Petro China (Halfaya) Permit To Work System

EXCAVATION CERTIFICATE No: 033

I. TASK
Brief description of the proposed task: Mechanical excavation for the OHTL foundation(PL004) in HF 059 Work Request Period (Planning)
From Date 28-10-2021 Time 7:00 am
To Date 27-11-2021 Time 5:00 pm
Work Permit Number: :PTW 270 Permit Type Hot Work Permit  Cold Work Permit
Location: HF-059 Excavation  Digging Wall Penetration
Name (Certificate Originator): Haitham Raheem Signature & Contact no: 07810550464 Date: 26-10-2021 Time: 9:00 AM
II. WORK TYPE

Yes No Yes No Supporting Documents YES NO Attached & Number

Trenching
 Driving of pickets, electrodes, pin,  Job Hazard Analysis
 JHA 138
spike, pipe, nails, etc.
Drilling  Method Statement  Method Statement 01
Ground Ripping
 Demolishing
 Toolbox Talk
 TBT-253
Foundation
 Sawing
 Drawings
 HF059- drawings

Post Holes
 Penetrating into walls
 SIMOPS

Other, specify:
 Other, specify:
 Other, specify:

III. DISCIPLINE AUTHORISATIONS

Discipline Engineer Conditions (if any) Name Signature Date

Instrumentation Ok but take care of cables Ahmed Khammas ahmed.KM 27-10-2021
Control Systems ok . but take care of FO cables MOHAMMED Saad 27-10-2021
Corrosion Ibrahim Yousf
Omer Elgaili
I.Yousif
Omer
30/10/2021
Production Operations 30/10/2021
Mechanical Ok Yahya Mohammed Yahya M. 26-10-2021
Electrical Ok, take care of cables Farqad Ali 27/10/2021
IT / Communications
Other, specify:

IV. GENERAL CONSIDERATIONS

Design Considerations YES NO HSE Considerations YES NO

All utilities and underground services identified and marked?
All underground services de-energised/de-pressurized and locked and tagged before
breaking ground?
Sloping, benching or support systems being used? Have these been approved by a
competent person (subject matter expert)?
Adequate access/egress provided (minimum every 7.6m / 25 feet)?
Is a soil compaction test required?
Does design, or soil conditions prevent cave-in? If not sloping benching shall be used?
Heavy / earth moving machinery is not to be used within 5m of underground
services, pipelines, etc.?
Spoil piles kept at least 2m from edge of excavation?
Stop logs' considered in high traffic areas to prevent vehicles falling into
excavation?
 PTWs required for all work in or around the excavation?

 Barriers erected around deep excavations to prevent personnel from falling in?

 Roads, pathways identified and barriers erected to manage vehicles and foot traffic?

 Warning signs erected near excavation sites? 
 Requirements for dailyinspections identified (or as conditions occur that may affect
or create hazards)?

 Will excavation be left open overnight? Provide covering, visible barriers or
warnings/lights to prevent personnel from falling in.

 Vehicles positioned to prevent exhaust fumes entering excavation? 
 Spoil and equipment positioned to prevent falling into excavation? 
 Spoil and equipment positioned to prevent falling into excavation?

Design prevents or minimises chance of water ingress?  Ventilation required? 

Adjacent structures identified and considered to prevent loss of stability?  Emergency response actions understood by all persons for all underground
services that may be expected?

V. SPECIALIST REVIEW (Civil Engineer) (To be determined by Permit or Certificate Issuing Authority)
Specialist Review Required? (circle as necessary) YES NO
Name : Signature: Contact no: Speciality:
Comments Date:
Time:
VI. CERTIFICATE APPROVAL AND ISSUANCE
PERFORMING AUTHORITY AREA OPERATOR / CUSTODIAN
I understand the work scope and accept the conditions and precautions specified in this certificate. I will
explain them to the work party through a toolbox talk prior to commencing the work and ensure I declare that all hazards have been identified and all specified control measures are in place and it is safe
adherence throughout the work. I fully accept the responsibility to carry out the above work in the safest to carry out the work defined.
possible manner.
Name: Chen Wen Jun Name: Omer Elgaili
Employee No.: Employee No.: 339
Signature: Signature:
Date / 26-10-2021/ 9:00 AM Date / Time: 30/10/2021
VII. CERTIFICATE EXTENSION / RENEWAL (For extended period, Additional Sheet For PCH Work Permit Extension may be attached to this certificate)
PERFORMING AUTHORITY AREA OPERATOR / CUSTODIAN
Date Time Name: Signature: Name: Signature:

VIII. CERTIFICATE CLOSURE

PERFORMING AUTHORITY AREA OPERATOR / CUSTODIAN
I declare that the work has been completed, worksite is clear, housekeeping is satisfactory and the I have inspected the equipment/work area and declare that the work defined in this certificate is complete
equipment affected is left in a safe condition. and that the area is clean and safe.
THE EXCAVATION CERTIFICATE IS NOW CLOSED
Name: Name:
Employee No.: Employee No.:
Signature: Signature:
Date/Time: Date / Time:
Top Copy: Performing Authority (To be displayed at job site) Second Copy: Permit Control Facility/CCR Third Copy: Permit Issuing Authority

NOTE: This certificate is valid only when used with a valid work permit. This certificate alone does NOT authorise any task to be performed. Version 2.1 Jan 01 2018
 Petro China (Halfaya) Permit To Work System
EXCAVATION CERTIFICATE No: 026

I. TASK
Brief description of the proposed task: Manual excavation for the OHTL foundations (R5-PL002/H2,PL003/H2,PL004/H6+Hx) in HF59 Work Request Period (Planning)
From Date 09-10-2021 Time 7:00 am
To Date 08-11-2021 Time 5:00 pm
Work Permit Number: :PTW 46 Permit Typ Hot Work Permit Cold Work Permit 
Location: HF-59 Excavatio Diggin  Wall Penetration
Name (Certificate Originator): Haitham Raheem Signature & Contact no: 07810550464 Date: 08-10-2021 Time: 9:00 AM
II. WORK TYPE

Yes No Yes No Supporting Documents YES NO Attached & Number

Trenching
 Driving of pickets, electrodes, pin,  Job Hazard Analysis
 JHA113
spike, pipe, nails, etc.
Drilling  Method Statement  Method Statement 01
Ground Ripping
 Demolishing
 Toolbox Talk
 TBT-117
Foundation  Sawing
 Drawings
 HF059- drawings

Post Holes
 Penetrating into walls
 SIMOPS

Other, specify:
 Other, specify:
 Other, specify:

III. DISCIPLINE AUTHORISATIONS

Discipline Engineer Conditions (if any) Name Signature Date

Instrumentation manual only Karrar Hadi 09-10-2021
Control Systems manual excavation only MOHAMMED Saad 8/10/2021
Corrosion Manual Excavation Ibrahim Yousif I.Yousif 9/10/2021
Production Operations manual excavation to completed first Omer Elgaili 8/10/2021
Mechanical Manual excavation only yahya Mohammed Yahya M. 09-10-2021
Electrical Manual Excavation only Ahmed Farman Ahmed Farman 08/10/2021
IT / Communications
Other, specify:

IV. GENERAL CONSIDERATIONS

Design Considerations YES NO HSE Considerations YES NO

All utilities and underground services identified and marked?
All underground services de-energised/de-pressurized and locked and tagged before
breaking ground?
Sloping, benching or support systems being used? Have these been approved by a
competent person (subject matter expert)?
Adequate access/egress provided (minimum every 7.6m / 25 feet)?
Is a soil compaction test required?
Doesdesign, or soilconditionspreventcave-in?If notslopingbenchingshall be used?
Heavy / earthmoving machinery is not to be used within 5m of underground
services, pipelines, etc.?
Spoil piles kept at least 2m from edge of excavation?
Stoplogs' considered in hightraffic areas to preventvehicles falling into
excavation?
 PTWs required for all work in or around the excavation?

 Barriers erected around deep excavations to prevent personnel from falling in?

 Roads, pathwaysidentified and barrierserected tomanagevehicles and foottraffic?

 Warning signs erected near excavation sites? 
 Requirementsfor dailyinspections identified (or as conditions occur that may affect
or create hazards)?

 Willexcavation be left open overnight? Providecovering,visible barriersor
warnings/lights to prevent personnel from falling in.

 Vehicles positioned to prevent exhaust fumes entering excavation? 
 Spoil and equipment positioned to prevent falling into excavation? 
 Spoil and equipment positioned to prevent falling into excavation?

Design prevents or minimises chance of water ingress?  Ventilation required? 

Adjacent structures identified and considered to prevent loss of stability?  Emergency response actions understood by all persons for all underground
services that may be expected?

V. SPECIALIST REVIEW (Civil Engineer) (To be determined by Permit or Certificate Issuing Authority)
Specialist Review Required? (circle as necessary) YES NO
Name : Signature: Contact no: Speciality:
Comments Date:
Time:
VI. CERTIFICATE APPROVAL AND ISSUANCE
PERFORMING AUTHORITY AREA OPERATOR / CUSTODIAN
I understand the work scope and accept the conditions and precautions specified in this certificate. I will
explain them to the work party through a toolbox talk prior to commencing the work and ensure I declare that all hazards have been identified and all specified control measures are in place and it is safe
adherence throughout the work. I fully accept the responsibility to carry out the above work in the safest to carry out the work defined.
possible manner.
Name: Wang Xinbao Name: Omer Elgaili
Employee No.: Employee No.: 339
Signature: Signature:
Date / 08-10-2021/ 9:00 AM Date / Time: 9/10/2021
VII. CERTIFICATE EXTENSION / RENEWAL (For extended period, Additional Sheet For PCH Work Permit Extension may be attached to this certificate)
PERFORMING AUTHORITY AREA OPERATOR / CUSTODIAN
Date Time Name: Signature: Name: Signature:

VIII. CERTIFICATE CLOSURE

PERFORMING AUTHORITY AREA OPERATOR / CUSTODIAN
I declare that the work has been completed, worksite is clear, housekeeping is satisfactory and the I have inspected the equipment/work area and declare that the work defined in this certificate is complete
equipment affected is left in a safe condition. and that the area is clean and safe.
THE EXCAVATION CERTIFICATE IS NOW CLOSED
Name: Name:
Employee No.: Employee No.:
Signature: Signature:
Date/Time: Date / Time:
Top Copy: Performing Authority (To be displayed at job site) Second Copy: Permit Control Facility/CCR Third Copy: Permit Issuing Authority

NOTE: This certificate is valid only when used with a valid work permit. This certificate alone does NOT authorise any task to be performed. Version 2.1 Jan 01 2018
 Room
foundtion

foundtion
tank
generfor
ator

foundtion

foundtion

foundtion
HF0
59-M
059D
2

foundtion

foundtion
foundtion
HF0
59-M
059D
2

Room

water
tank
HF0
59-J
K
059D

HF0593
1

HF059 tank for

water
HF0
59-M
059D
1

CLIENT:
HF0

PetroChina International Iraq FZE Iraq Branch

59-N
059

CONTRACTOR:
Power Petroleum International Co.,Limited
China Petroleum Engineering Co.,Ltd

PROJECT TITLE:

Provision of EPCC for Power Supply to

Well Pads (2020-2021)
DRAWING TITLE:

OHTL PLAN LAYOUT DRAWING

STAGE DRAWING NO. SHT. REV.

PL004 exposed cable in HF059
Manual excavation in HF059