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EXHIBIT I – SCOPE OF SUPPLY

NO. CONTENT
1.0 GENERAL
2.0 SCOPE OF SUPPLY
• ABBREVIATION
• SPECIFICATION
• SCOPE OF SUPPLY
• QUALITY ASSURANCE
3.0 RESPONSE AND DELIVERY COMPLIANCE
• DELIVERY FOR NORMAL OPERATIONS
• DELIVERY FOR EMERGENCY REQUEST
4.0 INSPECTION
5.0 COMMERCIAL AND PRICE

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1.0 GENERAL
1.1. The intention of this CONTRACT is to appoint a SUPPLIER for Supply and Delivery of Permit
to Work (PTW) to PETRONAS facilities.
1.2. The participating PETRONAS Operating Plant Units (OPUs) for this CONTRACT, which is
known as BUYER are as follows:-
1.2.1. PETRONAS Gas Berhad (PGB)
1.2.2. PETRONAS Chemicals Derivatives Sdn. Bhd. (PCDSB)
1.2.3. PETRONAS Chemicals Ethylene Sdn. Bhd. (PCESB)
1.2.4. PETRONAS Carigali Sdn. Bhd. (PCSB)
1.3. The CONTRACT shall run for a period of two (2) years with an extension option of one (1) year
covers for normal operations, shut down (planned and un-planned) and turnaround.
1.4. COMPANY and BUYER shall not be held responsible if no ORDER is issued throughout the
course of the contract period since the contract is on 'as-and-when' required basis.
1.5. This CONTRACT shall be on non-escalating fixed unit rates basis price.
1.6. The SUPPLIER is responsible for the tax administrative matters of the Personnel and
continues to act as the employer of the Personnel.

2.0 SCOPE OF WORK


2.1. ABBREVIATION
2.1.1. “EMERGENCY” refers to the urgency requirement arising out of an unplanned
situation outside the control of COMPANY and/or BUYER and that delay in delivery
will have health, safety and environment (HSE) impact or large financial implication to
COMPANY such as stoppage of production, shut down, closure of operation and etc.
2.1.2. “SHUT DOWN” refers to stoppage of plant’s operation in order to do equipment
preventive maintenance and care, corrective repair, overhaul and etc. within the
required period of time.
2.1.3. “TURN AROUND” refers to work carried out to accommodate statutory and regulatory
requirement for the renewal of the plant certificate of fitness, or/and major preventive
maintenance to sustainable performance for maximum running length. It shall also
include but not limited to the activities of Pit-Stop, shutdown, major inspection and etc.

2.2. SPECIFICATION
2.2.1. SUPPLIER shall ensure that GOODS delivered is according to the material
specification and formulations as per EXHIBIT II - SPECIFICATIONS. SUPPLIER
shall also ensure the GOODS delivered follow the specification in the provided
template.
2.2.2. In the event of obsolescence or production stop, SUPPLIER shall inform the
COMPANY by notice in writing and propose new specification of the GOODS.
COMPANY however has a right not to accept the new proposed specification and take
out the affected GOODS from the CONTRACT. Should the obsolete GOODS are
reserved for COMPANY and/or BUYER without any ORDER received and still
available at SUPPLIER’s Warehouse, COMPANY and/or BUYER shall not liable to
pay for the balance GOODS.
2.2.3. SUPPLIER also shall recommend the interchangeability of the GOODS with GOODS
whenever requested by COMPANY. The recommendation shall be in written and

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accompanied by relevant supporting documents e.g. reference to applicable standards
and product datasheet.
2.2.4. SUPPLIER shall ensure the replacement GOODS are compatible with the
COMPANY’s specifications and requirements.

2.3. SCOPE OF SUPPLY


2.3.1. SUPPLIER shall supply the GOODS as specified in EXHIBIT II - SPECIFICATIONS.
2.3.2. The GOODS shall be delivered to address as specified in the ORDER as follows:
BUYER Delivery Address
PETRONAS Gas Berhad (PGB) SMSO Warehouse,
Gas Processing Unit – Kertih (GPK)
Warehouse
KM105 Jalan Kuantan – K. Terengganu,
24300 Kertih, Kemaman Terengganu.
PETRONAS Chemicals Derivatives SMSO Warehouse,
Sdn. Bhd. (PCDSB) PETRONAS Chemicals Derivatives Sdn
Bhd,
KM 106 Jalan Kuantan-Kuala Terengganu,
24300 Kertih, Kemaman,
Terengganu Darul Iman, Malaysia.
PETRONAS Chemicals Ethylene Admin Building (HSE Department)
Sdn. Bhd. (PCESB) PETRONAS Chemicals Ethylene Sdn Bhd,
Lot 3834 Kawasan Bukit Tengah,
KM 105 Jalan Kuantan-Kuala Terengganu,
24300 Kertih, Kemaman,
Terengganu Darul Iman, Malaysia.
09-830 2091
PETRONAS Carigali Sdn. Bhd. PETRONAS Carigali Sdn. Bhd.
(PCSB) Warehouse 5,
Kemaman Supply Base,
Kawasan Perindustrian Teluk Kalong,
24007, Teluk Kalong, Terengganu.

Terengganu Crude Oil Terminal (TCOT),


Jalan Kuantan – Kuala Terengganu,
24300, Kertih, Kemaman, Terengganu.

Onshore Slug Catcher (OSC),


Jalan Kuantan – Kuala Terengganu,
24300, Kertih, Kemaman, Terengganu.

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Onshore Gas Terminal (OGT),
Jalan Kuantan – Kuala Terengganu,
24300, Kertih, Kemaman, Terengganu.

Terengganu Gas Terminal (TGAST),


Jalan Kuantan – Kuala Terengganu,
24300, Kertih, Kemaman, Terengganu.

PETRONAS Carigali Sdn. Bhd.


Kompleks Operasi PETRONAS,
24300, Kertih, Kemaman, Terengganu.

1.1. QUALITY ASSURANCE


1.1.1. SUPPLIER shall provide assurance that all GOODS delivered are of the highest quality
grade and are free from all defects and imperfections likely to affect their performance,
with reference with applicable codes and standards in compliance with industry.
1.1.2. Upon the discovery of any defect, SUPPLIER shall replace with new GOODS by his
own expenses within twenty-four (24) hours from the notification issuance date.

3.0 RESPONSE AND DELIVERY COMPLIANCE


3.1. The delivery term for this CONTRACT shall be based on Incoterm 2010 or latest version,
Delivery Duty Paid (DDP) to COMPANY’s warehouse as per stated in Terms & Conditions.
3.2. SUPPLIER’s focal person must be contactable for 24 hours a day, including on weekends and
public holiday. The focal person also shall response to COMPANY within four (4) hours.

3.3. DELIVERY FOR NORMAL OPERATIONS


3.3.1. For normal operations, the GOODS shall be delivered within seven (7) days after
issuance of ORDER.

3.4. DELIVERY FOR EMERGENCY REQUEST


3.4.1. During the emergency event, the request can be done through phone call and followed
by written confirmation order. Emergency shall also include unplanned shut-down,
plant trip and any unexpected event occurs at plant.
3.4.2. If required, SUPPLIER’s personnel shall be at stand-by mode for 24 hours during
mechanical days of unplanned Shutdown/ Plant rip. Should there is any ad-hoc
ORDER, the issuance of the GOODS shall be made by Storekeeper.
3.4.3. The confirmation order during emergency shall not necessarily in the form of Release
Order (RO) or Purchase Order (PO). The confirmation can be made via e-mail or any
written tele-communication channel available.
3.4.4. SUPPLIER then shall deliver the GOODS within 24 hours after written order issued by
COMPANY.

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4.0 INSPECTION
4.1. COMPANY has the right to conduct inspection at SUPPLIER’s warehouse at any times. The
inspection can be done by COMPANY’s representative or its authorized nominee(s).
4.2. COMPANY also may inspect the GOODS prior to delivery at COMPANY’s warehouse and final
acceptance of the GOODS is subject to meeting the specification.
4.3. SUPPLIER thereof shall not impose any charge on the COMPANY for such inspection.

5.0 COMMERCIAL AND PRICE


SUPPLIER shall ensure the quoted price of the GOODS will be free from escalation throughout
CONTRACT period.

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EXHIBIT II - SPECIFICATIONS
For the detail specification, please refer the provided template

MATERIAL Unit of
NO ITEM
NO Measurement

PETRONAS GAS BERHAD (PGB)


PERMIT - COLD WORK - PERMIT TO WORK PP01, A4, 3
Colour

PAPER: NCR (3 PLY)


SIZE: A4
1 50134810 FINISHING: TOP PADDING PD
1PAD /50SETS
NO COPY CHANGE
WHITE,YELLOW,PINK
55 GSM

PERMIT - HOT WORK - PERMIT TO WORK PP02, A3, 3


COLOUR

PAPER: NCR (3 PLY)


SIZE: A3
2 50134811 FINISHING: TOP PADDING PD
1PAD /50SETS
NO COPY CHANGE
WHITE,YELLOW,PINK
55 GSM

LIFTING CERTIFICATE (NEW VERSION), A4, 3 Colour

PAPER: NCR (3 PLY)


SIZE: A4
FINISHING: TOP PADDING
3 50761694 PD
1PAD /50SETS
NO COPY CHANGE
WHITE,YELLOW,PINK
55 GSM

CERTIFICATE, SAFETY SYSTEM BYPASS, A4,3CLR

SIZE: A4
FINISH: TOP PADDING
COLOUR: 3 COLOUR/SERIES NO
4 50802252 PD
1PAD /50SETS
NO COPY CHANGE
WHITE,YELLOW,PINK
55 GSM

CERTIFICATE, LIMIT OF ACCESS, A4,3 COLOURS

5 50802245 SIZE: A4 PD
FINISH: TOP PADDING
COLOUR: 3 COLOUR/SERIES NO

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MATERIAL Unit of
NO ITEM
NO Measurement

PAPER: NCR (3PLY)


1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

CERTIFICATE, ROAD OBSTRUCTION,3CLR, W/B/Y

PAPER: NCR (3 PLY)


PRINTING: 3 COLOURS + SERIES NO
SIZE: A4
6 50779548 FINISHING: TOP PADDING PD
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

CERTIFICATE, EXCAVATION,3 COLOURS, W/B/Y

PAPER: NCR (3 PLY)


PRINTING: 3 COLOURS + SERIES NO
SIZE: A4
7 50779542 FINISHING: TOP PADDING PD
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

RADIATION CERTIFICATE (NEW VERSION)

PAPER: NCR (3 PLY)


PRINTING: 3 COLOURS + SERIES NO
SIZE: A4
8 50761693 FINISHING: TOP PADDING PD
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

PHYSICAL ISOLATION CERTIFICATE, A4 (MANILA CARD -


KERTAS TEBAL CETAKAN DEPAN DAN BELAKANG)

PAPER: IVORY CARD, 230 GSM


9 50757570 PAC
SERIES NO.
TWO SIDES
UNIT: 500 SETS/PAC

BORANG MEMBAWA MASUK/KELUAR (BUKAN MILIKAN


PETRONAS) BARANGAN, A4, 3 COLOUR
10 50802215 PD
SIZE: A4
TOP PADDING

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MATERIAL Unit of
NO ITEM
NO Measurement

3 COLOUR + SERIES NO
PAPER, NCR
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

BORANG KELUAR/MASUK HARTA PETRONAS GAS


BERHAD A4, 3 COLOUR

SIZE: A4
FINISH: TOP PADDING
COLOUR: 3 COLOUR/SERIES NO
11 50802224 PD
BASIC DATA: PAPER: NCR
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

CERTIFICATE, LIMIT OF ELECTRICAL ACCESS

SIZE: A4
COLOUR: 3 COLOUR (BLUE, WHITE, YELLOW)
BASIC DATA: 3 PLY CARBONIZE COPIES,
PGB SPECIFICATION:
PAPER: NCR (3 PLY)
12 50779368 PRINTING: 3 COLOURS + SERIES NO PD
SIZE: A4
FINISHING: TOP PADDING
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

CERTIFICATE, VEHICLE ENTRY,3 COLOUR


3 PLY CARBONIZE

1PAD /50SETS
13 50779375 PD
NO COPY CHANGE
WHITE,YELLOW,PINK
55 GSM

BUKU TAKLIMAT KESELAMATAN (8 MUKASURAT)

SIZE: 8.5 X 3
COLOUR: 5 COLOUR/SERIES NO
PAPER : MANILA-CARD
14 50723418 PC
SIZE:6.92 “ X 5.12”
COVER: TWO SIDE CART 260GSM
INSIDE: SWF 80 GSM

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MATERIAL Unit of
NO ITEM
NO Measurement

ELECTRICAL ISOLATION CERTIFICATE, A4 3 COLOUR


SIZE: A4
FORM OF SUPPLY: 3 PLY/SET
NCR PAPER/CARD
15 50757575 1PAD /50SETS PD
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

PETI - PROTABLE EQUIPMENT INSPECTION CHECKLIST


(PROTABLE EQUIPMENT) A4 SIZE , 3 COLOUR

16 50857805 55 GSM PD
WHITE,YELLOW,PINK
1PAD /50SETS

PETI - PROTABLE EQUIPMENT INSPECTION CHECKLIST


(HANDTOOLS AND HANDHELD EQUIPMENT) A4 SIZE, 3
COLOUR
17 50642402 PD
55 GSM
1PAD /50SETS
WHITE,YELLOW,PINK

PETI - PROTABLE EQUIPMENT INSPECTION CHECKLIST


(CONFINED SPACE EQUIPMENT) A4 SIZE, 3COLOUR

18 50757554 55 GSM PD
1PAD /50SETS
WHITE,YELLOW,PINK

PETI - PROTABLE EQUIPMENT INSPECTION CHECKLIST


(PACKAGED GENERATOR) A4 SIZE, 3COLOUR

19 50642402 55 GSM PD
1PAD /50SETS
WHITE,YELLOW,PINK

PETI - PROTABLE EQUIPMENT INSPECTION CHECKLIST


(DISTRIBUTION BOARD) A4 SIZE, 3COLOUR

SIZE: A4
20 50857241 FORM OF SUPPLY: 50 SHEETS/PAD PD
55 GSM
NO BOOK
WHITE, YELLOW ,PINK

PETI - PROTABLE ELECTRICAL TEMPORARY


INSTALLATION CERTIFICATE A4 SIZE, 3COLOUR
21 50740070 PD
SIZE: A4
FORM OF SUPPLY: 3 PLY/SET

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MATERIAL Unit of
NO ITEM
NO Measurement

NCR PAPER / CARD


55 GSM
WHITE, YELLOW ,PINK
1 PAD/50 SETS

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER, STIKER


PERTAMA SIZE 10CM X 7CM FOR GPS (RED COLOUR)
22 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER,


STICKER KEDUA SIZE 5CM X 6CM FOR GPS (RED
COLOUR)
23 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER, STIKER


PERTAMA SIZE 10CM X 7CM FOR GPK (PURPLE
COLOUR)
24 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER KEDUA


SIZE 5CM X 6CM FOR GPK (PURPLE COLOUR).
25 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER, ,


STIKER PERTAMA SIZE 10CM X 7CM FOR TSET (YELLOW
COLOUR)
26 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER,


STICKER KEDUA SIZE 5CM X 6CM FOR TSET (YELLOW
COLOUR)
27 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER STIKER


PERTAMA SIZE 10CM X 7CM FOR UG (GREEN COLOUR)
28 50848360 PC
PVC STICKER
GLOSS LAMINATION

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MATERIAL Unit of
NO ITEM
NO Measurement

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER,


STICKER KEDUA SIZE 5CM X 6CM FOR UG (GREEN
COLOUR)
29 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER, STIKER


PERTAMA SIZE 10CM X 7CM FOR UK (LIGHT BLUE
COLOUR)
30 50848360 PC
PVC STICKER
GLOSS LAMINATION

P.E.T.I CERTIFICATE IF FITNESS (PCF) STICKER,


STICKER KEDUA SIZE 5CM,6CM FOR UK (LIGHT BLUE
COLOUR)
31 50848360 PC
PVC STICKER
GLOSS LAMINATION

LIFTING PLAN CHECKLIST FOR CRITICAL LIFT

PAPER: NCR (3 PLY)


SERIES NO
SIZE: A4
32 50761694 FINISHING: TOP PADDING PD
1PAD /50SETS
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

CONFINED SPACE ENTRY CHECKLIST, A4

1 PAD = 50 SETS
PAPER: A4 NCR,3 PLY LAST PAGE BOT.CARD
PRINTING BOTH SIDE COLOR: BLUE STRIPE
33 50757554 BORDER, PETRONAS LOGO GREEN,BLACK & RED PD
WORDING
NO COPY CHANGE
55 GSM
WHITE, YELLOW, PINK

PETRONAS Chemicals Derivatives Sdn. Bhd. (PCDSB)


1 TBA Permit To Work BK

Form of Supply: 1 BOOK:50 PCS


Size: A3
Paper Type: NCR, 3 ply carbonized, 1st Page double sided
print with different view
Paper Thickness: 55 gsm

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MATERIAL Unit of
NO ITEM
NO Measurement

2 50923660 Confined Space Entry Permit BK

Form of Supply: 1 BOOK:50 PCS


Size: A4
Paper Type: NCR, 3 ply carbonized,1st Page double sided
print with different view.
Additional Specifications: PERMIT NO.: START WITH
P000001

000000009355812002
PCIS 0689/2004

3 TBA Excavation Certificate BK

Form of Supply: 1 BOOK:50 PCS


Size: A4
Paper Type: NCR, 3 ply carbonized
Paper Thickness: 55 gsm
4 TBA Lifting Certificate BK

Form of Supply: 1 BOOK:50 PCS


Size: A4
Paper Type: NCR, 3 ply carbonized
Paper Thickness: 55 gsm

5 TBA Radiation Certificate BK

Form of Supply: 1 BOOK:50 PCS


Size: A4
Paper Type: NCR, 3 ply carbonized
1st Page double sided print with different view
Paper Thickness: 55 gsm

6 TBA Road Closure Certificate BK

Form of Supply: 1 BOOK:100 PCS


Paper Size / Type: A4
Paper Thickness: 230 gsm (Ivory card)
2 pages, Double-sided printing

7 TBA Pyhsical Isolation Certificate BK

Form of Supply: 1 BOOK:100 PCS


Paper Size / Type: A4
Paper Thickness: 230 gsm (Ivory card)
3 pages - Single-sided printing, three different view

8 TBA Electrical Isolation Certificate BK

Form of Supply: 1 BOOK:100 PCS


Paper Size / Type: A4
Paper Thickness: 230 gsm (Ivory card)

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MATERIAL Unit of
NO ITEM
NO Measurement

1 page - Single-sided printing

9 TBA Temporary Release Certificate BK

Form of Supply: 1 BOOK:100 PCS


Paper Size / Type: A4
Paper Thickness: 230 gsm (Ivory card)
2 pages, Double-sided printing

10 TBA Isolation Lockout Device List BK

Form of Supply: 1 BOOK:100 PCS


Paper Size / Type: A4
Paper Thickness: 230 gsm (Ivory card)
1 page - Single-sided printing

MATERIAL Unit of
NO ITEM
NO Measurement

PETRONAS Chemicals Ethylene Sdn. Bhd. (PCESB)


1 50722323 PRINTED FORM - MAIN PERMIT TO WORK PAD

Form of Supply: 1 PAD:50 PCS


Size: A3
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

2 50151631 PRINTED FORM IN COLD WORK PERMIT IN A4 PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

3 50757554 CONFINED SPACE ENTRY CHECKLIST,A4 PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

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MATERIAL Unit of
NO ITEM
NO Measurement

4 50802252 CERTIFICATE, SAFETY SYSTEM BYPASS,A4,3CLR PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

5 50761693 RADIATION CERTIFICATE (NEW VERSION) PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

6 50757575 CERTIFICATE,ELECTRICAL ISOLATION,A4 PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, Copy page change
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

7 50779558 CERTIFICATE,PHYSICAL ISOLATION,3CL,W/B/Y PC

Paper Type / Size: A4


Complete with: Numbering (Serial No.)
1 sheet, double-sided printing
Minimum 180gsm (Thick paper)
4 colours printing

8 50757570 PHYSICAL ISOLATION CERTIFICATE,A4 PC

Paper Type / Size: A4


Complete with: Numbering (Serial No.)
1 sheet, double-sided printing
Minimum 180gsm (Thick paper)
4 colours printing

9 50857240 CERTIFICATE, ELECT TEMPORARY INSTALATION PAD

Form of Supply: 1 PAD:50 PCS


Size: A3
Complete with: Numbering (Serial No.)

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MATERIAL Unit of
NO ITEM
NO Measurement

Paper Type: NCR, 2 ply carbonized, similar printing


1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

GAS TEST CERTIFICATE,A4,1SIDE

Paper Type / Size: A4


Complete with: Numbering (Serial No.)
10 51219507 PC
1 sheet, single-sided printing
Minimum 100gsm (Thick paper)
4 colours printing

11 50762087 CERTIFICATE,LIFTING,A4 PAPER, PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
Single-sided printing
Paper Thickness: 55 gsm

12 50744313 PRINTED FORM,LFTNG CHECKLIST,A3,NCR 3PLY PAD

Form of Supply: 1 PAD:50 PCS


Size: A3
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
Single-sided printing
Paper Thickness: 55 gsm

13 50779548 CERTIFICATE,ROAD OBSTRUCTION,3CLR,W/B/Y PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
1st page (Original copy) - double sided printing (4 colours
printing)
Paper Thickness: 55 gsm

14 50779542 CERTIFICATE,EXCAVATION,3 COLOURS,W/B/Y PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
Single-sided printing

15 50779368 CERTIFICATE,LIMIT OF ELECTRICAL ACCESS PAD

Form of Supply: 1 PAD:50 PCS

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MATERIAL Unit of
NO ITEM
NO Measurement

Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 3 ply carbonized, similar printing
Single-sided printing

16 50779375 CERTIFICATE, VEHICLE ENTRY,3 COLOUR PAD

Form of Supply: 1 PAD:50 PCS


Size: A4
Complete with: Numbering (Serial No.)
Paper Type: NCR, 2 ply carbonized, similar printing
Single-sided printing

PHYSICAL ISOLATION CERTIFICATE,A4,1SIDE

Paper Type / Size: A4


Complete with: Numbering (Serial No.)
17 51219582 PC
1 sheet, single-sided printing
Minimum 180gsm (Thick paper)
4 colours printing

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MATERIAL Unit of
NO ITEM
NO Measurement

PETRONAS Carigali Sdn. Bhd. (PCSB)


PERMIT,HOT WORK,A3,NCR,3PLY,PROCSS FLW

NCR, 3 PLY/SET
FORM OF SUPPLY: 1 BOOK:50 SET
SIZE: A3
1 51017055 RED BORDER BK
WORDING: BLACK / RED
PAPER THICKNESS: 1ST AND 2ND PLY 55 GSM, 3RD PLY
125 GSM
SERIAL NO. PRE PRINTED

PERMIT,COLD WORK,A3,NCR,3PLY,PROCSS FLW

NCR, 3 PLY/SET
FORM OF SUPPLY: 1 BOOK:50 SET
SIZE: A3
2 51016988 GREEN BORDER BK
WORDING: BLACK / RED
PAPER THICKNESS: 1ST AND 2ND PLY 55 GSM, 3RD PLY
125 GSM
SERIAL NO. PRE PRINTED

CONFINED SPACE ENTRY CHECKLIST,A4

NCR, 2 PLY/SET
FORM OF SUPPLY: 1 BOOK:50 SET
SIZE: A4
3 50757554 BK
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM
PRINTING BOTH SIDE COLOR: GREY BORDER,
PETRONAS LOGO GREEN,BLACK & RED
WORDING

PRINTED FORM,ELEC,ISO,A3,1PLY,PROCSS

SIZE: A3
FORM OF SUPPLY: 1 BOOK:50 SET
PURPLE BORDER
WORDING: BLACK
WORDING: RED
1 PLY, DOUBLE SIDED PRINTING
4 51016989 BK
PAPER THICKNESS: 125 GSM
COME WITH LOGO PETRONAS
SERIAL NO PRE PRINTED
PAPER THICKNESS: 5 MIL
SURFACE FINISH: GLOSS
OPACITY: 98%
ISO BRIGHTNESS :98%

LIMIT OF ELECTRIC ACCESS CERTIFICATE,A4


5 50950773 BK
FORM OF SUPPLY: 1 BOOK:50 SET

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MATERIAL Unit of
NO ITEM
NO Measurement

NCR 2 PLY BOTTOM CARD; 1ST PLY 55 GSM, 2ND PLY


125 GSM
SIZE: A4
PRINTING BOTH SIDE COLOR: PURPLE BORDER,
PETRONAS LOGO/GREEN, BLACK & RED WORDING

CERTIFICATE,PHYSICAL ISOLATION,A3,1PLY

SIZE: A3
PAPER THICKNESS: 125 GSM
FORM OF SUPPLY: 1 BOOK:50 SET
BORDER: ORANGE
WORDING: BLACK
WORDING: RED
6 51016909 BK
1 PLY, DOUBLE SIDED PRINTING
COME WITH LOGO PETRONAS.
SERIAL NO PRE PRINTED.
PAPER THICKNESS: 5 MIL
SURFACE FINISH: GLOSS
OPACITY: 98%
ISO BRIGHTNESS:98%

LIFTING CERTIFICATE,A4,

SIZE: A4
FORM OF SUPPLY: 1 BOOK:50 SET
7 50757572 NCR, 2 PLY BK
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM
PRINTING BOTH SIDE COLOR: ORANGE BORDER,
PETRONAS LOGO/GREEN, BLACK & RED WORDING

CERTIFICATE,SSBOC,MAINTENANCE,A4,1PLY

FORM OF SUPPLY: 1 BOOK:50 SET


1 PLY, A4 PAPER
PAPER THICKNESS: 125 GSM
8 50999847 50 SET/BOOK BK
SAFETY SYSTEM BYPASS/OVERRIDE CERTIFICATE
(SSBOC)
WORDING: WORDING BLACK & RED, C/W LOGO
PETRONAS.

FORM,EXCAVATION CERTIFICATE,A4,NCR

FORM OF SUPPLY: 1 BOOK:50 SET


PAPER: A4, NCR, 2 PLY
9 50730124 PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM BK
BLACK WORDING
CARIGALI LOGO/GREEN
LAST PAGE BOT. CARD
PLEASE REFER SAMPLE ATTACHED

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MATERIAL Unit of
NO ITEM
NO Measurement

PRINTING,FORM,RADIATION/R/GRAPHY CERT

FORM OF SUPPLY: 1 BOOK:50 SET


10 50565369 1 PLY, A4 PAPER BK
PAPER THICKNESS: 125 GSM
SERIAL NO. PRE PRINTED

STICKER,PORTB EQ INSP,17X10.5CM,GRN,APPR

WT 17 CM X HT 10.5 CM
11 51080673 PRINTING: 2C (GREEN) PC
MATERIAL: MICROCOAT STICKER PAPER
PETI PREMOB APPROVED NON HAND HELD

STICKER,PORTB EQ INSP,17X10.5CM,RED,RJCT

WT 17 CM X HT 10.5 CM
12 51080675 PRINTING: 2C (RED,GREEN) PC
MATERIAL: MICROCOAT STICKER PAPER
PETI PREMOB REJECT NON HAND HELD

TEMPORARY ELECTRICAL INSTALLATION CERTIFICATE

FORM OF SUPPLY: 1 BOOK:50 SET


13 TBA PAPER: A4, NCR, 2 PLY BK
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM
SERIAL NO. PRE PRINTED

WORKING AT HEIGHT CERTIFICATE

NCR, 3 PLY/SET
FORM OF SUPPLY: 1 BOOK:50 SET
SIZE: A4
14 TBA GREEN BORDER BK
WORDING: BLACK / RED
PAPER THICKNESS: 1ST AND 2ND PLY 55 GSM, 3RD PLY
125 GSM
SERIAL NO. PRE PRINTED

GAS TEST,A4,NCR,2PLY,C/W LOGO PETRONAS

FORM OF SUPPLY: 1 BOOK:50 SET


PAPER: A4, NCR, 2 PLY
15 51000155 BK
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM
WORDING: WORDING BLACK & RED, C/W LOGO
PETRONAS.

CERTIFICATE,SSBOC,FAULTY,A4,1PLY
16 50999846 BK
FORM OF SUPPLY: 1 BOOK:50 SET

,QWHUQDO
MATERIAL Unit of
NO ITEM
NO Measurement

1 PLY, DOUBLE SIDED PRINTING, A4 PAPER


PAPER THICKNESS: 125 GSM
SAFETY SYSTEM BYPASS/OVERRIDE CERTIFICATE
(SSBOC)
WORDING : WORDING BLACK & RED, C/W LOGO
PETRONAS.

CERTIFICATE,ROADOBSTRUCTION,A4,2PLY,1PA

FORM OF SUPPLY: 1 BOOK:50 SET


17 50979491 BK
PAPER: A4, NCR, 2 PLY
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM

PRINTED FORM,VEHICLE ENTRY PERMIT

FORM OF SUPPLY: 1 BOOK:50 SET


18 50725256 PAPER: A4, NCR, 2 PLY BK
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM
SERIAL NO. PRE PRINTED

CERTIFICATE,DIVING,A4,2PLY

FORM OF SUPPLY: 1 BOOK:50 SET


PAPER: A4, NCR, 2 PLY
PAPER THICKNESS: 1ST PLY 55 GSM, 2ND PLY 125 GSM
19 51016907 BORDER: GREY BK
WORDING: BLACK
WORDING: RED
C/W LOGO PETRONAS.
SERIAL NO PRE-PRINTED

STICKER,PORTB EQ INSP,7X3.5CM,GRN,APPRV

WT 7 CM X HT 3.5 CM
20 51080674 PRINTING: 2C (GREEN) PC
MATERIAL: MICROCOAT STICKER PAPER
PETI PREMOB APPROVED HAND HELD

STICKER,PORTB EQ INSP,7X3.5CM,RED,RJCT

PORTABLE EQUIPMENT INPECTION


STICKER
21 51080676 WT 7 CM X HT 3.5 CM PC
PRINTING: 2C (RED,GREEN)
MATERIAL: MICROCOAT STICKER PAPER
PETI PREMOB REJECT HAND HELD

STICKER,PORTB EQ INSP,7X3.5CM,RED,ONSITE

22 51080677 STICKER PC
WT 7 CM X HT 3.5 CM
PRINTING: 2C (RED,GREEN)

,QWHUQDO
MATERIAL Unit of
NO ITEM
NO Measurement

MATERIAL: MICROCOAT STICKER PAPER


PETI ONSITE REJECT PORTABLE

,QWHUQDO

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