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CONFINED SPACE ENTRY PLAN

FACILITY
MIP PKG 17 RAS TANURA AREA PIPELINE PROJECT CSEP SHALL NOT BE EXCEED 7 DAYS
LOCATION: START DATE: END DATE:
MLV 01 KM 68
DAY1 DAY2 DAY3 DAY4 DAY5 DAY6 DAY7

CSEP # ENTITY EXECUTING THE JOB


PERMIT ISSUER
NUMBER OF EMPLOYEES
SIGNATURE:
SCOPE OF WORK
NOTE: ATTACH DRAWING SHOWING EACH ISOLATION
ISOLATION METHOD □ Locked switch/breaker □ Blinding □ Disconnect
POINT AS WELL AS BLIND LIST.
□ Purging □ Cleaning □ Flushing □ O2 □ CO □ H2S □ LEL

ELIMINATING □ Steaming-out □ Natural Ventilation ATMOSPHERIC GAS □ Other:……………………………..


ATMOSPHERIC TESTING TYPES AND
HAZARDS BY: □ Mechanical Ventilation □ N2/CO2 inerting FREQUENCY □ Frequency……….hrs………..

REQUIRED TYPE OF PPE


TYPES OF EQUIPMENT □ Self contained breathing apparatus □ Air movers □ Rescue equipment (IN ADDITION TO HARD HAT,CLEAR SAFETY GLASSES
REQUIRED FOR AND SAFETY SHOES)
CONFINED SPACE
ENTRY: □ Lighting □ Communication equipment □ Fire extinguisher □ Personal H2S Monitor Dectector □ FRC

□ Goggles/face shield □ Chemical suit/coverall

□ Gloves (Specify):.................................................
□ Ladder required □ External scaffold required □ Internal scaffold required
□ Respiratory Protection (Specify):.........during grit
□ Fall Protection required □ Platform modification required blasting.........................................
ACCESS AND EGRESS □ Other..................................................................

□ Other:……....................................................................................................................................
□ Within eye sight □ Line signals □ Radios
□ Edge protection □ Caution tape □ Hard barricade MEANS OF
PROTECTION OF
COMMUNICATION □ Other:…………………………………………………………………
SURROUNDING AREAS
□ Warning lights □ Warning aigns □ Flagman WITH ENTRANTS
□ Signals were dicussed with personnel before entry.
PREVENTION OF
UNAUTHORIZED
ENTRY

EMERGENCY
RESPONSE AND
RESCUE

DRAWING Depth = 2.4 m

Parking area Stand by man along


with confined space
entry log sheet

Access/Egress: Access Ladder


and ramp type access
Width = 2 m

The drawing of the Confined Space must show ALL Isolation if required , Entry and Ventilation points
Additional documents required
NAME Position Badge Signature Date before initiating CSE activities.

□ CSE Work Permit


Prepared by: WANG JIA YUN CIVIL ENG. 2354047793
□ Gas Testing Log Sheet

□ CS Entry Log Sheet


Confined Space Entry Sup- □ Job Safety Analysis

1. CSEP WILL NOT EXCEED 7 DAYS. If additional time is needed, a new CSEP will have to be prepared and appro ved.
2. Copy of both sides of this Approved CSEP must be posted at the entrance of the Confined Space in clear plastic envelopes.
3. Initial confined space entry into pits, sumps, vessels, tanks, drums, or other process equipment that may have previously contained
flammable, combustible, or toxic materi als will require addit ional approvals by proponent management prior to work commencing.

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