Permit Number P289-00-6723327 State Waiting For Verification Lifetime Expires On

Permit number : P289-00-6723327
State : Waiting for verification
Lifetime expires on
Hot Work - Medium
Title Demolishing and construction new flooring for Pump house
Description of work: 1- Joint Site Visit, Preparation, Mobilization of manpower to site

2- Ensure Intimal Gas Testing by Permit Issuer before starting work
3- Shifting of material & tools to work site manually by labor and using of hand lifters and
wheelbarrows.
4- The area will be barricaded, Safety Sign Boards will be displayed, A fire watch & 2-fire
extinguishers must be on-site during work.
5- First, inform to gantry supervisor about daily working activity in Pump House and Take
permission to Start work. & Work will be scheduled according to the window provided by
Filling Gantry Operation Team in the allocated
6- Take electric Connection for using Hilti machine.
7- Start Dismantling of floor with the help of Hilti machine or manually
8- Disposal of Debris (Debris will be mobilized on wheelbarrow by manpower manually to
designated place
9- Mixing of Supplied material for pouring 1:2:4 up to 4”
10- Flooring (4” Pouring of 1:2:4 Ratio) and also rising the height of 4 manhole covers as
per new floor level
11- Curing of New Floor with water
12- Mobilization & Placement of New manhole covers manually by manpower using wheel
barrow
13- Housekeeping and De-mobilization of material and manpower
Details
Planned Start Date: 15 Mar 2024
Planned End Date: 29 Mar 2024
Site: DS T&S East Shikarpur
Area Authorization DS T&S East Shikarpur
Work locations: P289 - Product Pump House, Metering, Loading and Unloading Gantry
Equipment description: Floor of Pump House
Hazardous Substance and Hazardous Area Dust

classification
Work order number: OPEX
Work Performer: Naseem and Son
Vehicles, Equipment and Tools to be used Wheelbarrow, Measuring tape,Trowel,Spade, Sprit Level, Wooden Float, Mixer Machine, Jack
Hammer, Chisel, Hammer, Water Drum, Water cooler, First Aid Box, Fire extinguisher and
other general hand tools
Expected Number of People 10
ICC Requirement None
Is Start Work Check required? Yes

Selected Checklists: Hot Work
Lead Discipline: Engineering
Initial Gas test by Authorised Person:
Continuous gas monitoring required?
Influence of nearby activities:
Permit types from questionnaire Cold Work
Hot Work
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Hazardous Area Classification Zone 2
General comments
Any information entered should not affect the Ensure initial Gas testing
assigned risk level, identified hazard/controls Ensure Proper PPEs suitable with the task
or permit type:
Initial signatures
Type Name: Date: Dep./Company:
Request by Permit Requester Muhammad Ramzan 15 Mar 2024 09:33 Naseem and Son
Signature History
Type Name: Date: Dep./Company: Remarks:
Request by Permit Requester Muhammad Ramzan 15 Mar 2024 09:33 Naseem and Son
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Keep this record with the PTW paper copy, & display these at the worksite
All members of the work party have participated in the LMRA and are Name of holder
familiar with the Jobscope and Hazard&Controls.
Company
Name Initials Name Initials
Permit number P289-00-6723327
......................... ......................... ......................... .........................
Date
......................... ......................... ......................... .........................
......................... ......................... ......................... ......................... What kind of work are you going to do?
......................... ......................... ......................... ......................... Demolishing and construction new flooring for Pump house
......................... ......................... ......................... .........................
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
Does the work party know the location of the
If yes describe hazards and controls below.
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
.............................................................................................................. ..............................................................................................................
.............................................................................................................. ..............................................................................................................
.............................................................................................................. ..............................................................................................................
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
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
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Start-Work Checks | Hot Work
Start Work Authority: Confirm below are in place and verified prior to starting work
Save Your Life Actions Person(s)
Start-Work
All exposed person(s) performing work must confirm each of the action Performing
Verifier
items below Work
(initial)
(initial)
Energy Isolation
I have confirmed:
1 The Hot Work has been evaluated for Energy Isolation requirements.
Does Hot Work require Energy Isolation? If Yes: Complete Energy
Isolation Start-Work Check. If No: Continue to the next step2.
Hot Work
I have confirmed:
2 The hazards have been identified, controlled and it is safe to start.
3 Is the Hot Work in a Hazardous area? If Yes: Confirm the initial gas
test has been completed. If No: Move to Step 5
4 The Hot Work atmosphere will be continually monitored.
5 Ignition sources are identified and controlled.
6 Flammable/combustible materials have been removed or isolated.
Stop and seek help if any of the above controls/safeguards are not in place
Role Printed Name Date

Start -Work Verifier
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Save Your Life Actions | Hot Work
Start Work Authority: I will not start work until I confirm...
Actions How to (examples)
Energy Isolation
1 The Hot Work has been evaluated for Energy Isolation requirements. • All potential energy sources have been identified, isolated and locked and tagged per isolation plan.
Does Hot Work require Energy Isolation? If Yes: Complete Energy • The system has been drained, flushed, or purged to remove flammable/explosive materials or gases.
Isolation Start-Work Check. If No: Continue to the next step2.
Hot Work
2 The hazards have been identified, controlled and it is safe to start. • Complete a task risk assessment specific to the scope of work
• Discuss hazards with the work team prior to the start of work
• Check for simultaneous operations that may introduce an additional hazards
3 Is the Hot Work in a Hazardous area? If Yes: Confirm the initial gas test • The initial gas test has been completed by a Qualified Gas Tester.
has been completed. If No: Move to Step 5 • At all openings below and above the hot work area
• At a minimum distance around the hot work area
• Gas readings are within the required range
Note: Confirm gas testing outside of defined hazardous area if required for other reasons. Gas testing should be in compliance with company
requirements and applicable regulations.
4 The Hot Work atmosphere will be continually monitored. • Follow-up test frequency is documented (e.g., permit) before starting work.
Note: 'Continually' monitored means periodic monitoring of the atmosphere with a defined frequency or continuous monitoring throughout the duration
of work activities.
5 Ignition sources are identified and controlled. • Barriers are in place to prevent ignition in the hot work area:
•Drains, gaps, openings in tanks or piping have been covered/sealed
•Vents are isolated/routed away from the area
• A trained Fire Watch has been designated and is at the work location.
• Firefighting equipment is inspected, on site and fully functional.
6 Flammable/combustible materials have been removed or isolated. • All flammable/combustible materials have been removed or, if not removed, measures (e.g., fire blankets) are in place to shield them from ignition
sources
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RA/JHA P289-00-6723344
Attached to: Permit P289-00-6723327
Title: Demolishing and construction new flooring for Pump house
Team: Abdul Basit (Naseem & Son), Ali Murad Baloch, anwar Mughal, Fayyaz Approval:
Bhatti, Muhammad Ramzan
Task steps Hazards Control measures Action party
Joint Site Visit, [.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
Preparation, Mobilization and stop work when limit is exceeded.
of manpower to site
[.MO.12] Slips & Trips (MOTION) [.MO.12.01] Remove any trip hazards in the area, clean up any S Permit Holder
spills, wear anti-slip safety shoes
[.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
Risk Assessment discuss and agree the methods of
communication within the work party, with Operations (if
necessary) and with Emergency Responders (if necessary)
[.PE.05] Fatigue (PEOPLE) Ensure Proper rest breaks S Permit Holder
[.PE.05.02] Prior to start of work request work party to self S Permit Holder
report if they are suffering from fatigue
[.PE.05.04] Monitor for signs of fatigue and intervene/stop work S Permit Holder
if necessary.
- Ensure Intimal Gas Presence of Hazardous gases Ensure Initial gas testing before starting work S Permit Issuer
Testing By Permit Issuer
before starting work
Ensure Gas tester is calibrated and certificate is attached with S Permit Holder
permit
[.MO.05] Hand Tools - ALL (MOTION) Never use damaged tools and equipment S Permit Holder
[.MO.05.02] The use of knives is prohibited S Permit Holder
[.MO.05.03] Wear appropriate hand protection suitable for task S Permit Holder
Shifting of material & Damaged tools and equipment Never use or mobilize damaged tools and equipment S Permit Holder
tools to work site
manually by labor and
using of hand lifters and
wheelbarrows.
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RA/JHA P289-00-6723344
Inspection should be done before mobilization of all the tools S Permit Holder
and equipment's
Unnecessary tool and equipment Plan work and only mobilize equipment written in permit and fit S Permit Holder
for use
Don't mobilize unnecessary tools and equipment's S Permit Holder

[.MO.11] Sharp, abrasive objects (MOTION) [.MO.11.01] Use cut resistant gloves (cut level 4 or more) S Permit Holder
Ensure husekeeping S Permit Holder
if necessary.
Overloading of Wheel barrow Never overload wheelbarrow to avoid falling of material to S Permit Holder
ground
Ensure Wheelbarrow is loaded till its edges S Permit Holder

The area will be Unauthorized entry Ensure Area Barrcation to avoid unauthorized entry into the S Permit Holder
barricaded, Safety Sign area
Boards will be displayed,
A fire watch & 2-fire
extinguishers must be
on-site during work
Lack of Awareness Display sign boards on site for awareness about work related S Permit Holder
hazards and their controls
Preparation for activity of floor dismantling Ensure A fire watch & 2-fire extinguishers must be on-site S Permit Holder
before starting activity
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RA/JHA P289-00-6723344
Ensure houskeeping S Permit Holder

if necessary.
[.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
and stop work when limit is exceeded.
First, inform to gantry Conflicting activities in the area First, inform to gantry supervisor about daily working activity in S Permit Holder
supervisor about daily Pump House and Take permission to Start work. & Work will be
working activity in Pump scheduled according to the window provided by Filling Gantry
House and Take Operation Team in the allocated
permission to Start work.
& Work will be scheduled
according to the window
provided by Filling Gantry
Operation Team in the
allocated
S Permit Holder
Communicate before starting work
Ensure Houskeeping S Permit Holder
- Take electric [.MO.05] Hand Tools - ALL (MOTION) [.MO.05.02] The use of knives is prohibited S Permit Holder
Connection for using Hilti
machine.
S Permit Holder
Communicate before starting work
[.MO.11] Sharp, abrasive objects (MOTION) [.MO.11.01] Use cut resistant gloves (cut level 4 or more) S Permit Holder
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RA/JHA P289-00-6723344
[.EL.02] Electric shock (ELECTRICAL) Ensure electric connection done by authorized person only • S Permit Holder
Never make loose connections • Ensure all cables is double
insulated • Ensure inspection for any cut or lose connection
before use • Ensure Electrical panel board is third party certified
and certificate is attached with the permit • Make sure ELCB is
installed in the Electrical DB
- Start Dismantling of Dismantling of floor using hilti machine Start dismantling the damaged floor from a side to the other end S Permit Holder
floor with the help of Hilti with the help of Hilti (Jack Hammer) Manually by man-power •
machine or manually Ensure Proper PPEs suitable with the task • While using jack
hammer ensure face sheet and ear plugs • Ensure Inspection
before use of any damage or crack • Ensure Hilti machine is
third party certified and certificate is attached with the permit •
Ensure competent person is performing the task

Ensure Housekeeping S Permit Holder
[.PE.08] Noise (PEOPLE) Ensure Ear plugs while using hilti machine S Permit Holder
[.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
if necessary.
Ensure proper rest break. S Permit Holder
- Disposal of Debris Disposal of Debris (Debris will be mobilized on wheelbarrow by Debris will be loaded with spade into the wheel barrow by S Permit Holder
(Debris will be mobilized manpower manually to designated place manpower manually • Wheel barrow will be loaded till a safe
on wheelbarrow by level of edges of wheel barrow so the debris don’t fall on ground
manpower manually to during mobilization • Avoid overloading of wheelbarrow •
designated place Mobilize the debris to its designated place for disposal using
wheel barrow by man-power • Ensure Proper PPEs suitable
with the task
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RA/JHA P289-00-6723344
Dust Ensure Proper Dust Mask to prevent dust inhalation with other S Permit Holder
mandatory PPEs • Ensure Proper Housekeeping
Ensure Inspection before each use S Permit Holder
Ensure Color coding on tools after inspection S Permit Holder
S Permit Holder
Ensure Proper PPEs suitable with the task
Ensure proper houskeeping S Permit Holder
if necessary.
Take proper rest break S Permit Holder
- Mixing of Supplied Mixing of Supplied material for pouring 1:2:4 up to 4” Ensure Proper Mixing of Material for pouring with mixture S Permit Holder
material for pouring 1:2:4 machine • Make sure the ratio of mixing is 1:2:4 for pouring upto
up to 4” 4” floor • Ensure Proper PPEs suitable with the task • Ensure
Nitrile gloves for mixing or handling cement and proper dust
mask to avoid inhalation of dry cement dust
Ensure proper houskeeping S Permit Holder
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RA/JHA P289-00-6723344
if necessary.
Take proper rest break. S Permit Holder
- Flooring (4” Pouring of Flooring After mixing material according to the ratio 1:2:4 start pouring • S Permit Holder
1:2:4 Ratio) and also Ensure Pouring done by mason only • Ensure proper pouring of
rising the height of 4 4” • During pouring the also rise the height of 4 manhole covers
manhole covers as per as per new floor level • Ensure Housekeeping
new floor level
Chemical Handling ( Cement ) • Ensure nitrlle gloves for chemical handling and proper Dust S Permit Holder
mask to avoid inhalation of dust • Ensure Housekeeping
if necessary.
Housekeeping should be done after completion of work. S Permit Holder
Curing of New Floor with [.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
water Risk Assessment discuss and agree the methods of
if necessary.
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RA/JHA P289-00-6723344
- Mobilization & Mobilization & Placement of New manhole covers manually by • Mobilize equipment and hand tools and material to site S Permit Holder
Placement of New manpower using wheel barrow manually on wheel barrow by manpower • Trained and
manhole covers manually competent resources must be deployed • Verify sizes before
by manpower using mobilization to site and the mobilize to site
wheel barrow
if necessary.
- Housekeeping [.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
if necessary.
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P289-00-6723327 03/15/2024 10:20 Page 14 of 53
The ENV International, Pakistan
Plot Survey# 22, Deh Landhi, Bin Qasim
National Hwy Karachi 75030- Pakistan
P: 021-34512244 | C: 0300-0062244
E: info@env.com.pk | W: http://www.env.com.pk
EXAMINATION REPORT OF DEMOLITION HAMMER (Large Hiliti)

Supplier/Owner: Naseem & Son.
Place of Inspection: Karachi, Pakistan
Standard Reference: OSHA
Job Ref. No.: ENV/NS/HSE/INS-0374/23
Report No.: ENV/DH/455-001 (Rev-00)
Tag No.: ENV/NS/DH/001/23
Date of Examination: 08-Dec-2023
SCOPE OF WORK: VISUAL & OPERATIONAL EXAMINATION
Sr. Remarks
Type of Equipment Manufacturer Model TAG No.
No.
Demolition Hammer PRESCOTT PT0506502 ENV/NS/DH/001/23 Satisfactory
01
Findings / Remarks:
Subject Demolition Hammer is approved for operations after visual inspection and operational Check, against provided
Specification by Client/Supplier.
Recommendation:
1) Make sure bit/blade/Disc in use suitable for the type(s) of material that is being cut.
2) Make Sure bit/blade/Disc in use rated at the same (or greater) speed as the rpm rating.
3) Bit/Blade/Disc occasionally inspected to make certain it has not loosened, and retightened when necessary.
Conclusion:
It is found in Satisfactory Condition at the time of inspection for intended use only.
VALIDITY OF THIS CERTIFICATE 01 YEAR, FROM DATE OF INSPECTION 08th Dec, 2023 to 07th Dec, 2024
This Certificate does not make any warranty/indemnity expressed or implied, relating to the above equipment. This Certificate
does not relieve seller/suppliers from their contractual responsibilities with regard to quality/quantity of this delivery nor does it
discrimination the buyer’s right of claim towards their seller/suppliers for compensation for any apparent and/or hidden defects
not detected during our inspection & testing or occurring thereafter.
INSPECTED BY REVIEWED BY
Wahaj Khan (Senior Inspection Engineer) Muhammad Sadiq (Operation Manager)
P289-00-6723327 Page
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10:20 Page 15 of 53
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Document Reference LEEA-030.2c1
Certificate Of Thorough Examination

This certificate meets the Standard Technical Safety Requirements
Company Name & Address: Th The ENV International, Pakistan Phone: 021-34512244
Plot Survey # 22, Deh Landhi Bin Qasim,
National Hwy, Karachi – 75030 - Pakistan
Job No: ENV/NS/HSE/INS/R1-0545/23 Date of Report: 02-Dec-2023 Colour code (if required): N/A
Name & Address of the employer for whom the Address of the premises at which the Report No: Status:
examination was made: examination was made: ENV/EDB/1422-003 (Rev-01) ND – No Defect:
NASEEM & SON Karachi DR – See Defect Report
NF – Not Found
Date of Next Reason for
Identification Number / Date of this Thorough Status Safe to Use
Description Thorough Examination Details of any test
Code Examination (See above) Yes or No
Examination (See Below)
Thorough Visual
ENV / NS / EDB / 001/ 23 Electric Distribution Box 63-A 01-Dec-2023 30-Nov-2024 C ND Yes
ELCB + Emergency Push Button Examination
Electric Distribution Box 63-A Thorough Visual

ENV / NS / EDB / 002/ 23 01-Dec-2023 30-Nov-2024 C ND Yes


Reason for Examination Installation: A Six (6) Monthly: B Twelve (12) Monthly: C Written Scheme: D Exceptional Circumstance: E
Name & qualifications of the person making this report: Name of the person authenticating this report:
Wahaj Khan Muhammad Sadiq
Senior Inspection Engineer Operation Manager
Signature: Signature:
********************END OF REPORT*******************
Page 1 of 1
This Report does not make any warranty, expressed or implied, concerning the above equipment. This Report does not relieve seller/suppliers from their contractual responsibilities with regard to quality/quantity of this
P289-00-6723327 03/15/2024
delivery nor does it prejudice the buyer’s right of claim towards their 10:20 for compensation for any apparent and/or
seller/suppliers Page 20 defects
hidden of 53 not detected during our inspection or occurring thereafter
Naseem & son
Emergency Response Plan
Naseem & Son
(ERP)
Naseem & Son
Emergency Response Plan

Scope:
Emergency during
confined space (CS)
Work at Height Rescue
Plan (WAH)
Emergency of fire at
workplace
Injured Person at Site
Plan for Spillage
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Naseem & son
Emergency Response / Rescue Plan for
Confined space
After make ensuring that following controls are put in place then confined space entry allowed.
● Review the rescue protocol outlined in the space specific hazard assessment.
● Inspect and set-up all needed rescue equipment. Stage all rescue technicians’ equipment at the point
ofentry.
● Our workers will enter inside tank safely when make sure all necessary reasonable control measure
is put in place.
● Stand by man (SBM)/ Hole watcher monitor the activity by verbally or visually.
Method of Rescue
The Supervisor will be responsible for coordinating any emergency response.
The N&S emergency response plan for this Tank is below.
If any worker Injured/Unconscious inside the tank, then following action should be taken
● Make verbal contact with the employee to help them stay calm.
● SBM (stand by man) stop the work and inform to the rescuers rescue the victim person.
● All rescue equipment (such as breathing apparatus) is present at nearest to entrance point to
recovering the victim person.
● Workers perform duty inside the tank free of safety belt and lifeline.
● When a victim person injured/unconscious inside the tank then rescuer’s wearing their BA set
and rescue him by either pushing/lifting to the entrance point and the other two rescuers recover
him from manhole.
● After rescue the victim person shifted to suitable fresh air environment by stretche.
● Inform to the emergency response team of SHELL all about the accident and submit one copy of
accident investigation report to management with on seven days.
● Work will continue after the situation becomes normal.
Confined Space Rescuer Team
● Qamar Shah (SCBA Operator)

● Ghulam Nabi (Rescuer)
● Syed Akber (Rescuer)
● Worker (Stretcher operator)
● Worker (Stretcher operator)
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Naseem & son
1.0. Confined Space Location
Shell SKP .
2.0. Personnel Involved

The activity will be performed in the presence of 1 supervisor, 1 tank entrants and 1
stand by personal.
3.0. Trained Personnel

All Personnel are trained in confined space working and confined space rescue should
be trained.
4.0. Rescue Equipment

Stretcher, SCBA, First Aid Kit and a DCP Fire Extinguisher. Rescue equipment
will be set up at the work location before tank entry and will remain in position for the
duration of the work. All equipment will be visually inspected and confirmed as in
good working order prior to work beginning. Any changes necessary to adapt to
conditions on the day of the work will be risk assessed and agreed prior to the work
beginning.
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Naseem & son
Emergency Response/ Rescue Plan for Working at Height
Procedure for rescuing a suspended worker:
• All work will be immediately stopped

• Make verbal contact with the employee to help him stay calm
• The rescuers will start the rescue operation while the on-duty supervisor will inform the
Emergency Response Coordinators and the First Aid Team
• 2 rescuers wearing safety harness will climb up to the platform with stretcher
• They will attach the stretcher with one end of the lifeline
• The rescuers on the scaffold will then release the D-ring of victim’s harness to free him
from the lanyard
• The 2 on-ground rescuers will confirm that they have full control of the lifeline and that
the lifeline successfully supporting the victim
• The rescuers will ease the victim into the stretcher
• The on-ground rescuers will gradually lower the victim to the ground level
• The victim will be sat on the ground for 15 minutes with his legs stretched to avoid any
impacts from fall trauma
• The first aid team will provide first aid to the victim and if needed, the victim may be
transported toa nearby hospital
• Before shifting victim to hospital inform to terminal in charge
• The supervisor will consult the ERP before resuming any activity
Rescue Team:
• First Aider Syed Akber

• Ground Rescuer Ghulam Nabi, Qamar Shah
• Stretcher Operator Workers
Rescue Equipment:
• Lifeline
• Stretcher
• 2 sets of safety harness
• First aid kit
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Naseem & son
Fire / Evacuation Emergency Procedure
Lay down Area / Temporary site facilities
IN CASE OF EMERGENCY CONTROLLED EVACUATION
1. Leave the area and close doors In Non-fire situations threatening safety, such as
2. Activate wall mounted fire alarm building services interruption or hazardous
material spill, building are evacuated under
3. Fire watcher will extinguish fire or another person if
he can do direction of fire warden and emergency response
team. The fire alarm should not be used toFIRE and
4. Report any information about fire to Shell
Safety Department evacuates a building without approval.
IF YOU ARE ON FIRE (Hot Work) IF UNABLE TO EVACUATE

STOP where you are, DROP to floor or ground Call Emergency Number and ROLL
your body to smother the fire. Shell Emergency Number and N&S ERP fire watcher
will contain the fire Administration for emergency.
on spot by using fire extinguisher.
WHEN FIRE ALRM SOUNDS
1. calmly evacuate the building / container and Proceed to Assembly Point

3. Use an alternate route, if you encounter smoke or fire.
4. Follow instruction of emergency response services and fire wardens.
5. Report anyone suspected remaining in the facility.
6. Reach to the assembly point leaving clear access for emergency services
7. Do not re-enter until authorized by fire / HSSE Department
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Naseem & son
Alternative Incident
Commander
Incident Commander
M Ramzan
A.Basit
Worker to move
stretcher attank
Rescuer entrance coordinator)
Syed Akber/Gulam Qamar

Nabi A.basit
Stretcher
Workers
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Naseem & son
Emergency Contact Numbers
Sr. No Details Contact No.
1 Project Manager 0300-2149743
2 Incident Commander 0300-6006886
3 Alternative Incident Commander 03343286748
4 Ambulance 115/0726-513867
5 Civil Hospital Shikarpur 0726–920028
6 Rural Health Center Khanpur 0726-571010
7 Blood Bank Sukkur 071-561592
8 Hira Hospital Sukkur 071-561455
9 Fire Brigade 16
10 Police 15
11 Dr. Latif Dino 0302-3356417
12 Rescue 1122
13 Civil Hospital Khanpur 0311-8120585
14 Fire 072-6920248
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Naseem & son
ERP for Injured Person
If a worker injured at work site in depot
(1) Immediately stop the work.

Keep the victim as calm and comfortable as possible.
Do not move a seriously injured person unless there is a life-threatening situation.
(2) Our rescue team (stretcher man) rescues the victim and moves him to a safe area where first aider will
examine the victim and give him first aid.
It is important that severe bleeding be attended too quickly. Rapid loss of blood may lead to shock and loss of
consciousness; therefore, the first aider must know how to stop the flow of blood immediately.
If victim is bleeding severely from an accident, it is important that ERT to quickly assess the situation and act
accordingly.
If it is immediately apparent that professional help is needed, assign a co-worker calling for help.
(3) If the victim feeling not better, then move him to nearest hospital for further treatment.
P289-00-6723327 03/15/2024 10:20 Page 28 of 53

Naseem & son
ERP for Spill
1. Isolate the spill area and alert others in the area.
2. Restrict access
3. Alert people in area
4. Wear protective equipment (Nitrile Gloves, Cartridge Respirator & Safety Glasses).
4. Remove flammable, equipment ignition sources (burners, motors, anything that could cause a spark)
5. Usage of spill kit for cleanup of oil spillage
6. Do not spread rapidly
7. Do not endanger people or the environment by direct contact.
8. Product Can be managed safely by Manual Handling
training of people
9. Maintain a call list of individuals who should be notified in an emergency.
Incident Investigation and Reporting

A comprehensive Incident Investigation Report needs to be prepared, to evaluate the actual emergency
response and the effectiveness of the emergency response actions.
The Safety Officer is responsible to prepare all the Investigation reports and compiling all logs recorded.
P289-00-6723327 03/15/2024 10:20 Page 29 of 53

Plot Survey # 22, Deh Landhi Bin Qasim,
National Hwy Karachi, 75030- Pakistan
P: 021-34512244 | C: 0300-0062244
E: info@env.com.pk | W: http://www.env.com.pk
EXAMINATION REPORT OF MIXTURE MACHINE

Supplier/Owner: Naseem & Son.
Place of Inspection: Karachi, Pakistan
Standard Reference: OSHA
Report No.: ENV/MM/001 (Rev-00)
Tag No.: ENV/MM/NS/EX/001
Date of Examination: 12-Mar-2024
SCOPE OF WORK: VISUAL & OPERATIONAL EXAMINATION
Sr. Type of Remarks

Manufacturer Serial No Model TAG No.
No. Equipment
Brook
Mixture Machine A344097 IFC 34-1 ENV/MM/NS/EX/001 Satisfactory
01 Crompton
Findings / Remarks:
Subject Mixture Machine is approved for operations after visual inspection and operational Check, against provided Specification
by Client/Supplier.
Recommendation:
1) Ensure all safety instructions are clearly understood and that the operators are familiar with the mixture machine controls.
2) Keep body parts and clothing away from all moving parts.
3) Never exceed the maximum load specified for the mixture machine.
4) Always wear approved, appropriate Personal Protective Equipment (PPE)
5) Always ensure clear communication between the machine operator and other personnel involved with the task.
Conclusion:
It is found in Satisfactory Condition at the time of inspection for intended use only.
VALIDITY OF THIS CERTIFICATE 01 YEAR, FROM DATE OF INSPECTION 12th March, 2024 to 11th March, 2025
This Certificate does not make any warranty/indemnity expressed or implied, relating to the above equipment. This Certificate
does not relieve seller/suppliers from their contractual responsibilities with regard to quality/quantity of this delivery nor does it
discrimination the buyer’s right of claim towards their seller/suppliers for compensation for any apparent and/or hidden defects
not detected during our inspection & testing or occurring thereafter.
INSPECTED BY REVIEWED BY
Wahaj Khan (Senior Inspection Engineer) Muhammad Sadiq (Operation Manager)
P289-00-6723327 Page
03/15/2024 1 of 1
10:20 Page 30 of 53
FIRST AID TRAINING
Date: 01th Dec, 2022

Ref No: ENV/N&S/FAT/HSE/010/22 CERTIFICATE OF TRAINING
This Certificate is awarded to
Mr. Syed AKBAR

Of
NASEEM & SON
Certificate No: ENV-N&S-010-22
For completing the course
From
At SHELL LOBP KEMARI
Karachi - Pakistan
REMARKS: This certificate is issued after theoretical and practical evaluation of the individual. Where refresher session
Head of Inspection, Training &
is recommended after 01 year.
Certification
P289-00-6723327 03/15/2024 10:20 Page 31 of 53

Corresponding Permit to Work No.
Risk Assessment P289-00-6723327
G
Risk Assessment: Rev:
Demolishing and construction new flooring for Pump house
Date of Assessment:
Assessor(s): M.Ramzan , Mushtaq Hussain, Anwar Mughal, Abdul Basit 05.03.2024
Responsible Manager: Anwar Mughal Signature Date: 5.03.2024
Description of activity:
1- Joint Site Visit, Preparation, Mobilization of manpower to site
3- Shifting of material & tools to work site manually by labor and using of hand lifters and wheelbarrows.
4- The area will be barricaded, Safety Sign Boards will be displayed, A fire watch & 2-fire extinguishers must be on-site during work.
5- First, inform to gantry supervisor about daily working activity in Pump House and Take permission to Start work. & Work will be scheduled according to the
window provided by
Filling Gantry Operation Team in the allocated
8- Disposal of Debris (Debris will be mobilized on wheelbarrow by manpower manually to designated place
10- Flooring (4” Pouring of 1:2:4 Ratio) and also rising the height of 4 manhole covers as per new floor level
12- Mobilization & Placement of New manhole covers manually by manpower using wheel barrow
Description of equipment:
Wheelbarrow, Measuring tape, Trowel, Spade, Sprit Level, Wooden Float, Mixer Machine, Jack Hammer, Chisel, Hammer, Water Drum, Water cooler,
First Aid Box, Fire extinguisher and other general hand tools
Form G – Risk Assessment Distribution Permit to Work System Reviewed by: Mushtaq Hussain
Document Prepared by:M Ramzan Custodian: Approved by: Page Number
P289-00-6723327 03/15/2024 10:20 Page 32 of 53

Overall Assessment of Risk (using Shell Risk Assessment Matrix): High Medium Low
Action needed: (inc responsible party and close out target)
Comment (if any):
P289-00-6723327 03/15/2024 10:20 Page 33 of 53

Hazard Analysis Worksheet (For Assessment ref :)
Those Recommendatio
Hazards & Risks Those at Controls in place Ris
Responsibl n
Risk k
e
General Hazards
• Site induction is mandatory for assigned

personnel prior tomobilized at site
• Medically fitness certificate, Police
verification, valid CNIC &3Strike card
holding persons will be allowed. Manpower list
PersonIn with shellprior to
Untrained/ Unfamiliar People • It will be ensured only trained staff will
Manpower Assets 2B charge mobilization
be allowed for their relevant job and
Mobilization name of all workers will be mentioned on
relevant PTW.
• All workers must have their IOGP-CSSS card.
• All workers must follow dedicated
route for pedestrianmovement.
• All staff will be communicated to
restrict their presence torelevant area
carrying PTW.
• Ensure all equipment’s is third party certified.
• Appropriate securing of equipment & tools will
be ensured. LOF trainingwill
Personne
lInjury / • Safe work Distance between the work force PersonIn be provided to the
and equipment to be maintained. E.g., from 2B charge staff.
Equipment & Tool Property
Damages movement radius of heavy equipment at least
Mobilization 10 feet of distance should be maintained.
• Pre-inspected and colour coded tools shall
be mobilized for theactivity.
P289-00-6723327 03/15/2024 10:20 Page 34 of 53

TASK 1: Joint Site Visit, Preparation, Mobilization of manpower to site
Personne • Take proper position during the manual
handling to avoid anyback strain. PersonIn Trainings on
linjury /
• 20kg allowed to carry one person if exceed 2B charge manual handling
damage
Improper manual handling property take mechanical aidif required.
Person / • Make sure use of walkways 2B

Traffic Interface • Ensure High visible vest Person Training given to
asset
• Ensure 6ft distance from lifters Incharge workers
• Stop if lorries or some other vehicle is
coming and give way
Mobilization hand made Person / • Never bring handmade tools to site 2B
tools and uncertified tools • Never use hand made tools and equipment Person Inspection and
asset
• Ensure proper color code on tools and Incharge color coding
equipment should be done
• Ensure Red tag on damaged and other
tools not for use
P289-00-6723327 03/15/2024 10:20 Page 35 of 53

Presence of flammable Gas • AGT/ Permit issuer shall perform Gas testing prior to starting of Certified Gas
Fire &
& the activity andWork performer shall maintain log sheet. AGT/ testing
Gas testing by unauthorized person Explosion /
3C shell equipment
Asset
person shall be
Damage ensured.
• Ensure area is soft barricaded to prevent unauthorized entry. Person Training on
Personnel
Line of Fire Injury/Asset • TBT would be given to all workers regarding LOF. 2B
In LoF would
charge be
Damage performed.
• Mandatory PPEs such as Helmet, Safety Shoes, goggles, ear
Plug/ muff, DUST MASK (3C/5C) gloves for lifting purpose and Inspection of
Improper use of PPEs High Visible Jacket/Full body coverall will be mandatory. Person
Personnel PPEs should
2B In
injury • All workers will be trained on usage and preservation of PPEs. be
charge
• Inspection of PPEs will be done daily. performed
• No one will be allowed with damaged / substandard PPEs. on daily
basis
Personnel • work area must be cordoned-off with soft barricade and entry of 3C Person Site
Unauthorized Entry. Injury / unauthorized person will be restricted in that area. In Supervisor
Property • Sign boards must be available at site. charge
Damages
• Standardized tools will be used on job site. Inspection of
Personnel
• All tools will be inspected by competent person. Person tools will be
injury
Uninspected Tools, Sparking tools
property • Color coded tools will be used on job site non-striking tools 2B In done before
shall be used such as Brass Hammer. charge mobilization
damage
• Tools and equipment’s Check list required for daily inspection
TASK 2: Ensure Intimal Gas Testing by Permit Issuer before starting work
Improper starting of work / presence • AGT shall perform Gas testing prior to starting of the activity and 3C Ensure Gas
of hazardous gases / lack of oxygen Personnel Workperformer (permit holder) shall maintain log sheet of gas AGT/ testing before
Injury / testing Shell starting of work
Property • Ensure Gas tester is calibrated and calibration certificate is person
attached with the permit
• Unauthorized person is not allowed before the gas test sign boards
is Placed
P289-00-6723327 03/15/2024 10:20 Page 36 of 53

TASK: 3-
Shifting of material & tools to work site manually by labor and using of hand lifters and wheelbarrows.
Improper handling of Personnel injury / • Make proper body posture during the manual handling to avoid 2B Person In Training on
Material damage property any back strain. charge manual
• 20kg allowed to carry one person if exceed take mechanical aid handling
(if required)
• Material exceeds in length from 3m than 2 workers will be
engaged.
• Manual Handling technique to be followed (L.I.T.E)
• Ensure proper hand protection to avoid pinch points.
• Damage tool will not be allowed.
PersonnelInjury / • No dusty and rusty tools shall be used at site. 2B PersonIn Ensure Proper
Pinch Point Property Damages • There must a close coordination with the team during dismantling charge PPEs
activity.
• Manual lifting techniques will be followed LITE (Load, Individual,
Task and Environment)
• Only competent person shall execute the job.
• PCC Concrete panels shall be broken down into smaller pieces for
easier manual handling.
• Use of Cut level 3 Gloves for hammering and manual handling
activity.
Line of Fire PersonnelInjury • Ensure area is hard barricaded to prevent unauthorized entry. 3C PersonIn Ensure Area
/ Property • Avoid coming in contact in line of fire during hammering activity. charge is Barricaded
Damages • TBT would be given to all workers regarding LOF.
• Safe distance to be maintained during dismantling of
foundationpanels
• In case of underground facilities discovery, inform immediate
Supervisor and operations department.
• Soft barrication tape roll on wires to secure Slip trip by the
electrical connections of machines.
P289-00-6723327 03/15/2024 10:20 Page 37 of 53

Fatigue Personnel • Ensure Proper rest breaks 2B Person In- Ensure
• Ensure Team will report to permit issuer if they are suffering from charge Proper
fatigue Supervisio
• Ensure Take water during working n
• Ensure Availability of drinking water on site
TASK: 4-
- The area will be barricaded, Safety Sign Boards will be displayed, A fire watch & 2-fire extinguishers must be on-site during work.
Unauthorized entry in PersonnelInjury / • Ensure Proper Area barrication before starting work 2B Person Ensure area
working area Property Damages • Ensure Proper Supervision Incharge barrication
• work area must be cordoned-off with soft barricade and
entry ofunauthorized person will be restricted in that area.
Lack of Awareness PersonnelInjury / • Ensure Safety sign boards is displayed 2B Person Ensure
Property Damages • Ensure Tool box talk done on daily basis about work related Incharge Safety sign
hazard and controls board
• Ensure Proper housekeeping and lighting according to
• Restrict activity to day light only work related
hazards and
controls
Preparation for work PersonnelInjury / • Ensure Gas Testing before starting work by PI 2B Person Ensure
activity Property Damages • A fire watch & 2-fire extinguishers must be on-site during Incharge Proper
work Housekeepin
• Ensure Area is barricaded g
• Ensure Fire extinguisher inspecting on daily basis
TASK: 5-
First, inform to gantry supervisor about daily working activity in Pump House and Take permission to Start work. & Work will be scheduled according to
the window provided by Filling Gantry Operation Team in the allocated
P289-00-6723327 03/15/2024 10:20 Page 38 of 53

Conflicting activities PersonnelInjury / • Ensure Proper Area barrication before starting work 2B Person Ensure area
Property Damages • Ensure gas testing Incharge barrication
• Ensure PTW
• Ensure No other work is carried out in the area on same time
Bad Communication Personnel Injury/ • First, inform to gantry supervisor about daily working activity 3C Person Ensure PTW
Property Damages in Pump House and Take permission to Start work. & Work Incharge
will be scheduled according to the window provided by Filling
Gantry Operation Team in the allocated
• Ensure proper communication with operation team
TASK: 6-
Take electric Connection for using Hilti machine.
Electric Shock Personnel Injury / • Ensure electric connection done by authorized person only 3C Person Ensure
Property Damages • Never make loose connections Incharge proper
• Ensure all cables is double insulated Supervision
• Ensure inspection for any cut or lose connection before use
• Ensure Electrical panel board is third party certified and
certificate is attached with the permit
• Make sure ELCB is installed in the Electrical DB
Slip & trip Personnel Injury / • Ensure proper Housekeeping 2B Person Ensure
Property Damages • Ensure cables is not in walkways Incharge proper
• Restrict work to day light only Supervision
Fatigue Personnel Injury • Ensure Proper Rest Breaks 2B Person Ensure
• Ensure reporting to permit issuer if team is suffering from Incharge proper
fatigue Supervision
TASK: 7-
Start Dismantling of floor with the help of Hilti machine or manually
Dismantling of floor Personal injury and • Start dismantling the damaged floor from a side to the other 2B Person Ensure
property damage end with the help of Hilti (Jack Hammer) Manually by man- Incharge proper
power Supervision
• Ensure Proper PPEs suitable with the task
• Ensure competent person is performing the task
P289-00-6723327 03/15/2024 10:20 Page 39 of 53

Use of Hilti Jack Hammer Personal injury and • Ensure Preuse check or inspection before use 3C Person Ensure
property damage • Ensure Jack Hammer is third party certified Incharge proper
• Ensure Housekeeping Supervision
• Ensure Oil level in jack hammer and maintained ‘
• Ensure inspection to check cracks in body of jack hammer
• Ensure third party certificate is attached with the permit
Fire Personal injury and • Ensure Fire watcher on site 3C Person Ensure
property damage • Ensue 2 fire extinguisher on site Incharge proper
• Ensure No flammable item in area or cover it with fire banket Supervision
• Ensure Housekeeping
Hazardous weather Personal injury and • Stop work when the weather limits exceeds like rain or 2B Person Ensure
property damage lightening, wind Incharge proper
Supervision
Dust Personal injury and • Ensure Proper dust mask while working 2B Person Ensure
property damage • Ensure safety goggles and facesheet while using hilti machine Incharge proper
Supervision
Noice Personal injury and • Ensure ear plugs while using hilti machine 2B Person Ensure
property damage Incharge proper
Supervision
Vibration Person • Ensure proper PPEs suitable with the task 2B Person Ensure
• Ensure impact resistant gloves Incharge proper
Supervision
Pinch Point PersonnelInjury / • No Dusty/rusty/fabricated tools shall be used. 2B PersonIn Ensure
Property Damages • There must be close coordination among working team. charge Proper
• Manual lifting techniques will be followed LITE (Load, Supervision
Individual,Task and Environment)
Improper Hand Tools PersonnelInjury / • All hand Tools pre-inspected & Colour coded. 3C Personin Ensure
Property Damages • Appropriate securing of equipment & tools will be ensured charge Proper
• Use correct posture/ way and the techniques. Supervision
P289-00-6723327 03/15/2024 10:20 Page 40 of 53

Task No 8-
Disposal of Debris (Debris will be mobilized on wheelbarrow by manpower manually to designated place
Slip & trip Personnel Injury / • Ensure proper Housekeeping 2B Person Incharge Ensure proper
Property • Ensure cables is not in walkways Supervision
Damages • Restrict work to day light only
Fatigue Personnel Injury • Ensure Proper Rest Breaks 2B Person Incharge Ensure proper
• Ensure reporting to permit issuer if team is suffering Supervision
from fatigue
Unauthorized entry in PersonnelInjury / • Ensure Proper Area barrication before starting work 2B Person Incharge Ensure area barrication
working area Property • Ensure Proper Supervision
Damages • work area must be cordoned-off with soft barricade
and entry ofunauthorized person will be restricted in
that area.
Improper Disposal of Person / Asset Disposal of Debris (Debris will be mobilized on 2B Person Incharge Ensure proper Disposal
Debris wheelbarrow by manpower manually to of debris
designated place
• Debris will be loaded with spade into the wheel

barrow by manpower manually
• Wheel barrow will be loaded till a safe level of
edges of wheel barrow so the debris don’t fall on
ground during mobilization
• Avoid overloading of wheelbarrow
• Mobilize the debris to its designated place for
disposal using wheel barrow by man-power
• Ensure Proper Dust Mask to prevent dust inhalation
with other mandatory PPEs
• Ensure Proper Housekeeping
Improper mixing of Person / asset 2B Person Incharge Ensure Proper
Supplied material for • Ensure Proper Mixing of Material for pouring with Supervision
pouring mixture machine
• Make sure the ratio of mixing is 1:2:4 for pouring
upto 4” floor
P289-00-6723327 03/15/2024 10:20 Page 41 of 53

• Ensure Nitrile gloves for mixing or handling cement
and proper dust mask to avoid inhalation of dry
cement dust
Mobilization and Person / asset Mobilization & Placement of New manhole covers 2B Person Incharge Ensure Proper
placement of manhole manually by manpower using wheel barrow Supervision
cover
• Mobilize equipment and hand tools and material to
site manually on wheel barrow by manpower
• Trained and competent resources must be deployed
• Verify sizes before mobilization to site and the
mobilize to site
Ensure Proper Placement of Manhole covers manually by
manpower
Dust Personal Injury • Ensure proper Dust mask to avoid inhilation of 2B Person Incharge Ensure Proper
cement dust Supervision
• Ensure Proper housekeeping
Pinch Point PersonnelInjury / • No Dusty/rusty/fabricated tools shall be used. 2B PersonIn charge Ensure Proper
Property • There must be close coordination among working Supervision
Damages team.
• Manual lifting techniques will be followed LITE
(Load, Individual,Task and Environment)
Improper Hand Tools PersonnelInjury / • All hand Tools pre-inspected & Colour coded. 3C Personin charge Ensure Proper
Property • Appropriate securing of equipment & tools will Supervision
Damages be ensured
• Use correct posture/ way and the techniques.
P289-00-6723327 03/15/2024 10:20 Page 42 of 53

Task : Proper Housekeeping and waste management:
Personnel • Proper housekeeping to be maintained and area to be cleared. 2B Person Maintain

injury • Appropriate PPEs must be used. In good
Slip, Trip and Fall Property • Area should be barricaded after completion of Job. charge housekeep
damage • Maintain 5S (1) Sort=Keep only necessary items in workplace. (2) ing.
Stabilize= arrange items to promote efficient workplace. (3) Shine=
Keep the workplace & equipment neat and clean. (4) Standardize= Follow
Create Standards for all consistently organized workplace and IOGP and
monitor. (5) Sustain= Maintain established standards and CSSS
procedures. Standards
practises
Sharp Objects Personnel • Wear cut level 3 gloves during housekeeping activity. 1B Person Maintain
Injury In good
charge housekeep
ing.
Follow
IOGP and
CSSS
Standards
practises
P289-00-6723327 03/15/2024 10:20 Page 43 of 53

Non exhaustive list of hazard categories
1. Electricity 10. High Pressure 19. Extremes of temperature 28. Other (specify)
2. Noise 11. Explosion 20. Confined spaces
3. Lasers 12. Fire 21. Working environment
4. Radiation 13. Gas vapour release 22. Manual Handling
5. Vacuum 14. Toxic chemicals 23. Gravity (height or above excavations)
6. Legionella 15. Flammable substances 24. Moving vehicles
7. Wiels disease 16. Hazards to eyes 25. Cleaning devices
8. Other Biological (specify) 17. Hand tools 26. Slips, Trips & Falls
9.Psychological hazards 18. Dangerous machinery 27. Environmental impact
When conducting a risk assessment:
• The assessment should be carried out in good time prior to the relevant decision being made
• When a specific assessment is needed then such an assessment, rather than a generic assessment should be made
• The risk from each activity should be considered
• A team of people or employees with practical knowledge of the process/activity being assessed should be used as appropriate
• Consultants should be used where necessary
• All the hazards associated with a particular activity should be considered
• Hazards and risk controls should be linked
• The results of the assessment should be properly used.
P289-00-6723327 03/15/2024 10:20 Page 44 of 53

P289-00-6723327 03/15/2024 10:20 Page 45 of 53

CLIENT: SHELL PAKISTAN LIMITED
Naseem & Son
CONTRACTOR: Naseem and Son
PROJECT TITLE:
Demolishing and construction new flooring for Pump house.
METHOD STATEMENT:
Sign
Ramzan
0 05/03/2024
ISSUED FOR M. Ramzan
APPROVAL
& Anwar
First submission
Rev Revision Description Prepared by Reviewed by Approved by
Date
Document reference number: P289-00-6723327
Form F – Method of Statement Distribution Permit to Work

Procedure System Version 3.0 March 2024 Page No-
P289-00-6723327 03/15/2024 10:20 Page 46 of 53

REVISION LOG
Rev. Rev. Date Revised Revision Descriptions Remarks
No. page(s)

P289-00-6723327 03/15/2024 10:20 Page 47 of 53

Corresponding Permit to Work No. P289-00-
Method Statement
F 6723327
Project: Date: 05-03-2024

Company: Demolishing and construction new flooring for
Naseem & Son Pump house.
1. Description of works
What the work entails?

How is it going to be completed? Summaries the operation:
1- Joint Site Visit, Preparation, Mobilization of manpower to site

3- Shifting of material & tools to work site manually by labor and using of hand lifters and wheelbarrows.
4- The area will be barricaded, Safety Sign Boards will be displayed, A fire watch & 2-fire extinguishers
must be on-site during work.
5- First, inform to gantry supervisor about daily working activity in Pump House and Take permission to
Start work. & Work will be scheduled according to the window provided by Filling Gantry Operation Team
in the allocated
8- Disposal of Debris (Debris will be mobilized on wheelbarrow by manpower manually to designated place
9- Mixing of Supplied material for pouring 1:2:4 for pouring up to 4”
12- Mobilization & Placement of New manhole covers manually by manpower using wheel barrow
Where is the work going to be completed? (Summary – more details on section 5)

SKP Terminal of Shell Pakistan Ltd
Duration of the work? (Stating any times when access to the Terminal will not be required.)
30 working Days.
Are there any restrictions e.g. overhead power lines?

No
Are local permits required (Local regulations)

Yes
Any other details:

N/A

P289-00-6723327 03/15/2024 10:20 Page 48 of 53

2. Names of Responsible persons
Who is going to be working on the project?
• PH & Supervisor Mirza Anwar / Muhammad Ramzan
• HSSE Officer Abdul Basit
• Other Team List will be attached with Permit.
Who will be in charge?

Mirza Anwar & Muhammad Ramzan
Who has specific responsibilities? E.g., Plant, personnel, materials, etc.

Mirza Anwar & Muhammad Ramzan
Who is to make contact with local authorities?

SHELL
Any other details

N/A
3. Plant and Equipment

What plant equipment and tools are required to do the job?
• Wheelbarrow, Measuring tape, Trowel, Spade, Sprit Level, Wooden Float, Mixer Machine, Jack
Hammer, Chisel, Hammer, Water Drum, Water cooler, First Aid Box, Fire extinguisher and other
general hand tools
• Cherry pickers used (yes/No)?
No
• Scaffolding:
No
• Loading of materials:
Manually load by labor
• Others, specify
Fire Extinguisher, First Aid Box and Water Cooler
What certificates, if any, are required for plant or equipment?
• Jack Hammer (Hilti Machine)
• Mixture Machine
• Gas tester Calibration Certificate
• Electrical distribution bord DB
third party’ certificates is required
4. Communications with the workforce

How are the procedures, hazards to be communicated to the workforce?
Method statement & JSA will be communicated to all workers in daily toolbox talk by the Supervisor. The daily
hazards & procedure shall be communicated to the workers through:
• Daily Toolbox talks on daily basis as per PTW activities.
• Daily HITS
• Compliance of LSR 100%
• PPE’s Compliance 100%
• MS-JSA explained to all workers before start of job by supervisor.
• Through CSSS and Site induction.

P289-00-6723327 03/15/2024 10:20 Page 49 of 53

Toolbox talks, as per the relevant site activity and condition safety meetings etc.
Hand Safety, Material handling, fatigue management, Heat stroke awareness,

and job-related safety, Applicable LSR awareness, Line of fire, Fire Safety,
Chemical Handling
Include records of any such meetings and record attendance.
Attendance, HITS and record of TBT.
Safety Checks:
Safety walkabout to be performed with Shell Terminal Operations. (Yes/No) Yes

Safety walkabout to be performed with Vendor/Contractor Top Management? (Yes/No) Yes
Unsafe Act Audit/ Unsafe Condition Audit to be performed by Contractor in House? (Yes/No) Yes
Near-miss list recorded, shared, updated and reviewed. (Yes/No) Yes
Workers’ PPE sufficient? (Yes/No) Yes
Reminder to comply with Golden Rules, Comply, Intervene, Respect. Acknowledged? (Yes/No) Yes
Reminder to achieve Shell Goal Zero targets. Yes Acknowledged? (Yes/No) Yes
Reminder to comply with all the 09 Shell Life Saving Rules (LSR) always. Acknowledged? (Yes/No) Yes
Discuss PTW with Work force.
• Shell PTW prior to start any activity shall be received from SPL operation by designated permit
holder. Permit filled as per the approved MS-JSA. Daily renew and close by permit holder and
issuer. Shell PTW procedure shall follow.
• Permit issuers review the MS-JSA before issue of permit.
• Permit Holder to monitor all activities should be compliance as per permit and full time available at
site.
• Permit issuer to review the site activities and protocols as per the requirements.
• Ensure all the personnel are aware of work and permit requirements.
• Following documents should be attached with work permit.
• MS, JSA, Equipment Third party certificates, Manpower list etc.
PPE’s Requirement:
• All the workers shall comply shell mandatory PPE’s requirement.

• Mandatory PPEs for the subject job is Coverall, Safety Shoes, Helmet with chin strip, White safety
goggle,
• Job supervisor shall ensure the mandatory PPE’s available with staff on daily basis before start of
work.
• Job Supervisor / Engineer shall conduct the daily GCM & HITS with the work crew and records
will be handover to HSE Department.

P289-00-6723327 03/15/2024 10:20 Page 50 of 53

5.How will the work be completed, i.e. Procedure step by step
Steps: 1 Joint Site Visit, Preparation, Mobilization of manpower to site
• Before mobilization of equipment joint site visit shall be conduct by Shell and operation teams to identify,
eliminate, or control the hazards related to work for preparation of MS-JSA accordingly.
• Pre-Inspection of the equipment shall be conduct by HSE, inspection witness and approve byclient
teams.
• For equipment, valid third-party certificate should be available and must be attach with work permit.
• Access & Egress routes shall be cleared & marked and communicated to all work forces.
• Working area will be hard barricaded and prohibited for un-authorized persons.
• Material Storage area shall be prepared & barricaded at the designated place.
• Equipment stand by area shall be prepare and barricaded at the designated place.
Step 2: Ensure Intimal Gas Testing by Permit Issuer before starting work
• Ensure gas test by PI / AGT before Starting work
Step 3: Shifting of material & tools to work site manually by labor and using of hand lifters and
wheelbarrows.
• Visual inspection of tools and equipment must be performed prior to before entry inside the terminal.
• Mobilize equipment and hand tools and material to site manually on wheel barrow by manpower
• Ensure Equipment’s is third party certified and verified according to third party
• Hand made tools is not allowed
• Ensure Proper PPEs suitable with the task (high visible vest, hard hat, safety shoes, Safety goggles, and
gloves)
Step 4: The area will be barricaded, Safety Sign Boards will be displayed, A fire watch & 2-fire
extinguishers must be on-site during work.
• Ensure Area barrication to avoid unauthorized entry

• Display safety sign boards according to work & Hazards associated with work for awareness
• Ensure fire watcher on site with 2 fire extinguishers on site
Step 5: First, inform to gantry supervisor about daily working activity in Pump House and Take
permission to Start work & Work will be scheduled according to the window provided by Filling
Gantry Operation Team in the allocated.
• After taking permit then inform the gantry supervisor on site about daily working activity in pump house
and take permission to start work
• Complete all the necessary tools and equipment before start of work
• Schedule and plan work according to the window provided by Operation team
Step 6: Take Electric connection for hilti machine.
• Ensure electric connection done by authorized person only (Provided by shell)

• Never make loose connections of electricity
• Ensure all cables is double insulated
• Ensure inspection for cables for that there is no cut in the cable or lose connection before using it
• Ensure Electrical panel board is third party certified and certificate is attached with the permit
• Make sure ELCB is installed in the Electrical DB
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Step 7: Start Dismantling of floor with the help of Hilti machine or manually
• Start dismantling the damaged floor from a side to the other end with the help of Hilti (Jack Hammer)
Manually by man-power
• While using jack hammer ensure facesheet and ear plugs
• Ensure Inspection of hilti machine before use that there is no damage in it.
• Ensure Hilti machine is third party certified and certificate is attached with the permit
• Ensure competent person is performing the task
Step 8: Disposal of Debris (Debris will be mobilized on wheelbarrow by manpower manually to

designated place
• Debris will be loaded with spade into the wheel barrow by manpower manually
• Wheel barrow will be loaded till a safe level of edges of wheel barrow so the debris don’t fall on ground
during mobilization
• Avoid overloading of wheelbarrow
• Mobilize the debris to its designated place for disposal using wheel barrow by man-power
• Ensure Proper Dust Mask to prevent dust inhalation with other mandatory PPEs
• Ensure Proper Housekeeping
Step 9: Mixing of Supplied material for pouring 1:2:4 up to 4”
• Ensure Proper Mixing of Material for pouring with mixture machine

• Make sure the ratio of mixing is 1:2:4 for pouring upto 4” floor
• Ensure Nitrile gloves for mixing or handling cement and proper dust mask to avoid inhalation of dry
cement dust
Step 10: Flooring (4” Pouring of 1:2:4 Ratio) and also rising the height of 4 manhole covers as
per new floor level
• After mixing material according to the ratio 1:2:4 start pouring

• Ensure Pouring done by mason only
• Ensure proper pouring of 4”
• During pouring the also rise the height of 4 manhole covers as per new floor level
• Ensure nitrlle gloves for chemical handling ( wet cement is chemical that may affect by direct contact
with skin) and proper Dust mask to avoid inhalation of dust
• Never use damaged tools
• Ensure Inspection of tools before each use
Step 11: Curing of New Floor with water
• Don’t let the floor dry

• Ensure proper curing of new floor with water
• Avoid slip and trip wear anti slip shoes and other mandatory PPEs
Step 12: Mobilization & Placement of New manhole covers manually by manpower using wheel
barrow
• Mobilize equipment and hand tools and material to site manually on wheel barrow by manpower
• Verify sizes before mobilization to site and the mobilize to site
P289-00-6723327 03/15/2024 10:20 Page 52 of 53

• Ensure Proper Placement of Manhole covers manually by manpower
Step 13: Proper Housekeeping and waste management
• Ensure housekeeping on completion of work

• After completion of the work, proper housekeeping of the area will be done and waste will be stored in
the designated waste bins/trolley and shifted to scrap yard and dumping yard.

P289-00-6723327 03/15/2024 10:20 Page 53 of 53

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Permit Number P289-00-6723327 State Waiting For Verification Lifetime Expires On

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Permit number : P289-00-6723327

State : Waiting for verification

Hot Work - Medium

Title Demolishing and construction new flooring for Pump house

Description of work: 1- Joint Site Visit, Preparation, Mobilization of manpower to site

Planned Start Date: 15 Mar 2024

Planned End Date: 29 Mar 2024

Site: DS T&S East Shikarpur

Area Authorization DS T&S East Shikarpur

Equipment description: Floor of Pump House

Hazardous Substance and Hazardous Area Dust

Work Performer: Naseem and Son

ICC Requirement None

Is Start Work Check required? Yes

Initial Gas test by Authorised Person:

Continuous gas monitoring required?

Influence of nearby activities:

Permit types from questionnaire Cold Work

P289-00-6723327 03/15/2024 10:20 Page 1 of 53

P289-00-6723327 03/15/2024 10:20 Page 2 of 53

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

Hazards Controls / Recovery Measures

Bypassing Safety Confined Space Driving

Obtain authorization Obtain authorization before Follow safe driving rules

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Role Printed Name Date

P289-00-6723327 03/15/2024 10:20 Page 4 of 53

P289-00-6723327 03/15/2024 10:20 Page 5 of 53

Title: Demolishing and construction new flooring for Pump house

Task steps Hazards Control measures Action party

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Don't mobilize unnecessary tools and equipment's S Permit Holder

Ensure Wheelbarrow is loaded till its edges S Permit Holder

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Ensure houskeeping S Permit Holder

[.MO.05.02] The use of knives is prohibited S Permit Holder

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Ensure Inspection before each use S Permit Holder

Ensure Color coding on tools after inspection S Permit Holder

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P289-00-6723327 03/15/2024 10:20 Page 11 of 53

P289-00-6723327 03/15/2024 10:20 Page 12 of 53

EXAMINATION REPORT OF DEMOLITION HAMMER (Large Hiliti)

SCOPE OF WORK: VISUAL & OPERATIONAL EXAMINATION

Wahaj Khan (Senior Inspection Engineer) Muhammad Sadiq (Operation Manager)

Certificate Of Thorough Examination

Electric Distribution Box 63-A Thorough Visual

Electric Distribution Box 63-A Thorough Visual

Electric Distribution Box 63-A Thorough Visual

Emergency Response Plan

confined space (CS)

Work at Height Rescue

Injured Person at Site

Plan for Spillage

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● Work will continue after the situation becomes normal.

Confined Space Rescuer Team

● Qamar Shah (SCBA Operator)

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2.0. Personnel Involved

3.0. Trained Personnel

4.0. Rescue Equipment

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