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    Cold Work Permit: If Alarm Is Sounded, This Permit Is Cancelled

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    Antony Jebaraj
    This document is a cold work permit for the DOW-PIC Olefins 2 Project in Al-Shuaiba, Kuwait. It outlines the safety procedures and protective equipment required for maintenance work. The permit describes the work to be done, checks that equipment is isolated, energy sources are locked out, and other preparations are in place. It requires initialing to verify the general preparations and lists the required protective equipment for different parts of the work. Sign-offs are needed from the unit operator, supervisor, and designated maintenance worker to approve the work. The permit must be returned and signed to confirm whether the work is completed and the area cleaned up.

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    Cold Work Permit: If Alarm Is Sounded, This Permit Is Cancelled

    Uploaded by

    Antony Jebaraj
    38 views1 page
    This document is a cold work permit for the DOW-PIC Olefins 2 Project in Al-Shuaiba, Kuwait. It outlines the safety procedures and protective equipment required for maintenance work. The permit describes the work to be done, checks that equipment is isolated, energy sources are locked out, and other preparations are in place. It requires initialing to verify the general preparations and lists the required protective equipment for different parts of the work. Sign-offs are needed from the unit operator, supervisor, and designated maintenance worker to approve the work. The permit must be returned and signed to confirm whether the work is completed and the area cleaned up.

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    Safety

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    27a-Cold-Work-Permit.doc

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    This document is a cold work permit for the DOW-PIC Olefins 2 Project in Al-Shuaiba, Kuwait. It outlines the safety procedures and protective equipment required for maintenance work. The permit describes the work to be done, checks that equipment is isolated, energy sources are locked out, and other preparations are in place. It requires initialing to verify the general preparations and lists the required protective equipment for different parts of the work. Sign-offs are needed from the unit operator, supervisor, and designated maintenance worker to approve the work. The permit must be returned and signed to confirm whether the work is completed and the area cleaned up.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    38 views1 page

    Cold Work Permit: If Alarm Is Sounded, This Permit Is Cancelled

    Uploaded by

    Antony Jebaraj
    This document is a cold work permit for the DOW-PIC Olefins 2 Project in Al-Shuaiba, Kuwait. It outlines the safety procedures and protective equipment required for maintenance work. The permit describes the work to be done, checks that equipment is isolated, energy sources are locked out, and other preparations are in place. It requires initialing to verify the general preparations and lists the required protective equipment for different parts of the work. Sign-offs are needed from the unit operator, supervisor, and designated maintenance worker to approve the work. The permit must be returned and signed to confirm whether the work is completed and the area cleaned up.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    DOW-PIC Olefins 2 Project (OL2K)

    Al-Shuaiba - Kuwait

    SITE SAFETY PROCEDURES MANUAL


    August 2004
    ATTACHMENT A

    OL2K
    COLD WORK PERMIT
    Date:__________________________

    Start Time:___________________

    Time Valid To:___________

    Issued to:______________________________ Area:____________________________________


    Describe Work To Be done:_____________________________________________________________________
    ___________________________________________________________________________________________
    _________________________________________________________________________
    Equipment No.:__________________________

    WO#:____________________________________________

    GENERAL PREPARATIONS: (CHECK-OFF All Items Which Apply and INITIAL To Verify In Place)
    Initials___________
    Y N
    ( ) ( ) Piping or equipment isolated

    Initials__________
    Y N
    ( ) ( ) Energy sources locked, tagged, tried
    (If NO then Special Procedure below must be implemented)
    ( ) ( ) Radiation shutter locked closed
    ( ) ( ) Equipment decontaminated
    ( ) ( ) Excavation plan developed
    (If NO then Special Procedure below must be implemented) ( ) ( ) Sketch prepared
    ( ) ( ) Signs and barricades posted
    CONDITIONS NOT ALL MET:
    ( ) ( ) Special Procedure prepared

    ( ) ( ) ______________________________

    PROTECTIVE EQUIPMENT:
    First
    Break
    ( ) Slicker Suit
    ( ) Goggles
    ( ) Hearing Protection

    After
    Break
    ( )
    ( )
    ( )

    First
    Break
    ( ) Rubber Boots
    ( ) Acid Hood
    ( ) Breathing Air

    APPROVALS: ____________________
    (Full Name)
    Unit Operator

    After
    Break
    ( )
    ( )
    ( )

    First
    Break
    ( ) Chemical Gloves
    ( ) Full Acid Suit
    ( )

    __________________
    Unit Supervisor

    After
    Break
    ( )
    ( )
    ( )

    First
    After
    Break
    Break
    ( ) Face Shield
    ( )
    ( ) Cartridge Respirator ( )
    ( )
    ( )

    _________________________
    Designated Maintenance Worker

    TURN BACK TO OWNER:


    ( ) Work is NOT completed.
    STATUS:

    DATE

    TIME ______________

    Hrs.

    _______________________________________________________________________________

    _________________________________________________________________________________________
    Y N
    Y N
    ( ) ( ) Work IS completed
    ( ) ( ) Work area has been cleaned
    ( ) ( ) Tools and equipment have been put away ( ) ( ) Tags and Locks have been removed

    ______________________________________
    Maintenance Worker

    ____________________________________
    Unit Operator

    IF ALARM IS SOUNDED, THIS PERMIT IS CANCELLED


    168273960.doc

    SITE CONDITIONS AND SAFETY PROCEDURES


    Page 1 of 1
    OL2K CONFIDENTIAL Do not share without permission

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