Permit number : A081-00-4135188

State : Live (12 Jul 07:59 - 12 Jul 17:00)

Lifetime expires on 11-08-2022

Electrical - Low

Title Replacement of 12V FACP Battery in C1 Area.

Description of work: 1. Inform POB Security & CCR Panel Operator about activity.
2. Request CEP to isolate 24V DC power by switching off MCB.
3. Disconnect & Remove battery from FACP.
4. Fix and connect new battery in FACP.
5. Check the battery voltage and Request CEP to switch on Battery MCB.

Emergency Information
Muster point 1,2,4,5

Communication 66071409/50404453

Other Emergency Information SHELL EMERGENCY NO.44198000,

CCR PANEL.44032212

Details

Planned Start Date: 07 Jul 2022

Planned End Date: 15 Aug 2022

Site: IG QSGTL

Area Authorization POB & Office Buildings

Work locations: POB & Office Buildings

Hazardous Substance and Hazardous Area Non Hazardous

classification
Work order number:

Work Performer: Ceasefire Solutions

Vehicles, Equipment and Tools to be used 1. Hand Tools

2. Multimeter
3. Battery 12 V
Expected Number of People 04 (Including CEP)

ICC Requirement None

Lead Discipline: Maintenance

Initial Gas test by Authorised Person: No

Continuous gas monitoring required? No

Influence of nearby activities:

Hazardous Area Classification Hazard Free - No flammable material in area

Expected Re-issue Date:

Initial signatures
Type Name: Date: Dep./Company:

Authorise by Permit Authoriser Bala Pravin Gandhi 07 Jul 2022 15:49 Shell IG QSGTL
Low Risk
Verify by Permit Verifier Roopan Raj (PV-Medium) 07 Jul 2022 09:04 Sodexo

Request by Permit Requester Anish George 06 Jul 2022 09:26 Ceasefire

A081-00-4135188 07/12/2022 08:09 Page 1 of 5

Signature History
Type Name: Date: Dep./Company: Remarks:

Accept by Permit Holder (First Anish George 12 Jul 2022 08:09 Ceasefire
Acceptance)
Issue by Permit Issuer (First Bala Pravin Gandhi 12 Jul 2022 07:59 Shell IG QSGTL
Issue)
Authorise by Permit Authoriser Bala Pravin Gandhi 07 Jul 2022 15:49 Shell IG QSGTL
Low Risk
Verify by Permit Verifier Roopan Raj (PV- 07 Jul 2022 09:04 Sodexo
Medium)
Request by Permit Requester Anish George 06 Jul 2022 09:26 Ceasefire

A081-00-4135188 07/12/2022 08:09 Page 2 of 5

 Attention:
- Permit Holder is responsible to maintain record of signed off LMRA copy/ies.
- PH discuss applicable PSF elements with team during LMRA

All members of the work party have participated in the LMRA and are Name of holder Anish George
familiar with the Jobscope and Hazard&Controls.
Company Ceasefire
Name Initials Name Initials
Permit number A081-00-4135188
......................... ......................... ......................... .........................
Date 12 Jul 2022
......................... ......................... ......................... .........................

......................... ......................... ......................... ......................... What kind of work are you going to do?

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1. Inform POB Security & CCR Panel Operator about activity.
2. Request CEP to isolate 24V DC power by switching off MCB.
3. Disconnect & Remove battery from FACP.
4. Fix and connect new battery in FACP.
5. Check the battery voltage and Request CEP to switch on Battery MCB.

Has the Permit Issuer discussed the hazards & Does the work party know the emergency alarm
controls with the Permit Holder? Yes n/a and action required in event of an alarm or Yes n/a
accident?
Has the Permit Holder warned others that may be
affected by your work? Yes n/a Does the work party know the most effective Yes n/a
escape route and the location of the nearest
muster point?
Is there conflicting work that may affect you? Yes n/a Yes n/a
If yes describe hazards and controls below. Does the work party know the location of the
nearest eyewash station, emergency shower, first
aid kit and AED device?

Are there additional hazards that need to be controlled? If newly identified hazards are material changes to the permit, contact Permit Issuer!

Hazards Controls / Recovery Measures

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.............................................................................................................. ..............................................................................................................

Pictograms for key hazards Indicate which Life Saving Rules are applicable.

Bypassing Safety Confined Space Driving

Controls

Obtain authorization Obtain authorization before Follow safe driving rules

ELECTRICAL MOTION PEOPLE
before overriding or entering a confined space
disabling safety controls
Energy Isolation Hot Work Line of Fire

THERMAL Verify isolation and zero Control flammables and Keep yourself and others out
energy before work ignition sources of the line of fire
begins
Safe Mechanical Work Authorisation Working At Height
Lifting

Plan lifting operations and Work with a valid permit Protect yourself against a fall
control the area when required when working at height

A081-00-4135188 07/12/2022 08:09 Page 3 of 5

 RA/JHA A081-00-4135189
Attached to: Permit A081-00-4135188

Title: Replacement of 12V FACP Battery in C1 Area.

Team: Anish George Approval: 06 Jul 2022 13:14 Anish George

07 Jul 2022 15:48 Bala Pravin Gandhi
07 Jul 2022 09:03 Roopan Raj (PV-Medium)

Hazards Control measures Action party

[IG QSGTL EL.08] Battery system work (ELECTRICAL) [IG QSGTL EL.08.01] Ensure that eye wash facilities are in good S Permit Holder
condition (not expired) and readily available while working on batteries
[IG QSGTL EL.08.02] Only insulated tools shall be used and expose S Permit Holder
only one terminal at a time to avoid accidental short
[IG QSGTL EL.08.03] Remove any jewellery such as rings, bracelet or S Permit Holder
watch and remove any metal objects in pockets such as coins,
screwdriver etc
[IG QSGTL EL.08.04] Work shall be undertaken by a minimum of two S Permit Holder
persons
[IG QSGTL EL.08.05] Work shall only be undertaken by Electrical S Permit Holder
Authorised person on batteries as per QSGTL Electrical Safety Rules
(ESR)
[IG QSGTL EL.08.07] Any work on battery terminals shall be carried S Permit Holder
out after positively isolation of battery from the charger, locked out and
tagged by Electrical Authorised person as per QSGTL Electrical Safety
rules (ESR)
[MO.06] Hand Tools - ALL (MOTION) [MO.06.03] Wear appropriate hand protection suitable for task S Permit Holder
Ensure that tools are inspected and color coded. S Permit Holder
[MO.13] Slips & Trips (MOTION) [MO.13.01] Remove any trip hazards in the area, clean up any spills, S Permit Holder
wear anti-slip safety shoes
[IG QSGTL PE.04] COVID-19 (PEOPLE) [IG QSGTL PE.04.02] Maintain social distancing (minimum 1 meter, S Permit Holder
larger distances if possible and practicable)

[IG QSGTL PE.04.04] Wear disposable surgical or medical type mask S Permit Holder

A081-00-4135188 07/12/2022 08:09 Page 4 of 5

 RA/JHA A081-00-4135189
Attached to: Permit A081-00-4135188

[IG QSGTL PE.04.08] Follow the COVID-19 Big Behaviors: S Permit Holder
• Stay home if feeling unwell
• Maintain social distancing (1 meter)
• Good personal hygiene (e.g. hand washing)
• Wear mask if required

[IG QSGTL PE.04.12] Conduct discussions (e.g., LMRA, TBT) in small S Permit Holder
groups of no more than 5 persons
[PE.05] Fatigue (PEOPLE) [PE.05.01] Comply with the Site/facility/asset requirements regarding S Permit Holder
maximum work hours and required rest days
[PE.05.02] Prior to start of work request work party to self report if they S Permit Holder
are suffering from fatigue
[PE.05.04] Monitor for signs of fatigue and intervene/stop work if S Permit Holder
necessary.
[PE.01] Communication (PEOPLE) [PE.01.01] During permit issuance and toolbox talk/Last Minute Risk S Permit Holder
Assessment discuss and agree the methods of communication within
the work party, with Operations (if necessary) and with Emergency
Responders (if necessary)
[TH.01] Climate/Environmental Conditions (hot) (THERMAL) [TH.01.02] Stay out of direct sunlight. Schedule physical work during S Permit Holder
the coolest parts of day. Take frequent breaks in the shade or a cool
area. Drink water frequently. Monitor urine colour (hydration).
[TH.01.04] Ensure understanding of the signs/symptoms, prevention S Permit Holder
and treatment of injury/illness related to Heat Stress.
[TH.01.05] Reduce layers of clothing (e.g. underneath coveralls), avoid S Permit Holder
use of face covering or bandanas, avoid non-breathable synthetic
clothing.

A081-00-4135188 07/12/2022 08:09 Page 5 of 5