QFM-R-HS-FM082

R-2

Health Safety and Environment Department

Request to Provide Space

[X Pon cabin [rabricaton D Specify if others - Materials/ Tools

Containers and Ablution Units

Reference No. From OH Department : OS/_

Proposed Location on plot plan Area-16. Besides Street No.22, West of Tank 2105FB
Validity period of permission From 12 Dec-2021 To 30 April -2022

A. Details: (To be filled/ approved by Refining Operations Contract Holder Department/ Sponsoring Department/
Requester)
1. Name : DESCON
2. Contact/Contract No. : GC20106100
-----------------------
3. Refining Operations Contract Holder Department/ Sponsoring Department:
Turnaround Planning OAT(R)/ Asset Integrity OA(R)
4. Justlficatlon for the request:
Required for placing Tools/ Material Containers and Ablution Units required for RFCC Units TA

E.7
Ref. Ind.: OAT/5(R) Ref. Ind.: OAT(R
Note:- Only Explosion Proof Lighting permitted and DG shall be kept at a safe location away from this Area
B. Approval from Asset Holder: {To be filled/ approved by Asset Holder)
1. Remarks from Asset Holder;
A sign must be placed and a warning against doing any HW without OFST SS approval

2. Signature of Asset Holder Authority: 3. Signature of Divisional Head:

Ahmad Al Ahmad Al Yafei Digitally signed by

Reyadh AlHassan
2021.12.13
Ref. Ind.:
Yafei 08:32:16 +03'00' Ref. Ind.:
Date: 2021.12.13
14:55:18 +03'00'

C. .
Approval from Safety· (To be filled/ approved by QPR Safety Division)
1. Remarks from Safety:

2. Signature of Safety Authority: Digitally signed 3. Signature of Divisional Head:

by Ateq Al-
Marri OHS/12
Date:
Abdulrahman Digitally signed by Abdulrahman
Almuftah
2021.12.15
07:50:10 Almuftah Date: 2021.12.15 07:58:45 +03'00'
Ref. Ind.: +03'00' Ref. Ind.:

Note Permit to work (PTW) procedure shall be followed after approval and attach the approved
copy while processing PTW.
 ABULUTION
TOOL CONTAINER MAT. CONTAINER

UNIT
TOOL CONTAINER MAT. CONTAINER LIGHT VEHICLE
PARKING

Pipe

PLANT NORTH
QATAR PETROLEUM
REFINERY
QP CONDENSATE REFINERY SHUTDOWN 2022

A-16 PROJECT NO:

GENERAL ARRANGEMENT DRAWING FOR

TEMPORARY SITE FACILITY (TSF) FOR CONTRACTOR
FOR TURNAROUND 2022
Descon Engineering Qatar L.L.C
Near street 22
QP-TA22-TSF-DWG-001
016 02