ACCESS APPLICATION REQUEST - PSK

Please note - This form is to be completed and returned to the following email addresses 24 hours before access is required onto site:

● To peshkhabir.access.control@dno.no; peshkabir.access.control.2@dno.no; Plus the person/department (Sponsor) who you are visiting
● Cc psk.security.admin@dno.no; fssupervisor.pesh@dno.no; wellhead.peshkabir@dno.no; HSE.Peshkabir.Site@dno;

1. NO weapons are allowed on site and must be unloaded using the purpose-built unloading bays and handed in at the OPF before entry.
2. Everyone entering the Field MUST have had an Asayish interview at the local Asayish station and have proof of this.
3. Any person entering the Peshkabir Field MUST be HSE and security inducted. Last access is at 19:00. Night driving is not permitted.

Section 1 – To be completed by person, company visiting or sponsor

Date form submitted, by who and your phone number May 23 2021, 07504867875
Reason for coming to the site (what are you delivering or coming to the Field for?) site visit of RFQ No: 26796 Fence and Gates installation for Quarantine Camp and laying subbase
Name of the Sponsor of the visit (NAME - DNO person at Peshkabir right now) Kak Jabir Trainee Civil Supervisor Mobile: 0751 802 2073
Sponsor’s phone number (DNO person above) 0751 802 2073
What department is the Sponsor (Production, Gas, Drilling, CWT, Security, etc) Trainee Civil Supervisor
Where are you going in PSK Site (Rig #, P1#, CPF, Gas Plant etc.) quarantine camp at main gate-PSK
PLEASE NOTE – It is the responsibility of THE DNO SPONSOR to ensure ALL their visitors receive HSE and Security Induction if required. Please contact: fssupervisor.pesh@dno.no M: 0751 740 9852
Se Make, Model, Color and Vehicle Expected Time of Expected Date and Time
Full Name Nationality Company Date of Arrival
r Registration Number Arrival of Departure

Creative
1 Ahmed Khairadeen Ali Iraq Petroleum Camery 4211 duhok Silver May 24 2021 2 pm May 24 2021 6 pm
Construction

Creative
2 Sardar Mohammed Salih Iraq Petroleum Camery 4211 duhok Silver May 24 2021 2 pm May 24 2021 6 pm
Construction

Peshkabir access application form revised 25 March 2020 - FSS