ptw site instruction new.xlsx

8/11/2019 PTW site instruction New.xlsx

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2/17


3/17

LILAMA PERMIT TO WORK APPLICATION PTW No..

Application Authorized Applicant Phone:

1.1 - 1.3 * Person responsible for performance of the work (name, company) .....

To be completed by authorized

applicant

Type and scope of work:

Desired date: . Extension :

Date of expiry: .. Auth. Applicant:

Name in print / date / signature

Appointment of senior authorized

person

Fault note No.: System ( KKS ): Room (KKS):

Senior authorized person (name/date/signature):

...


1.4*

Isolations Component(s) to be isolated .. Isolation list attached: YES / NO

Definition of EHS measures and

isolation actions

Special measures/requirements:

1.5,1.6*

Attach relevant EHS form: Category I ** Category II ** Category III** Category IV** Category V** Cat

(Excavation) (Operational Area) (Hot Work) (Radiography) (Conf.Space)

Senior

Authorized person approval PTW LILAMA E.E

M & civil

I&C

ELEC.

Confir


Check of the EHS measures and

isolation actionsd EHS

measur

E.E Safety

Officer

-------------------

LLM's

EHS

--------------2.1*


Relese and implementation of Release by site / com mgr/shift supervisor: Mechanical systems: Action implemented Electrical systems:Action implemented (Persons authorized to perform isolation actions)

Isolatio

2.2 - 2.4* (Senior Authorized Person or resp. site / commissioning mgr) Name in print / date / signature

Work release LILAMA/Fichtner/ E.E site / commissioning mgr / shift supervi

3.1*


Perfomence of work and

notification of completion

PTW received: Work completed as specified:

3.2 - 4.1*

Authorized applicant: Name in print/date/time/signature Authorized applicant: Name in print/date/tim

Resetling and restoration of

operational readinessSenior authorized person ..

Release by LLM/E.E shift supervisor: Mechanical systems: Action implemented Electrical systems: Action implemented


Funtional tersts performed / operational readiness restored YES / NOComments:


4/17

LILAMA PERMIT TO WORK APPLICATION PTW No...

Application Authorized Applicant Phone:

1.1 - 1.3 * Person responsible for performance of the work (name, company) .....

To be completed by authorized

applicant

Type and scope of work:

Desired date: . Extension :

Date of expiry: .. Auth. Applicant:


Appointment of senior authorized

person

Fault note No.: System ( KKS ): Room (KKS):

Senior authorized person (name/date/signature):

...

1.4* Name in print / date / signature

Definition of EHS measures and

isolation actions

1.5,1.6*

Attach relevant EHS form: Category I ** Category II ** Category III** Category IV** Category V** C

M & civil

I&C

ELEC.


Check of the EHS measures and

isolation actions

2.1*


Perfomence of work and notification

of completion

3.2 - 4.1*

Authorized applicant: Name in print/date/time/signature Authorized applicant: Name in print/date/ti

Resetling and restoration of

operational readiness..

Release by LLM/E.E shift supervisor:

Mechanical systems: Action implemented Electrical systems: Action implemented


Funtional tersts performed / operational readiness restored YES / NO

Comments:

Senior authorized person: Name in print / date / signature

Release by site / com mgr/shift supervisor: Mechanical systems: Action implemented Electrical systems:Action implemented (Persons authorized to perform isolation actions)

2.2 - 2.4* (Senior Authorized Person or resp. site / commissioning mgr) Name in print / date / signature

k l

Identified EHS measures / isolation actions are

specified and described correctly and fully

E.E Safety Officer

--------------------------------

LLM's E

--------------------

Isolations Component(s) to be isolated .. Isolation list attached: YES / NO

Special measures/requirements:

(Excavation) (Operational Area) (Hot Work) (Radiography) (Conf.Space)

Senior authorized person (or resp.site

manager/commissioning engineer):

Authorized person approval PTW

LILAMA E.E

Confirmation by over Site/Comm. Manager

Senior authorized person

Relese and implementation of EHS

measures and isolation actions

Isolation actions and system-specific EHS

measures implemented or specified in

attachments:

PTW received: Work completed as specified:


5/17

LILAMA EHS Form, Category I PTW No..

Excavatio

Measures Remarks

1. Instruction of personnel in hazards and working procedures (Attendance record at bac

2. Notification of other contractor

3. Barriers and safety precautions

4. Subsoil installations for mark up signs on site location

Tick as applicable

*Barriers, warning signs *Security guards *Dewatering pumps *

*Escape routes provided

+ keept clear*Safety belt + line *Miscellaneous *

*Covering required *Ventilation * *

* * * *

* * * *

* * * *

* * * *

Additional safety precautions / Remarks

Excavation includes digging of pits, ditches etc.,

boring and drilling as well as driving of objects into

The activities shall be coordinated in such a manner

that the exposure of personnel to hazards or the

impairment of plant safety can be ruled out

VUNG ANG I PROJECT


6/17

LILAMA EHS Form, Category II PTW No...

VUNG ANG I PROJECT

Work in Operational Ar

These include:

Measures Remarks

1. Instruction of personnel in hazards and working procedures (Attendance record at back)

2. Instruction over possible dangers in the work areas (Attendance record at back)

Tick as applicable

*Height -> Scaffolding/belt *Confined spaces -> cf *Dewatering pumps *

*Chemicals -> protective clothing *Acoustic encs -> cf *

*High voltage -> distance *Miscellaneous *

*Observe barriers * *

*Noise -> protective clothing *Observe lablels and signed * *


*Rotating machines -> distance

*Explosion protection ->

special equipment

*Temperature ->

protective clothing

We, the undersigned, hereby confirm to perform the ab ove-mentioned work in compliance with the relevant legal requirements, industrial practices and site/fire protection regulations. Im plementatio

the above safety precautions shall be the sole responsibility of the contractor performing the work. The management of LILAMA assumes no liability in this regard.

Operational areas are sectuins which have been declared operational

per project site instructions or memoranda.

Areas with buried cables and gas pipes, chemical

storage areas, live high-voltage lines and piping, water

treatments systems and any operating plant sections.

Compliance with the following requirements must be

ensured to prevent accidents in operational areas:


7/17

LILAMA EHS Form, Category III PTW No...

VUNG ANG I PROJECT Hot Work

Measures Remarks

1. Instruction of personnel in hazards and working procedures (Attendance record at back)


3. Escape router to be provided + kept clear

4. Combustible materials to be removed/covered

Tick as applicable

*Fire extinguisher(s) at hand *Security guards *Explosion potential tests reqd *

*Bucket of water *Fire watch *Non sparking tools *

*Fire hose prepared *Post-work fire inspection *Safety extra- low voltage *

*Special fire extinguishers *Fire-resistant clothing *Protective disconects *

*Flying spark protection *Respirators *Miscellaneous *

*Barriers, warning signs *Safety harness+line * *

*Escape routes provided+kept clea *Ventilation * *


We, the undersigned, hereby confirm to perform the above-mentioned work in compliance with the relevant legal requirements, industrial practices and site/fire protection regulations. Im plementati


Hot works are all activities in which welding,brazing, solderung, cutting,

grinding,asphalt work,etc. Is peformed directly on systems and/or

individual plant sections containing combustible materials such astimeber, cables, coated piping, paints, plastics, packaging metarial, etc.

The activities shall be coordinated in such a manner that the exposure of

personnel to hazards pr the impairment of plant safety can be ruled out.

It shall therefore be ensured that any activities associated with the

release of combustible substances, vapor, gases and liquids are not

permit adn in the area for which said hot work permit applies. The site

management shall be notified of any activities of this type, e.g. hydrogen

filling of the generator.


8/17


9/17

LILAMA EHS Form, Category IV PTW No...VUNG ANG I PROJECT Radiographic Examinations

Measures Remarks



4. Barriers and safety precautions

Barrier distance (m)

Height (m)

Company Company

Signature Signature

E Complete on application Complete on performent of the work

Power(Ci) Act (Bq) kV mA

Restrictions:

A C

1. Instruction of personnel in hazards and working procedures

Contract Partner

Radiographics examinations include any activity involving the use of

isotopes or x-ray tubes. Any such activities may only be performed by

approved contractor and persons. The corresponding requirements are

specified in site regulations and site instructions. Radiographic

examinations may not be performed during normal work hours.

Building (KKS)

Radiantion

sourceX-ray tube Exposure timeIsotope

No. ISO No. / Weld No.

Person performing the work

B D

State No. of welds to be examined

Height (m)

No of axis


10/17

Copies pf completed form to: applicant,QM, site sercurity

We, the undersigned, hereby confirm to perform the above-mentioned work in compliance with the relevant legal requirements, industrial practices and siteof the above safety precautions shall be the sole responsibility of the contractor performing the work. The management of LILAMA assumes no liability in


11/17

LILAMA EHS Form, Category V PTW No...

VUNG ANG I PROJECT Confined Space

Measures Remarks



Gas Test Results

Tick as applicable

*Continuous gas monitoring *Sercurity guards *Explosion potential tests *Extraction fan (s) working

*Respirators to be worn *Harness and lifeline pro- *Non sparking tools *Ventilation fan(s) working

*Breathing apparatus to be *Communications *Safety extra-low voltage *Miscellaneous

*Fire extinguisher (s) at hand *Electrical tools grounded *Protective disconnects *

Additional safety precautions/ Remarks

We, the undersigned, hereby confirm to perform the above-mentioned work in compliance with the relevant legal requirements, industrial practices and site/fire protection regulations. Im plementation of the

above safety precautions shall be the sole responsibility of the contractor performing the work. The management of LILAMA assumes no liability in this regard.

A "confined space" means any place, including any chamber,

tank, vat,silo, pit, trench, pipe, sewer, flue, well or other

similar space in which by virtue of its enclosed nature, there

arises a foreseeable specialn rick.

No person shall enter a confined space to do work unless it is

not practicalto achieve that purpose without entry.Entry of confined spaces shall be subject to the corresponding

local statutory requirements and shall be released by an

authormeasures. Work may not be started prior to issuance of

a PTW to an authorized applicant having the responsibility

for performing the work.

Reading Carried out by LLM HSSE/E.E EHS CorrdinatorLimit (without BA )

Others (H2S) 10 ppm Max

Explosivity 1 % LEL

Carbon Monoxide (CO) 50 ppm Max

Oxygen( O2 ) 19.5 - 21 %

1. Instruction of personnel in hazards and working procedures


12/17


13/17


14/17

* Numbers refer to the PTW process step held with PTW Officer, ** Check as appropriate


15/17

LILAMA EHS Form, Category II PTW No...

VUNG ANG I PROJECT

Work in Operational A

Bao gm:

Measures Remarks

1. hng dn ca nhn vin v cc mi nguy hi v quy trnh lm vic (Attendance record at back)

2. Hng dn qua nhng nguy him c th c trong khu vc lm vic (Attendance record at back)

Tick as applicable

*Cao -> gin gio/giy an ton * khng gian hn ch -> cf *bm kh nc *

*ha cht -> bo h *m thanh encs -> cf *

*in th cao-> khon cch *khc *

*ch hng ro cnh bo * *

*ting n-> bo h *ch thang leo v th * *

thm cnh bo an ton/ ghi ch

We, the undersigned, hereby confirm to perform the above-mentioned work in compliance with the relevant legal requirements, industrial practices and site/fire protection regulations. Im plementati


Khu vc hot ng l khu vc c cng b trong hng dn cng

trng hoc bin bn ghi nh.Khu vc c cp chn v ng kh, khu vc kho hacht ,ng day cao th v ng, h thng x l ncv bt k khu vc hot ng khc.Ph hp vi cc yu cu sau y phi c m bo ngn nga tai nn trong hot ng

*my mc vn hnh -> khongcch

*chng chy n -> thitb c bit

*Nhit -> bo h


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17/17

ptw site instruction new.xlsx

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