SHELL - WORK INFORMATION PAGE - MECHAN

WORKORDER / ID NR: EQUIPMENT TAG.NR/ID

OTHER ACTIVITIES INCLUDED IN ISOLATION PLAN WORKORDER / ID NR:

HSSE description (activities/mitigations)

Preparations description (Activities and equipment)

Approved
Productio by: Signature Date
n planner
Responsib
le lead
ATION PAGE - MECHANICAL ISOLATION PLAN
WORK DESCRIPTION

DER / ID NR: HSSE INFORMATION & RISK

Deviation number
Master
Area SWA nr. Field

Preparation activities: YES NO

Cleaning
N2-purge
Comment
 Equipment number
Electrical insulation
Valve nr.

Operation Maintenance Valve maintenance

Valve maintenance verified
TAG nr./ID
position position Date Sign. Date
1 WG-38-5057 closed closed
2 WG-38-5054 closed open
3 WG-20-0602 open closed
4 demo ar open closed
5 WB-20-0253 open closed
6 WB-27-0010 open closed
7 WB-27-0207 open closed
8 WB-27-0370 open closed
9 WB-43-0351 open closed
10 ER-38-0032B open closed
11 PZT-38-5339 open closed
12 WB-43-0560 open closed
13 WB-20-0247 open closed
14 WB-20-0298 open closed
15 WG-39-5241 open open
16 WG-20-0576 open closed
17 WB-43-6006 open closed
18 WG-27-4101 open closed
19 WB-20-0289 open closed
20 WB-20-0293 open closed
21 WB-20-0262 open closed
22 WB-20-0105 open closed
23 WB-20-0142 open closed
24 WB-27-0278 open closed
25 WB-20-0244 open closed
26 WL-20-1229 open open

OPER
Valve nr.

Operation Maintenance Valve maintenance Operation position

TAG nr./ID
position position Date Sign. Date
1 WG-38-5057 closed closed
2 WG-38-5054 closed open
3 WG-20-0602 open closed
4 demo ar open closed
5 WB-20-0253 open closed
6 WB-27-0010 open closed
7 WB-27-0207 open closed
8 WB-27-0370 open closed
9 WB-43-0351 open closed
10 ER-38-0032B open closed
11 PZT-38-5339 open closed
12 WB-43-0560 open closed
13 WB-20-0247 open closed
14 WB-20-0298 open closed
15 WG-39-5241 open open
16 WG-20-0576 open closed
17 WB-43-6006 open closed
18 WG-27-4101 open closed
19 WB-20-0289 open closed
20 WB-20-0293 open closed
21 WB-20-0262 open closed
22 WB-20-0105 open closed
23 WB-20-0142 open closed
24 WB-27-0278 open closed
25 WB-20-0244 open closed
26 WL-20-1229 open open

BLIND LIST
Installed Verified installed
NR. Diameter (mm) Pressure class
Date Sign. Date Sign
1 400 600
2 11
3 1780 7889
4 4899 8997
5 100 1000
6 55
7 55
8 123 12
9 24
10 15 12
11 400 300#
12 55 55

SPLIT LIST
Flange split
NR. TAG nr./ID
Date Sign.
1 Rahultest
2 6789
3 test
4 124
5 1
BRANCH /20-
6 0002-P33/B1
BRANCH /43-
7 4196-P33/B1
 VALVELIST
Signature - Electrical isolation

alve maintenance verified

Operation position Operation position verified Hydraulics
Sign. Date Sign. Date Sign. Closed Open

OPERATED VALVES AND BLEED'S - DURING MAINTENANCE

Operation position Hydraulics Air
P&ID
Sign. Closed Open Closed Open
37-1A-AK-C78-00313-0005
37-1A-AK-C78-00313-0005
37-1A-AK-C78-20030
37-1A-AK-C78-00313-0005

37-1A-AK-C78-00313-0005
37-1A-AK-C78-00313-0005
LIND LIST
Removed Verified removed
Date Sign. Date Sign. P&ID Comment
37-1A-AK-C78-00313-
0005
37-1A-AK-C78-00313-
0005
37-1A-AK-C78-00313- Not working
worki ng not in
0005
37-1A-AK-C78-00313- actual
0005
37-1A-AK-M78-00293- vbdsfshdg
0009
37-1A-AK-M78-00293-
0009 testing
37-1A-AK-C78-20030
37-1A-AK-C78-00313- Rahul testing
0005

PLIT LIST
Flange tightened
Date Sign. P&ID
37-1A-AK-C78-00313- Comment
0005
37-1A-AK-C78-00313- xbncgvzxghcfd
nbvxhcvzdjhcvZSDas
0005 d
37-1A-AK-C78-20030 dbfvjhsf
37-1A-AK-C78-20030
37-1A-AK-C78-00313- Rahultest
0005
 Signature - Equipment energized

Air
Closed Open P&ID Comment
37-1A-AK-C78-00313-0005 Drain12
37-1A-AK-C78-00313-0005
37-1A-AK-C78-20030
37-1A-AK-C78-00313-0005 arc 12345

37-1A-AK-C78-00313-0005
37-1A-AK-C78-00313-0005

tttt66667777
test
arc
dfdsfsd

P&ID Comment

37-1A-AK-C78-00313-0005 Drain12
37-1A-AK-C78-00313-0005
37-1A-AK-C78-20030
37-1A-AK-C78-00313-0005 arc 12345

37-1A-AK-C78-00313-0005
37-1A-AK-C78-00313-0005
 tttt66667777
test
arc
dfdsfsd

Gross In-service Sensitive

Leaktest
Comment