Jan De Nul HSE FORM

Project: Number:
Contract for the installation of 245KV export cable NWD-ELC-QA/QC-EXC-CM-6097
Title:
Management of Change Form

1. Change Management Details

Title of Change: BWII Export Cable Route from OHVS
Persons Involved in the assessment: Stan Logghe, Yves Stanus, Jeroen van Proeyen, Bart Ledoux
Responsible Person: Stan Logghe Department: Operations

2. Task Brief
2.1. Purpose of Change
Revised cable route due to incident that occurred on Saturday 10/08/2013 during pull-in of the BWII Export cable

2.2. Change Objectives

Chance the cable routing to avoid the need to rotate the J-tube from its current position.

2.3. Description of Change

Change the cable routing in accordance with the drawing in annex.

2.4. Impacted areas:

Impact on: Y/N Details:
HSE N
Schedule N Estimated delay: N
Equipment N
Cost Y Estimated cost: tba Variation order needed (Y/N): N
Procedures/ drawings Y
Temporary change N

2.5. Identify hazards associated with changes, of hazards high or extreme a risk assessment must be conducted

By changing the route, the cable will be initially exposed of a longer distance, however it is the Clients intention to cover the
exposed cable part with rocks in due time. Further the new cable position must be thoroughly communicated to all parties
onsite to avoid damage during subsequent construction works.
3. Signoff and Approvals: Name: Signature: Date:
Project QA-HSE Manager David Kint 20/08/2013

Project Manager Stan Logghe 20/08/2013

File: MOC 03 Last printed: 20/08/2013 Page 1 of 1