PROPYLENE DERIVATIVE PETROCHEMICAL PROJECT

HOT WORK PERMIT (Original) Serial No.

Owner :- BHARAT PETROLEUM CORPORATION LIMITED KOCHI REFINERY
PMC:- ENGINEERS INDIA LIMITED
CONTRACTOR: - OFFSHORE INFRASTRUCTURES LTD.
SCOPE OF WORKS : - MECHANICAL WORKS · II FOR OFFSITE PDPP
Permit issued on: (Date) Form: (Time) To: (Time) Continuation of Work Permit No. Token Number from Fire Station Earth Work Permit No.

No. of persons involved in the job Nearest Manual Call Point No. Hot Work Permit No.

(Valid for the shift unless renewed)

Permit issuing Department/ Section Issued to : Department / Section / Contractor

Exact location of Work Area / Unit/ Equipment No.

Description of Work : ................ ..................................

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT

SI. No. Item Done Not reqd. SI. No. Item Done Not reqd.
Checked for oil and gas trapped behind the lining in
A General points (Items to be complied by the issuer) 2 Equipment
1 Equipment / Work Area inspected 3 Proper ventilation and Lighting Provided
2 Surrounding area checked and cleaned up 4 Proper means of exiU escape provided
3 Fire water system available/ checked for readiness Scaffolding/temporary platform checked and
5 healthiness ensured and tagged
4 Considered hazard from other operations and concerned Clearance obtained for excavation/Dyke cutting from
persons alerted 6 concerned departments
5 Equipment properly drained and depressurized / blinded / The checklist for excavation as per ROS:63 prepared
disconnected / closed / isolated / wedge opened 7 and compiled with
6 Equipment properly steamed / pirged / water flushed 8 Roof top ladder provided (for fragile roof top work
7 Equipment electrically isolated and tagged vide D For Vehicle Entry : Vehicle Reg No. :
Permit No................
8 Iron sulfide removed / Kept wet Spark Arrestor on the mobile equipmenU
vehicle provided
Gas test: He,= % LEL
9 Toxic gas = ppm, 0 2= %Vol 2 Entry route dentified
Items to be complied by the Receiver E For Hot Work
B Radiography Earthing/return connection to the equipment being
welded provided
Precautions against public traffic taken 2 Shield provided against spark
2 Area cordoned off and Precautionary tags/ Boards provided 3 Portable equipmenUnozzles properly grounded
3 Stand by personnel provided from Radiography contractor 4 Running water hose/fire extinguisher provided
For Entry to confined Space / Working at height/ Sewers, manholes, CBD and hot surface nearby to be
C working on top of fragile roof/ Excavation work 5 covered using fire retardant cloth
Stand by persons provided from Owner/Execution depU
Contractor / F&S 6 Gas cylinders kept outside the confined space

SPECIAL PERMIT CONDITIONS : The activity has the following expected residual hazards (tick the relevant items) :

Lack of Oxygen H,S, Toxic gases Combustible gases Pyrophoric Iron

Corrosive Chemicals Stream-condensate Others (Please specify)
Following PPE to be used in addition to standard PPE Helmet, Safety Shoes, Hand Gloves, Boiler suit):
Fresh Air Line
Face Shield Apron Goggles Mask Welding suit Dust Respirator SCBA
Full Body Film Badges /
Airline Lifeline harness Dosimeter Earmuff Others......

Additional precautiions / instruction , If any :

Name Staff No./ Pass No. Signature

Issuer Name

Receiver Name

Contractor's Supervisor Name

Counter- Signatory Dept./ Section & Names

(If counter Signature is required)

In case of emergency, all work must be stopped immediately

ON COMPLETION OF THE WORK. THE PERMIT MUST BE CLOSED AND KEPT AS RECORD
 Time Gas Test Values Additional Precuations, Issuer Name, Receiver Name, Counter - Signature Signature of
Date for HCS, if any, otherwise Staff No. & Staff No. & Name Staff No. Authorised Supervisor
From To Toxic 0 2 etc mention "NIL" Signature Signature (if required) of the Contractor

CLOSING OF THE WORK PERMIT

Remarks :

Permit No........................................................................................................ Issued for continuation .

Receiver : Certified that the subject work has been completed / stopped and area cleared
Name & Staff No. Signature Date & Time

Issuer: Verified that the job has been completed/ stopped; area cleared
Name & Staff No. Signature D

General lnstrctions :
1. This work permit must be available at site all times.
2. The work permit shall be filled up carefully and accurately in clear handwriting ensuring that complete information is provided in all sections / subsections and none of column
left blank. Sketches should be provided wherever, possible to avoid miscommunication.
3. Approptiate safe guards and required PPE shall be determined by a careful analysis of the potential hazards and the operations to be performed prior to starting the work.
4. Welding machines should be located in non-hazardous and ventilated areas.
5. Only permitted types of vehicles / engines / electrical equipments and tools are allowed in operating areas.
6. No hot work should be permitted unless the explosive meter reading in Zero.
7. Confined space entry where no hot work is to be carried out , may be permitted if combustible gases are upto 5% of LEL. Entry with appropriate respiratory equipment may be
permitted with LEL upto 50%. The oxygen level should be atleast 19.5% vol and the concentration of toxic gases below the LTV. When a person is entering confined space , the
receiver must keep standby-designated persons at the manhole or entry point.
8. Before box up of any vessel man hole cover ensure that no men / materials are inside the vessel.
9. For renewal of work clearance, the issuer shall ensure that the conditions are satisfactory for the work to continue. If the conditions have changed it may be necessary to issue a
new permit or amend the existing permit.
10. This clearance on the same permit can be renewed / extended upto a maximum of seven calender days or 21 renewals whichever is earlier.
11. The items C2 of the check list is applicable in case of hot work involving the cladded / lined surface and item E3 is applicable as a precaution against static electricity generation
while
 PROPYLENE DERIVATIVE PERTOCHEMICAL PROJECT
HOT WORK PERMIT (Copy) Serial No.
Owner :- BHARAT PETROLEUM CORPORATION LIMITED KOCHI REFINERY
PMC:- ENGINEERS INDIA LIMITED
CONTRACTOR: - OFFSHORE INFRASTRUCTURES LTD.
SCOPE OF WORKS : - MECHANICAL WORKS • II FOR OFFSITE POPP
Permit issued on : (Date) Form : (Time) To: (Time) Continuation of Work Permit No. Token Number from Fire Station Earth Work Permit No.

No. of persons involved in the job Nearest Manual Call Point No. Hot Work Permit No.

Permit issuing Department/ Section Issued to : Department / Section I Contractor

Exact location of Work Area / Unit / Equipment No.

Description of Work : .

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT

SI. No. Item Done Not reqd. SI. No. Item Done Not
reqd.
A General points (Items to be complied by the issuer) Checked for oil and gas trapped behind the lining in
2 Equipment
Equipment / Work Area inspected
2 Surrounding area checked and cleaned up 3 Proper ventilation and Lighting Provided
4 Proper means of exiU escape provided
3 Fire water system available/ checked for readiness
Scaffolding/temporary platform checked and
5 healthiness ensured and tagged
4 Considered hazard from other operations and concerned
persons alerted Clearance obtained for excavation/Dyke cutting from
Equipment properly drained and depressurized / blinded / 6 concerned departments
5
disconnected I closed I isolated / wedge opened The checklist for excavation as per ROS:63 prepared
6 Equipment properly steamed / pirged / water flushed 7 and compiled with
Equipment electrically isolated and tagged vide 8 Roof top ladder provided (for fragile roof top work
7
Permit No. ...............
D For Vehicle Entry : Vehicle Reg No. :
8 Iron sulfide removed / Kept wet
Spark Arrestor on the mobile equipmenU
Gas test: He,= % LEL vehicle provided
9 Toxic gas = ppm, 0 2= %Vol
2 Entry route dentified
Items to be complied by the Receiver
E For Hot Work
B Radiography
Earthing/return connection to the equipment being
1 Precautions against public traffic taken welded provided
2 Area cordoned off and Precautionary tags/ Boards provided 2 Shield provided against spark
3 Stand by personnel provided from Radiography contractor 3 Portable equipmenUnozzles properly grounded
For Entry to confined Space / Working at height/ 4 Running water hose/fire extinguisher provided
C working on top of fragile roof/ Excavation work Sewers, manholes, CBD and hot surface nearby to be
Stand by persons provided from Owner/Execution depU 5 covered using fire retardant cloth
Contractor I F&S
6 Gas cylinders kept outside the confined space

SPECIAL PERMIT CONDITIONS : The activity has the following expected residual hazards (tick the relevant items) :
Lack of Oxygen H,S, Toxic gases Combustible gases Pyrophoric Iron
Corrosive Chemicals Stream-condensate Others (Please specify)
Following PPE to be used in addition to standard PPE Helmet, Safety Shoes, Hand Gloves, Boiler suit):
Fresh Air Line
Face Shield Apron Goggles Mask Welding suit Dust Respirator SCBA
Full Body Film Badges /
Airline Lifeline harness Dosimeter Earmuff Others......

Additional precautiions / instruction, If any: .

Name Staff No./ Pass No. Signature

Issuer Name

Receiver Name

Contractor's Supervisor Name

Counter- Signatory Dept.I Section & Names

(If counter Signature is required)
 Time Gas Test Values Additional Precuations , Issuer Name, Receiver Name, Counter - Signature Signature of
Date for HCS, if any, otherwise mention Staff No. & Staff No. & Name Staff No. Authorised Supervisor
From To Toxic 0 2 etc "NIL" Signature Signature (if required) of the Contractor

CLOSING OF THE WORK PERMIT

Remarks: ...................

Permit No........................................................................................................Issued for continuation

Receiver : Certified that the subject work has been completed / stopped and area cleared
Name & Staff No. Signature Date & Time

Issuer : Verified that the job has been completed / stopped; area cleared
Name & Staff No. Signature D

General lnstrctions :
1. This work permit must be available at site all times.
2. The work permit shall be filled up carefully and accurately in clear handwriting ensuring that complete information is provided in all sections / subsections and none of column
left blank. Sketches should be provided wherever, possible to avoid miscommunication.
3. Approptiate safe guards and required PPE shall be determined by a careful analysis of the potential hazards and the operations to be performed prior to starting the work.
4. Welding machines should be located in non-hazardous and ventilated areas.
5. Only permitted types of vehicles / engines / electrical equipments and tools are allowed in operating areas.
6. No hot work should be permitted unless the explosive meter reading in Zero.
7. Confined space entry where no hot work is to be carried out , may be permitted if combustible gases are upto 5% of LEL. Entry with appropriate respiratory equipment may be
permitted with LEL upto 50%. The oxygen level should be atleast 19.5% vol and the concentration of toxic gases below the LTV. When a person is entering confined space , the
receiver must keep standby-designated persons at the manhole or entry point.
8. Before box up of any vessel man hole cover ensure that no men / materials are inside the vessel.
9. For renewal of work clearance, the issuer shall ensure that the conditions are satisfactory for the work to continue. If the conditions have changed it may be necessary to issue a
new permit or amend the existing permit.
10. This clearance on the same permit can be renewed / extended upto a maximum of seven calender days or 21 renewals whichever is earlier.
11. The items C2 of the check list is applicable in case of hot work involving the Gladded / lined surface and item E3 is applicable as a precaution against static electricity generation while
 COLD WORK PERMIT/ CLEARANCE CERTIFICATE FOR HOT WORK (Original) Serial No.
Owner :- BHARAT PETROLEUM CORPORATION LIMITED - KOCHI REFINERY
PMC:- ENGINEERS INDIA LIMITED
CONTRACTOR: - OFFSHORE INFRASTRUCTURES LTD.
SCOPE OF WORKS : - MECHANICAL WORKS - II FOR OFFSITE PDPP
Permit issued on: (Date) Form: (Time) To: (Time) Continuation of Work Permit No. Token Number from Fire Station Earth Work Permit No.

No. of persons involved in the job Nearest Manual Call Point No. Hot Work Permit No.

(Valid for the shift unless renewed)

Permit issuing Department/ Section Issued to : Department / Section / Contractor

Exact location of Work Area / Unit / Equipment No.

Description of Work :

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT

SI. No. Item Done Not reqd. SI. No. Item Done Not
reqd.
A General points (Items to be complied by the issuer) Checked for oil and gas trapped behind the lining in
2 Equipment
Equipment / Work Area inspected
2 Surrounding area checked and cleaned up 3 Proper ventilation and Lighting Provided
4 Proper means of exit/ escape provided
3 Fire water system available / checked for readiness
Scaffolding/temporary platform checked and
5 healthiness ensured and tagged
4 Considered hazard from other operations and concerned
persons alerted Clearance obtained for excavation/Dykecutting from
Equipment properly drained and depressurized / blinded / 6 concerned departments
5
disconnected / closed / isolated / wedge opened The checklist for excavation as per ROS:63 prepared
6 Equipment properly steamed / pirged / water flushed 7 and compiled with
Equipment electrically isolated and tagged vide 8 Roof top ladder provided (for fragile roof top work
7
Permit No................
D For Vehicle Entry : Vehicle Reg No. :
8 Iron sulfide removed/ Kept wet
Spark Arrestor on the mobile equipment/
Gas test: He, = % LEL vehicle provided
9 Toxic gas = ppm, O,= %Vol
2 Entry route dentified
Items to be complied by the Receiver
E For Hot Work
B Radiography
Earthing/return connection to the equipment being
Precautions against public traffic taken welded provided
2 Area cordoned off and Precautionary tags/ Boards provided 2 Shield provided against spark
3 Stand by personnel provided from Radiography contractor 3 Portable equipment/nozzles properly grounded
For Entry to confined Space/ Working at height/ 4 Running water hose/fire extinguisher provided
C working on top of fragile roof I Excavation work Sewers, manholes, CBD and hot surface nearby to be
Stand by persons provided from Owner/Executio n dept/ 5 covered using fire retardant cloth
Contractor / F&S
6 Gas cylinders kept outside the confined space

SPECIAL PERMIT CONDITIONS : The activity has the following expected residual hazards (tick the relevant items) :

Lack of Oxygen H,S, Toxic gases Combustible gases Pyrophoric Iron

Corrosive Chemicals Stream-condensate Others (Please specify)
Following PPE to be used in addition to standard PPE (Helmet, Safety Shoes, Hand Gloves, Boiler suit):
Fresh Air Line
Face Shield Apron Goggles Mask Welding suit Dust Respirator SCBA
Full Body Film Badges /
Airline Lifeline harness Dosimeter Earmuff Others......

Additional precautiions / instruction, If any: ..........................................

Name Staff No./ Pass No. Signature

Issuer Name

Receiver Name

Contractor's Supervisor Name

Counter- Signatory Dept./ Section & Names

(If counter Signature is required)

In case of emergency, all work must be stopped immediately

ON COMPLETION OF THE WORK. THE PERMIT MUST BE CLOSED AND KEPT AS RECORD
 Time Gas Test Values Additional Precuations, Issuer Name, Receiver Name, Counter - Signature Signature of
Date for HCS, if any, otherwise Staff No. & Staff No. & Name Staff No. Authorised Supervisor
From To Toxic 0 2 etc mention "NIL" Signature Signature (if required) of the Contractor

CLOSING OF THE WORK PERMIT

Remarks: .........................

Permit No........................................................................................................ Issued for continuation

Receiver : Certified that the subject work has been completed / stopped and area cleared
Name & Staff No. Signature Date & Time

Issuer : Verified that the job has been completed / stopped; area cleared
Name & Staff No. Signature D
 COLD WORK PERMIT/ CLEARANCE CERTIFICATE FOR HOT WORK (Copy) Serial No.
Owner :- BHARAT PETROLEUM CORPORATION LIMITED - KOCHI REFINERY
PMC:- ENGINEERS INDIA LIMITED
CONTRACTOR: - OFFSHORE INFRASTRUCTURES LTD.
SCOPE OF WORKS : - MECHANICAL WORKS • II FOR OFFSITE PDPP
Permit issued on: (Date) Form : (Time) To: (Time) Continuation of Work Permit No. Token Number from Fire Station Earth Work Permit No.

No. of persons involved in the job Nearest Manual Call Point No. Hot Work Permit No.

(Valid for the shift unless renewed}

Permit issuing Department / Section Issued to : Department / Section I Contractor

Exact location of Work Area / Unit / Equipment No.

Description of Work : ...........

THE FOLLOWING ITEMS SHALL BE CHECKED BEFORE ISSUING THE PERMIT

SI. No. Item Done Not reqd. SI. No. Item Done Not
reqd.
A General points (Items to be complied by the issuer) Checked for oil and gas trapped behind the lining in
Equipment/ Work Area inspected
2 Equipment
2 Surrounding area checked and cleaned up 3 Proper ventilationand Lighting Provided
4 Proper means of exit/ escape provided
3 Fire water system available / checked for readiness
Scaffolding/temporary platform checked and
5 healthiness ensured and tagged
4 Considered hazard from other operations and concerned
persons alerted Clearance obtained for excavation/Dyke cutting from
Equipment properly drained and depressurized / blinded / 6 concerned departments
5
disconnected / closed / isolated / wedge opened The checklist for excavation as per ROS:63 prepared
6 Equipment properly steamed / pirged / water flushed 7 and compiled with
Equipment electrically isolated and tagged vide 8 Roof top ladder provided (for fragile roof top work
7
Permit No................
D For Vehicle Entry : Vehicle Reg No. :
8 Iron sulfide removed/ Kept wet
Spark Arrestor on the mobile equipment/
Gas test: He, = % LEL vehicle provided
9 %Vol
Toxic gas = ppm, O,=
2 Entry route dentified
Items to be complied by the Receiver
E For Hot Work
B Radiography
Earthing/return connection to the equipment being
1 Precautions against public traffic taken welded provided
2 Area cordoned off and Precautionary tags / Boards provided 2 Shield provided against spark
3 Stand by personnel provided from Radiography contractor 3 Portable equipment/nozzles properly grounded
For Entry to confined Space/ Working at height/ 4 Running water hose/fire extinguisher provided
C working on top of fragile roof/ Excavation work Sewers, manholes, CBD and hot surface nearby to be
Stand by persons provided from Owner/Executiondept/ 5 covered using fire retardant cloth
Contractor I F&S
6 Gas cylinders kept outside the confined space

SPECIAL PERMIT CONDITIONS : The activity has the following expected residual hazards (tick the relevant items) :
Lack of Oxygen H,S, Toxic gases Combustible gases Pyrophoric Iron
Corrosive Chemicals Stream-condensate Others (Please specify)
Following PPE to be used in addition to standard PPE (Helmet, Safety Shoes, Hand Gloves, Boiler suit):
Fresh Air Line
Face Shield Apron Goggles Mask Welding suit Dust Respirator SCBA
Full Body Film Badges /
Airline Lifeline harness Dosimeter Earmuff Others......

Additional precautiions / instruction, If any :

Name Staff No./ Pass No. Signature

Issuer Name

Receiver Name

Contractor 's Supervisor Name

Counter- Signatory Dept.I Section & Names

(If counter Signature is required)

In case of emergency, all work must be stopped immediately

ON COMPLETION OF THE WORK. THE PERMIT MUST BE CLOSED AND KEPT AS RECORD
 Time Gas Test Values Additional Precuations , Issuer Name, Receiver Name, Counter - Signature Signature of
Date for HCS, if any, otherwise Staff No. & Staff No. & Name Staff No. Authorised Supervisor
From To Toxic 0 2 etc mention "NIL" Signature Signature (if required) of the Contractor

CLOSING OF THE WORK PERMIT

Remarks:

Permit No................ ................ Issued for continuation .....

Receiver : Certified that the subject work has been completed / stopped and area cleared
Name & Staff No. Signature Date & Time

Issuer : Verified that the job has been completed / stopped; area cleared
Name & Staff No. Signature D