EVALUATION QUESTIONNAIRE FOR SAFETY SUPERVISORS

Answer the following questions.

A confined space has the following characteristics

a) Unfavorable natural ventilation

b) Contains or may contain a hazardous atmosphere.

c) Not designed for continuous staff occupancy

d) All of the above

2. The documents by means of which entry into a confined space is authorized are:

a) Confined space entry procedure, checklist.

b) Potentially hazardous work permit

c) Permit to open lines and equipment

d) Instrument air pressure

3. A skilled and trained person who remains on the outside of a confined space, controls access
and maintains communication with personnel.

a) Maintenance Corporal

b) Observer

c) . Firefighting Assistant

d) . Security Engineer.

4. Excavations with a depth greater than

a) 3.5 m

b) 8 m

c) 6 m

d) 1.5 m

5. What should you monitor before entering a confined space?

a) Oxygen content
b) Explosive or flammable gases or vapors (Explosivity).

c) Toxic gases or vapors.

6. After how many meters should the base of the scaffolding be extended or tied to an adjacent
structure to prevent it from collapsing?

a) At or after 10 meters

b) 2.5 m

c) 1.80 m

7. What type of cable should be used to lift the materials used in the assembly and disassembly of
scaffolding?

a) Electric cable

b) 1 ½" steel cable

c) 1 ½" manila cable

8. What preventive control measures should be taken to avoid a fall injury?

9. The platform bed should be

a) Half a bed

b) Full bed

c) Two boards

10. What is an electric poundage?

Sequence of planned actions, the purpose of which is to control the risks involved in the
intervention of electrical equipment, installations or devices, by temporarily interrupting the flow
of energy.

11 Which personnel are suitable to carry out an electrical release?

Electrical supervisor, safety supervisor and power supervisor

12. Name two of the hazards you face when performing an electrical draught and their
countermeasures?
13 Please underline the minimum voltage to perform an electrical current drain?

a) 110 v

b) 480 v

c) 220 v

14. What are 4 of the documents required to perform an electric draft?

 Electrical Release Protocol.

 Work Permit and PM/SAP module order (THE NECESSARY)

 Minutes of work.

 AST.

 The request for release.

 The one-line diagram.

 Check List.

 The list of equipment that will be affected during the holiday.

15. Describe what is considered high altitude work?

All operation, service and/or maintenance work performed at a height of 1.8 meters or
more above the floor level, measured from the finished floor level, is considered work
at height. When the floor is a platform, such distance shall be counted from the
platform, provided it has adequate handrails or other means of protection so that the
worker is not at risk of falling off.

16. List the safety equipment that must be worn by workers assigned to work at heights ?

Personnel must wear during all activities within the work area, the complete safety
equipment required by regulations; helmet with chinstrap, safety glasses, cotton
clothing, shoes, earplugs, leather and/or dielectric gloves and during work at heights,
wear a safety belt or harness with a life cable (nylon or polyester 13mm, 13mm), safety
goggles.During work at heights, wear a safety belt or harness with life line (nylon or
polyester 13mm, ½" ø), reference Annex 4. The selection of the safety system for
working at heights must be made by means of a risk analysis to be carried out by the
work group. Those responsible for supervision during the execution of the work and
each user of the safety harness must check that it is in good condition just before
putting it on, and must also wear the corresponding lifeline, making sure that the
anchorage point selected for anchoring is above the level of his or her head.

17. Mention the purpose of placing safety barriers, give an example.

Delimit restricted access areas due to the presence of hazards, excavation work, work on electrical
registers, cutting and welding work (hot work), work with chemical hazards, etc.

18. In which activities would you place red safety barriers with white lettering?

It is used to delimit an area where entry is restricted to all personnel (prohibitive sign, stop,
firefighting equipment and systems), except when specific permission has been granted by the
supervisor or middle manager in charge of the area.

19. What type and color of safety barrier would you place to delimit the work in a radiographic
inspection and at what distance would it be placed?

The tape with yellow safety color and magenta contrast is used to warn of the presence of ionizing
radiation. When radiographic inspections are performed, this tape should be placed covering a
minimum radius of 15 m with respect to the radiation source.

20. Would you start a job that requires the placement of safety barriers and this has not been
installed, explain?

No, because it is required to comply with the pertinent safety measures for the execution of the
work.

21. Mention the types of safety barriers that are used in this work center and give an example of
each one.

Safety barriers: Temporary fences or removable railings, used to delimit restricted access areas
due to the presence of risks.

Tape-type safety barrier: Plastic device in the form of a rolled-up tape used to delimit risk areas.

Trestle type safety barrier: Metal, wood or plastic device, resistant to impact.

Cone type safety barrier: Device made of PVC used to delimit vehicular traffic.

Perimeter fence type security barrier: Prefabricated device based on posts and barbed wire, with
access gate, tapes and restrictive signs to delimit excavation areas in the right-of-way.

From the following questions mark (T) if true or (F) if false

No Ask True False

22 To perform flange opening and closing work, equipment and x

 lines must be depressurized and purged.

23 Responsible for shutting down, depressurizing, vaporizing

and purging lines and equipment are maintenance and x
firefighting.

24 The technical group is in charge of authorizing flange opening

x
and closing works.

25 The minimum documentation for flange opening and closing

x
work is the work permit and minutes.

26. Mention the basic safety equipment for cutting and welding:

Welding masks or goggles with welder's shade, face protection, hoods (nuns), fume respirator,
leather gloves with mittens, leather apron, coat, canvas gaiters, sleeves, special masks with 10 to
14 shading and safety shoes with dielectric cap. The assistants must wear gloves and eye
protection with shading 4 to 8 and, in special cases, a face shield with dark glass.

27. What is the % of explosivity that you should mark before igniting any ignition source?

When performing the explosivity test, the result should be negative (o%) before igniting any
source of ignition, in equipment or machines.

28. What safety measures should you consider when performing cutting and welding work?

All technical and manual personnel involved in the cutting and welding activity must comply with
Safety, Health and Environmental Protection regulations before, during and after their work.

Before starting the cutting and welding, it must be physically verified that the conditions
requested in the work permit, the checklist, the double checklist and the AST are met at the site
where the activity is to be performed.

When cutting and welding, operators must wear leather gloves with mittens, leather coat
hangers, leather jackets, canvas gaiters and special shaded face shields from 10 to 14for
protection . Helpers should be provided with gloves and eye protection with shading from 4 to 8.

Operators and assistants involved in the activity must be physically and mentally fit to perform
the work.

Before starting cutting and welding work, fire protection must be in place. This fire protection
must remain in place until the cutting and welding work is completed.

When process lines are cut or welded, they must be purged, insulated with blind joints, blocked,
vaporized, inerted and depressurized according to the procedure "Opening and closing of flanges
and connections in lines and equipment".
Cylinders must be placed at a minimum distance of 6 meters from the work site in a vertical
manner; they must also be secured to prevent them from falling or being knocked.

Perform explosivity test with negative result (o%) before igniting any source of ignition, in
equipment or machines.

Communicate to all personnel in the area involved about the execution of the cutting and welding
work.

Locate and have chemical powder or CO₂ extinguishers, previously reviewed and tested by safety
personnel, near the workplace.

All welding machines that use electrical power must be grounded to earth before starting
operation.

The work cables should not wrap around or over the welding generator during work, as this may
cause unfavorable effects on the magnetic fields of the machine and instability of the welding arc.

All cables or hoses of machines and equipment for cutting and/or welding work must be in perfect
condition for use, without splices or joints.

All gas, oxygen, acetylene or argon cylinders must be transported in diablo or devil's
wheelbarrows with rubber tires (not metallic), secured with chains to prevent them from falling,
with a cap installed and with the risk classification diamond labeled or printed.

The operating personnel must deliver the area where the cutting and/or welding activity is to be
performed clean and clear.

No worker should look at the electric arc without the correct eye protection. Welders should
invariably use screens, fixed or portable, when welding with electric arc.

If sampling is required for special reasons, cutting and/or welding activities should be momentarily
suspended during sampling. To restart cutting and/or welding work, the negative explosive
conditions (o%) must be met again.

Drums should not be used as tables for cutting and/or welding work.

Temporarily interrupt welding work when there is danger of contact with water (excessive
perspiration, abundant water or rain).

Do not store the electrodes in your shirt or pants bag.

At the end of the cutting and welding work, the maintenance personnel must hand over the clean
and clear area to the operating personnel.

30. Mention the importance of placing a tag and padlock when servicing electrical equipment?
31. Who must provide the necessary locks and tags for maintenance personnel working on the
equipment?

The operating engineers must provide supervisors with the necessary holders, chains and cards for
the application of this procedure.

32. Mention the color classification of the padlocks?

Red - operation, yellow - electrical maintenance, blue - mechanical maintenance, green -

companies and gray - other specialties (plant maintenance, civil, instruments, offices, etc.).

33. As a safety supervisor, what should you check before your personnel intervene in electrical
equipment?

34. What is a work permit?

This is the form that must be filled out and processed in order to authorize the performance of
potentially hazardous work.

35. Who are the parties involved in filling out a work permit?

The Executor of the Work.

The Operational Manager.

The Security Manager.

The person responsible for the execution of the work.

36. What is the validity of the work permit?

It is for a maximum of 12 continuous hours and may be revalidated for two consecutive 12-hour
periods. In the event that work is suspended or interrupted, it may be revalidated as long as such
interruption or suspension does not exceed 24 hours, otherwise, a new permit must be generated.

37. Why is it important to read a work permit carefully?

38. Who must generate the work permit when the activity is to be performed by a contractor?

The corresponding PEMEX - REFINACIÓN Work Supervisor.

39. How many copies does a work permit consist of and who must maintain the copies?

ORIGINAL: It is for the Executor of the Work, who must place it in a visible place in the place where
the work is to be carried out and during the time it is being executed (in a transparent plastic bag,
so that it does not deteriorate).

Upon completion of the work, the original of the Work Permit must be exchanged with copy No. 1,
so that the Operational Manager keeps the original and the Work Performer keeps the copy No. 1,
so that the Operational Manager keeps the original and the Work Performer keeps the copy No. 1.
1.

COPY NO. 1: It is for the Operational Manager, who shall place it in a visible place in the place
where the operating personnel in charge of the installation or equipment works, and shall inform
in writing to the Central Control Room Operator, for the knowledge of all the personnel in the area
until the work is completed.

COPY NO. 2: It is for the Security Manager.

COPY NO. 3: Is for the Person Responsible for the Execution of the Work.

40. Practical Exercise

You are the safety supervisor and you are in charge of 5 people who are going to work inside a
container which has already been cleaned and aerated in its entirety.

1. What documentation do you need to enter this container?

2. What safety measures would you implement to enter this vessel?

3. What procedure would you involve?

4. What measurements would you make inside this container?

(1) Permit to work marking confined space (APP, AST, Confined Space Minute, medical certification
for personnel entering confined space, etc.)

(2)

41. Mention the classifications of fire and what are the characteristics of each one of them?

B
C

42. List at least five sources of ignition:

 Open flame

 Friction Sparking

 Natural electrical discharges

 Static energy

 Low voltage electric spark

 High voltage electric spark

 Hot surfaces

 Exothermic chemical reaction

43. Do you list the methods of extinguishing a fire:

 By suffocation: This method is intended to eliminate oxygen. For this purpose, blankets are
used, earth is thrown in, etc. The earth should be applied by throwing it all at once on the
base of the flames; when there is little, it is preferable to pile it up so that it can be thrown
by shovelfuls. Special foams used for hydrocarbon fires also act in this way.

 By cooling: This is an attempt to lower the temperature of combustible materials so that

they do not burn. Water is used in this method.

 By dispersion or isolation of the fuel: This method prevents the spread of fire by placing
barriers so that the fire does not reach more combustible materials. Firebreaks, or cutting
vegetation before the fire reaches a forest fire, are the most commonly used.

 By inhibition of the chain reaction: With this method, an attempt is made to cut off the
chain reaction, for which chemical substances are used. Powder chemical and halon
extinguishers operate by this method.

44. Do you write down the jet patterns used in a 1 ½" and 2 ½" nozzle.

45. What components are needed to produce fire?

  Oxygen

 Fuel

 Heat

46. What personal protective equipment would you use to fight a fire?

47. What is a fire extinguisher and what are the types of fire extinguishers in this work center?

48. Tell us what is an autonomous equipment, the parts that compose it and its duration.

49. What is the purpose of the autonomous equipment?

50. Mention SSPA policy

Petroleos Mexicanos is a company distinguished by the effort and commitment of its workers to
occupational health and safety and environmental protection.

51. Mention the principles of the SSPA policy:

 Safety, occupational safety and environmental protection are values with equal priority to
production, transportation, sales, quality and costs.

 All incidents and injuries are preventable.

 Occupational health and safety and environmental protection are everyone's

responsibility and a condition of employment.

 At Petroleos Mexicanos, we are committed to continue protecting and improving the

environment for the benefit of the community.

 Oil workers are convinced that safety, occupational health and environmental protection
are in their own best interest and motivate us to continue to participate in this effort.

52. Explain in your own words "All incidents and injuries are preventable".

The failures that occur in a company can be foreseen so that no accidents occur.
54. Mention the steps to carry out an AST

55. What is an unsafe act? And from an example

Actions performed by the worker that omit or violate the method or

measures accepted as safe.
For example: Doing work at heights without the proper PPE.

56. What is an unsafe condition? And from an example

Hazardous situations or circumstances that derive from the elements that

make up the work environment and may make possible the occurrence of an
accident, occupational disease or material damage.
For example: oil on the floor.

57. Mention the 4 stages of the operative discipline

 A. AVAILABILITY of procedures and documents

 B. QUALITY of the content of procedures and documents

 C. COMMUNICATION and understanding

 D. Rigorous COMPLIANCE of execution in all areas and work cycles.

59. What is an effective audit?

Methodology that through the analysis of how and under what

circumstances work activities are developed, allows the identification of
unsafe conditions and acts in the workplace, comparing performance
against established standards.
It is based on the premise that accidentss and incidents can be prevented
by alerting the
Workers about the possible consequences of unsafe acts and conditions,
interacting with them until they commit to modify their behavior and strictly
observe the provisions contained in the regulatory framework applicable to
the performance of their activities.
60. What consequence does the severity factor 0.33, 1.0 and 3.0 indicate in an audit?

61. Practical exercise

49 people were observed working in a process plant of a company and the following deviations
were found

a) Three maintenance workers walking in the area without wearing their personal protective
equipment without the possibility of injury.

b) Two laboratory samplers taking samples of hot catalyst from a catalytic reactor (operating
at 530°C) without using their high temperature protection equipment.

c) A worker transferring corrosion inhibitor without wearing his neoprene gloves.

Calculate the Unsafe Acts index according to the following formula:

No. Of total persons observed

%IAS = 100- IAI =

62. You are a specialist machine shop operator and you are sent to service a pump that handles an
acid that is very harmful to health. What personal safety equipment would you use?

Basic PPE, anti-acid gloves, breathing apparatus,

63. What is the objective of the safety supervisor's knowledge and application of life-saving
procedures?

They protect the integrity of the workers.

64. Mention 3 chapters of the RSHPM where it is indicated that the contractor has obligations to
comply with

65. Mention at least five critical procedures to be applied in hazardous work according to Capt. IV
of the RSHPM

1. Safe entry into confined spaces

2. Fire protection

3. Personal protective equipment

4. Prevention of falls

5. Electrical Safety
6. Blocking of energy and hazardous materials

7. Delimitation of risk areas (Barricades)

8. Opening of process lines and equipment

66. Define what is non-hazardous waste, from three examples

67. Define what is a hazardous waste, from three examples

hazardous waste(s) (hazardous wastes)

"All those wastes, in any physical state, that due to their corrosive, reactive, explosive, toxic,
flammable or biological-infectious characteristics, represent a danger to the ecological balance or
the environment.