JOB SPECIFICATION FOR JOB SPECIFICATION No.

HEALTH, SAFETY & B224/B229-6-82-0001

ENVIRONMENT MANAGEMENT Rev.0
AT RAJASTHAN REFINERY
PROJECT SITES Page 77 of 96

FORMAT NO. : HSE-7 REV 0

CONFINED SPACE ENTRY PERMIT

Project site ___________________________ Sr. No. _________________________
Name of the work ______________________ Date ___________________________
Name of Contractor ____________________ Nature of work ___________________
Exact location of work _____________

Safety Requirements POSITIVE ISOLATION OF THE VESSEL IS MANDATORY

(A) Has the equipment been?
Y NR Y NR Y NR
Isolated from water flushed &/or radiation sources
power/steam/air steamed removed
isolated from liquid or Man ways open & proper lighting
gases ventilated provided
depressurized &/or cont. inert gas flow
drained arranged
blanked/ blinded/ adequately cooled
disconnected
(B) Expected Residual Hazards
lack of O 2 combustible gas/ liquid H 2 S / toxic gases
corrosive chemicals pyrophoric iron / scales electricity / static
heat/ steam / frost high humidity ionizing radiation

(C) Protection Measures

gloves ear plug / muff goggles / face shield
protective clothing dust / gas / air line mask personal gas alarm
grounded air duct/blower attendant with SCBA/air rescue
/AC mask equipment/team
Fire fighting arrangements safety harness & lifeline communication
equipment

Authorization / Renewal (It is safe to enter the confined space)

Signature Time Signature
No. of Contractor's Contractor's Review From To Workman
Name of persons
persons Supervisor Safety by EIL
allowed
allowed Officer Field
Engineer

Permit Closure :
(A) Entry was closed stopped will continue on ...

(B) Site left in a safe condition Housekeeping done

(C)Multilock removed key transferred

Ensured all men have come out Man-ways barricaded

Remarks, if any:

Format No. 8-00-0001-F1 Rev. 0 Copyright EIL – All rights reserved