KTSB/MOC-01

KERTIH TERMINALS SDN BHD

Rev 6, 16 Aug 2010
Tingkat 1, Kompleks Pentadbiran KPSB
Lot 3633, Kawasan Bukit Tengah
KM 105, Jalan Kuantan - Kuala Terengganu
24300 Kerteh, Terengganu Darul Iman
Tel : 609 - 8305788 Fax : 609 - 8305665

PROCESS CHANGE AUTHORIZATION

PCA NO: ________________ Type of change: Permanent Temporary
PCA shall be given a number only - Validity of temporary change:
after Initial Approval (Section 2) (maximum period is 3 month after start up) From:_________ To:__________
Section 1 : Description of change
Change Title: To Bypass LSLL3021 (MOS9016) for T-302

Basis for Change: Regulatory/Legal requirement HSEQ Improvement

Process/Technology improvement Customer Request
Others (please specify):

Change Description:
To activate bypass switch LSLL 3021 for T-302 in Equipment Rack Room and HS9020 Group Maintenance Enable Key Switch
in TCR to lower down inventory in T-302 as much as possible by ITT from T-302 into T-301 via shipment pump P301 A/B/C until
pump cavitate

Reason For Change / Justification: (Initiator to attach P&ID for the proposed change, cost estimate, red line drawing, etc)

T-302 tank outlet MOV-3025 change out valve

Approved by:
Initiated by:
(Section Head)
Name: Muhammad Syukri Abdul Aziz Name:
Position & Department : TCR Operation Terminals Department:
Date: 05/09/2011 Date:

Section 2 : Initial approval

We have reviewed the change request, and endorse it for further development
Terminal/Drumming Superintendant

Name:

Date:

EMP Manager HSE Manager OPS Manager

Name: Name: Name:

Date: Date: Date:

Section 3 : Executing Engineer (To be filled by the EMP Manager)

Name: Budget Code :

Date: Estimated Cost :

Section 4 : Final approval for implementation

We have carefully reviewed and agreed to implement the proposed change
Executing Engineer Terminal/Drumming Superintendant

Name: Name:

Date: Date:

EMP Manager HSE Manager OPS Manager

Name: Name: Name:

Date: Date: Date:

Section 5 : Approval for the completed changes to be put into service/use or started up.
We have carefully reviewed and agreed that the completed change can be put into use/service or started up

EMP Manager HSE Manager OPS Manager

Name: Name: Name:

Date: Date: Date:

Section 6 : PCA Close Out

Executing Engineer EMP Manager

Name: Name:

Date: Date:
MOC FORM (KTSB/MOC-01 / R6 - 16 Aug 2010) Page 1 of 4
 PROJECT/MAINTENANCE
ASSESSMENT FOR CHANGE CHECKLIST

PROJECT/MAINTENANCE YES NO

1 Does this change require a formal multi disciplinary Design Review

2 Are there piping modifications?

3 Will maintenance procedure be required?

4 Will the change required hot taps?

5 Does the change affect current alarm system or any safety interlocks?

6 Does change introduce new or alter existing instrument hardware?

7 Is there any electrical equipment work installed, and does this

required a review?

8 Is there a deletion, addition, or change to the safety critical devices or is there

a change to its inspection frequency

9 Is there any alteration to a pressure vessel

10 Is there any change to the PSV or PCV settings?

11 Is there any change to the IT system

12 Is there any change to an existing structure (i.e. pipe racks, platform, etc)

13 Does this change add any new equipment to the loading/unloading facilities

14 Is there any addition or alteration to the handrail, ladders, platfrom or walkway

15 Is there any addition or alteration to the piping or piping/equipment insulation

16 Is there any deletion or addition of process equipment (i.e. filters, pumps,etc)

17 Is there any deletion or addition of manual/motor operated valve or control valve

18 Does this change required the following documents:

As-built red line/marked up drawings, Final Documents, MDR,
Vendor Catalogue, Operations & Maintenance Manual.

19 Other issues:

I have reviewed this checklist and confirmed that this change shall require the above items.
I have reviewed the PCA package and confirmed that all items identified in the above checlist have been
completed and properly supported with related documentation.

Engineering/Maintenance Superintendent

Signature: _____________________ Date :

Name::
PCA FORM Page 2 of 4
 OPERATIONS
ASSESSMENT FOR CHANGE CHECKLIST

OPERATIONS YES NO

1 Does this change require addition or modification of existing

work instruction, checklist, or operating procedures?

2 Will operator training be required?

How is this change going to be communicated to the affected persons?

3 Does this change require addition or modification to the Quality Management

System?

4 Does this change require P&ID update?

5 Does this change require Underground/Buried Piping drawing update?

6 Does this change require specific procedure or work instruction for

starting up or shutting down

7 Does this change require critical spare parts items to be kept at Operations
Store?

8 Does this change require provision of additional lighting for night operation?

9 Is a handover certificate required upon completion of this change?

10 Other issues:

I have reviewed this checklist and confirmed that this change shall require the above items.
I have reviewed the PCA package and confirmed that all items identified in the above checlist have been
completed and properly supported with related documentation.

Operations Superintendent

Signature: _____________________

Name::

Date :

PCA FORM Page 3 of 4

 HSE REVIEW CHECKLIST

PROJECT/MOC TITLE:

DESCRIPTIONS ACTION?

1. OCCUPATIONAL HEALTH YES NO N/A

1 Introduce a new chemical, or chemical hazard?

2 If yes, has the Chemical Use Request/Approval Form (and the rest of
HSE - Chemical Management SOP) been completed and sent for approval?

3 Involve an alternate use of an existing chemical?

4 Introduce potential for adverse chemical reaction?

5 Require new MSDS/CSDS's to be obtained and available?

6 Introduce a new hazard (biological, noise, extreme temperature, radiation,

non-ionizing, ergonomic)

7 Introduce a new respiratory hazard (dust, fume, mist, vapor, fibers, etc)?

8 Introduce a potential skin irritation/injury hazard?

9 Affect lighting? Is adequate lighting available? Emergency lighting?

10 Create a need for additional/different fixed or portable atmosphere testing

equipment?

11 Does this change increase employee exposure?

12 Create a need for new/different respiratory protection?

2. SAFETY

1 Impact any walking or working surfaces?

2 Introduce any new slipping or tripping hazards?

3 Introduce any moving machinery hazards or pinch points that require guarding?

4 Affect any means of entry or egress from a work area?

5 Create any new confines spaces or confines space hazards?

6 Create any new isolation points, LOTO issues?

7 Create additional personal protective equipment requirements hand, head, eye,

face, body, flash fire, foot protection, etc?

8 Create need for safety showers or eyewash facilities?

9 Create need for communication devices?

10 Insulation required to prevent thermal burns?

11 Can critical isolation points be operated as necessary in an emergency?

12 Proper labelling of tank or container required?

13 Is access to new or modified equipment for maintenance or operation required?

14 Are appropriate interlocks, alarms and controls in place?

15 Does this change require a Pre-Commissioning Safety Review, PCSR?

If no, please suggest different method.

3. ENVIRONMENT

1 Result in additional energy use (electricity, gas)?

2 Result in additional utility use (water, air)?

3 Require any new permits or approvals from regulatory agencies?

4 Result in additional or different wastes being generated?

5 If yes to above, have waste profiles been developed e.g dispose arrangement

6 Result in increase, alter, or impact air emissions?

7 Potentially impact neighbors (smells, noise, lighting, etc)?

8 Result in increased water discharge?

9 In any way affect soil or groundwater?

10 Require additional or different water treatment needs/capability?

11 Are tanks, lines, vessels appropriately protected by secondary containment?

12 Has waste minimization been considered?

13 Are proper materials available to contain and clean up a spill?

4. FIRE PREVENTION / EMERGENCY RESPONSE

1 Introduce new flammability, explosive, or reactivity hazards?

2 Introduce new flammable/chemical storage vessels or containers?

3 Does the change impact access to equipment for fire fighting or spill cleanup?

4 Have Pre-Incident Planning (PIP) and/or spill cleanup plans been developed/updated?

5 Does the change create needs for fireproofing equipment/structures?

6 Does the change create a need for additional fixed fire detection or
suppression equipment?

7 Are fixed/portable fire extinguishing capabilities adequate to cover this change?

8 Are containers/equipment properly grounded/bonded to prevent static discharge?

5. AREA CLASSIFICATION

1 Alter any existing electrical equipment?

2 Introduce any new non-classified or non-rated electrical equipment in a

operating area?

3 Introduce any new sources of ignition in the operating and surrounding areas?

4 Does this change alter the existing area classification?

6. HUMAN FACTORS

1 Are visual/audio alarms required?

2 Can equipment be operated and maintained without repetitive motion or

unsafe postures?

7. PROCEDURES

1 Require any update or change to the HSE policies and procedures

2 Does the change introduce or change a HAZARD or SAFEGUARD/CONTROL,

so that update to the Hazard Register in HEMP would be required?

3 Does this change require a formal Risk Assesment?

If yes, please suggest methodology (HAZOP, PHA, JSA, HEMP, etc)

4 Does the change require the EIA or CIMAH Report to be updated?

5 Require any new permit or approval from regulatory agencies (BOMBA, DOSH, DOE).

REMARKS

I have reviewed this checklist and confirmed that this change shall require the above items.

Health, Safety, Environment and Quality Manager

Signature: _____________________

Name::

Date :
Responsibility PROCESS FLOW Documents Process Description

PCA Form - Initiating a PCA

Initiator Fills
Shift Supervisor in PCA form section 1 Initiator completes the PCA form with the following attachments:
Dept. Executive 1. Mark up P&ID/drawings for the proposed change
2. Initial Cost Estimate
Determine if the change is temporary or permanent
HSE Manager Initiator shall obtain his/her Dept. Head approval for the proposal.
Oper Manager
Initial Scope
EMP Manager Approva Change PCA Form - Initial Approval
l ? section 2 PCA Initial Approvers shall review the completed PCA form and its
attachment, and determine if it is approved or if further
information/justification is required
STOP
PCA Form - Upon Initial Approval, EMP Manager shall assign the PCA to EE,
section 3 and ensure that budget is approved for the PCA implementation.
PCA administrator shall then:
EMP Manager Assign EE and PCA Log 1. Registers the PCA by giving tracking number
PCA Administrator register PCA 2. Enters data into PCA log, keep a copy of the original PCA
3. Return the original PCA to EE for further process
4. Tracks and updates the PCA status on monthly basis

EE Design review Change Development Stage

Engineering/ EE completes Meeting minutes EE discuss with Project/Maintenance, Operations Superintendents
the PCA
Maintenance Package PHA MoM and HSE Head to fill in the respective checklists (page 2, 3 and 4
Superintendent RA MoM of PCA form). EE completes all items identified in the checklists
HSE Head HAZOP MoM and obtain the signatures on the bottom of the checklist
Drawings EE provides detailed cost estimation, and determine budget code.

HSE Manager
Oper Manager PCA Form - PCA Final Approval for Implementation
EMP Manager Final Approval section 4 EE shall review the PCA package with the PCA Approvers, and
EE for obtain final approval to proceed with implementation
Implementation

Implementation
EE RFQ EE executes and completes the PCA package
Contractor Execution & Site RFS EE, Contractors, Area Owner shall jointly conduct site walk down
Area Owner Walk Down ITB upon completion of change execution to verify that work has been
Drawings done according to the original scope of work.
PCSR Any deviation shall be identified in a punch list.

HSE Manager Approval to EE completes

Oper Manager put into pending items PCA Form - PCA approvers ensure that all actions items are completed
EMP Manager service section 5 before signing the approval for the completed changes to be put into
service or started up.

Hand over - Handover to Area Owner

EE EE completes certificate EE handover the project to project/area owner.
Area Owner Handover Certificate Project/area owner sign off the handover certificate.

EE PCA Form - PCA close out

close out PCA
EMP Manager section 6 EE and EMP Manager sign the PCA as complete
PCA administrator EE submits the original completed PCA documentations to PCA
PCA Log administrator for record keeping.
PCA Archive PCA Administrator updates the PCA as complete

EMP Manager MOC Audit MOC Audit

MOC - EMP Manager shall organize MOC Compliance Audit on quarterly
Compliance - basis, and develop corrective & preventive action plans based on
Audit Form the audit findings.
EMP Manager shall organize and facilitate a review of MOC
Procedure every 2 years.