SAMA KAFD DC Visitor Access Request Form Control No. ‘Works Order Company Name Date From /To (oommy) | 3} 2] 0] 3| 2] 4|-| 3] of o| 6] 2] 4 ARAB GULF UNITED CO Working Hours |07:00 AM to 5:00 PM TL Beara wag BOE FOOT Hay tea: Apion sutntedoSe eurtya te Guad House before perme eter he te =NO ID, NOENTRY Mote: Tore Mo Smohig ply in ond raved te SAMA RAD DC oly (a) ws personel protective equipment at work; 2) hve fie extinguisher In the work area (3) comely with a execution of works) alcain cleantnes ofthe area curing on efter completion 0 tess) keep chemi ne lahore there ore employes (6) contact Secury ot the beginning and afer completion ofthe works daly (7) nsronment without an epproval rom Sec fen erp ora sep ocent e M [wer Location | SAMA-KAFD-DCFO. ‘System(s) [SCADA SYSTEM ‘Applicant Photo: sustitcaton: ae ] Cw Oar To perform SCADA PM activity at DCFO site. Dosivery irspectin/tsting operations “Tools &Eeuipment ee lentes Mobile with charger. ee omer: Laptop with charger Ra aeiay Applicant / Vehicle Detals: ‘Name National 1b /igama /Vise # Nationality Ahmed Osman Abdaldaim Alhouri 2502580604 SUDAN ‘Type ‘Make /Model oe hein] nase Pea py | es omar | ante (ese aces PERSONAL DECLARATION hereby ender 0 wat and safety stands during the ommable sustancer aay from eo ever crn ox work thot effect the ‘Appliant Mall Date (oDMMy) Aoplicant Mobile 3}: [of[2]¢ SAMA / DCFO Approval Name | Matthew Wood Date (DDMMYY) email |DCFO.Securty@hpe.com] Mobile ]0545746520 3}rfolsfaf4 Authorisation: | | a eR TR Bae Doc. Owner: CRM Department Doc. 10: OPS-SEC-OO1 [Revision 1.6 [Page tof