PETRONAS TECHNICAL STANDARDS

HEALTH, SAFETY AND ENVIRONMENT

STANDARD

PERMIT TO WORK SYSTEM

FOR PROJECTS AT GREENFIELD SITES

PTS 60.2007

FEBRUARY 2013
 PTS 60.2007

PREFACE

PETRONAS Technical Standards (PTS) publications reflect the views, at the time of publication, of
PETRONAS OPUs/Divisions.

They are based on the experience acquired during the involvement with the design, construction,
operation and maintenance of processing units and facilities. Where appropriate they are based on, or
reference is made to, national and international standards and codes of practice.

The objective is to set the recommended standard for good technical practice to be applied by
PETRONAS' OPUs in oil and gas production facilities, refineries, gas processing plants, chemical
plants, marketing facilities or any other such facility, and thereby to achieve maximum technical and
economic benefit from standardisation.

The information set forth in these publications is provided to users for their consideration and decision
to implement. This is of particular importance where PTS may not cover every requirement or diversity
of condition at each locality. The system of PTS is expected to be sufficiently flexible to allow
individual operating units to adapt the information set forth in PTS to their own environment and
requirements.

When Contractors or Manufacturers/Suppliers use PTS they shall be solely responsible for the quality
of work and the attainment of the required design and engineering standards. In particular, for those
requirements not specifically covered, the Principal will expect them to follow those design and
engineering practices which will achieve the same level of integrity as reflected in the PTS. If in doubt,
the Contractor or Manufacturer/Supplier shall, without detracting from his own responsibility, consult
the Principal or its technical advisor.

The right to use PTS rests with three categories of users:

1) PETRONAS and its affiliates.

2) Other parties who are authorised to use PTS subject to appropriate contractual
arrangements.
3) Contractors/subcontractors and Manufacturers/Suppliers under a contract with users
referred to under 1) and 2) which requires that tenders for projects, materials supplied
or - generally - work performed on behalf of the said users comply with the relevant
standards.

Subject to any particular terms and conditions as may be set forth in specific agreements with users,
PETRONAS disclaims any liability of whatsoever nature for any damage (including injury or death)
suffered by any company or person whomsoever as a result of or in connection with the use,
application or implementation of any PTS, combination of PTS or any part thereof. The benefit of this
disclaimer shall inure in all respects to PETRONAS and/or any company affiliated to PETRONAS that
may issue PTS or require the use of PTS.

Without prejudice to any specific terms in respect of confidentiality under relevant contractual
arrangements, PTS shall not, without the prior written consent of PETRONAS, be disclosed by users
to any company or person whomsoever and the PTS shall be used exclusively for the purpose they
have been provided to the user. They shall be returned after use, including any copies which shall
only be made by users with the express prior written consent of PETRONAS. The copyright of PTS
vests in PETRONAS. Users shall arrange for PTS to be held in safe custody and PETRONAS may at
any time require information satisfactory to PETRONAS in order to ascertain how users implement
this requirement.

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 PTS 60.2007

TABLE OF CONTENTS

1.0 INTRODUCTION…………………………………………………………… 5
1.1 OBJECTIVES …………………………………………………………………. 5
1.2 SCOPE………………………………………………………………….. 5
2.0 DEFINITIONS …………………………………………………………………. 6
3.0 ROLES AND RESPONSIBILITIES………………………………………... 8
4.0 KEY REQUIREMENTS ………………………………………………. 9
5.0 TYPES OF PERMIT AND CERTIFICATES…………………………………. 11
6.0 RISK ASSESSMENTS…………………………………………………………. 16
7.0 PERMITS ……………………………………………………………………… 16
7.1 Permit information... ………………………………………………. 16
7.2 Permit for Complex work……………………………………………... 16
7.3 Permit and Gas testing …. …………..…………………….. ……… 17
7.4 Permit use procedure………………………..………………. 17
8.0 TRAINING & COMPETENCE ………. ……………………………. 19
9.0 RECORDS …………………………………………………………… 20
10.0 INSPECTION AND AUDITING ……………….. …………………… 20

11.0 STANDARDISED PERMITS AND CERTIFICATES………………… 20

12.0 REFERENCE …………………………………………………………………………….20
13.0 APPENDIX ………………………………………………………………………………..21

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 PTS 60.2007

1.0 INTRODUCTION

Permit to Work (PTW) system is a major control for safe execution of construction activities
during a project, where a wide range of activities can take place close together in a small area.

This PTS provides minimum requirements on PTW system forwork areas and activities defined in
Section 1.2 and Section 5.1 of this document.

In countries where the PTW system are governed by statutory regulations or national codes of
practice, the requirements specified in the regulations or codes must be complied with. Where
the requirements in those standards or regulations differ from that specified in this PTS, the more
stringent requirements shall be adopted.

1.1 Objectives

1.1.1 This PTW system is intended to control the work activitiesand ensure all identified
control measures are implemented.

1.1.2 The PTW will aid in the identification and control of hazards, but will not by itself
make the work safe. It is an essential part of a system which determines how that
job can be done safely and helps communicate this to those doing the job.

1.1.3 The PTW system will ensure the following:

a. Proper authorization for the work, ensure person or authority responsible for the
site is aware of all work being carried out.

b. Effective communication on the risks/hazard of the job and precautions to be

taken.

c. Documentation of the work method and safety precautions required for the job.

d. Confirmation that site conditions and preparations have been checked and
recorded by an authorized person.

e. Proper communication between Approving Authority and Receiving Authority.

(For different project organisation structure or setup, both AA and RA shall be
clearly defined).

1.1.4 The PTW and certificates are legal documents and can be produced in court if
required.

1.2 Scope of Application

This standard shall be applicable to all Projects at Greenfield sites located more than 500
meters away from existing process facilities or infrastructures, starting from site preparation
until completion of construction activities defined below:

a. Process Plants, Facilities or Infrastructures - Introduction of any hydrocarbons or

hazardous chemicals into the system (except for chemical cleaning purposes) or
completion of tie-in with existing nearby process system whichever comes first.

The Project Management Team should define the ending date of the construction period
and include in the project commissioning and start-up plan when this PTW system will
cease and the PTW for plant operation as per PTS 60.2001 takes into effect.

b. Residential, Commercial or Administration Buildings - Issuance of Certificate of

Fitness for Occupancy.

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 PTS 60.2007

In case where the 500 meters distance specified above still resides within the plot plan or
fence of the existing process facility, the PTW system and arrangement for the project shall
be mutually agreed by the PMT and owner of the existing facility.

2.0 DEFINITIONS

TERM DESCRIPTION

Greenfield Site New, undeveloped site or areawith no existing above or underground

services(e.g. chemical or hydrocarbonpipelines, storage tanks, electrical
cables and power lines)which pose significant HSE risks to the project
during the execution.

Permit-to-Work Written and signed statement by an authorised person for work to be carried
(PTW) out under stated precautions.

Certificate Written and signed statement which specifiesadditional safety precautions

required for the job and signifies thatsuch precautions, site preparations and
other safety requirements been carried out to ensure for the job can be
carried out safely. Certificates do not replace the PTW but are
complementary.

Worksite A list of control measures to be taken before and/or during the work covered
Preparations / by the PTW.
Precautions

Project The team responsible for management and supervision of the project
Management execution activities e.g. design, procurement, construction and
Team (PMT) commissioning.

Project Owner The party that initiates the project and ultimately pays for its design and
construction. The Project Owner will generally specify the technical
requirements. The Project Owner may also include an agent or Project
Director/Project Manager authorized to act for, and on behalf of, the Project
Owner.

Contractor The party that carries out all or part of the design, engineering, procurement,
construction, commissioning or management of a project.

Permit Applicant A person who applies for the PTW e.g. the foreman/ supervisor who is
responsible for planning and execution of the work. The permit applicant can
also be the Receiving Authority (RA) if trained and authorised by the PMT.

Receiving Aperson authorized by the PMT to receive approved PTW and is

Authority (RA) responsible for supervising the execution of the work as per the precautions
in the permit. The Receiving Authority (RA) shall also specify controls for
safe work and requirements of other certificates.

Approving The person authorized by the PMT to approve and issue PTW in the area
Authority (AA) concerned. Typically the AA is the authority of the area concerned.

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 PTS 60.2007

Authorized Gas A person who is trained and authorised to conduct gas testing prior to hot
Tester (AGT): work, confined space entry NOTE 1 or other types of work where gas testing is
required.
NOTE 1: AGT for confined space entry in Malaysia shall be certified and
registered with Department of Occupational Safety and Health (DOSH).
AGT for purposes other than confined space entry shall be trained and
authorized in writing by the PMT.

Approving A person authorized by the PMT to approve and issue specific certificates
Authorityfor (e.g. lifting certificate, excavation certificate, etc)as a supporting document
Certificates for the PTW.
(AAC)
AAC shall be trained and competent in their respectivefields such as
Radiation Protection Officer (for Radiation Certificate), Electrical Competent
Person (for Electrical Isolation Certificate) and Mechanical
Engineer/Specialist (for Lifting Certificate).
AAC for Confined Space Entry and Hot Work Certificates shall be the same
person as the PTW Approving Authority (AA) or higher authority.
Except for Confined Space Entry and Hot Work Certificates as above, AAC
are not authorized to approve PTW.

Job Hazard Job Hazard Analysis (JHA) is one of the approaches to the hazards and
Analysis (JHA) effects management process at the task level to ensure hazards associated
with the activities are identified and mitigated so that the work can be carried
out safely.

Hot Work Hot work is any work which involves use or introduction of heat, sparks or
flame.
Examples of hot work are:
 Welding, flame cutting, grinding, grit blasting, etc (positive ignition
sources).
 Use of spark producing tools or equipment e.g. rotating steel brush,
internal combustion engine, etc.

Confined Space Confined Spacemeans a space which:

 is not intended as a regular workplace (i.e. continuous employee
occupancy);
 has restricted means of entry or exit;
 is large enough and so configured that an employee can bodily enter
and perform assigned work; and
 is at atmospheric pressure during occupancy.
In addition, this space has at least one of these characteristics:
 it contains or has a potential to contain a hazardous atmosphere;
 it contains material (solid or fluid) that has potential for engulfing an
entrant;
 it has an internal configuration such that an entrant could be trapped or
asphyxiated by inwardly converging walls or by a floor which slopes
downward and tapers to a smaller cross-section; or
 it contains any other recognized serious safety or health hazards, for
example exposed rotor blades, noise etc.

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 PTS 60.2007

3.0 ROLES AND RESPONSIBILITIES

It is the responsibility of each individual identified in this standard to carry out the required actions
stipulated. It is important that each person is adequately trained and knows exactly what those
responsibilities and duties are if they are to be carried out properly. The essential responsibilities
for complying with the requirements of this standard are stated in the following sub-sections.

3.1 Project Manager (Project Owner)

 Implement the PTW System at the construction site which is in line with the
requirements of the PTS.
 Monitor compliance toPETRONAS‟ HSE Mandatory Control Framework (MCF)
requirements and ZETO Rules with regard to PTW implementation. Intervene and
demonstrate leadership in the event of serious PTW non-compliance or in the event any
PTW related performance expectation is not being met.

3.2 Project Manager (Contractor)

 Ensure that all personnel who operate and use the PTW system are trained and
competent.
 Ensure sufficient numbers of trained personnel are available and appointed to carry out
the specific duties as required under the PTW System. The minimum positions to be
assigned are Approving Authority (AA), Receiving Authority (RA), Permit Applicant and
Authorised Gas Tester (AGT).
 Monitor and ensure that the PTW system is effective via audit and review.
 Resolve any PTW critical issues or challenges and highlight to Project Owner.

3.3 HSE Manager (Project Owner)

 Custodian of PTW System for the project.

 Verify PTW system during pre-mobilization in ensuring compliance to this PTS.
 Audit PTW implementation and incorporate improvement.

3.4 HSE Manager (Contractor)

 Advise Project Manager of any discrepancies in the PTW system.

 Arrange and provide PTW training and assessment.
 Ensure proper documentation and record system for assessment.

3. 5 Permit Applicant

The Permit Applicant shall be responsible for the following:

 Discuss the work requirements with RA and AA.

 Specify in sufficient details the work description e.g. location, equipment tag number etc.
 Provide job method statement if applicable.
 Specify tools and equipment to be used for the work.
 Identify known hazards and hazardous activities for the job to be carried out.

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 PTS 60.2007

3.6 Approving Authority (AA)

AA has authority and responsibility for the overall implementation and safe management of
work activities for which he issues the permit. He is responsible to ensure for the following

a. Before signing the PTW form to authorise the work, he shall verify and satisfy himself
that:

 he has received PTW training, been assessed and authorised as Approving

Authority (AA).
 he understands the nature of the work being applied for, all the hazards associated
with the job are identified and the risk has been reduced to as low as reasonably
practicable (ALARP).
 he has assessed that the work being authorised does not jeopardise other work at
the site.
 the intended work to be performed under the PTW does not conflict with other
ongoingactivities at the location in terms of work spaces, manpower, hazards and
safety requirements.
 permit requirements are complied with e.g. PPE, control measures, supporting
certificates etc are specified in the PTW form.
 all required equipment and PPE are adequate to carry out the work safely.
 all supporting certificates and documents required for the safe execution of the work
are attached and made known to all concerned parties carrying out the work.
 he has conducted joint site visit and verification with the Receiving Authority (RA)
prior to approval of PTW.(If he cannot do it himself, AA shall assign an authorised
personto verifyall the necessary precautions required, before work begins).

b. An effective organisation exists to ensure that the work site is inspected before work
begins, on completion of work and when work is suspended.

c. Before issuing the PTW to the Receiving Authority (RA), discuss the work requirements,
hazards and precautions stipulated in the PTW form and other supporting Certificates
with the RA.

d. Everyone who may be affected by the work is informed before the work begins, when
the work is suspended and when the work is completed.

e. Sufficient time is spent on shift/crew hand over to discuss all ongoing or suspended
permits with the incoming AA.

f. Receiving permit hand back upon completion or suspension of the work.

3.7 Receiving Authority (RA)

RA shall ensure the following:

 He hasreceived PTW training, been assessed and authorised as AA.

 The people working for them have received adequate training/instruction in PTW
system.
 He discusses the job fully with AA, inclusive of job method statement if applicable.
 He briefs the work crew on the details of the permit/certificate including any potential
hazards, and all the precautions taken or to be taken.

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 PTS 60.2007

 The workers understand that if circumstances change, work must be stopped and
advice sought. Permit is cancelled and new permit applied if job scope needs to be
changed.
 The PTW and accompanying certificate is are displayed at the work site.
 The precautions are implemented and maintained throughout the work activity.
 Monitor work progress to ensure compliance to PTW conditions.
 The work group stays within the limitations set on the permit/certificate (e.g. physical
boundaries, type of work and validity period).
 On completion or suspension of the work, the site is left in a safe condition and the AA
is informed.
 If he leaves the site while work is still being done, he must formally hand over his
responsibility to another RA. The name and signature of the new RAmust be added to
all copies of the PTW and associated certificates.

3.8 Workers

Individuals working under the permit/certificate shall ensure that:

 They have received PTW training/instruction and have a good understanding of the
PTW system.
 They do not start any work requiring a PTW until it has been properly authorised and
issued.
 They have received a briefing from the RA (e.g. through tool box meeting) on the
particular task and understand the hazards and the precautions taken or to be taken.
 They follow the instructions/conditions specified in the PTW and certificate(s).
 The work site and any equipment are left in a safe condition when the work stops.
 If in doubt or if circumstances change, they must stop work and consult with their RA.

4.0 KEY REQUIREMENTS

An effective PTW system will require the application of the following key requirements.

4.1 Written PTW procedures shall be developed for control of all works in a construction site.
(Types of work aredescribed in Section 5.1).

4.2 The PTW system/procedure shall address the following:

a. Scope of the work to be undertaken, the exact location and the equipment to be used.
b. Identification of hazard and control measures.
c. Preparatory work, including the required supporting certificates.
d. Validity of permit and certificate.
e. Review and approval process of the PTW.
f. PTW extension and revalidation processes.
g. Closure and hand back.

4.3 Control of other works not covered by this PTW system (i.e. works not listed in Section 5.1)
shall be exercised through other means e.g. work procedures/instruction and use of trained
and authorised personnel.

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 PTS 60.2007

4.4 In the event the PMT decided to allow the use of Contractor‟s PTW system, the Contractor
PTW system shall be in line with requirements set forth in this PTS with the following
conditions:

a. Contractor must submit its PTW procedures and other relevant procedures on how they
will manage various high risk activities, for review and endorsement by the Project
Owner.
b. Contractors shall manage the activities listed in Section 5.1 via the PTW system and the
Project Owner reserves the right to add to this list if deemed necessary.
c. The list of Contractor‟s PTW signatories (i.e. AA, RA and AGT) shall be submitted to
PMT for review and endorsement.

4.5 Effective supervision of the PTW implementation can be diluted in the case of a large
number of permits issued under the control of a single person. Site management should
assess and determine the steps necessary to maintain the required level of supervision e.g.
limit the number of active permits or provide additional resource for effective supervision and
coordination of the works. The assessment criteria should include the following:

a. Means of effective communication with work crew

b. Line of sight
c. Competency and experience of work crew

4.6 A risk assessment shall be conducted to identify hazards associated with the activity and
control measures required (see Section 6).

4.7 PTW signatories (i.e. AA, RA and AGT) shall be trained, competent and authorised in the
PTW system. The Permit Applicant shall at minimum attend PTW awareness training.

4.8 The following shall result in stoppage of the workand make the PTW becoming null andvoid

a. Change in job scope/work description.

b. Revalidation limit of the PTW or any of the supporting certificates has been reached.
c. Emergency situation where work must stop/evacuation takes place.
d. AA or other authority removes the PTW or certificate and stops the work due to any
violation of the PTW requirement.
e. Change in permit conditions/hazard control measures.
f. When any of the supporting certificates has expired or been cancelled.
g. When the RA decides that is it unsafe to continue work.

A new PTW will have to be applied to resume the work.

4.9 The following requirements shall be adhered to :

a. A person shall not issue a PTW to himself/herself.

b. The PTW AA shall be assigned from amongst the personnel having authority and
control over the work area and activities e.g. area work supervisor.
c. Risk assessment shall be conducted for the work to be done in a specific area.
d. Site inspection shall be conducted by both AA and RA or their respective
representatives before permit is issued.
e. PTW signatories shall have their roles and responsibilitiesand work area coverage
defined, with the list of authorised signatories published.

f. Fundamentally, only one permit is allowed to be issued for a job on an equipment at any
one time. Use of a single PTW which covers a „bigger‟ scope is only allowed under the
following scenario :

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 PTS 60.2007

 Similar activity covering multiple work areas or locations e.g. using same type of
cranes for similar lifting activities at different locations; excavating trenches along
the same route; and installing series of scaffolds of the same type at several
locations.

 Multiple work steps or activities at the same location by same personnel or work
crew e.g. setting up a portable generator and welding equipment at the site and
conducting the welding activity; and scraping paintwork, power-brushing and
repainting of an equipment.

When using a single PTW covering wider scope of areas or activities as above, the
following conditions shall be met or adhered to -

i. The activities are under supervision of the same supervisor.

ii. The activities are under the same area ownership, i.e. same AA.

iii. There is adequate span of control and line of sight for effective supervision of the
works.

iv. The activities do not conflict one another in terms of safety (e.g. one activity does
not harm the other) and manpower (e.g. dedicated manpower are available for
the simultaneous jobs and not shared).

All confined space entry activities shall be managed individually using separate PTWs
and the above provisions shall not be applied.

5.0 TYPES OF PERMIT AND CERTIFICATE

This section describes activities or tasks requiring use of PTW and supporting certificates in
projects at Greenfield sites defined in under the scope of application in Section 1.2.

5.1 Work Requiring PTW

a. Entry into Confined Space defined in Section 2.0. For work in areas where its
classification as a “confined space” is not clear (e.g. dry lake, empty swimming pool), a
risk assessment shall be done with hazards and control measures identified prior to its
declassification and approved by the PMT.

All excavations of more than 1.5 meter depth are considered as confined spaces. Any
declassification of the area or exemption from Confined Space Entry (CSE) requirements
specified in PTS 60.2105 shall be based on actual verification of the site conditions or
risk assessment.

 If hazardous atmosphere is found due to oxygen deficiency, potential presence or

build-up of flammable/toxic gases (e.g. gas/vapour settlement from nearby sources
or accumulation of hazardous fumes or exhaust gases from machineries), the area
shall be treated as a “confined space”.

 Findings from site verification or assessment shall be documented and

theclassification of the site/location (i.e. Confined Space or Non-Confined Space)
shall be indicated on the PTW.

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 PTS 60.2007

b. Hot work -

i. Hot work within 15 meters of flammable/combustible sources e.g. fuel tanks, gas
cylinders NOTE 2, chemical or waste storage, wooden structures, oil drums, dry grass
or vegetation and other highly combustible substances. Consideration shall be given
on potential of ignition caused by flame, heat or sparks from the work.
NOTE 2 : Acetylene cylinders used during welding do not fall into this category provided a safe
distance is maintained between the cylinder and the welder, based on a risk assessment.
Hot work performed in a controlled and demarcated area e.g. workshop, pipe lay
down area, will not require the use of hot work permit provided the risks and control
measures have been identified and documented in Job Hazard Analysis or work
procedure or instructions.
ii. Hot work in confined space.

c. Excavation deeper than 1.5 meters. The PMT may decide to apply PTW for shallow
excavation (less than 1.5 meters depth) if the soil is unstable.

d. Critical lifts listed below -

i. Lifting more than 20 tons of load.

ii. Lifting load of weight more than 80% of rated capacity of the lifting equipment.
iii. Transporting personnel using lifting equipment except those which are specifically
designed for personnel lifting or transfer e.g. sky-lift, personnel transfer basket used
in offshore operations.
iv. Lift of special loads such as imbalanced load (unknown center of gravity due to odd
shape).
v. Lifting operation using helicopter.
vi. Coordinated lift whereby the weight exceeds the maximum lifting capacity of one of
the lifting appliances e.g. using of multiple cranes.
vii. Lifting operation at location less than the specified Safety Distance from live
overhead power line (see PTS 60.2103 Lifting).
viii. Lifting operations for testing purposes to ensure integrity or functionality of the lifting
equipment after installation, structural repair or modification of the equipment
including functional or proof load tests.
ix. Subsea operations using offshore crane.
x. Lifting on unknown soil load bearing property.
xi. Lifting using crane (e.g. mobile crane, crawler) that sits on a barge.
xii. Other lifting operation which are deemed as critical or high risk and determined in
the Project‟s Hazards and Effect Register e.g. blind lift, lifting through hatches,
congested area, night lifting, lifting at sea during rough sea condition, poor visibility
due to fog or sand storms.
For normal lifts not listed above, the use of JHA or checklist is required in the absence of
a PTW.

e. Installing, servicing and modifying temporary electrical installations (e.g. generator

set/portable power supply system complete with cabling, plugs, socket, distribution box,
ELCB, etc) which do not form part of the permanent or fixed electrical installation of the
facility.

The temporary electrical installation shall be inspected by competent electrical person

and “PETI Certificate of Fitness” will be issued as per PTS 63.64.10.31 to signify that the
system has been properly installed and safe for use.

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 PTS 60.2007

Individuals using portable electrical equipment (e.g. drill, grinder, portable lighting,
welding set, etc) shall ensure that PETI Certificate of Fitness is/are available for the
temporary electrical installation and the portable electrical equipment they are using.

f. Work on fixed electrical installation for the purpose of modification or repair of the
system. If the work involves preparation of temporary power supply or lighting system for
the work area, such temporary installation shall be inspected by competent electrical
person and certified safe for use.

g. Radiography work.

h. High pressure water jetting except when the work is conducted inside a designated water
jetting area. This applies to all pressures up to ultra high pressure of >20,000 psi.

i. In-situ grid/sand blasting of equipment in the plant unit area.

j. Pressure testing (pneumatic testing and hydro testing) of equipment.

k. Erecting scaffold.

l. Working inside or above water such as diving, swimming and other activities carries out
from a boat, raft or above-water temporary platform/structure.

m. Using chemicals hazardous to health (except paints) e.g. for chemical cleaning and
passivation.

n. Working at height without safe working platform above 2 meters in height.

o. Other special conditions or situations deemed necessary for PTW application by the
PMT during the construction e.g. line blowing.

5.2 Certificates

Certificates certify that various checks have been made and that it is safe to carry out the
work. They are used by AA to ascertain that the site and work conditions are safe for the
task to proceed e.g. system has been isolated electrically or physically, special safety
requirements have been implemented and relevant parties affected by the activities have
been informed.

Certificates do not replace the PTW but are complementary and are to be attached to the
PTW form.

The maximum validity/life period for certificates is stipulated in the table below.

The certificates to be used for Projects at Greenfield sites, at minimum, are as follows.

Type of Type of Purpose of Special Validity

Certificate work certificate Requirements

Confined Entry into To ensure that PTS 60.2105 Entry The maximum
Space Entry confined space into Confined Space validity period of
& Gas a. The conditions inside Confined Space
Testing the confined space safe Entry Certificate is 8
(integrated to enter LEL hrs and can be
into A3 PTW) measurement extended for another
4 hrs within the 12
b. Hazards related to hrs shift. A new
confined space are certificate will be
identified and issued beyond the

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 PTS 60.2007

necessary controls are 12 hours

put in place

c. Necessary confined
space checklist been
completed

Excavation All excavations To ensure that PTS 60.2116 Valid for 7 days with
deeper than 1.5 Excavation no changes to the
a. The area has been
meters work scope, work
checked and free from
area and work crew
underground services
e.g. pipelines, cables
etc
b. Excavation plan has
been prepared to
specify control
measures e.g. shoring,
benching and including
risk assessment to
protect personnel
working in the trench

Radiation For work which To certify that PTS Valid for 7 days with
Certificate involves ionizing 60.1507.02Radiogra no changes to the
a. The work has been
radiation e.g. x- phy work scope, work
authorized by
ray or area and work crew
Radiation Protection
radioactive
Officer (RPO) who has
sources
granted permission to
use a radio-active
source
b. Necessary precautions
have been taken to
prevent radiation
exposure to personnel.

Lifting For critical lifts To ensure that PTS 60.2103 Lifting Valid for 7 days with
Certificate as defined in no changes to lifting
a. Lifting equipment have
Section 5.1 (d) equipment, work
been checked and safe
scope and work area
for use
b. Lifting plan is prepared

Diving For surface To ensure that PTS 60.2124 Diving Valid for 7 days with
Certificate swimming and operations no changes to work
a. Conflicting activities are
underwater management scope and work area
stopped e.g. lifting,
diving activities guideline
vessel encroachment,
for inspection
etc
and
maintenance of b. Diving plan is prepared
subsurface
structures and
facilities

Electrical Electrical To ensure the that Valid for the

Isolation isolation intended duration of
a. The equipment or
certificate required for any work or purpose
system has been
maintenance of as long as the
electrically isolated by

14
 PTS 60.2007

plant equipment electrical competent isolation points

or system person referred to in the
certificate remain the
b. The equipment is safe
same
to be worked on

Physical Physical To ensure that Valid for the

Isolation isolation intended duration of
a. The equipment or
certificate required for any work or purpose
system has been
maintenance of as long as the
physically isolated and
plant equipment isolation points
free from energy
or system referred to in the
sources e.g.
certificate remain the
(only applicable hydrocarbon
same
after introduction
b. The equipment is safe
of hydrocarbon
to be worked on
or hazardous
chemicals into
the system)

Safety For bypassing/ To ensure that Valid for the

System disabling of intended duration of
a. Risk assessment has
Bypass/Overr safety critical any work or purpose
been conducted on the
ide (SSBO) element once as long as the
impact of
the plant has bypass/override
bypassing/disabling of
been points referred to in
safety critical element
commissioned the certificate remain
and mitigative
where process the same
measures put in place
controls and
interlocks are in b. The bypass/
place disablement has been
approved by authorized
personnel

Project Owner may also introduce other certificates for control of work activities not covered
under the scope of this PTS, however they may not be included as part of the PTW system.

Examples of such certificates are -

a. Road Obstruction/Closure Certificate - PMT shall provide a procedure on how road

closures at the construction site are managed.

b. Limitation of Electrical certificate - PMT shall provide a procedure on how „working near
LIVE equipment‟ at the construction site are managed.

c. Vehicle Entry Certificate - The risk of vehicles becoming ignition sources at a

construction site is low in the absence of hydrocarbon and flammable materials. PMT
shall develop a procedure to manage traffic hazards of all vehicles at the site, inclusive
of heavy machineries e.g. dozer, crane, rollers, etc.

15
 PTS 60.2007

6.0 RISK ASSESSMENT

When a PTW activity is identified, the first part of the process should be to determine exactly
what the task will involve. These include:

a. Assessment whether the task can be carried out safely with appropriate work procedures
and controls, or it is obvious that the risk is too high that it cannot be carried out safely and
therefore should be rejected or redefined.

b. The need for any special safety assessment e.g. JHA.

c. The personnel competency requirements needed to undertake the work and/or the safety
support required.

Hazards and Control Measures

The Approving Authority (AA) shall identify all hazards associated with the area and activity to be
carried out and specify the safety measures required to eliminate or control the hazards.

To facilitate the identification of hazards and control measures, most of the common hazards and
precautionary measures are included in the PTW form in the form of checklist/box and these will
have to be selected or ticked accordingly by the AA wherever applicable. In addition, further
precautions may be added if the local circumstances so required.

In certain situations, depending on the complexity of the activities or work conditions, the relevant
subject matter expert should be consulted for the identification and control of hazards related to
the work.

Job Hazards Analysis (JHA) shall be developed, specific to the activities to be carried out and the
site conditions. NO generic JHA shall be used.

7.0 PERMITS

An effective PTW lifecycle process shall control the life of any permit through the stages
described below.

7.1 Permit Information

Apart from the minimum information required about the job to be described by the Permit
Applicant and space for authorization by the AA and RA, PTW form shall contain the
following section, as minimum:
i. Requisition
ii. Hazards/Hazardous Activities
iii. Worksite Preparation/Precautions
iv. Personal Protective Equipment
v. Supporting Certificates/Documents
vi. Joint Site Visit before Work Start/Approval
vii. Revalidation
viii. Handback

7.2 Permit for Complex Work

Complex work such as the following shall require counter signatures of the relevant
authorities e.g. supervisor of the affected disciplines or parties:

 Work which affects other areas or activities e.g. certain electrical works which may
disrupt power supply and affecting other areas or jobs.

 Multiple activities undertaken by different disciplines in the same area.

16
 PTS 60.2007

7.3 Gas Testing

Gas testing is required to be conducted prior to PTW approval and during execution of the
following works

 Entry into a Confined Space

 Hot Work

Authorised Gas Tester (AGT) must record and sign the “Gas Test Results” section after
conducting the gas tests at site at a frequency specified by the AAThe following
requirements/conditions shall be fully complied during gas testing:

Gas Tests Minimum parameter to be checked

Confined Space Entry Hot Work NOTE 3
Oxygen 20% to 20.9%
Flammable < 10% LEL (non hot work) < 10% LEL (outside confined space)
Gases < 1% LEL (hot work) < 1% LEL (inside confined space)
Toxic Gases < 50% PEL

Note 3: AA may exempt the requirement for LEL measurement, however ONLY for hot work at
locations where the potential presence of flammable gases is highly unlikely or negligible
such as hot work near wooden structures, dry grass/vegetation and other non-flammable
gaseous substances. Other hot work permit requirements as per the PTW and certificate
are still applicable and need to be complied with at all times.

Under exceptional circumstances when the level of above specified gas concentration
cannot be attained, risk assessment is required to be carried out for confined space entry
and additional precautionary measures including use of SCBA, supplied airline, etc. should
be put in place before work can commence.

7.4 Permit Use Procedure

7.4.1 Permit Application & Site Preparation

a. The Permit Applicant fills in the PTW form (in triplicate) with the details of the
job to be done, specifying the exact location and the tools to be used. Safety
precautions with respect to the job shall be suggested by the applicant, before
submitting the PTW form to the AA, together with a JHA and job method
statement when required. Area of the site assigned for the work shall be clearly
defined to ensure clear boundary of authority is set and not overlap with other
activities or areas.

b. The AA then identifies hazards and details the precautions/ control measures
required before and during the job and may include a time limit for which the
permit is valid. Jobs at or near the geographical or process interface between
two or more areas of responsibility require the signatures of the affected area
owners or authorities to ensure that a job in one area will not cause a hazard in
the other. The other area owners or authorities may specify if other certificate
are required for the PTW.

c. The AA has to determine and specify in the PTW form the type of supporting
certificate required for the task as per Section 5.2 and ensure that the
certificate(s) has/have been approved by the respective Approving Authority for
Certificate (AAC).

d. When the precautions have been detailed in the PTW, the AA will retain the
permit until the preparations (including the precautions needed before the job

17
 PTS 60.2007

starts) are complete. During the preparation stage, the work area will be made
safe for the job to proceed, with any required isolation done.

7.4.2 Joint Site Visit and Permit Approval

a. The AA and RA shall meet and discuss the types of hazards associated with the
job and agree on suitable control measures to be implemented.

b. After site preparation, joint site visit is required to be carried out before
commencement of the work. The AA or an authorised designate confirms this
together with the RA by signing the PTW.

c. The AA ensures that the work area is in a safe condition to be worked on,
proper equipment are selected to support the job (e.g. lighting has been
inspected and certified safe for use) and certifies this on the PTW. He checks
the need for other certificates and takes the appropriate actions.

For Confined Space Entry and Hot Work, he organizes the initial gas test to be
carried out by the AGT and issues the relevant confined space entry and hot
work certificates. The frequency of gas testing required during the job has to be
specified in the certificates.

d. When all such actions are complete, the AA signs and issues the PTW for the
work to start.

7.4.3 PTW Validity

a. PTW are valid during daylight hours ONLY. Work at night time will require
permit revalidation.

b. Except for Confined Space Entry, a single PTWform can be used for a
maximum of seven (7) consecutive days subject to revalidation at each shift or
day.

The maximum validity of PTW for Confined Space Entry is ONLY eight (8)
hours with a provision of extension for another four (4) hours after revalidation.
A new PTW is required if the work is to continue after the twelve (12) hours.

c. Permits revalidation shall follow similar process as per Section 7.4.1 and 7.4.2
provided there are no changes to the work scope and control measures
required.

7.4.4 Work Execution

a. The original PTW and all supporting documents shall be displayed at the work
site by the work leader and must be available for inspection at any time.

b. The first duplicate copy will be retained in the control room of the facility and the
second duplicate copy is retained by the RA.

c. Work or surrounding conditions may change, so it is essential that the AA or his

representative regularly check the work site. He shall stop the work at any time
if the conditions have changed or the precautions are not being implemented or
maintained by the persons executing the work.

d. The RA shall brief all workers on the hazards and conditions of PTW before
work commences. He shall also verify that the precautions are observed by
those working under the PTW and shall check the job site to identify and correct
deviation to the PTW requirements.

18
 PTS 60.2007

e. The AA and RA shall revalidate the permit during shift or day change, subjected
to revalidation limits.

7.4.5 Job Completion

a. When the job is complete, the RA signs off and hand back the PTW to the AA.
The AA shall verify and satisfy himself that work including site cleanup have
been completed before he signs off on the original and both copies of the PTW.

b. The original and both copies of the PTW shall be kept by the project team in a
file. (See Section 9.0 Records)

8.0 TRAINING AND COMPETENCE

Effective training is essential to achieve quality and consistency in the use of the PTW
system. Training is mandatory for all PTW signatories i.e. personnel who issue, receive and
work under a PTW system as well as designated PTW trainers.

Written examination and other suitable assessment should be carried out after the training
with the exception of awareness training. Records of PTW and related training should be
kept. The PTW training is valid for up to 3 years maximum, after which refresher shall be
provided. PTW Awareness training shall be included in the safety induction, to be attended by
all workers before they start working at the site.

The minimum training requirements for different parties in PTW system are shown below

PTW
JHA Refresher
Signatory
Training Training
Training
(0.5 day) (1 day)
(1day)
Approving Authority (AA)
for Permits   
Approving Authority for
Certificates (AAC)
  
Receiving Authority (RA)   

The minimum knowledge and competence to be addressed in the training are as follows:

a. Approving Authority (AA)

 Responsibilities of Approving Authority

 Site and equipment layout
 Hazards and potential hazards
 Controls and precautions for the hazards
 Applicable regulatory requirements
 Rules regarding PTW system
 Use of different permits and certificates
 Emergency response procedures
 Inspection and auditing requirements

b. Receiving Authority (RA)

 Responsibilities of Receiving Authority

 Hazards and potential hazards
 Controls and precautions for the hazards
 Rules regarding PTW system

19
 PTS 60.2007

 Use of different permits and certificates

 Emergency response procedures

9.0 Records

Records of attendance and competency of those working within the PTW system shall be
filed for future reference and verification. All completed and cancelled permits and certificates
shall be retained for a specified period (see below). This record keeping provides a sound
basis for the audit process.

Retention time of permits and certificates -

1. Confined Space Entry- The project team must retainthe permit and certificate for at
least one (1) year including all other relevant documents such as reports of
inspection and checklist for the purpose of inspection by relevant authorities.

2. Incidents - The permit, certificate and all relevant documents relating to any incident
at the project site shall be kept throughout the duration of the project.

3. Others-PMT shall determine the retention period of expired permit, certificate and all
other relevant documents.

10.0 Inspection and Auditing of PTW system

The internal inspection and auditing of PTW system shall be established by the PMT.

The scope, frequency and responsibility of inspection and auditing of the PTW system should
be included as part of Project HSE inspection and audit plan. The PTW system should be
reviewed based on common audit findings, to reinforce safe working practices on site. The
review should include both leading and lagging indicators as well as specific incidents that
could be related to inadequate control of work activity. The PMT shall determine the
frequencies for carrying out PTW audits and for reviewing the PTW system.

11.0Standardised Permits and Certificates

The PETRONAS Group PTW and certificates are shown in the appendix.

12.0 REFERENCES

 PTS 60.0309 – Project HSE Management

 PTS 60.2001- PETRONAS Group Guidelines for Permit to Work System
 PTS 60.2101- High Pressure & Ultra High Pressure Water Jetting
 PTS 60.2103 – Lifting
 PTS 60.2104 – Working at Height
 PTS 60.2105 - Entry Into Confined Space
 PTS 60.2106 – Scaffolding Safety
 PTS 60.2110 - Working in Inert Space
 PTS 60.2116 - Excavation
 PTS 60.2117 - Energy Isolation Standard
 PTS 60.2123 – Ignition Source Control
 PTS 60.2124 – Diving Operations Management Guideline
 PTS 60.2212 –Bypassing of Safety Critical Equipment
 PTS 60.1507.02 - Radiography
 PTS 63.64.10.31- Portable Equipment Temporary Installation
 DOSH Code of Practice for Safe Working in a Confined Space 2010
 HSE UK HSG 250 Guidance on permit to work systems
 PETRONAS Project Management System (PPMS), version 1.0, Feb 2010

20
APPENDIX A: Permit to Work Form
APPENDIX B: Excavation Certificate

EXCAVATION CERTIFICATE Serial No. : Preprinted

NO WORK THAT IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT
SAFELY PTW NO.:

SECTION 1 LOCATION:
APPLICANT'S NAME : _________________________________________
DEPT./COMPANY :__________________________________________________________
DATE : __________________________________________
SECTION 2 DESCRIPTION OF EXCAVATION WORK:

I have checked the area and confirmed that there is/is no* underground services.

Name (Work Leader) Signature Date

EXTERNAL AGENCIES
SECTION 3 APPROVAL Name Signature Designation Date TO BE INFORMED :

TNB

a. Civil JKR

STM
b. Mechanical
JPBM

c. Electrical OTHER

NOT REQUIRED
d. Area Owner

SECTION 4 SAFETY PRECAUTIONS

POSSIBLE HAZARDS IN THE WORK AREA Job Required :
Gas & Fume Volatile Liquid Under Pressure Warning Signs Beacon light Road Barricade
Road obsruction certificate........................ Point Marking
Volatile Liquid Products High Voltage Traffic
Excavation depth > 1.5 meter required :
Additional Precautions to be followed : Gas test Shoring Ladder
............................................................................................................................................
Other Sections / Units notified :
............................................................................................................................................ _______________________________
............................................................................................................................................
Yes No

SECTION 5 APPROVAL
The Excavation Certificate is valid :
From : To :
Date:_________________ Time:________________ Date:_________________ Time:_______________

Approving Authority Receiving Authority

Signature
Name
Date/Time

SECTION 6 COMPLETION OF EXCAVATION

The excavation work has been completed and the work area restored to the origanal conditions.

Name Signature Date Time

WORK LEADER
SECTION 7 ACKNOWLEDGEMENT OF COMPLETION OF WORK
I have checked the worksite and confirmed that the excavation has been completed.

Name Signature Date Time

Approving Authority
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM
 PTS 60.2007

APPENDIX C: Lifting Certificate

Serial No.
LIFTING CERTIFICATE Preprinted
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY PTW No. :

1. > 20 tons 7. Lifting near power line

2. Weight >80% of lifting capacity 8. Lifting equipment integrity test
3. Lifting people 9. Subsea lift
4. Special load 10. Lift on unknown soil stability
5. Helicopter lifts 11. Lifting on barge
6. Multiple lifting equipment 12. Other lift:____________
1. Crane Information
TYPE OF CRANE Truck Mounted/Crawler crane
BRAND NAME
MODEL
2. Activity Details
LOCATION OF LIFT
EXPECTED LIFT DATE
LENGTH OF BOOM
RADIUS
DESCRIPTION OF LIST:

RIGGING WEIGHT

BLOCK KG JIB KG
CHOKERS/SLINGS KG BALL KG
SHACKLES KG WHIP LINE KG
SPREADER BAR KG OTHER KG
LOAD LINE KG OTHER KG
UPPER BOOM PT KG OTHER KG
PIN EXTRACTORS KG
TOTAL WEIGHT KG
CHART CAPACITY AT RADIUS KG
WEIGHT OF OBJECT TO BE LIFTED KG
PLUS RIGGING WEIGHT KG
TOTAL LIFTING WEIGHT KG
SAFETY FACTOR ( As recommended by the manufacturer) %
PERCENT OF CHART CAPACITY (As recommended by the
%
manufacturer)
NUMBER OF PARTS OF LINE EACH
RATED CAPACITY PER PART OF LINE KG
ACTUAL LOAD PER PART LINE KG

3. Approval
NAME SIGNATURE DATE
CRANE OPERATOR

LIFT SUPERVISOR
OPU WORK SUPERVISOR. /
MECH. W/SHOP SUPT.
Mandatory Requirement : Crane Pre-lifting checkist MUST be done prior to do the actual lifting.
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM
Distribution Original : Display At Work Site Copy 1 : Control Room

2
 PTS 60.2007

APPENDIX D: Lifting Checklist

Serial No. :
LIFTING CHECKLIST Preprinted
(CRITICAL LIFT) PTW No. :
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT
SAFELY

THIS FORM WILL BE COMPLETED FOR ALL CRITICAL (86%-100% OF CHART) SINGLE LIFTS AND FOR
ALL MULTIPLE-CRANE LIFT.

Y N N/ REQUIREMENTS
E O A
S
1. Detailed written procedure prepared, including step-by-step operation procedure
2. Pre-lift meeting to discuss step-by-step operation including roles and responsibilities of all parties.
3. Plans/drawing consisting of the following:
A. Plot Plan
B. Plan view with crane locations relative to the lift item. All movements, obstructions and information shall be
clearly shown as listed below
1. Location and size of underground facilities
2. Results of calculations of ground bearing pressures
3. Results of calculations of ground bearing analysis
4. Dimensions for centerline of lift equipment to C.O.G of the lift item at the beginning of lift and at final set.
5. All swinging and traveling of lift equipment including clearances
6. At final set locations, note any required rotation of load
7. Matting plan/layout
C. Elevation view with data charts and crane locations relative to the lift item. All movements and obstructions
shall be clearly shown as listed below:
1. Dimension for centerline of equipment to C.O.G of the lift item at the beginning of lift and at final set.
2. All swinging and traveling of lift equipment and clearances
3. Rigging assembly and all lifting attachments clearly labeled.
4. Lifting and tail lug orientation
5. Detailed of sling connection at crane hook and equipment (lift and tail cranes)
6. Lift crane data chart consisting of:
a) Crane make/model
b) Radius - boom type and crane counter weight
c) Chart ID Number and crane counter weight
d) Chart capacity
e) Lift item weight
f) Rigging weight
g) % Safety
h) % Chart
7. Tail crane data chart consisting of:
a) Crane make/model
b) Radius - boom type and crane counter weight
c) Chart ID Number and crane counter weight
d) Chart capacity
e) Lift item weight
f) Rigging weight
g) % Safety
h) % Chart
8. All rigging gear weights and deducts shown
G. 9. Lift and
Crane itemRigging
number/name
gear Certifications listed below:
D. Plan Extractor
a) Lift crane Outline
1.b)Manual Pin Extractor
Tail crane
2.c)Hydraulic
Load Line, Extractor
Boom Line, Whip Line
E. Certified Equipment Drawing with Vendor Calculated Weights
d) Lift Beam
F. Transportation
e) Spreader BarRouting Plan and Method of Transport
f) Sling

3
 PTS 60.2007

g) Shackle
h) Links
i) Hydraulic/Manual Pin Extractor
j) Other, Specify
Note: All calculations are to be stamped by a competent OPU Inspection Engineer, certified
weights of items are to be provided.
4. The following notations shall appear in the body of the procedure.
a) All rigging will be attached and then visually inspected by OPU and Contractor Lifting
Supervisor
b) OPU and Contractor Lifting Supervisor is responsible for verifying that all prescribed
conditions are met prior to the lift.
c) cranes shall be inspected and deemed in good operational condition by the contractor &
OPU prior to the lift. OPU Lifting Supervisor will perform basic inspection during the crane
registration process.
d) all cranes will have a current DOSH certification on project.
e) The use of tag lines
f) All test certification data will be provided to OPU Lifting Supervisor during the Crane
Registration process
g) Load test (when required) will be witnessed by OPU Lifting Supervisor
h) Work permit obtained from OPU Operator
5. Load weight verified against calculated engineering weight and one of the following (weight
to be calculated on +ve side of mil tolerance)
a) Certified scale ticket (truck of rail)
b) Calibrated hook scale
6. Load test at 110% of lift weight
7. Third party engineering review
8. Standby operator
9. Mat location flagged/painted for review
10 Verification of vessel base plate and anchor bolts.

11 Wind speed restrictions (not one 20MPH/32 KPH)

12 Road closure restrictions

13 Lift to be during unit shutdown
14 Daytime lift only
15 Crane inspection by OPU
16 Pull test chokers / slings at %
17 Component of lifts assembly to be tagged with date and test data after Certification of load test.
COMMENTS:
18 Known hazards reviewed
19. Other, specify

_____________________________________ ___________________________________________
CRANE CONTRACTOR CONTRACTOR LIFT SUPERVISOR

______________________________________ ____________________________________________
CONTRACTOR LIFT SUPERVISOR OPU LIFT SUPERVISOR/WORKSHOP SUPT

__________________________________________
OPU PROJECT ENGINEER/MANAGER

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution Original: Display at Work Site Copy 1:
Control Room

4
APPENDIX E: Physical Isolation Certificate

PHYSICAL ISOLATION CERTIFICATE Serial No. : Preprinted

NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY
SECTION 1 PLANT EQUIPMENT TAG NO : PTW No. : 1 _______________________ 2 _______________________ 3 _______________________
PREPARATION (AAR) SIGNATURE NAME DATE TIME PREPARATION (AAR SIGNATURE NAME DATE TIME

VENTING TO
STEAMED CLEAN
ATMOSPHERE

DRAINED FREE OF
VENTILATED
LIQUIDS

WATER FLUSHED INERT GAS PURGED

SECTION 2

ISOLATION DE-ISOLATION
LOCATION
TAG/LOCK METHOD
(Please refer to drawing) SIGNATURE NAME DATE TIME SIGNATURE NAME DATE TIME
NO.
(Valve/blind No.)

ELECTRICAL

MECHANICAL

INSTRUMENT

PROCESS

OTHERS

SECTION 3

ISOLATION REQUESTED BY (PERMIT APPLICANT / RA) PREPARATION & ISOLATION VERIFIED BY (RAR) DE-ISOLATION REQUESTED BY (RA)

NAME
SIGNATURE
DATE
TIME

PRECAUTIONS

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

DISTRIBUTION ORIGINAL: DISPLAY AT WORK SITE COPY NO 1: CONTROL ROOM
APPENDIX F: Electrical Isolation Certificate

Serial No.
ELECTRICAL ISOLATION CERTIFICATE Preprinted
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY PTW No. :

SECTION 1 - REQUISITION ( To Be Filled By AA )

Applicants Name :

Signature : Date :
Equipment Tag No : Location :
Date Required From : To:

Work Description : .....................................................................................................................................................................................................................................................

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

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

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

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

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

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

SECTION 2 - CONFIRMATION OF ELECTRICAL ISOLATION ( To Be Filled By CP )

Type of Electrical Isolation :
Switch Out Rack Out Record at Substation Log Book Lock Out and Tag Out at........................................... .......
I hereby confirm that the equipment (stated above) has been deenergised, isolated from all live sources and safe to work on.
Name Signature Date Time

SECTION 3 - PTW DEPENDENT ON THIS ELECTRICAL ISOLATION ( To Be Filled By AA )

PTW No Completion Date/Time Signature

SECTION 4 - REQUEST FOR ELECTRICAL DE-ISOLATION ( To Be Filled By AA )

I hereby declare that the work detailed in this certificate has been completed, that all persons under my supervision have been withdrawn and warned that it is no longer
safe to work on the equipment, and that gear and tools are all cleared away.

Name Signature Date Time

SECTION 5 - NORMALISATION ( To Be Filled By CP )

I hereby declare that the electrical power to the above mentioned equipment has been normalized.

Name Signature Date Time

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution Original : Display At Work Site Copy 1 : Control Room
 PTS 60.2007

APPENDIX G: Electrical Certificate

Serial No.
ELECTRICAL CERTIFICATE Preprinted
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY PTW No. :

SECTION 1: WORK SCOPE

Equipment Tag: .........................................

Equipment Type Volts HV LV
Motor Switchboard Generator Switchgear
Transformer Cable Vital Lighting
Others. Supplies
.................................................................................................................................................................................................................................
Specify

Work Description: .......................................................................................................................................................................................................

.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
Special Precautions
Barrier Earthing Others. Specify
...................................................
Initiator Name: ...................................................... Signature: .....................................................
Date: ...........................
Approved by AU/CO Name: ...................................................... Signature: ......................................................
Date: ...........................
SECTION 2: ISOLATION

Isolated at Switch No. : ............................................

Fuses withdrawn Cable Applied locks &
Circuit proved Discharged notices
dead Earthing
SWITCHGEAR installed LOCKS NOTICES APPLIED
SWITCH PANE CAUTIO EARTHE INITIALS
LABEL/DESCRIPTION A C DANGER
BOARD L N D

Executed by CO AU

Name: ...................................................... Signature: ...................................................... Date/Time:

...........................
SECTION 3: WORK COMPLETION

Completion certified by CO
Motor reinstalled Cable reconnected Require 2nd PTW? PTW No.:
Other works Megger / Continuity test .............................................
completed completed Ready to energize
Name: ...................................................... Signature: ...................................................... Date/Time:
...........................
De-isolation CO AU
Personnel withdrawn Earthing removed Locks/notices All tools
Housekeeping completed and site cleared of removed removed
Open panels closed
up debris
Name: ...................................................... Signature: ...................................................... Date/Time:
...........................

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution Original : Display At Work Site Copy 1 : Control Room

2
 PTS 60.2007

APPENDIX H: Radiation Certificate

Serial No. :
RADIATION CERTIFICATE Preprinted
PTW No. :
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT
SAFELY

Applicant Name......................................................................
Dept./Company ......................................................................
is authorised to make use of:

1) Radioactive source : [x-ray / Isotope].....................................

Max.activity : ....................................[KV / Ci]
Type of Radiation : [x-ray / alpha / beta / gamma]

2) Duration
Start Date :................... Time : ..............................
Finish Date :.....................Time :..............................

3) Unit / Location :.......................................................................................................

4) For the purpose of :

- Weld Survey
- Corrosion inspection
- Isolation / commissioning of source
- Special investigation(pls specify) :......................................................................

5) Other Conditions:
PTW is required before work may commence
Standing Instruction on Radiation # shall be strictly adhered to.
Any change in method of work or equipment will invalidate thisradiation certificate.
If irregularities or disturbances occur, the following person(s)must be notified immediately
1. RPO [OPU/Contractor]:.......................................... Tel :........................
2. Asst.RPO :.............................................................. Tel :........................

Approved by (Approving
Authority) :
Name Signature Date

STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution Original: Display at Work Site Copy 1:
Control Room

3
 PTS 60.2007

APPENDIX I: Road Obstruction Certificate

Serial No. : Preprinted

ROAD OBSTRUCTION CERTIFICATE
PTW No. :
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY

SECTION 1 -GENERAL INFORMATION

Location: Plant Area/ Facility

Road Name / Number: Date Required From:

Others: Expected Completion Date:

SECTION 2 - WORK DESCRIPTION

Reason for Obstruction:

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

Special Precautions:
.............................................................................................................................................................................................................................................................................
.............................................................................................................................................................................................................................................................................
.............................................................................................................................................................................................................................................................................

SECTION 3 - PRECAUTIONS TO BE IMPLEMENTED

Exact location as per plot plant/sketch Barricade with hazard tape
Alternative passage clearly indicated on plot PFSU has been notified
plan/sketch Signage to be placed at : ........................................
Traffic controller required Others :
Rigid barricade ...................................................................
This Certificate is only valid if the main PTW is valid (maximum 7 days from issue).
SECTION 4 -REQUISITION (To Be Filled By RA)
Applicants Name: Department / Company:

Staff No. / IC No.: Tel No.:

I accept the stated precautions and conditions and will ensure implementation.
Receiving Authority Signature Department Designation Date

SECTION 5 - APPROVAL (To Be Filled By AA)

This certificate is approved providing all stated precautions have been implemented.
Receiving Authority Signature Department Designation Date

SECTION 6 - PLOT PLAN (To Be Filled By RA/AA)

Attach Plot Plan or Sketch Out Location of Road Obstruction

SECTION 7 - WORK COMPLETION (To Be Filled By RA/AA)

Job Not
Completed Completed
Give reason if job not completed:
Endorsed By Receiving Authority Accepted By Approving Authority

Name: Date: Name: Date:

Signature: Time: Signature Time:

STOP WORK AND EVACUATE AREA ON HEARING EMERGENCY ALARM
Distribution Original : Displayed at Worl Site Copy No. 1 : Contol Room

4
 PTS 60.2007

APPENDIX J: Confined Space Entry Checklist

Serial No :
CHECKLIST FOR CONFINED SPACE ENTRY Preprinted
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY PTW No :

SECTION 1 - GENERAL INFORMATION

Permit Applicant : Work Leader :

Safety Watch Name : Company/Contractor :

Location : Facility/Unit :

Vessel/Tank Services: Date of Work :

Equipment No : Time From : To :
SECTION 2 - WORK DESCRIPTION
Purpose for entry :-
.................................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................................

SECTION 3 - CONDITIONS TO BE CHECK BY APPROVING AUTHORITY

Are all connections to the confined space been isolated/removed? Y N N/A

Are isolation certificates attached to the permit? Certificate No : ........................................ Y N N/A
Are all electrical/hydraulic connections inside and outside the confined space locked out and tagged? Y N N/A
Is the confined space gas free? Check by: ........................ Date:..................................... Time: .................... Y N N/A
Is the oxygen level satisfactory? Check by: .......................... Date:.....................................Time: ..................... Y N N/A
Has a gas test for flammable gases and toxic gases been done? Check by: ........................ Date:........................ Time:.............. Y N N/A
Has a continuous forced air ventilation been provided and tested in the confined space? Y N N/A
Are there any other hot work nearby? If yes, assess the risk and take necessary precautions. Y N N/A
Are there radiation sources nearby? If yes, assess the risk and take necessary precautions. Y N N/A
Are there exhaust fume hazards nearby? If yes, assess the risk and take necessary precautions. Y N N/A
Are warning signs and barricades available? Y N N/A
Are lightings to be used of the low voltage type? Is ELCB installed? (Maximum allowable voltage is 50V) Y N N/A
If the job requires scaffolding, has it been erected and inspected? Y N N/A
Are all the necessary PPE available at site? Y N N/A
TO BE CHECKED JOINTLY IF BREATHING APPARATUS IS TO BE USED
Are the workers trained in the use of BA provided? Y N N/A
Have you checked the availability of emergency air supply when working in inert atmospheres? Y N N/A

SECTION 4 - APPROVAL
Special Precautions
.........................................................................................................................................................................................................................................
.........................................................................................................................................................................................................................................
.........................................................................................................................................................................................................................................
I have personally checked that all control measures to prevent release of hazard have been put in place and complied with by those working
under this checklist.
Signature Designation Date Time
Approving Authority Representative
Approving Authority

SECTION 5 - VERIFICATION
Are your workers trained in confined space entry procedures? Y N N/A
Do your workers fully understand the safety requirements and have been briefed on the JSA? Y N N/A
Have your workers undergone medical fitness test? Y N N/A
Are you satisfied with all the isolations and preparation made for a safe entry? Y N N/A
Have your workers been briefed on the Rescue and Evacuation plan of your worksite? Y N N/A
Mode of communication to be used : .................................................................................

Signature Designation Date Time

Receiving Authority / Work Leader
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM
Distribution Original : Display at site
Copy No1 : Control Room