Berri Increment Processing facilities Project

AAP - KGP- SAIPEM (Package-1)

Confined Space Entry Plan Page: 1-3
Plan Review Approval Team : Date:

# Position Name Badge Number Signature

10

11

12

13

14

15
 Berri Increment Processing facilities Project

AAP - SAIPEM (Package-1)

Confined Space Entry Plan Page : 2-3
Date:
Site Location : Confined Space WP#
Job to be performed:

Maximum number of people allowed to work inside Confined space :

Result of Hazard evaluation for the Confined Space and its adhacent area

Safe to Enter Required JSA

Required Higher Approval Authority Other (Specify)

Isolation, Purging and/or Ventilating procedure completed ?

Yes , attach it to this plan No, Specify the reason

In their access/egress requirement for this confined space(i.e. Logsheet ,Checklist…etc.)? What are the means of
preventing unauthorized entry(i.e. stanby man, barricade…etc)?
 Confined Space Entry Plan Page : 3-3
what are the types and frequency of atomospherix gas testing ? (Don’t use generic words such as "frequently", be
specific such as "continuous, every 30 minutes, every hour… etc)

H2S CO O2 Other(Specify)

Frequency of testing:

Identify types of equipments required for Confined space entry (e.g. scaffolding, air movers, communication and/ or
rescue equipments. PPE, fall protection. etc)

Is there any simultaneous operations nearby or around the confined space that could develop potential hazards to
the people working in the confined space ?

YES NO
Specify emergecy and rescue procedure: