinders
Tank sampling and gauging
Tank sampling and gauging with H2S present
Handling catalyst
Handling ammonia
Draining tank or vessel water legs
Using soaps or solvents
Handling soda ash and phosphate
Adjusting liquid chemical rates (with open draw down tubes)
Testing water and ATS samples
Maintenance on Clarifier
Operating sludge press
Eye/Face
X
X
X
X
X
X
X
X
X
X
Hand
X
X
X
X
X3
X3
X
X
X
X
X
X2
X
X2
X2
X2
Supplied Air/Full Facemask
Mask-Dust 9970
Mask-Organic Vapor
Life Jacket
Clothing
Respiratory
X3
X3
X2
X
X
Slicker Suit
Acid Resis Gloves
Foot
Gloves
Other
X
Flash Hood

Hearing protection should be worn as required based on noise level warnings in each operating area or tasks indicated.
1
2
3
4
Goggles
Safety glasses with side shields unless goggles or other equipment is specified
Rubber Boots
Nomex/fr cotton
Fall Protection
GlassesFace Shield / Safety

Hard hats
X4
X3
X3
X3
X3
X3
X2
X2
X2
X3
X3
X3
X2
X2
X2
X
X
X4
X2
X
X
X
X
X
X
X
X
X
X
X3
X
X2
X3
X
X
X
X
X
SHEET 5 OPERATIONS & PUMPING PERSONNEL (all operating areas)
X4
X2
X
X2
SHG #3
Page 39 of 43
Revised: 10/6/03
X
X
X
X
X
Eye/Face
X
X
X
X
X
X
X
Supplied Air/Full Facemask
VaporFull Face -Organic/Acid
Mask-Dust 9970
Clothing
X
X
Hand
X
Chemical Resistant Suit
Acid Resis Gloves
Mask-Organic Vapor
X
X
Chemical Resistant Gloves
Foot
Gloves
Other
Slicker Suit

Formic Acid Sampling
Hydrogen Peroxide Sampling
Diesel End Product Sampling
Methanol Sampling
Line Breaking (From front end feed to V-19)
Line Breaking (From V-19 to Rundown)
Handling Chemicals
Emergency Response
Loading Dryers
Level B Hood

Hearing protection should be worn as required based on noise level warnings in each operating area or tasks indicated.
1
2
3
4
Goggles
Safety glasses with side shields unless goggles or other equipment is specified
Rubber Boots
Nomex/fr cotton
Fall Protection
Face Shield / Safety Glasses

Hard hats
Respiratory
X
X
X
X
X
SHEET 6 UNIPURE OPERATIONS PERSONNEL
X
X
X
X
SHG #3
Page 40 of 43
Revised: 5/25/0
Revised 10/6/03
ATTACHMENT 2 - SAFE WORK PERMIT
A. WORK SCOPE (To be completed by the Owning Department)

Check relevant box(es) to indicate type(s) of work included to complete task.
Cold Work Hot Work
Vehicle Entry
Excavation
Confined Space Entry (Refer to Confined Space Permit #_____________________________
PSSR Required (MOCA # _______________ Not Available)
Specific Location: _____________________________________________________________
Equipment To Be Worked On:____________________________________________________
Work To Be Performed: ________________________________________________________
___________________________________________________________________________
Craft and Company:
Est. # in Crew:
Lock box required to protect this job: ____________ (enter number)
List vehicle(s) entering and route of entry:
PERMIT TIMING
ISSUED:
Time:
Permit Update
Date:
Time(s):
(Initial by Updates)
VALID UNTIL:
Time:
Date:
Maint. Request/Work Order Number:
B. POTENTIAL HAZARDS (To be completed by the Owning Department)

Flammable
Pyrophoric
Harmful to Breathe
Harmful by Skin Contact
Potential Health Hazards Reviewed
Process Hazard Overview Location
C. PERSONAL PROTECTIVE EQUIPMENT (To be completed by the Owning Department with the Maintenance or Contractor Representative)
(Check all additional equipment that is required.)
Bunker Gear
Hearing Protection
Dust Respirator
Chemical Slicker Suit (Pants&Jacket) Goggles
H2S Monitor
Chemical Resistant Gloves
Faceshield
Safety Harness & Life Line
Rubber Boots
Organic Vapor Respirator
Tripod Emergency Escape Unit
Flash Hood
Supplied Air Hood
Personal Fall Protection Equipment
Life Vest
Supplied Air Respirator (Breathing)
Other: ______________________________________________________________________________________________
D. CHECK LIST (To be completed by the Owning Department)
(Check what has been completed.)
Isolation Point Tags in place
Joint Job Site Visit
Electrical Isolation Completed/Field Switch Tested
In-Service Welding Conditions Met
Equipment Depressured/Drained Equipment Isolated and locked out
Hot Tap/Stopple Conditions Met
Drains/Vent Opened & Cleared
Blinds In Place
Line Flow
Equipment Water/Steam Flushed Electrical Equipment Still Live
U.T. Confirmed
Equipment Inert Gas Purged
Equipment Still Live
Line Identified
Written Formal JSA Completed
PSSR Tags in place
Atmosphere Tested
Equipment Identified
Other: ________________________________________________________________________________________________
E. PRECAUTIONS (To be completed by the Owning Department with Maintenance/Contractor input; precautions to be taken by Maintenance/Contractor)
Check what must be completed PRIOR to commencing work.
Cover Sewers
Scaffolding Inspection Complete
Fire Watch (w/ Red Vest)
Continuous Atmospheric
Air Mover (Grounded)
Fire Extinguisher at Work Site
Charged Hose/Area Wet (if applicable)
Monitoring
Barricade/Signs
Fire Resistant Blanket/Enclosure
Covered Cable Trays/Raceways
Communication Type(s)_________________
Other ___________________
Class A Combustibles (paper, wood, grass, etc.)
Fire Watch remains 30 min after hot work
Designated Fire Watch:____________________________________________

Designated Hole Watch: ___________________________________________
Designated Bottle Watch:
Print:
(Permit Verification Performed by)
Signature:
(Verification Received by:)
Signature:
(Maintenance/Contractor Representative)
I VERIFY THAT THE ABOVE CHECK LIST D HAS BEEN COMPLETED, ALL OTHER CONDITIONS (B, C, E) ARE UNDERSTOOD AND WHEN
MET, THE AREA IS SAFE FOR WORK TO COMMENCE.
SIGNATURE:
Date:
Time:
(Permit Issued By)
I HAVE REVIEWED THE CONDITIONS OF THIS PERMIT AND APPROVE WORK TO COMMENCE WHEN CONDITIONS ARE MET.
F. ATMOSPHERIC TESTING (To be performed by the Qualified Operations Representative or Operations Supervisor)
For Hot Work Permit
Gas Testing Equipment:
Time: ____________________
Time: __________________
Time: __________________
Oxygen: ________________%
Oxygen: _______________%
Oxygen: _______________%
Calibration Date: ______________
Combustible Gas: _________%
Toxics: __________________
Combustible Gas: _______%

Toxics: _________________
Tested By:_______________
Tested By:_______________
G. ADDITIONAL SIGNATURES (As Required)
FOR CONFINED SPACE ENTRY
Qualified Maintenance/Contractor Representative
Entry Supervisor
H. JOB/PERMIT COMPLETION
COMPLETED BY MAINTENANCE: Work is: Complete Incomplete
Combustible Gas: ________%

Toxics: _________________
Serial Number(s): _____________
Tested By:_______________
Type of Equipment:____________
FOR EXCAVATION (Deeper Than 4 Feet)

Valero Competent Person
Contractor Competent Person
The area has been cleaned up: Yes
Signature:Date: ____________________________________________________________________ Time:
No
____________________
(Maintenance/Contractor Representative)
Signature:Date: ____________________________________________________________________ Time:
____________________
(Owning Department Representative)
Upon completion or cancellation of this permit return this document to the Owning Department.
VALERO
SHG #3
Page 41 of 43
Revised: 5/25/0
Revised 10/6/03
PERMIT NO.
Krotz Springs Refinery

CONFINED SPACE PERMIT
PERMIT TIMING/BACKGROUND
(To be completed by the Owning Department)
ISSUED:
A. WORK SCOPE
Date:
Specific Location:
Equipment To Be Worked On:
Time:
VALID UNTIL:
Date:
Time:
Maint Request/Work Order Number:
Work To Be Performed:
Initial Permit
_________________________________________________________________________
B. CHECK LIST (Check what has been completed)

Equipment
Depressured/Drained
Yes
No
N/A
Electrical Isolation
Completed/Field Tested
Yes
No
N/A
Flammable
Yes
No
N/A
Drains/Vents Opened &

Cleared
Yes
No
N/A
Equipment Locked Out
Yes
No
N/A
Pyrophoric
Yes
No
N/A
Equipment Water/Steam
Flushed
Yes
No
N/A
Blinds In Place
Yes
No
N/A
Harmful to
Breathe
Yes
No
N/A
Equipment Inert Gas

Purged
Yes
No
N/A
Access/Egress To/From
Space Okay
Yes
No
N/A
Harmful by
Skin Contact
Yes
No
N/A
Excavation
Yes
No
N/A
Other:___________________________________________________________________
C. PRECAUTIONS
Check what must be completed PRIOR to commencing work and fill in the required information:
Barricade/Confined Space Entry Signs
Air Mover (Grounded & Air Valve Identified)
Communication Type(s):___________________
NORM Survey
Competent Person Inspection Excavation
IDLH Conditions (Rescue Team Notified)
Designated Attendant Identified on Entry Log
Other:
D. ATMOSPHERIC TESTING (To be performed by the Qualified Operations Valero Representative)

Gas Testing Equipment
Information:
TEST PARAMETERS:
Time:
MULTIGAS METER
Serial Number:___________
Calibration Date: ________
SNAP SHOT
Oxygen:
Combustible Gas
Hydrogen Sulfide:
Benzene:
Carbon Monoxide:
Confined Space Permit

Testing
1stReadings or
(Enter Actual
2nd
3rd
19.5 to 23.5%*
0 %*
<10 PPM*
<0.5 PPM*
<35 PPM*
%LEL
PPM
PPM
PPM
%LEL
PPM
PPM
PPM
%LEL
PPM
PPM
PPM
PPM
PPM
PPM
PPM
PPM
PPM
Serial Number:____________
Sulfur Dioxide:
<5 PPM*
Ammonia:
<50 PPM*
Other:
DRAGER
Serial Number:____________ Tested By:
* Levels Shown Are Defined Acceptable Entry Levels Without Respiratory Protection
E. QUALIFIED OPERATIONS REPRESENTATIVE
I affirm that the precautions stated on this permit have been met.
Signature: ________________________________________________________________________Date:
Time:___________
F. ENTRY SUPERVISOR
I agree that the precautions stated on this permit are appropriate and have been identified and/or met.
Signature_________________________________________________________________________Date:____________________Time:___________
G. SAFETY REVIEW & EXCAVATION COMPETENT PERSON SIGNATURES

I have reviewed the above gas testing parameters, hazards and precautions
and agree that they are appropriate.
I have reviewed the required parameters for personnel entry into

this excavation and agree that they are appropriate.
Signature:
Signature:
H. PERMIT CANCELLATION
Date:
Date:
This permit is canceled. (If not signed below, the permit expires or is canceled as of the "Valid Until' date and time shown at the top of this permit.)
Signature:
Date:
(Upon completion or cancellation of this permit, return this document to the Safety Department.)
Time:
SHG #3
Page 42 of 43
Revised: 5/25/0
Revised 10/6/03
CONFINED SPACE ENTRY LOG

Designated Attendant:
Confined Space Permit # __________
Relief Attendant(s): (1) ________________________ (2)________________________ (3) _________________
Entrant's Name
Company
In
Out
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)
Comments Regarding Confined Space or Entrants:
In
Out
In
Out
In
Ou
t
In
Out
In
Out
SHG #3
Page 43 of 43
Revised: 5/25/0
Revised 10/6/03
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________

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VALERO KROTZ SPRINGS

Acceptable Entry Conditions.................................3

Blanket Safe Work Permit...............................3, 11

VALERO KROTZ SPRINGS

SAFE WORK PERMIT GUIDELINES

Competent Person - For the purposes of excavations, an authorized person who is

Confined Space - A space that is:

Has limited or restricted means of entry or exit;

Is not designed for continuous occupancy; and

May contain one of the following:

Contains or has the potential to contain a hazardous atmosphere;

Contains a material that has the potential of engulfing an individual;

Has an internal configuration such that an entrant could be trapped or

Contains any other recognized serious safety and health hazard.

In addition, temporary shelters used for welding, inspections, etc., where

Designated Attendant A qualified individual ("hole watch") stationed outside a

Entry Supervisor - The individual (Superintendent, Shift Supervisor, Lead Technician)

Hazardous Atmosphere - An atmosphere that may expose entrants to the risk

Flammable gas, vapor or mist in excess of 10 percent of the lower explosive

Atmospheric oxygen concentrations below 19.5% or in excess of 23.5%

Atmospheric concentration of any substance which could result in employee

Any other atmospheric condition that is Immediately Dangerous to Life or Health

Inerting - The displacement of an atmosphere in a confined space by a

Non-Hazardous Confined Space - A confined space which normally exists without

Owning Department - The unit/area/department that is responsible for the location in

Owning Department Representative - Individuals who have received training and a

Non-Pressurized Building Containing Enclosure(s) building containing purged or

Pressurized Building Containing Pneumatic Controls pressurized building

NOTE: CONTRACTORS MUST REVIEW THE PROCESS UNIT

Have NO OTHER RESPONSIBILITIES that would interfere with his/her

Permitting for Cold Work

Signing the Safe

Issuing the Safe Work

Ensure that the equipment or area is appropriately prepared, i.e.,

NOTE: HOT WORK INVOLVING VESSELS OR DRUMS EQUIPPED WITH A

Signing the Hot Work

Issuing the Hot Work

If a Fire Watch is required, ensure that a fire extinguisher or charged

Permitting for Vehicle Entry

Signing the Vehicle

Issuing the Vehicle

Permitting For Excavation

Will be performed by a trained, Owning Department representative with

(refer to Appendix 1 for

Prior to beginning the excavation and as part of permit preparation, the

Issuing the Excavation

Adequate means of exit must be provided such as a ladder or steps so

Will be performed by a trained, Owning Department representative with

Will be performed with an instrument that has been calibrated .1

Assuring that all pre-entry preparations of the space have been

(Refer to Appendix 1 for

Signing the Confined

Issuing the Confined

Is issued for one Maintenance or Owning Department work shift.

Permitting For Enclosures That May Contain Hazardous Gases

For Mounted Enclosures, Walk-In Enclosures, and Non-Pressurized Building Containing

APPENDIX 1 - SAFE WORK PERMIT PROCEDURE

PERSONAL PROTECTIVE EQUIPMENT

This section is to be completed by the Owning Department and the Maintenance or

This section is to be completed by the Owning Department.

Appreciable flammable or combustible material is present in the general area closer

PERMIT VERIFICATION PERFORMED BY

A Maintenance/Contractor representative must sign his/her name in this section. This is to

This section is to be completed by the Operations Lead Process Tech and/or