MSRA For Installation of Blast Resistant Shelters - Rev 02 PDF

Hunter Document Ref : 1048-07
1048-07-QA-76
76 REV. 2
ACE Document Ref : ACE/MS/303/2018/REV. 2
METHOD STATEMENT FOR INSTALLATION OF ONE BLAST RESISTANT MODULE

(OPERATING
(OPERATING SHELTER 3
3)
AT KNPC MINA
MINA AL AHMADI (M
(MAA) REFINERY
2 24.02.2019
24 SK VV NKP
1 14.01.2019 SK VV NKP
0 30.09.2018 SK VV NKP
Prepared Approved Reviewed &

Approved By
Revision By By Approved
Date
No.
ACE HUNTER KCCEC/ KNPC
INDEX
1. Scope
e
2. Purpo
ose
3. Referrence Docum
ments
4. Abbre
eviations & Definitions
D
5. Organ
nization and
d Responsib
bilities
6. Work Process
6.1 Acces
ss to site
6.2 Drivin
ng mobile crrane to site
6.3 Crane
e Positioning
g
ading Procedure
6.4 Unloa
6.5 Installlation Proce
edure
7. Lifting
g And Riggin
ng Plan
8. Load Chart
9. nd Pressure
Groun e Chart
10. Route
e Map
11. Plantt, Equipmen
nt, Machines
s & Tools
12. Anne
exures
12.1 Work
W Permit Risk Asse
essment (CT
TRA)
12.2 Load
L Chart
12.3 Lifting
L Plan
12.4 Lifting
L Gearrs Details
12.5 Route
R Map from Gate to
t Shelter No.
N 3
1. Scope of Work:
Work
In accordance with the requirements of the contract, the scope of this Method Statement provides
the control sequence of construction and methodology that will be used for the Installation of Blast
Resistant Shelter at KNPC MINA
MINA AL AHMADI (MAA) Refinery. It further provides the means for
inspecting and testing the installations once the activities are completed.
The various sections define the activities, which must be applied to control the areas of work within
the applicable contract
contract documents, specifications and work instructions.
The purpose of this method statement is to outline the general requirements which should be taken
into consideration for this activity.
2. Purpose:
Purpose
The purpose of this document is to explain the method and procedures th

that
at will be used to perform
the Installation
nstallation with respective of HSE & Quality standards.
3. Reference Documents:
Documents
 KNPC’s HSE Guidelines for Contractors (KNPC Doc # HSE

HSE-TSSA
TSSA-05-1118)
1118)
 SWP Work Permit & Risk Assessment, HSE-TSSA-06

HSE 06-2029,
2029, Rev. 6A.
 Engine Driven Mobile Equipment Safety, HSE-TSSA

HSE TSSA-05-2018,
2018, Rev 5.
 SWP on Lifting Appliances & Tackles, HSE-TSSA-06

HSE 06-2012,
2012, Rev 6.
 SWP on Hand & Portable Power Tools, HSE-TSSA-06

HSE -06-2006,
2006, Rev 3.
 Scaffolds, Ladders & Works at Height SWP, HSE-TSSA

HSE TSSA-06-2015,
2015, Rev 7.
 Traffic
raffic Safety Guidelines, HSE-TSSA-04
HSE 04-SP01,
SP01, Rev 4.
 Welding, Cutting and Heating SWP, HSE-TSSA-05-2011,

HSE 2011, Rev 5.
 Project Drawings
 Lifting Plan
 Critical Task Risk Assessments

4. Abbreviation & Definitions:
Definitions
 MS - Method Statement
 RA - Risk Assessment
 PM - Projects Manager
 SE - Site Engineer
 SO - Safety Officer
5. Organization & Responsibilities:

Responsibilities
s Manager:
Projects
 Responsible for controlling the project's entire activities & for the overall coordination with the
Consultant.
 Ensure that adequate facilities, resources and equipment are provided to the work to avoid injury,
health impairment or damage & to ensure providing quality works within the planned timescale.
 The Project Manager will be responsible for allocating the right resources for the planning and
execution of all the activities.
Site Engineer:
Engineer
 Responsible to liaise with Client/ Consultant etc.

 Responsible to obtain/ closeout of work permits from relevant authorities.
 Responsible for plan/ monitor/ control the day to day installation activities and control the workforce
to achieve the targeted works.
 Responsible to ensure good workmanship.
 Responsible to arrange required manpower/ tools/ equipment to perform the job.
 Responsible to raise the Inspection.
pection.
Safety Officer:
Officer
 Responsible
esponsible for the implementation of safety requirement of the site and ensure all works are
executed in accordance with the Project HSE plan and company safety procedures.
 All the employees have undergone safety induction and a job speci
specific
fic training.
 Strict compliance to KNPC SWP on HSE Guidelines for the contractors.
 Continuous safety supervision will be maintained at site.
 Ensure proper and clear access to work at Site.
 Ensure proper barricading of Work/ Equipment.
 Ensure that all the workers
workers have a safe place of work, advise safe system of work and provide
adequate instructions, training and supervision to enable employees to work in safety.
 Ensure that the HSE methods of working are in operation & that all regulations are being observe
observed.
 Report, determine & analyze the cause of any accident or dangerous occurrence and recommend
measures for preventing recurrence.
6. Work Process:
6.1 Access to Site:

Site
 KNPC/
KNPC KCCEC is responsible to provide the safe access and egress to the site.
 All site personnel has to attend site safety induction and possess valid access permit to the plant
or site
 HBI/ ACE will ensure safe access and egress is maintained for ourselves and other sub-
contractors in the same working area.
 HBI/ ACE will be maintained good standards of housekeeping.
 Working site supervisor (level II) shall be trained and certif
certified.
ied. Our site supervisor will write a
an level
II examination
examination in KNPC and qualify for the same.
 Foundation levels and coordinates shall be surveyed and confirmed by KCCEC prior to lifting
activities.
activities
 Foundation shall be repaired and cleaned after installation by KCCEC, if required
required.
 Housekeeping
usekeeping shall be done by ACE and reinstate all facilities after completion of work by KCCEC,
if required.
 Supervision
 All the persons involved in the job will be explained about the safety aspects and requirements on
the job.
 Proper work plan will be made for the job.
 All work supervision will be managed by our competent Engineer/supervisor who will be
responsible for entire operation
 Cordon of the area and barricade.
 Remove all the non-essential
non persons from the area during operation
operation.
 Crane
rane and equipment with third party certification shall be used for operation.
 Site to be inspected prior to the commencement of the job.
 Necessary
ecessary work permits to be obtained prior to commencement of the job.
 All the underground services have to be check with KNPC U/G drawing and take extra care.
6.2 List of required work Permits:

Permits:
 Cold Work Permit
 Hot Work Permit
6.3 Driving the crane to site and rig-up

rig up for lifting :
 The crane shall have valid third party certificate and safety certificate after inspection by KNPC
Safety.
 The rigger and the operator shall be trained and certified by the approved third party agency.
 All lifting tools and tackles used shall be inspected and certified by third party agency.
 Obtain necessary work permits prior to commencement of the job.
 Make prior visit to confirm the back filling/compaction of the area as discussed.
 The area near to the lift will be inspected for access / positioning of the crane and made sure it is
as per the requirement before getting the equipment on site.
 Mark the approximate location of the crane as per the working radi
radius.
 Crane will be driven inside area and positioned exactly over the marked area as stated earlier and
mark the out rigger positions.
 Rig up the crane on steel pads.
 Slowly reverse the trailers carrying counter weights near the cran
cranee and install them on th
the crane.
 Change the hook block to required part lines for the lift.
 Now the crane is ready for the safety inspection / final lift
lift.
 Access route to drive and reach the crane on working area to be verified.
 Space available at planned operating position to be verified.
 Approved rigging plan and rigging check list shall be available at site based on type of lifts (Critical/
Non Critical). Refer page # 23 in the same document for rigging plan of operating shelter no. 3.
 Lifting activities shall be stopped in case of adverse climatic condition or insufficient illumination
and visibility.
 The route of the crane from main gate to worksite shall be sur
surveyed
veyed prior to shifting. In case any
permanent facilities or height barriers are removed, it shall be reinstated at the end of the day
work. Refer page # 32 in the same document for route map fr
from
om gate to operating shelter no 3.
 Pilot vehicle shall be available during
during shifting of the modules and to be done in non
non-peak
peak traffic
hours. This will be provided by KCCEC.
 All lifting activities shall be directly supervised by approved authorized rigging foreman/ supervisor/
engineer.
engineer
6.4 Arrangement of Lifting Gears in the Spreader Bar:

Bar :
Slings and other lifting

lifting gears connected to the lug of the spreader bar at both the above and below
spreader bar has to be changed to different lugs as per the below sketch.
All the lifting gears and spreader bar are having valid third party certificate
certificate.
While lifting the load it shall be as per KNPC SWP Lifting Tools and Appliances (Appendix G
G-
categories of lifting operations.
Will strict
trictly comply of all KNPC SWP-
SWP Lifting Tools and Appliances, Mobile equipment safety, Work
Permit system and risk assessment etc,
6.5 Unloading Procedure:
Procedure
 Position the truck near to crane.

 Barricade the areas around crane & truck.
 Position the man lift with operator fitted with full body harness connected to the anchor point, to fix
the slings connected with spreader bar to module lifting lug (4 Sides).
 Remove the shrink wrap packing by knifing.
 Connect all lifting gears as per lifting
lifting plan under the supervision of a lifting supervisor
 Check all lifting gears visually before use.
use.
 Slowly lift the load slightly above its initial position to ensure the stability and load restraint.
 Ensure the load is safely lifted for balancing.
balancing
 Fix 2 number of tag lines to avoid swinging and to make the load in control for erection
 Lift, move and swing the crane slow & steadily and place the module directly oon
n the foundation.
 Again position the man-lift
man lift and remove the lifting gears to release the cran
cranee with slings connected
with spreader bar.
bar.
 All signals have to give by qualified rigger by hand signal or radio
radio.
 Close supervision has to carried out by site engineers and project lead
 Proper barricading with sign boards should be in place
place.
 Signal man with identification jacket shall be available during movements and reversing of heavy
and long equipment/ vehicles.
 Signal man for man lift shall be trained for operating the man lift during emergency cases.
6.6 Installation Procedure:

Procedure
Sequence of Installation:
Installation
 Install 1-
1 Part 4
 Install 2-
2 Part 3
 Install 3-
3 Part 2
 Install 4- Part 1
 Install 5- Air Stack Structure
 Install 6-
6 HVAC Unit
 Install 7-
7 Ladder
 Install 8-
8 GRP Tank
 Position the selected crane & truck with load as per the lifting plan.
 Mark the exact location of each module in the foundation as per the drawings.
 Install four no’s of anchor bolt in the foundation of part
part-4
4 module to arrest the movement.
 Change the sling arrangement in the spreader bar as per the clause 6.3 for PART
PART-4
4 module.
 Install the PART-4
4 module in the desired location of the foundation by lift & place in the foundation
directly from the truck as per the attached lifting plan.
 Fasten the nuts in the base plate of PART-4
PART module.
 Remove the heat shrink
nk packing cover by knifing and dispose the waste as per the requirements.
 Position
osition the man lift/
lift/ temporary ladder and remove the temporary bracings (2 no’s) fitted for
transportation purpose by de-
de-fastening
fastening the bolts and lower it down by the rope from top
top.
 Properly remove the packing/ other waste from the working area and dispose as per the
requirements.
 Place the 8mm thick MS Plate in the width side of the foundation of PART
PART-3
3 module. Upper
surface of the plate shall be applied with grease to slide and co
couple
uple the module after removal of
the bracing.
 Change the sling arrangement in the spreader bar as per the clause 6.3 for PART
PART-3
3 module.
3 module in the foundation by lift & place in the foundation directly from the truck
by maintaining the desired space between PART-3
PART & 4 to position the man lift
lift// temporary ladder to
remove the packing plywood by hammering from inside and to de
de-fasten
fasten the bolts of the bracings
(4 no’s) and lower it down by the rope.
 Slide the PART-3
PART 3 module by Crane and couple
coup le it to PART
PART-4
4 module.
 Align and fasten the ten sets of bolts at each side (M20 x 60mm) on the connection angle joints
located in front & rear face of the module.
 Properly remove the packing/ other waste from the working area and dispose as per the
requirements.
rements.
PART-2 module. Upper
surface of the plate shall be applied with grease to slide and couple the module after removal of
the bracing.
 Change the sling arrangement in the spreader bar
ba r as per the clause 6.3 for PART
PART-2
2 module.
PART 2 module in the foundation by lift & place in the foundation directly from the truck
PART 2 & 3 to position the man lift
remove the heat
heat shrink packing by knifing and to de
de-fasten
fasten the bolts of the bracings ((4
4 no’s) and
lower it down by the rope.
PART module by Crane and couple it to PART
PART-3 module.
 Align and fasten the ten sets of bolts at each side (M20 x 60mm) on the connec
connection
tion angle joints
 Properly remove the packing/ other waste from the working area and dispose as per the site
requirements.
 Re-position
position the crane & truck as per the lifting plan.
PART-1
1 module. Upper
surface of the plate shall be applied with grease to slide and couple the module after removal of
the bracing.
PART 1 module in the foundation by lift & place in the foundation directly ffrom
rom the truck
PART 1 & 2 to position the man lift
remove the heat shrink packing by knifing and to de
de-fasten
fasten the bolts of the bracings (2 no’s) and
lower it down by the rope.
PART 2 module by Crane and couple it to PART
PART-3
3 module.
 Align and fasten the ten sets of bolts at each side (M20 x 60mm) on the connection angle joints
 Install the Air Stack Structure in the foundation by lift & place in the foundation from the ground.
 Install the HVAC Units in the foundation directly from the truck.
 Install the Cat ladder in the PART-4
PART 4 module and position the man lift to fasten the bolts (M12) to
the cleat welded in the module.
 Install GRP tank, Chemical filtration unit & Inertia filter by fork lift.
 Fix the lifeline brackets (4 no’s) in the lifting lug by bolting and install the lifeline to access in the
roof area to fix the connection angle bolts and rain shade fittings.
7. Lifting and Rigging

Rigging Plan:
Lifting and rigging plan attached on this document only for operating shelter # 3. Will later on submit
the lifting and rigging plan for other shelters separately prior to dispatch from UAE.
The attached lifting and rigging plan comes under Category

Category-B.
B. Critical Lift – Complicated as per
Appendix-G
Appendix G of KNPC Doc. #: HSE-TSSA-06
HSE 06-2012, Rev--4.
Refer the attached.
8. Load Chart:
Refer the attached.
9. Ground Pressure Chart:
This document has to be provided to us by KCCEC/ HUNTER.
10. Route Map:
Route Map attached on this document only for operating shelter # 3. Will submit later on
n for other
shelters separately.
separately
The route will be surveyed for any obstruction prior to shifting of the modules. Ensure the boom swing
area is free from any obstruction, in case of removal of existing facility
facility, the same will be reinstated by
KCCEC/ Hunter.
Attached route map from Gate to Shelter no. 3.
The route map for the rest of the modules will be submitted prior to shifting.
11. Plant/ Equipment & Tools:
All plant and equipment required for lifting operations shall be inspected and approved by plant
inspector (if applicable) prior to use on the project. All certificates for equipment and tools shall be
maintained and a copy will be present at site.
The SWL of all lifting equipment will be clearly mentioned on e equipment.

quipment. All equipment should be
securely stored, clearly identified & tagged to show limitations for use and also the date of required
recertification.
12. Annexures:
1. Critical Task Risk Assessments (CTRA)
2. Load Chart
3. Lifting plan for Shelter No. 3
4. Lifting Gear Details
5. Route Map from Gate to Shelter No. 3
6. Required Work Permits
Permits (Sample)
Critical Task Risk Assessment
Assessments (CTRA)
KUWAIT NATIONAL PETROLEUM COMPANY
COLD HOT ENTRY
MASTER COPY
WORK PERMIT RISK ASSESSMENT APPENDIX‐G
Location MAA MAB SHU LM OTHER Ref. No: PRJ‐PDI‐HUNTER‐RA‐18‐0001

Department/ Division Project Co‐ordination ‐ (Gr‐I) PD ‐ I Date 23.10.18
Area/ Unit (To be filled later) Review Date(see note‐4) (Will be filled later)
Description of Activity Lifting / Unloading of module from trailer
Estimated No. of Persons Likely to be
(To be filled later)
exposed:
Likelihood
Likelihood
Residual
Severity
Severity
Mitigation (Precautions taken)
Risk
Risk
S. No Hazard
Consider KNPC Standards/ Codes/ Practices.
Welding eye lug must checked by competent person.
1 Structure failure. 3 3 9 Verified NDT report prior to lifting operation. 1 3 3
Close monitoring by the supervisor.
Competent & Experience lifting supervisor.
Select proper lifting gear.
Inaccurate
Assessment & Check Anchor Points.
2 2 3 6 1 3 3
Selection of lifting RA Briefing for all workers.
gear.
Lifting can only be carried out with the recommended lifting
gears and lifting machines.
Document no: HSE‐TSSA‐06‐2029 Rev.‐5
May 2015 SWP Work Permit System Risk Assessment Page 1 of 3
Don’t stand under suspended load.
Ensure crane operator, rigger and signalman has clear
communication.
Use proper lifting signals.
Working under
3 3 3 9 Barricade the area and use tag line. 1 3 3
suspended load.
Ensure proper lifting equipment used.
Put sign board and alert workers on the operation.
Increase safety awareness through safety briefing / training.
Ensure crane operator, rigger and signalman has clear
communication.
Ensure tag line is installed.
Ensure sufficient manpower to handle tag line.
Restricted visibility
4 during load 3 2 6 Don’t stand under suspended load. 2 2 4
positioning.
Ensure the immediate lifting area is cordoned off.
Stop crane movement if load swing is too extensive.
Stop work during foul weather.
Use experience‐lifting crew for complicated lift.
Wear Adequate task specific pps like hard hat , safety googles ,
5 Hit by object / load. 3 2 6 2 2 4
safety shoes etc.
Barricade the area of work to prevent entry of un‐authorized
personnel and use proper sign boards.
Specific prevention and protection measures KNPC references:
1. Ensure compliance with all related KNPC safe work practices.
2. Relevant SWP's and guidelines shall be referred for any clarifications.
3. If any other risk is found while executing the job, work shall be stopped a risk assessment shall be again conducted before restaring the job.
4. Keep risk assessment and permits at site. Toolbox talk to be conducted prior to commencement of the job and WPRA hazards & mitigating measures shall be discussed in
the local languages to all craft level contractor employees.
Key: ALARM‐ Serious or major harm will probably occur. ALERT‐ Moderate harm probable, major harm unlikely to occur
CAUTION‐ Minor harm probable, major harm very unlikely to occur, CARE‐ Minor harm possible, major harm very unlikely to occur
Maintenance/ Maintenance/
Operations Safety Engineer‐
Section Head Construction Engr‐ Construction Engr‐ Safety Engineer‐ KNPC KCCEC/ HUNTER
controller Contractor
KNPC Contractor
Signature
Name
EMP #
Note:‐ 1. Master Copy (Original) shall be retained in file for record and future reference
2. Photo copy shall be attached with work permit
3. Ref. no. guidance:‐ Example LOCATIOn ‐ DEPT./DIV. RISK ANALYSIS ‐ YEAR ‐ SERIAL NO.e.g. 1. MAA‐XXXXRA‐05‐1001, 2. PRJ‐XXXXRA‐05‐1001
4. If same Risk Assessment is being used again, it must be reviewed to check relevancy.
COLD HOT ENTRY
MASTER COPY

Area/ Unit (To be filled later) Review Date(see note‐4) (Will be filled later)
Description of Activity Working at height
Estimated No. of Persons Likely to be exposed: (To be filled later)
Likelihood
Likelihood
Residual
Severity
Severity
Risk
Risk
S. No Hazard
Wear full body safety harness and 100 % tie off while working at
height.
Working plat form / scaffold should have valid tag & inspected
periodically.
Discussing with site in‐charge for the required working plat form
& necessary modifications.
Falling from height
1 3 3 9 1 3 3
injury/ fatality Use ‘A’ type Aluminum ladder if required with safe manner.
Secure all loose tools and materials in boxes or gunny bags.
Depute trained and experienced operatives only.
All safety harness required 2 numbers of lanyards (above 1.8
mtr).
Conduct tool box talk prior to the activity.
Falling from height Scaffolding to be erected and dismantled by a contractor with a
3 3 9 1 3 3
injury/ fatality scaffolding license.
Area should be barricaded properly and warning signage shall
be placed.
Employees to use the correct manual handling techniques at all
times.
Falling tools & lifting
2 2 3 6 1 3 3
gear
Secure all loose tools and materials in boxes or gunny bags.
4. Keep risk assessment and permits at site. Toolbox talk to be conducted prior to commencement of the job and WPRA hazards & mitigating measures shall be discussed in the local
languages to all craft level contractor employees.
KNPC Contractor
Signature
Name
EMP #
COLD HOT ENTRY
MASTER COPY

Area/ Unit (To be filled later) Review Date(see note‐4)
Description of Activity Usage of MEWP
Estimated No. of Persons Likely to be exposed: (To be filled later)
Likelihood
Likelihood
Residual
Severity
Severity
Risk
Risk
S. No Hazard
All MEWP shall be certified by KNPC approved Third Party
Agency.
Equipment shall be in good condition and meet the
requirements of ‘Vehicle and Equipment Safety’.
Breakdown , Fire &
1 2 3 6 1 3 3
burns
Fire Extinguisher of the right type and size, certified by KNPC
Fire Section shall be kept in all equipment.
Spark arrestor shall be fixed to the exhaust of equipment and
vehicles entering hazardous area.
Depute certified, trained & competent operator & banks man.
Collision with
2 2 3 6 1 3 3
structure.
Only Use routes and parking areas designate by KNPC
representative.
Men Falling from Full body safety harness for operator with 100% tie off on
3 2 3 6 1 3 3
height anchoring point on MEWP.
Secure any loose items in bags or boxes inside the platform.
Falling tools &
4 2 2 4 1 2 2
material.
Secure all tools by tools lanyard.
Barricade the area and put warning signage.
Moving vehicles and
5 3 2 6 Conduct TBT with employees. 2 2 4
pedestrian.
Close supervision by Supervisor and HSE advisor.
4. Keep risk assessment and permits at site. Toolbox talk to be conducted prior to commencement of the job and WPRA hazards & mitigating measures shall be discussed in the
local languages to all craft level contractor employees.
KNPC Contractor
Signature
Name
EMP #
Load Chart
HA AC 250-6
96,6 t 8,68 m x 8,50 m 360° ISO

0°
14,5m 14,5m 19,3m 24,1m 28,9m 33,7m 38,5m 43,3m 48,1m 52,9m 57,7m 62,5m 67,3m 72,1m 77,2m 80,0m
m t t t t t t t t t t t t t t t t m
250,0** - - - - - - - - - - - - - - -
3 197,0* 155,0 147,5 - - - - - - - - - - - - - 3
4 168,0* 155,0 147,5 146,0 - - - - - - - - - - - - 4
5 146,5 146,5 144,5 143,0 134,5 - - - - - - - - - - - 5
6 129,0 129,0 129,0 126,0 124,0 106,5 - - - - - - - - - - 6
7 115,0 115,0 115,5 114,0 110,5 101,0 81,1 - - - - - - - - - 7
8 104,0 104,0 104,0 103,0 100,0 94,8 78,1 60,6 - - - - - - - - 8
9 94,4 94,4 94,7 94,0 91,1 88,8 74,9 58,7 47,6 - - - - - - - 9
10 84,4 84,4 86,6 86,2 83,6 82,9 71,7 57,0 44,5 - - - - - - - 10
12 50,8 50,8 73,7 73,2 71,3 70,9 64,8 53,6 39,1 34,2 29,4 - - - - - 12
14 - - 61,4 61,9 60,9 61,7 57,7 49,8 34,3 30,6 26,9 23,6 - - - - 14
16 - - 45,9 53,3 52,2 53,0 51,5 46,0 31,0 27,1 24,4 21,6 18,1 14,7 - - 16
18 - - - 46,9 46,6 45,6 46,7 42,2 28,4 24,7 21,9 19,9 17,3 14,7 10,9 9,3 18
20 - - - 37,1 39,8 38,9 39,8 39,3 26,1 22,3 20,2 18,1 16,1 14,4 10,9 9,3 20
22 - - - - 34,5 35,4 34,4 35,5 24,7 20,0 18,4 16,8 14,8 13,6 10,8 9,3 22
24 - - - - 31,6 31,1 30,8 31,1 23,3 18,2 16,7 15,5 13,9 12,8 10,5 9,3 24
26 - - - - - 27,5 28,5 27,6 21,9 16,9 15,1 14,3 13,0 12,1 10,2 9,3 26
28 - - - - - 24,8 25,5 24,6 20,5 15,8 14,0 13,0 12,1 11,4 9,8 9,3 28
30 - - - - - 21,1 23,0 22,1 19,5 14,8 12,9 12,1 11,2 10,7 9,3 9,0 30
32 - - - - - - 20,9 19,9 18,7 13,9 11,8 11,2 10,4 10,0 8,8 8,5 32
34 - - - - - - 18,4 18,0 17,8 13,3 11,1 10,3 9,7 9,3 8,4 8,0 34
36 - - - - - - - 16,4 17,0 12,7 10,5 9,5 9,0 8,7 7,9 7,5 36
38 - - - - - - - 15,5 15,7 12,0 10,0 8,8 8,3 8,2 7,4 7,0 38
40 - - - - - - - - 14,5 11,4 9,5 8,3 7,7 7,6 7,0 6,6 40
42 - - - - - - - - 13,3 10,9 9,1 7,9 7,0 7,1 6,6 6,2 42
44 - - - - - - - - 10,8 10,6 8,6 7,5 6,6 6,6 6,2 5,8 44
46 - - - - - - - - - 10,2 8,2 7,1 6,2 6,0 5,8 5,4 46
48 - - - - - - - - - 9,9 8,0 6,7 5,9 5,7 5,4 5,0 48
50 - - - - - - - - - - 7,7 6,4 5,5 5,3 4,9 4,6 50
54 - - - - - - - - - - 3,5 5,9 4,8 4,6 4,4 3,9 54
58 - - - - - - - - - - - 5,4 4,4 4,0 3,8 3,3 58
62 - - - - - - - - - - - - 3,9 3,5 3,2 2,8 62
66 - - - - - - - - - - - - - 3,0 2,8 2,3 66
70 - - - - - - - - - - - - - - 2,4 2,0 70
74 - - - - - - - - - - - - - - - 1,6 74
* with special attachment · mit Sonderausrüstung · avec équipement spécial · con accessorio speciale · con equipo especial ·
com equipamentos especiais · со специальным оборудованием
** Capacity class · Tragfähigkeitsklasse · Classe de capacité · Classe di portata · Clase de capacidad · Classe de capacidade ·
Класс грузоподъемности
11
Lifting Plan for Shelter No. 3
UNIT - 84
KERB STONE BOUNDARY

(SAND RAMP WILL DONE BY KCCEC FOR CRANE ACCESS)
PACKAGE UNIT BASE

AIR STACK FILTRATION UNIT BASE
BASE
INERTIA BASE
EXISTING ASPHALT ROAD

PART-1 PART-2 PART-3 PART-4
INSTALL - 1 INSTALL - 2 INSTALL - 3 INSTALL - 4

EXISTING SHELTER 8
SAFETY BOLLARDS/
BARRIERS
01 24-02-19 REVISED AS PER NEW CRANE LOCATION SK SK VK

00 30-09-18 FIRST ISSUE AGK SV VK
REV. DATE DESCRIPTION PREP'D. CHK'D. APPR'D.
THIS DOCUMENT IS THE PROPERTY OF KNPC AND MAY NOT BE USED REPRODUCED OR
DISCLOSED TO ANY PARTY WITHOUT THE PRIOR PERMISSION OF KNPC
REF. DWGS.
VENDOR: HUNTER BUILDINGS INTERNATIONAL
169, POSTBUS 123 / 1230 AC,

LOOSDRECHT, NETHERLANDS
PH: 0044 (0) 7896 415934
CONTRACTOR: KCCEC Engineering & Contracting Co.

Tel : +965 222 543 00/ 222 637 00
Fax : +965 222 543 30/ 222 543 32
P.O.Box: 20298, Safat 13062, Kuwait.
Email: mail@kccec.com.kw
Kuwait National Petroleum Co. (K.S.C)

PO Box: 70, SAFAT – 13001, Kuwait
Tel: (+965) 23887792,
Fax: (+965) 23997792
PROJECT TITLE:
PROCUREMENT OF BLAST RESISTANT SHELTERS AT

MAA REFINERY
DWG. TITLE:
LIFTING PLAN LAYOUT OF SHELTER NO. 3
PROJECT NO. MAA-07-09

CONTRACT NO. CB/CPD/2066/W14/MAA
VENDOR REFERENCE NO. HI-1048 SCALE - NTS
CAD FILE REFERENCE HI-1048-LP-01 SHEET REV.
KNPC DRAWING NO. 01 of 06 01

UNIT - 84
KERB STONE BOUNDARY
(SAND RAMP WILL DONE BY KCCEC FOR CRANE ACCESS)
PACKAGE UNIT BASE
AIR STACK FILTRATION UNIT BASE
BASE
INERTIA BASE
EXISTING ASPHALT ROAD
PART-1 PART-2 PART-3 PART-4
INSTALL - 1 INSTALL - 2 INSTALL - 3 INSTALL - 4
SAFETY BOLLARDS/
BARRIERS
EXISTING SHELTER 8

REF. DWGS.
169, POSTBUS 123 / 1230 AC,

PH: 0044 (0) 7896 415934

Tel : +965 222 543 00/ 222 637 00
Fax : +965 222 543 30/ 222 543 32

Tel: (+965) 23887792,
Fax: (+965) 23997792
PROJECT TITLE:

MAA REFINERY
DWG. TITLE:
LIFTING PLAN LAYOUT OF SHELTER NO. 3


ITEM DESCRIPTION PART-1 MODULE
SELECTED CRANE DEMAG AC 250-6
LOAD WEIGHT 31.65 TONS
OTHER WEIGHTS
(SPREADER BAR/ SLINGS/ 4 TONS
CRANE HOOK ETC)
TOTAL WEIGHT TO BE
35.65 TONS
LIFTED (KGS)
WORKING RADIUS (MTRS) 17.74 MTRS
BOOM LENGTH (MTRS) 38.5 MTRS
CRANE CAPACITY (TONS) 46.7 TONS

UTILIZATION FACTOR OF
76.3%
THE CRANE (%)
4B 4A 4B 4B 4A 4B
01 24-02-19 Revised due to change of crane location SK SK VK

REF. DWGS.
169, POSTBUS 123 / 1230 AC,

PH: 0044 (0) 7896 415934

Tel : +965 222 543 00/ 222 637 00
Fax : +965 222 543 30/ 222 543 32

Tel: (+965) 23887792,
Fax: (+965) 23997792
PROJECT TITLE:

MAA REFINERY
DWG. TITLE:
LIFTING PLAN FOR PART - 1

KNPC DRAWING NO. - 03 of 06 01

OTHER WEIGHTS
CRANE HOOK ETC)
TOTAL WEIGHT TO BE
30.55 TONS
LIFTED (KGS)
WORKING RADIUS (MTRS) 14 MTRS

49.51%
THE CRANE (%)
4B 4A 4B 4B 4A 4B

REF. DWGS.
169, POSTBUS 123 / 1230 AC,

PH: 0044 (0) 7896 415934

Tel : +965 222 543 00/ 222 637 00
Fax : +965 222 543 30/ 222 543 32

Tel: (+965) 23887792,
Fax: (+965) 23997792
PROJECT TITLE:

MAA REFINERY
DWG. TITLE:
LIFTING PLAN FOR PART 2


OTHER WEIGHTS
CRANE HOOK ETC)
TOTAL WEIGHT TO BE
30.62 TONS
LIFTED (KGS)

35.35%
THE CRANE (%)
4B 4A 4B 4B 4A 4B

REF. DWGS.
169, POSTBUS 123 / 1230 AC,

PH: 0044 (0) 7896 415934

Tel : +965 222 543 00/ 222 637 00
Fax : +965 222 543 30/ 222 543 32

Tel: (+965) 23887792,
Fax: (+965) 23997792
PROJECT TITLE:

MAA REFINERY
DWG. TITLE:
LIFTING PLAN FOR PART 3


OTHER WEIGHTS
CRANE HOOK ETC)
TOTAL WEIGHT TO BE
35.65 TONS
LIFTED (KGS)

37.6%
THE CRANE (%)
4B 4A 4B 4B 4A 4B

REF. DWGS.
169, POSTBUS 123 / 1230 AC,

PH: 0044 (0) 7896 415934

Tel : +965 222 543 00/ 222 637 00
Fax : +965 222 543 30/ 222 543 32

Tel: (+965) 23887792,
Fax: (+965) 23997792
PROJECT TITLE:

MAA REFINERY
DWG. TITLE:
LIFTING PLAN LAYOUT PART 4


Lifting Gears Details
Route Map from Gate to Shelter No. 3
Required Work Permits (Sample)
Printed copy not controlled
COLD WORK PERMIT APPENDIX - A

Ser. No: Continues from permit: Associated Excavn./Entry No.:
‫ﺷﺼﺖٌﺡ ﻉًﻡﺏﺳﺎﺩ‬ ).ꢉ.ꢈ.ꢇ( ꢀٍꢁٌ‫ﻛﻦﻯ‬ꢂ ꢀٍꢃ‫ﻥﻯﻁ‬ꢂ ‫ﺵ ﻟﻮ‬ꢁꢄ‫ﻥ‬ꢂ ꢀꢅ‫ﺵ‬ꢆ
COLD WORK PERMIT KUWAIT NATIONAL PETROLEUM CO. (KSC)
1 ꢊ‫ﻩ‬ꢋ‫ﻓﻦ‬ꢂ ꢌ‫ﻥًﻗﻰ‬ꢂ )‫ (ﺃ‬-

1.(A) Exact Location
) ‫ﺇُـ‬... / ‫ ٓ ﻝﺡ‬/ ‫ ﻝﺡ‬ٝ / ‫( ٓ٘ﺧﻮﻁ‬
(Area / Unit / Equip /etc.)................................................................................……..........
 MAA  MAB  SHU  LM  Other….……….…
(B) Description of Work (attach sketch if required) ‫ًﻡ‬ꢋ‫ﻥ‬ꢂ ꢎꢏ‫) ﻭ‬ꢍ( )) ꢀٓꢁ‫ﺍ ﻩﻙﻥ ٓﻕﻁﺑﻂ ﻣﺈﺍ ُﻱّ ﺍ‬
Using ‫ ﺩﺥﻣﺎ‬ꢀ‫ﺳﺐ‬
ꢁ
(mention tools/ equipments) ‫ ﺍُٔ ﻝ ﺩﺍ‬/ ‫ ﺩﺍ‬ٝꢂꢁ‫ ﺍ‬ꢀꢃ‫(( ﻣﺎ‬
ꢐ‫ﺍﺩﺱ ﺇﻥ‬ꢏ )‫(ﺝ‬ Issuer ……….
(C) Issued to
Executor……….
Dept./ Div./ Craft/Contractor َْ‫ ﺍُﻭ‬/ ‫ﺡ‬ꢀ‫ﺍُﺍﻝﺉ‬/ٍٝ‫ ﺍُٔﺑﻮ‬/‫ﺧﻚ‬ꢀ‫ؽ‬ Tele: ‫ﺕﻑ‬ ‫ْﺍ‬
2. Work is Critical  Yes  No 2‫ﺵ‬ꢑ‫ًﻡ ﺥ‬ꢋ‫ﻥ‬ꢂ ‫ﻡ‬ꢒ -
Fire Station informed  Yes  Not Required ‫ﺏﺀ‬ꢄꢅꢆ‫ﻱ ﺍ‬ꢃꢀٓ ꢇꢈ‫ﺭ ْﺇﺙ‬ꢉٛ
Issuer & Executor jointly checked work site  Yes  Not Required ꢉٔ‫ ﻍ ﺍُؼ‬ꢊٞ ‫ ﺽ‬ꢄ‫ﺙ‬ꢋꢄ٘ٔ ُ‫ ﺍ‬ٝ‫ﺏّ ﺍُٔ ﻟﻆ ﻩ‬ꢊ ꢉٛ
‫ٓﺏ‬
Work permit risk assessment attached  Yes  Not Required
) ꢀ‫ﻱ‬ꢓꢔ‫ﻥ‬ꢂ ‫ﺀ‬ꢂ‫ﺯ‬ꢕ‫ﺙ ﻭ‬ꢂ‫ﺳﺎﻅ‬ꢖ‫ ﺥﻯﺭﺓ ﻭ‬ꢈꢂ‫ﺫ‬ꢗꢁꢘꢂ ꢈ‫ﺿﻪ‬

ٌ ( ꢀ‫ﻱ‬ꢓꢔ‫ﻥ‬ꢂ ‫ﺍﺙ‬ꢄ‫ﻩ‬ꢑꢁ‫ﻱ‬- 3
3. Safety Requirements (USE OF SAFETY HELMETS, SPECTACLES AND BOOTS IS MANDATORY)
‫ﺓﺩﻉ ؟‬ꢂ‫ﻝ‬ꢃ ꢄ ꢅ‫(ﺃ) ﻩ‬ ꢀꢋ‫ﻗﻰ‬ꢁً‫ﻥ‬ꢂ‫ ﻭ‬ꢀꢑٍꢙً‫ﻥ‬ꢂ ‫ﺍﻁﺵ‬ꢗً‫ﻥ‬ꢂ )ꢍ( ꢀٌ‫ﻥﻯﻕﺍ‬ꢂ ‫ﺙ‬ꢂ‫ﺀ‬ꢂ‫ﺵ‬ꢚ‫(ﺝ) ﺇ‬
Y NR (A) has the equipment Y N (B) expected hazards Y NR (C) protection measures
been ?
‫ﺀ‬ꢁ‫ﻯ‬ꢃꢁ / ꢂ‫ﺙﺍﺥ‬‫ﻥ‬ꢁ / ‫ﺀﺍ‬ꢀ‫ﺭﻫﻜﻦ‬

ꢁ ‫ﻟﺲ‬ ‫ ﻻ‬ꢅ‫ﺵ‬ꢆ‫ ﻡﻥ‬ꢀ‫ﺍ‬ꢇ ‫ﻣﺌﺎ‬ꢄ ‫ﺃﻭ‬/‫ﺍﻍﺯ ﻭ‬ )‫ﻥُﻋﻰ‬ꢁ ‫( ﺩﺫﺡ‬ꢈꢁ‫ﺯﺍ‬ꢉꢇ
  isolated from   combustible gas &/or   gloves (type.......…..................)
power/steam/air liquid
ꢈꢁ‫ﺯﺍ‬ꢊ‫ﻥ‬ꢁ ‫ﻣﺌﺎ ﻭﺃ‬ꢋ‫ﻥ‬ꢁ ٍ‫ﻟﺲﻱ‬ ꢌ‫ﺝ‬ꢋꢍꢎꢁ ‫ﺹ‬ꢏَ ٌꢐꢎꢁ ꢈ‫ﺍ‬ꢑꢇꢁ‫ ﻭ‬/ ꢈꢁ‫ﺩ‬ꢁ‫ ﺫ‬ꢄ
     
isolated from liquid or gases lack of O2 ear plug / muff
‫ﻣﺊ‬ꢁ‫ﻯ‬ꢋꢒ‫ﻑﻥ‬ꢓ‫ﺭ‬ꢔ‫ ﻭﺃﺕ‬/ ‫ﻁ ﻭ‬ꢊ‫ﺽ‬ꢒ‫ﻑﻥ‬ꢓ‫ﺭ‬ꢔ‫ﺕ‬ ꢗ‫ﺍﻱ‬ꢄ ꢈꢁ‫ﺯﺍﻍ‬/ ꢌꢕ‫ﻭ‬ꢂ‫ ﺫ‬ꢑꢃꢁ ‫ ﺫ‬ꢑꢅꢓꢖꢍ ꢕّ‫ﯨﻦ‬
ꢁ ꢘꢇꢁ‫ ﻭ‬/ ꢌُꢑ‫ﻥؼ‬ꢁ ꢈ‫ﺍ‬ꢑꢇꢁ‫ﻭ‬
  depressurised &/or drained   H2S/toxic gases...............   goggles (....……....)/face
shield
‫ ﻡ‬ꢔꢝ / ‫ ﻟﺲ‬ꢗꢙꢑꢉꢚ ꢛꢁ‫ﺥﺫ‬ꢅꢄꢁ ꢜ/ ‫ﻟﺲ‬ ꢗꢒꢍ‫ ﺁ‬ꢗꢑ‫ﺍﺉ‬ꢑꢑًꢍ ‫ﺩ‬ꢁ‫ﯨﻲ‬ ‫ﺥ‬٤ꢊ‫ ﺍ‬ٌٝ‫ﺙ‬ꢈٓ
  blanked/ blinded/   corrosive chemicals   protective clothing
disconnected (..…............)
ꢀ٤ٜ‫ﺭﻁ‬/ ꢉ٤َ‫ؿ‬ ꢂ‫ﻯ‬ꢟꢇ / ‫ ﻻ‬ꢅ‫ﺵ‬ꢞꢁ ꢘ‫ﺋﺎ‬ꢏꢒ‫ ﺫﺕ‬ꢓ‫ﺫﺡ‬ ‫ﺀ‬ꢁ‫ﻯ‬ꢛ ْ‫ﻯ‬ꢠ‫ﺭ‬ꢡ ‫ ﻡ‬ꢔꢅ‫ُﻋﺎﻱ‬ꢇ / ‫ ﺍﻍﺯ‬/ ꢂ‫ﺍﺙ‬
‫ُﻋﺎ ﻍ‬ꢇ
     
flushed / purged pyrophoric iron / scales dust / gas / air line mask
  ) ‫ﺥ‬٤ꢌ٤ٗ‫ﺏ‬ꢌ٤ٓ / ‫ﺥ‬٤‫ؼ‬٤‫ﺝ‬ꢅ ( ‫ﺥ‬٣ٜٞ‫ﺭ‬   ‫ﺥ‬٤ꢌ٤‫ﺑﺰﺭ‬ꢍ‫ﺑﺚﺀ ﺍ‬ꢀٜꢃ / ‫ﺑﺚﺀ‬ꢀٜꢃ   ‫ ﺇٗﻣﺒﻮ‬ꢉ‫ ﺝ‬ٝ‫ٓﺥ‬ꢈَُ‫ﻝﺡ ﺍ‬
Document no: HSE-TSSA-06-2029 Rev. - 2 Title: Safe Work Practices:

Date of issue: Feb. 2010 Work Permit System & Risk Assessment
Page 33 of 51
ventilated electricity / static safety harness & lifeline

(natural/mechanical)
‫ﺍﻣﻲ‬ꢢꢁ ‫ﺍﺯ‬ꢊꢒ‫ﺭﻥ‬ꢅًꢋ‫ﺍﺏﻱ‬ꢑꢋَꢁ ꢎِ‫ﺹ‬
/ ‫ ﺑﻘﺚ ﻩ‬/ ‫ﺍ ﻩﺡ‬ꢀ‫ؽ‬ ꢄٌ٘‫ ﺍُﺯ‬ꢏ‫٘ﺏ‬ꢊ / ‫ﺏﻯ‬ٜ‫ﻱ ٓﻍ ﻉ‬ٛ‫ﺿﻘﺶ ﺑﻊ‬
  cont. inert gas flow   heat/ steam / frost   standby with SCBA/air
arranged mask
‫ ﺓ‬ꢄ‫ ﺫﻱُﺍ‬ꢓꢖ‫ﺕ‬ ‫ﺥ‬٤ُ‫ﺧﺚ ﺏ‬ٞꢅ‫ﻩ‬ ꢉ‫ﺍﺉ‬ُٞ ‫ﻍ ﺍ‬٤ٔꢐ‫ﺥ ُﺯ‬٣ٝ‫ﺏ‬
     
adequately cooled high humidity liquid collector underneath
)ِ‫ﺭﻅ ﺩﺃَﺍ‬ꢁَ( ꢣꢑꢅꢉꢅ‫ﻥ‬ꢁ ꢤꢋꢇ ꢗꢏꢝꢁ‫ﻱﻯ‬ ꢓꢥٍꢅ‫ﺷﺈ ﻋﺎﻱ‬ ِ‫ﺍ‬ꢑ‫ﻱ‬ꢛ‫ﻯ‬ꢠ‫ﺭ‬ꢧ / ꢦꢓ‫ﺭﺡ‬ꢗꢓ‫ﺍ‬ꢉꢠ
  approved by Inspection   ionizing radiation   fire extinguisher/water
hose
(see below) ꢨꢁꢂ‫ﺭﺵ‬ꢂ‫ ﺫ‬ꢔ‫ﺕ‬ꢞ ꢈꢁ‫ﺩﺃﻭ‬
 
non-sparking tools
/ ‫ﺥ‬٤ٗ‫ ٓ ﻝ‬ꢓ‫ﺍ‬ُٞ‫ ﺃ‬/ ꢑ٣ꢀꢒ‫ ﺍُٔ٘ﺧﻮﻁﺙ‬ꢀ٣َٞ‫ﺭ‬
 
  ...................................... ...................................... ٖ٤ِ‫ﺙ‬ꢀ‫ﺭ‬
 
barricade with tape /sheet
/tarpaulin./.................
Name of Fire Watch: / BA attendant ………………………………………………………………………………………
Others / Details /............................................................................................................. ٟꢀ‫ ﻓﺄ‬ꢉ٤ꢔ ‫ﺏ‬ꢄ‫ﺭ‬
…............................................................................................................................................................................................
See the back of this permit for additional requirements and other ꢅٝꢀꢒُ‫ﺍ‬ٝ ‫ﺥ‬٤‫ﻛﺐ‬ ꢕꢆ‫ﺧﻚ ﺍُٔﺯﻁِﺩﺑﺞ ﺍ‬ꢀ‫ٔؼ‬ꢖ ُ٣ꢀ‫ﺍ ﺍُﻇﺰ‬ꢋٛ ꢗِ‫ﻑ‬ꢀꢘٗ‫ﺍ‬
conditions. ٟꢀ‫ﻑ‬ꢁ‫ﺍ‬
Inspection approval paper shall be attached for work on a corroded ꢖ‫ﻁ‬٠ ꢍِ‫ ػ‬ꢉٔ‫ ﺏُﺥ ﺍُؼ‬٢‫ﻙ‬ꢙ٤ ‫ﺯ‬ꢄ‫ﺍُﺯ‬ꢊَْ ‫ﺧﻮﻛﺎ‬ٞ ꢚ‫ﺕ ﺇ ﻩﺑﻚ‬ꢐ٣
tank roof. ꢉꢃ‫ﺍﻳﻒٕ ٓﺁﺯ‬
4.(A) Gas
 Continuous ‫ﺝﺥ‬ꢊ‫ﺍ‬ꢀٓ
Test  Not Required ‫ ﺓ‬ِٞ‫ٓﻁ‬ꢀ٤ ‫ؿ‬ monitoring ‫ﺡ‬ꢀٔ‫َﺯ‬ 4- )‫ﺑﻎﺯ (ﺃ‬ꢃ‫ﻑﺻﺢ ﺍ‬
 See associated Entry ‫ﻧﻚ‬ꢀُٔ‫ ٍﺍ‬ٞ‫ ﺍُﻓﻞ‬ꢖ٣ꢀ‫ﺭ ﻅ‬ꢀꢘٗ ‫ﺍ‬
Authorisation
ꢂ‫ ﻩ‬ُٞ‫ﺍ‬ ٠ٗꢂꢁ‫ﺍُؾﻝ ﺍ‬ ‫ﻝ‬٤‫ﺯ‬٣ꢀ‫ﺝ‬ꢃ ‫ﻝ‬٤ꢃَ‫ ﺃ‬ٍٝ‫ﺃ‬ ‫ﻝ‬٤ꢃَ‫ ﺃ‬٢ٗ‫ﺑﺺ‬ ‫ﺧﻌﻪ‬ꢂ ‫َٗﺧﺞ‬ ‫ﺏﻯ‬ꢜُ‫ﺑﻚؽﺽ ﺍ‬
‫ﺥ‬٣ ٍ‫ﺵﺯﺏ‬ꢈُ ٖ٤ꢐꢃَ‫ﺃ‬ ꢛٝ‫ﻝ ﻩ‬٤ُٜ‫ﺍ‬ ٕٞ‫ﺙ‬ꢀꢌُ‫ﺍ‬ ‫ ﺫ‬٣ꢀ‫ﺝ‬ꢌُ‫ﺍ‬ ٟꢀ‫ﺃﻑ‬ ‫ﺣﻬﺎ‬ꢀ‫ﺍُؾ‬ ‫ﺧﺚ‬
ٞꢅꢀُ‫ﺍ‬ GAS TESTER’S
Comb O2 ٣ٖ CO SO2
H2S
Shi LEL % ppm ppm ppm Other Temp RH ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ꢗ٤ꢝٞ‫ْ ﺍُﺯ‬ꢊ‫ﻩ‬ ‫ـ‬٣‫ﺍُﺑﺰ ﻩ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬
ft <10% >19.5 <10 <25 <2 s C % Name & Emp. No. Date Time
Signature
(B) Electrical ꢊ‫ﺑﺶﺋﺎ‬ꢛ‫ﻛﻦ‬ꢂ ‫ﺽﻝ‬

ꢋ‫ﻥ‬ꢂ )ꢍ(
Isolation
 Not Required (or  Use “DO NOT OPERATE” ꢞ" ‫ﺥ‬ꢊ‫ ﻟﻘﺰ ّﺑﻄﺚ‬ꢍ‫ﺍ‬
N/A) ꢒꢩ ꢪ
‫ ﻍ ﻱ ﺑﻰ‬Tag "ꢉꢜꢒ‫ﺭ‬

Page 34 of 51
 Use single  Use ‫ ﺩﺫ‬ꢅꢬꢁ ‫ ﻡ‬ꢉꢏ‫ﻥ‬ꢁ ꢛ‫ َﺍﻅ‬ꢛ‫ﺫﺥ‬ꢅꢄꢁ

lock ꢫ ꢉ ꢁ ꢉꢏ
‫ﺫﺥ ﻥ ﻡ ﻥ ﺩﺭ‬ꢁ ꢛ ꢅꢄꢁ Multilock
(i) All electrical circuits / equipment have been (i) :‫ﻁﺥ‬ꢍ‫ﺍ‬ٞ‫ﺥﺙ‬٤‫ﺑﺚﺉ‬ꢀٜꢌُ‫ ﺍ‬ꢀ‫ﺋﺎ‬ٝ‫ ﺍُﻝ‬ٝ‫ﻍ ﺍُٔؼ ﺩﺍﻝ‬٤ٔ‫ﺩّ ﻱ ٍﻉ‬
isolated by:
Emp. ꢗꢝُٞٔ‫ﺍ‬ꢍْ ‫ﺍ‬ Emp. ꢊْ ‫ﻩ‬ Designation ‫ﺥ‬ꢄ٤ꢝُٞ‫ ﺍ‬Signat ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ Tele. ꢗ‫ﺏﺭ‬ٛ
Name. No ꢗ٤ꢝٞ‫ﺍُﺯ‬ ure
(ii) Multi Lock System (ii) ‫ﺩﺫ‬ꢋꢁً‫ﻥ‬ꢂ ‫ﻣﻒ‬ꢜ‫ﻥ‬ꢂ ꢈ‫ﻅﺍ‬ꢖ

‫ﺥ‬٣ꢂ‫ ﻩ‬ُٞ‫ﺍ‬
Name / Emp. No./ Signature. ꢗ٤ꢝٞ‫ﺯ‬ ُ‫ﺍ‬ꢊْ ‫ ﻩ‬/ ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ‫ـ‬٣‫ﺍُﻫﺒﺰ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬
Shi Electrical ‫ﺏٗﺥ‬٤‫ﺍُ ﻅ‬ Mechanical ‫ﺏٗﺥ‬٤‫ﺍُ ﻅ‬ Others ٟꢀ‫ﻓﺄ‬ Dat Tim
ft Maint. ‫ﺥ‬٤‫ﺉ‬‫ﺑﺚ‬ꢀٜꢌُ‫ﺍ‬ Maint. ‫ﺥ‬٤ꢌ٤ٗ‫ﺏ‬ ꢌ٤ُٔ‫ﺍ‬ e e
5. Authorization / Renewal (It is safe to proceed 5- ꢂ‫ﺯ‬ꢒ ꢊꢞ ‫ﺀﺫ‬ꢄ‫ﻥ‬ꢂ ꢟ‫ ﻭًٌﻙ‬ꢟ‫ ﻳﺂ‬ꢌꢠ‫ﻥﻯ‬ꢂ ( ‫ﺫٌﺫ‬ꢝꢁ‫ﻥ‬ꢂ / ‫ﺷﺺٌﺡ‬ꢁ‫ﻥ‬ꢂ
with this job) ) ‫ﻡ‬ꢋً‫ﻥ‬ꢂ
/ ‫ﺥ‬٣ꢂ‫ ﻩ‬ُٞ‫ﺍ‬ Time ‫ ﺫ‬ꢊُٞ‫ﺍ‬ Name / Emp. No./ Signature. ‫ﻑ‬ꢑꢮ‫ﻯ‬ꢅ‫ﻥ‬ꢁ ꢤꢇꢂ / ꢭꢑꢇ‫ﻯ‬ꢅ‫ﻥ‬ꢁ
‫ـ‬٣‫ﺍُﻫﺒﺰ‬
Date / ٖ ٠ُ‫ﺇ‬ ‫ﺍُٔ ﻅﻫﻞ‬ ꢋꢄُ٘ٔ‫ﺍ‬ ٍٝ‫ﺍُٔﺑﻮ‬ ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ
Shift From To Issuer Executor Contractor Field
Operator
6. Permit Closure 6 ‫ﺷﺺٌﺡ‬ꢁ‫ﻥ‬ꢂ ꢡꢓ‫ ﻏﺈ‬-

(A)  ꢐٗ‫ ﺭ ْﺇ‬
ٙ‫ﯨﺐ‬ ꢗꢊٞ‫ﺭ‬  will continue ꢯ ‫ﺭ‬ꢅًꢋꢓ ꢰ‫ﻯ‬ꢄ ꢅꢂ‫ﻉ‬ꢃ‫(ﺃ) ﺍ‬
Work completed stopped on...................……..
Site handed- Housekeeping
over  Yes  No ٖٓꢟ ‫ﻍ‬ꢕٞ‫ﻍﺙ‬ꢊُٞٔ‫ ﺍ‬٤ْ ‫ ﺭ ْﺭ‬done  Yes  No ‫ ﻧﺒﻚ‬ꢆ‫ ﺍ‬ꢇ‫ﻳﻆ‬ꢈꢉ ꢄ
Not ‫ﻣﻒ‬ꢜ‫ﻥ‬ꢂ ꢈ‫ﻅﺍ‬ꢖ
in safe condition Multilock Removed applicable  Yes  No ‫ﺩﺫ‬ꢋꢁً‫ﻥ‬ꢂ ‫ﻡ‬ꢢٌ‫ﺃ‬
ꢋꢄُ٘ٔ‫ﺍ‬ꢍْ ‫ﺍ‬ ‫ﻑ‬ꢑꢮ‫ﻯ‬ꢅ‫ﻥ‬ꢁ ꢤꢇꢂ ‫ﺥ‬ꢄ٤ꢝُٞ‫ﺍ‬ ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬ ‫ـ‬٣‫ﺍُﻫﺒﺰ‬ ꢗ‫ﺏﺭ‬ٛ
Executor name Emp.No. Designation Signature Time Date Tele.

Page 35 of 51
Remarks:...……........................................................
...............................................................................………………….‫ﺩﺏ‬ꢘ‫ؽ‬ꢈٓ
(B) Agreed to above. Site was checked  Yes  No ً‫ﺏ‬ꢈꢋ‫ ﺩ ﺁ‬ꢎꢏꢏ ꢐꢑ‫ﻭ‬ꢆ‫ﻑﺻﺢ ﺍ‬ꢏ ، ꢒꢓꢌ‫ﺭ ﺃ‬ꢔ‫ﺏ ﺫ‬ꢋ ‫ﯨﻞ‬ꢌ ‫ﻓﺎﻭﺗﻖ‬ꢆ‫ ﺝ ﺍ‬ꢍ )ꢊ(
and found safe.
Field Operator signature/ Emp. No............................…………………… ꢗ٤ꢝٞ‫ﺍُﺯ‬ꢊْ ‫ ﻩ‬/ ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ ‫ﻍ‬٤ꢊٞ‫ﺭ‬
‫ﺍُٔ ﻅﻫﻞ‬ꢍْ ‫ﺍ‬ ꢗ٤ꢝٞ‫ﺍُﺯ‬ꢊْ ‫ﻩ‬ ‫ﺥ‬ꢄ٤ꢝُٞ‫ﺍ‬ ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬ ‫ـ‬٣‫ﺍُﻫﺒﺰ‬ ꢗ‫ﺏﺭ‬ٛ
Issuer name Emp.No. Designation Signature Time Date Tele.
REV-1a/Sep 2002 DIAL "888" IN ANY EMERGENCY ꢀ‫ﻧﺎ‬ꢕ ꢊꢞ "888" ꢣ‫ﻗﺲ‬ꢎ‫ﺗﺎ‬ꢒ ꢐ‫ﻣﺼﺖ ﻫﻊ‬ꢂ
ꢤ‫ﺱ‬ꢂ‫ﻯ‬ꢑ‫ﻥ‬ꢂ
APPENDIX - B
(Reverse Of Cold Work Permit Form)
GENERAL CONDITIONS OF PERMIT
1 Display the permit at work site with associated authorisations.

2 Separate permits are required for different Maintenance crafts & jobs.
3 Only authorised personnel holding valid "Work Permit Issuer/Executor" card can sign permit.
4 Only field operators/contractors with valid “work permit awareness training" card can sign respective column.
5 Only authorised gas testers holding valid certification for gas test can sign gas test.
6 Issuer may authorize work, only if the gas tests results are within the permissible range.
7 Mention Clear description of the work. Issuer or executor may fill Section-1.
8 Issuer must fill or tick all relevant items from Sections 2 to 4. Specify additional requirements under remarks. Inform
critical work and road closures to ECCC. (ECCC will inform Safety)
9 Operation's Issuer is responsible for safe handing over of equipment to Maintenance.
10 Field operator must check site and sign the permit before start of the work.
11 Executor must not start work before getting permit or on an incomplete work permit.
12 Executor must provide adequate supervision and must be always present during critical work.
13 Executor must ensure providing all recommended protective before starting work and compliance to all permit
conditions. He must ensure his people are wearing appropriate PPE.
14 Suspend all work in case of plant emergency or accident.
15 Issuing Division and Safety personnel have the right to stop the job any time on safety reasons.
16 Field operator shall monitor permit conditions and site conditions frequently.
17 Executor must renew the permit if the work is 'stopped' or 'not started' for over 2 hrs.

Page 36 of 51
18 Close the permit by completing Section-6 of original and field operator copy. Keep in file for 1 month.
19 All tools and equipment shall be secured and personnel protected from falling objects.
20 Do not anchor to or suspend loads on process piping.
21 Do not use scaffolds without valid green scaffold tag.
22 Do not use wooden planks in running units.
23 Any exemption shall be with prior approval of KNPC Safety.
SPECIAL PRECAUTIONS FOR COLD WORK
1 When using gas mask (Chemical cartridge) in open area, Escape set or SCBA must be available for emergency.
2 In dangerous (IDLH) atmospheres, use airline mask (BA) with escape cylinder and attendant having BA.
3 Always wear BA when disconnecting flanges or opening man ways in lines/eqpt. containing H2S.
4 Radiographers must wear film badges and dosimeters. Provide radiation survey meter and barricade 0.25
millirems/hr level area with warning signs.
5 Oil pier workers must wear life jacket wherever proper platforms with guardrails are not provided.
‫ﺹﺵٌﺡ‬ꢁ‫ﻥﻩ‬ꢀ‫ﺍﻱ‬ꢋ‫ﻥ‬ꢂ ‫ﻭﺵﻁ‬ꢥ‫ﻥ‬ꢂ
. ‫ﺥ‬ꢊꢈ‫ ﺩﺍﻡ ﺍُؼ‬ꢖ٣‫ ٓﻍ ﺍُﺯ ﻫﺒﻆ‬ꢉٔ‫ﻍ ﺍُؼ‬ꢊٞ ٢ ‫ﻙ‬ꢖ٣ꢀ‫ﻍ ﺍُﺯ ﻅ‬ꢕ ٝ‫ﺕ‬ꢐ٣ -1
. ‫ﺥ‬ꢄِ‫ﺏٗﺥ ٓﺯﻕ‬٤ꢔ‫ﺥ‬٤ِٔ‫ ػ‬ꢉꢌ ُ‫ َﻭﺯِﺥ‬ꢖ٣‫ﺭ ﻫﺒﻆ‬ꢛ‫ﺍ‬ꢀ‫ﻗﺰ‬ꢍ‫ﺕ ﺍ‬ꢐ٣ -2
‫ﺥ‬٣‫ﻫﺐ‬ꢍ ꢉٔ‫ﻣﺈ ٕﺍُؼ‬ꢋꢄ٘ ٓ/ ‫ﺥ ٓ ﻅﻫﻞ‬ꢊ‫ﺑﻄﺚ‬٠ِ ‫ ٕػ‬ِٞꢔ‫ﺍُﺏ‬، ꢠُꢋ‫ ٕﺙ‬ُٞٞ‫ ﺍُٔﻕ‬ꢡ‫ﻗﺶﺏ‬ꢁ‫ ﺍ‬ꢞ‫ ﺇ‬ꢖ٣‫ﺍُﺯ ﻫﺒﻆ‬٠ِ ‫ﻍ ػ‬٤ꢊٞ‫ﺙﺏُﺯ‬ّٞ ‫ﻭ‬٣ ꢞ -3
.ٍ ٞ‫ؼ‬ꢄُٔ‫ﺍ‬
‫ﻝ‬ꢊ ‫ﺍ‬ٞٗ‫ﺏ‬ꢃ ‫ ﺇﺍﻡ‬ꢖ٣‫ﺍُﺯ ﻫﺒﻆ‬٢ ‫ﻙ‬ْٜ ‫ﺥﺙ‬ꢔ‫ػٔﺣﻞ ﺍُﺑﻖ‬ꢁ‫ﺑﻒٗﺩﺏ ﺍ‬٢ ‫ﻍﻙ‬٤ꢊٞ‫ ﺍُﺯ‬ꢉ‫ﺍُؾﻭ‬٢ ‫ ٍﻙ‬ٝ‫ػٔﺏ ٍﺍُٔﺑﻮ‬ٝ ꢉ‫ﺍُ ﻭ‬٢ِ ꢜꢒٔꢑ ُ‫ﻭﻙ‬ ٖ ꢌٔ٣ -4
. ꢉٔ‫ ﺍُؼ‬ꢖ٣‫ﺏ ّﺭ ﻫﺒﻆ‬ꢘ٘‫ﺥﺙ‬٤‫ػ‬ٞ‫ ﺍُﺯ‬ꢎٓ‫ﺏ‬ꢀٗ‫ﺥﺙ‬ꢊ‫ﺑﻄﺚ‬٠ِ ‫ﺍ ػ‬ِٞ‫ؽ ﻅ‬ٝ ‫ﺕ‬٣‫ﺍ ﺍُﺯﻫﻞ‬ٞ‫ﺭِﻭ‬
‫ﺣﻪ‬ꢂ‫ﺏ‬ꢔٍ ٞ‫ؼ‬ꢄُٔ‫ﺥ ﺍ‬٣‫ﻫﺐ‬ꢍ ‫ﺡ‬ꢚ‫ﺙﺑﻂ‬٠ِ ‫ ٕػ‬ِٞꢔ‫ﺍُﺏ‬، ꢠُꢋ ‫ ٕﺙ‬ُٞٞ‫ ﺍُٔﻕ‬ꢡ‫ﻗﺶﺏ‬ꢁ‫ ﺍ‬ꢞ‫ﺏﻯ ﺇ‬ꢜُ‫ﻫﺒﺠﺰ ﺽﻙ ﺍ‬ ‫ ﻓﺎ‬٠ِ ‫ﻍ ػ‬٤ꢊٞ‫ﺙﺏُﺯ‬ّٞ ‫ﻭ‬٣ ꢞ -5
. ‫ﺏﻯ‬ꢜُ‫ ﻙﺽ ﺍ‬٠ ِ‫ﺝﺏ ػ‬٣‫ﺍﺭﻝ ﻩ‬ٞ‫ ْﺭِﻭ‬ٜٗ‫ﻝﺙﺅ‬٤ꢄ‫ٓﺥﺭ‬ꢈَُ‫َ ْﺍ‬ꢊٖ ٓ
.ٚ ‫ﺙ‬ꢓَُٞٔٔ‫ﺍ‬ٟ ‫ٔ ٖﺍُٔﻝ‬ꢕ ‫ﯨﺐ‬ ꢜُ‫ ﺽﻙ ﺍ‬ꢎ‫ﺏٗ ﺫ ٗﺑﺰﺉ‬ꢃ ‫ ﺇﺍﻡ‬ꢞ‫ ﺇ‬ꢉٔ‫ﺀﺍ ﺍُؼ‬ꢂ‫ﺅﺙ‬ ꢖ٣ ꢀ‫ﺙﺏُﺯ ﻅ‬ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ٓ ﻅﻫﻞﺭ ﻅ‬ّٞ ‫ﻭ‬٣ ꢞ -6
. 1-ٌّ‫ﺏٗﺩﺏ ﺍُﻭ‬٤‫ﺀﺏﺙ‬ꢄ٤‫ﺯ‬ꢍ‫ﺍ‬ٙꢋ ꢄ٘ٓٝ ‫ ﺃ‬ꢖ٣ꢀ‫ٓ ﻅﻫﻞ ﺍُﺯ ﻅ‬٠ِ ‫ػ‬ٝ . ꢉٔ‫ ُِؼ‬ꢖꢕ‫ﺍ‬٢ ٝ٤ِ‫ ﻅ‬ꢄ‫ﺭ‬ꢗꢔ ٝ‫ﺕ ﺇ ﺑﻂﺀ‬ꢐ٣ -7
‫ﺏ‬ٛꢀꢃꢋ‫ﺥﺙ‬٤‫ﻛﺐ‬ ꢕꢆ‫ﻝ ﺍُٔﻃﺰِﺩﺑﺞ ﺍ‬٣‫ ﻝﺭ‬ٝ، 4٠ُ ‫ ﺇ‬2 َْ ‫ﺥ ٓ ٖﺍُﻭ‬ꢊꢈ‫ ﺩﺍﻡ ﺍُؼ‬ꢂٞ٘ ‫ ﺍُﺝ‬ꢉꢃ ‫ﺀﺏ‬ꢄ٤‫ﺯ‬ꢍ‫ ﺍ‬ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ٓ ﻅﻫﻞﺭ ﻅ‬٠ِ ‫ﺕ ػ‬ꢐ٣ -8
ّٞ ‫ﻭ‬٣ٝ( ꢚꢀ‫ ﺍُﻁ‬ꢚꢈ‫ ﺇؿ‬ٝ‫ﺡ‬ꢀ‫ػٔﺏ ٍﺍُﻃﻖ‬ꢁ‫ ﺑﺚ‬ꢢ‫ﺍ ﻩ‬ٞ‫ ﺩ ﺍُﻁ‬ꢞ‫ ْﺍﺭ ﺑﻆ‬ꢌ‫ﺭ‬ ‫ﻱ‬ꢃꢀٓ ‫ﺯ ْ ﻫﺒﻄﻔﺈ‬٣ٕ ‫ﺃ‬٠ ِ‫ ػ‬، ‫ﺩﺏ‬ꢘ‫ؽ‬ꢈُٔ‫ﺭ ﺫﺙ٘ﻝ ﺍ‬
. )‫ٓﺥ‬ꢈَُ‫ﺍ‬ꢊَْ ‫ﻫﺒﻄﻒ‬ꢣ‫ﻱﺙ‬ꢃꢀُٔ‫ﺍ‬
. ‫ﺏٗﺥ‬٤‫ﺍُ ﻅ‬٠ ُ‫ٗﺥ ﺇ‬ٞٓ‫ ﻩﺡ ٓﺅ‬ٞ‫ ْﺍُٔؼﻝﺍ ﺩﺙ ﻅ‬٤َِ‫ ػ ٖﺭ‬ꢞٞꢤَٓ ‫ﺏ ﺩ‬٤ِٔ‫ ٓ ٖﺍُؼ‬ꢉٔ‫ ﺍُؼ‬ꢓ١ꢀ‫ ٕٓ ﻅﻫﻞﺭ ﻅ‬ٞꢌ٣ -9
. ꢉٔ‫ﺀﻟﺚ ﺍُؼ‬ꢉ‫ﺝ‬ꢊ ꢖ٣ꢀ‫ ﺍُﺯ ﻅ‬٠ِ‫ﻍ ػ‬ꢊٞ٣ ٝ‫ﻍ‬ꢊُٞٔ‫ﻟﻮ ﺍ‬ꢄ‫ﺯ‬٣ٕ ‫ ﺃ‬ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ٠ِ ‫ ػ‬- 10
. ꢉٔ‫ﺯ‬ꢌٓꢀ٤ ‫ ؿ‬ꢉٔ‫ ػ‬ꢖ٣ꢀ‫ﺭ ﻅ‬٠ِ ‫ػ‬ٝ ‫ ﺃ‬ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ﺭ ﻅ‬٠ِ ‫ػ‬ٚ ُٞ‫ ؽ ﻅ‬ꢉ‫ﺝ‬ꢊ ꢉٔ‫ﺡ ﺍُؼ‬ꢀ‫ػﻝ ّٓﺷﺒﺞ‬ꢋ٤ꢄ ٘‫ﺍُﺋﺒﻮ ْﺙﺏُﺯ‬٠ِ ‫ػ‬ - 11
. ‫ ﻩﺡ‬ٞ‫ﺯَ ْﺙﺏُﻕﻁ‬٣ ꢉٔ‫ػ‬١ ‫ ﺃ‬ꢋ٤ꢄ٘‫ﺡﺭ‬ꢀ‫ﺍ ٍﻙﺯ‬ٞꢅ ‫ﺍ‬ꢂٞ‫ﻉ‬ٕٞٓ ٞꢌ٣ٕ ‫ﺕ ﺃ‬ꢐ٣ٝ ‫ﺕ‬ꢍ‫ ٓ٘ﺏ‬ꢥ‫ﺍ‬ꢀ‫ ﺇﺵ‬ꢀ٤‫ﻙ‬ٞ‫ﺭ‬ꢋ٤ꢄ ٘‫ﺍُﺋﺒﻮ ْﺙﺏُﺯ‬٠ِ ‫ ػ‬- 12
ꢅٝ ꢀꢒُ‫ﻍ ﺍ‬٤ٔꢐ‫ﻳﺰﺍ ّﺙ‬ꢞُ‫ﺍ‬ٝ , ꢉٔ‫ﺍُؼ‬٢ ‫ ﺍُﺀﻟﺞﻙ‬ꢉ‫ﺝ‬ꢊ ‫ﺏ‬ٜ‫ﺙ‬٠ꢔ ُٞٔ‫ﺥ ﺍ‬٣‫ﺏ‬ꢊُٞ‫ َٓﺯِﻱٓﺩﺏ ﺍ‬ꢉꢃꢀ٤ ‫ﻙ‬ٞ‫ﻝ ٓ ٖﺭ‬ꢃ‫ﺅﺯ‬٣ٕ ‫ ﺃ‬ꢋ٤ꢄ٘‫ﺍُﺋﺒﻮ ْﺙﺏُﺯ‬٠ِ ‫ ػ‬- 13
. ‫ﺥ‬٤‫ﻕ ﻅ‬ꢒُ‫ﺥ ﺍ‬٣‫ﺏ‬ꢊُٞ‫ ﻝ ﺩﺍ ﺍ‬ٚ ّٖ ُ٤‫ ﺍُﺑﺰﺙؼ‬ꢡ‫ﺑﻘﺶ‬ꢁ‫ﻝ ٓ ٖﻟﺮﻫﺎﺀﺍ ﺍ‬ꢃ‫ﺅﺯ‬٣ٕ ‫ﺃ‬ٚ ٤ِ‫ﺕ ػ‬ꢐ٣ٝ . ꢖ٣ꢀ‫ﺍُﺯ ﻅ‬٢ ‫ﺡﻙ‬ꢂ‫ﻫﺎ‬ُٞ‫ﺍ‬
. ‫ﺱ‬ꢂ‫ ﺏ‬ꢏ ٞꢊٝ‫ػ٘ﻝ‬ٝ ‫ ﺃ‬ꢢ‫ﺍ ﻩ‬ٞ‫ؽﺏُﺥ ﺍُﻁ‬٢ ‫ػٔﺏ ٍﻙ‬ꢁ‫ﻍ ﺍ‬٤ٔ‫ ﻉ‬ꢥ‫ﺑﻮ‬٣‫ﺕ ﺇ‬ꢐ٣ - 14
ꢅٝ ꢀꢒ‫ﻳﺰﺍ ّﺙ‬ꢞُ‫ ﺫ ػ٘ﻝ ﻝ ّﺍ‬١ ꢊٝ‫ﺃ‬٢ ‫ﻙ‬ꢉٔ‫ ﺍُؼ‬ꢥ‫ﺑﻮ‬٣ꢣ‫ﺥﺙ‬٤‫ؽ‬ꢈ‫ٓﺥ ﺍُ ﻅ‬ꢈَُ‫ﺍ‬٢ꢄꢝ ٞ ٝ ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ﻝﻫﺎﺭ ﻅ‬ꢔ‫ﺥ ﺇ‬ٜꢐُ ‫ ﻥ‬٣ - 15
. ‫ٓﺥ‬ꢈَُ‫ﺍ‬
.ٟꢀ ‫ ﻓﺄ‬ٝ‫ﺡ‬ꢀ‫ﺯﻙ‬ ٖ ٤‫ﺙ‬ꢠُ ‫ ﻡ‬، ٝ‫ﻍ‬ꢊٞ ٍ‫ ﺍ‬ꢥٝꢀꢝ ‫ﺝﺥ‬ꢊ‫ﺍ‬ꢀٓٝ ꢖ٣ꢀ‫ﺍُﺯ ﻅ‬٢ ‫ﺣﻪﻙ‬ٞꢃꢋُٔ‫ﺍ‬ꢅٝ ꢀꢒُ‫ﺝﺥ ﺍ‬ꢊ‫ﺍ‬ꢀٓ ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ٠ِ ‫ﺕ ػ‬ꢐ٣ - 16
.ٙ ‫ﻫﺎﻝ‬ꢔ‫ ٖٓ ٖﺇ‬٤‫ﺏػﺯ‬ꢍ ‫ﺏﺀ‬ꢦ‫ﺝﺃﻝﺙؼﻝ ﺍٗﻭ‬٣ُْ ٝ ‫ ﺃ‬ꢉٔ‫ﺍُؼ‬ꢗꢊٝ ‫ ﺇﺍﻡ ﺃ‬ꢖ٣ꢀ‫ﻝ ﺍُﺯ ﻅ‬٣‫ﻝ‬ꢐ‫ﺭ‬ꢋ٤ꢄ ٘‫ﺍُﺋﺒﻮ ْﺙﺏُﺯ‬٠ِ ‫ﺕ ػ‬ꢐ٣ - 17

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ꢀٜ ‫ٔﺣﻞﺵ‬ꢗ ُُِٔ‫ﺍ‬٢ ‫ﺙَ٘ﻕﺥﻙ‬ꢨꢄ‫ؾﺯ‬٣ . ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ ‫ َٗﻕﺥ‬ٝ‫ﺥ‬٤ِꢔꢁ‫ ٓ ٖﺍَُ٘ﻕﺥ ﺍ‬ꢧꢂ‫ٔﺏ ٍﺍُﻭ َْﺍَُﺏ‬ꢃꢣ‫ﺙ‬ꢖ٣ ꢀ‫ﺏ ٍﺍُﺯ ﻅ‬ꢄꢊ‫ﺕ ﺇ‬ꢐ٣ - 18
. ‫ﺍ ﻝ‬ٝ
.ٜ٤ْ ِ‫ﺏ ػ‬ٜꢅٞ‫ ٖﻭ‬ꢍٓ ꢡ‫ﻗﺶﺏ‬ꢁ‫ﺥ ﺍ‬٣‫ ٕٓ ُٖؾٔﺏ‬ꢟ‫ﺏ‬ꢌٓ٢ ‫ ﺍُٔؼ ﺩﺍﻝﻙ‬ٝ‫ ﺩ‬ꢞ٥‫ﻍ ﺍ‬ꢕٞ‫ﺭ‬ - 19
. ‫ﺩﺏ‬٤ِٔ‫ﺕ ﺍُؼ‬٤‫ﺃٗﺏﺙ‬٠ِ ‫ﺏ ػ‬ٜ‫ﻭ‬٤ِ‫ ﺭ‬ٝ ‫ ﺩ ﺃ‬ꢞٞٔ‫ﻍ ؽ‬ꢕّ ٝ‫ﺕ ػﻝ‬ꢐ٣ - 20
. ‫ﺀﺍ‬ꢀꢦ‫ﺥ ﺍُﻕ‬ꢊ‫ﺍُﺑﻄﺞ‬ꢂٞ ‫ﻉ‬ٝٝ ‫ﺯٔﺏ ٍﺍُﺑﻮﺉٔﺥ‬ꢃ‫ؾﺽ ﺍ‬ꢄ‫ﺙ‬ꢠُ ‫ ﻡ‬، ٝ‫ﺏ‬ٜٓ‫ﻗﺰﺍﻝ‬ꢍ‫ ﺍ‬ꢉ‫ﺝ‬ꢊ ‫ﺏ‬ٜ٤ِ‫ ﻧﻜﺎ ػ‬ٞ ‫ ﺩ‬ꢞ‫ﻝ ٓ ٖﺃ ٕﺍَُﺑﻮ‬ꢃ‫ﺅﺭ‬ - 21
. ‫ؽ ﺩﺍﻝ ﺍُﺏ ِﺥ‬ُٞ‫ﺍ‬٢ ‫ﺥﻙ‬٤‫ﺝ‬ꢒ‫ ﺍُﻕ‬ꢓ‫ﺍ‬ُٞꢁ‫ﺭَﺯﻟﻖ ّﺍ‬ꢞ - 22
. ‫ﺥ‬٤‫ﺏﺉ‬ꢩ٘‫ﺯ‬ꢍ‫ﺥ ؽﺏُﺥ ﺍ‬٣‫ﺃ‬٢ ‫ﺥﻙ‬٤‫ﺯ‬٣ٞꢌُ‫ﺥ ﺍ‬٤٘ꢅُٞ‫ ٍﺍ‬ٝꢀ‫ﺥ ﺍُﺝﺯ‬ꢃꢀꢒ‫ٓﺥﺙ‬ꢈَُ‫ﺍ‬ꢊَْ ٖ ٓ ‫ﻛﺎﻭﺥ َﺝﻭﺥ‬ٞ ٠ِ ‫ ٍػ‬ٞ‫ﺕ ﺍُ ﻅ‬ꢐ٣ - 23
‫ﺍﺱﺩ‬ꢄ‫ﻥ‬ꢂ ‫ًﻡ‬ꢋ‫ﻥ‬ꢂ ‫ﺹﺵٌﺡ‬ꢁ‫ﺏ‬ꢀꢏ‫ﺍﻁ ﺛﺎ ﺥﺍ‬ꢁꢕٍꢂ

٢ ‫ﺯﻟﻖﺍ ّﻙ‬ꢍꢈُ ꢉ‫ َﺯﻭ‬ꢄٌ ٘‫ﯨﺐﺭ‬ ꢐُ٘‫ ٓؼ ﺩﺍﻝ ﺍ‬ꢀ‫ﺍﻙ‬ٞ‫ﺕﺭ‬ꢐ٣ ، ‫ﻙﺥ‬ٞꢒꢌٓ ‫ٓ٘ﻁﻭﺥ‬٢ ‫ )ﻙ‬٢‫ﺋﺐ‬٤ٔ٤ꢃ ꢀ‫ﯨﺐ (ﻙِﺯ‬
ٜ‫ﻉ‬ٝ ‫ﺣﺐ ﺃ‬ ꢜُ‫ ﺍ‬ꢏ‫ ّﺏ‬ꢊ٘‫ﺯﻟﻖﺍ‬ꢍ‫ ػ٘ﻝ ﺍ‬- 1
. ꢢ‫ﺍ ﻩ‬ٞ‫ ﺩ ﺍُﻁ‬ꢞ‫ﺏ‬
‫ﺝﺥ‬ꢊ‫ﺍ‬ꢀُِٔ ‫ ﻗﺶﺽ‬ꢀ‫ﺍﻙ‬ٞ‫ﺕﺭ‬ꢐ٣ٝ، ‫ﺏﺡ‬ꢐٗ ‫ﺍٗﺥ‬ٞ‫ﻁ‬ꢍ‫ﺍﺀ ٓﻍ ﺍ‬ّٞ ٛٞꢅꢀ‫ ﻗﺚ‬ꢈ‫٘ﺏػﺏ ٓﺯ ﻅ‬ꢊّ ‫ﻗﺰﻝ‬ꢍ‫( ﺍ‬IDLH) ‫ﺡ‬ꢀ‫ﺀﺍ ﺍُﻕﻁ‬ٞ‫ﻉ‬ꢁ‫ﺍ‬٢ ‫ﻙ‬- 2
.ٌ ꢄ٘‫ﺏﻯﺭ‬ٜꢐ‫ﺍﺙ‬ꢂٝ‫ ٕٓﻱ‬ٞꢌ٣
٠ِ ‫ﺥ ػ‬٣ٞ‫ﺍُٔؼ ﺩﺍﻝ ﺍُٔؾﺯ‬ٝ ꢅٞ‫ﺍُﻕﻁ‬٢ ‫ ٍﻙ‬ٞ‫ﻙ ﺩﺏﺯ ﺍُﻓﻞ‬ٝ ‫ﺥ) ﺃ‬ꢐٗꢈ‫ﺥ (ﻙ‬ꢄ‫ﺥﺵ‬٣‫ ﺃ‬ꢉ‫ﺍﺉٔﺏ ػ٘ﻝﻙ ﻅ‬ꢂٌ ꢄ٘‫ﺏﻯ ﺍُﺯ‬ٜ‫ﺕ ﺍ ﻩﺭﻝﺍﺀ ﻉ‬ꢐ٣ - 3
.ٖ ٤‫ﻉ‬ٝ‫ﻫﻞ‬٤ُٜ‫ﻝ ﺍ‬٤‫ﺯ‬٣ꢀ‫ﺝ‬ꢃ ‫ﺐ‬
ꢧ‫ﺏ‬٤‫ٓﻭ‬ꢀ٤ ‫ﻙ‬ٞ‫ﺕﺭ‬ꢐ٣ . ꢏ‫ﺵﺏ‬ꢆ‫ ﺩﺏ ﺍ‬ꢀ‫ ﻉ‬ꢗꢒꢃ ‫ﻱﺡ‬ٜ‫ﻋﺄ‬ٝ ‫ ﺃ‬ꢖ‫ﺍﺉ‬ꢀ‫ﺵؼﺥ ﻫﺎﺭﺍﻝﺀﺵ‬ꢁ‫ﺑﺚ‬ꢀ٣ ٞ‫ﺅﺙػٔﺏ ٍﺍُﻇﺰ‬ ٤ٖ ٔ‫ﺍُﺑﻮﺉ‬٠ِ ‫ﺕ ػ‬ꢐ٣ - 4
. ‫ﺥ‬٣ꢀ٣ꢋ‫ٓﺩﺏ ﺭ‬ꢈ‫ﻍ ػ‬ꢕٞ‫ﺏػﺥﺙ‬ꢍ/ّ‫ ﻩ‬٢ِ ٓ 25٠ُ ‫ ﺇ‬ꢏ‫ﺵﺏ‬ꢆ‫ﺍ‬ٟ ٞ‫ﺏ َﺯ‬ٜ٤‫ﻙ‬ꢉ‫ ﻅ‬٣٢ ‫ﺥ ﺍُٔ٘ﻁﻭﺥ ﺍُﺯ‬ꢅ‫ﺏﺇ‬٢ ٝ‫ﺵﺏػ‬ꢆ‫ ﺍ‬ꢖَُِٔ
. ‫ﺝﺥ‬ꢍ‫ ﻳﻌﺎ ٓ٘ﺏ‬ٞ‫ﺡ ﺙ‬ꢂٝ‫ٓﻱ‬ꢀ٤ ‫ﺏٗ ﺫ ﺍُ٘ٔ ﺩﺑﻆ ؿ‬ꢃ ‫ؽﺏُﺥ ٓﺏ ﺇﺍﻡ‬٢ ‫ﺣﺐﻙ‬ꢐُ٘‫ﺡ ﺍ‬ꢀ‫ﺯ‬ꢍ ‫ ﺫ ﻫﺎﺭﺍﻝﺀ‬٣‫ ﺍُﻱ‬ꢗ٤ꢔ‫ ﻩ‬٠ ِ‫ ٖػ‬٤ِ ‫ﺍُﺏ‬٠ِ ‫ﺕ ػ‬ꢐ٣ - 5
HOT WORK PERMIT APPENDIX - C
Ser. No: Continues from permit: Associated Excavn./Entry No.:

ꢟ‫ﺍﺥ‬ꢘ ‫ﺻﺖﺵٌﺡ ﻉًﻡ‬ ).ꢉ.ꢈ.ꢇ( ꢀꢁٌٍ‫ﻛﻦﻯ‬ꢂ ꢀꢃٍ‫ﯨﻦﻁ‬ꢂ ‫ﻟﻮﺵ‬ꢁꢄ‫ﻥ‬ꢂ ꢀꢅ‫ﺵ‬ꢆ
KUWAIT NATIONAL PETROLEUM CO.
HOT WORK PERMIT
(KSC)
1 ꢊ‫ﻩ‬ꢋ‫ﻓﻦ‬ꢂ ꢌ‫ﻥًﻗﻰ‬ꢂ )‫ (ﺃ‬-
1.(A) Exact Location
‫ﺇُـ‬... / ‫ ٓﺣﻞ‬/ ‫ ﺣﻞ‬ٝ / ‫( ٓ٘ﻁﻭﺥ‬
(Area / Unit / Equip /etc.)............................................................................. )
 MAA  MAB  SHU  LM  Other…
(B) Description of Work (attach sketch if required) ‫ﻡ‬ꢋً‫ﻥ‬ꢂ ꢎꢏ‫) ﻭ‬ꢍ( )) ꢀٓꢁ‫ﺏ ﺇﻡﺍ ُﻱ ّﺍ‬ ‫ﺍ ﻩﻙﻥ ٓﻕﻁﻁ‬
Using ‫ﺥﻣﺎﺩ‬ꢀ‫ﺳﺐ‬
ꢁ
(mention tools/equipment & Safety Cert. No. ‫ ٕ ﺩﻟﻊ‬ٝ‫ٓﺥ ﺇ‬ꢈَُ‫ﺡ ﺍ‬ꢂ‫ﺏ‬ٜ‫ﺵ‬ꢊْ ‫ ﻩ‬ٝ‫ ﺍُٔؼﺍﻝ ﺩ‬/ ‫ ﺩﺍ‬ٝꢂꢁ‫ ﺍ‬ꢀꢃ‫(( ﻣﺎ‬
if applicable)
ꢐ‫ﺍﺳﺪ ﺇﻥ‬ꢏ )‫(ﺝ‬ Issuer…….
(C) Issued to
Executor
Dept./ Div./ Craft/Contractor َْ‫ ﺍُﻭ‬/ ‫ﺡ‬ꢀ‫ﺍُﺍﻝﺉ‬/ٍٝ‫ ﺍُٔﺑﻮ‬/‫ﻙﺥ‬ꢀ‫ؽ‬ Tele: ‫ْ ﻓﺘﺎ‬

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2. Work is Critical  Yes  No 2‫ﺵ‬ꢑ‫ﻡ ﺥ‬ꢋً‫ﻥ‬ꢂ ‫ﻡ‬ꢒ -

Fire Station informed  Yes  Not Required ‫ﺀﺏ‬ꢄꢅꢆ‫ﻱ ﺍ‬ꢃꢀٓ ꢇꢈ‫ﺭ ْﺇﺙ‬ꢉٛ
Issuer & Executor jointly checked work site  Yes  Not Required ‫ﻍ‬ꢊٞ ‫ ﺽ‬ꢄ‫ﺙ‬ꢋꢄ٘ ُٔ‫ ﺍ‬ٝ‫ﺏ ّﺍُٔ ﻫﻠﻆ‬ꢊ ꢉٛ
Work permit risk assessment done &  Yes  Not Required ‫ ٓؼﺏ‬ꢉٔ‫ﺍُؼ‬
enclosed
‫ ( ٌﻩ‬ꢀ‫ﻱ‬ꢓꢔ‫ﻥ‬ꢂ ‫ﺍﺙ‬ꢄ‫ﻩ‬ꢑꢁ‫ ﻱ‬-

3 ) ꢀ‫ﻱ‬ꢓꢔ‫ﻥ‬ꢂ ‫ﺀ‬ꢂ‫ﺯ‬ꢕ‫ﺙ ﻭ‬ꢂ‫ﻅﺍﺱ‬ꢖ‫ ﺥﺭﻯﺓ ﻭ‬ꢈꢂ‫ﺫ‬ꢗꢁꢘꢂ ꢈ‫ﺽ‬
3. Safety Requirement(USE OF SAFETY HELMETS, SPECTACLES AND BOOTS IS MANDATORY)
‫ﺓﺩﻉ ؟‬ꢂ‫ﻝ‬ꢃ ꢄ ꢅ‫(ﺃ) ﻩ‬ ꢀꢋ‫ﻯﻕ‬ꢁً‫ﻥ‬ꢂ‫ ﻭ‬ꢀꢑꢙًٍ‫ﻥ‬ꢂ ‫ﺍﺷﻂ‬ꢗً‫ﻥ‬ꢂ )ꢍ( ꢀٌ‫ﯨﻦﻕﺍ‬ꢂ ‫ﺙ‬ꢂ‫ﺀ‬ꢂ‫ﺵ‬ꢚ‫(ﺝ) ﺇ‬
Y NR (A) has the Y N (B) expected residual Y NR (C) protection
equipment been ? hazards measures
‫ﺀ‬ꢁ‫ﻯ‬ꢃꢁ / ꢂ‫ﺙﺍﺥ‬
‫ﻥ‬ꢁ / ‫ﺀﺍ‬ꢀ‫ﺭﻫﻜﻦ‬
ꢁ ‫ﻟﺲ‬ ‫ ﻻ‬ꢅ‫ﺵ‬ꢆ‫ ﻡﻥ‬ꢀ‫ﺍ‬ꢇ ‫ﻣﺌﺎ‬ꢄ ‫ﺃﻭ‬/‫ﺍﻍﺯ ﻭ‬ )‫ﻥُﻋﻰ‬ꢁ ‫( ﺩﺫﺡ‬ꢈꢁ‫ﺯﺍ‬ꢉꢇ
  isolated from   combustible gas   gloves
power/steam/air &/or liquid (type.......…..................)
ꢈꢁ‫ﺯﺍ‬ꢊ‫ﻥ‬ꢁ ‫ﻣﺌﺎ ﻭﺃ‬ꢋ‫ﻥ‬ꢁ ٍ‫ﻟﺲﻱ‬ ꢌ‫ﺝ‬ꢋꢍꢎꢁ ‫ﺹ‬ꢏَ ٌꢐꢎꢁ ꢈ‫ﺍ‬ꢑꢇꢁ‫ ﻭ‬/ ꢈꢁ‫ﺩ‬ꢁ‫ ﺫ‬ꢄ
  isolated from liquid or   lack of O2   ear plug / muff
gases
‫ﻣﺊ‬ꢁ‫ﻯ‬ꢋꢒ‫ﻑﻥ‬ꢓ‫ﺭ‬ꢔ‫ ﻭﺃﺕ‬/ ‫ﻁ ﻭ‬ꢊ‫ﺽ‬ꢒ‫ﻑﻥ‬ꢓ‫ﺭ‬ꢔ‫ﺕ‬ ꢗ‫ﺍﻱ‬ꢄ ꢈꢁ‫ﺯﺍﻍ‬/ ꢌꢕ‫ﻭ‬ꢂ‫ ﺫ‬ꢑꢃꢁ ‫ ﺫ‬ꢑꢅꢓꢖꢍ ꢕّ‫ﯨﻦ‬
ꢁ ꢘꢇꢁ‫ ﻭ‬/ ꢌُꢑ‫ﻥؼ‬ꢁ ꢈ‫ﺍ‬ꢑꢇꢁ‫ﻭ‬
  depressurised &/or   H2S/toxic   goggles (....……....)/face
drained gases............... shield
‫ ﻡ‬ꢔꢝ / ‫ ﻟﺲ‬ꢗꢙꢑꢉꢚ ꢛꢁ‫ﺥﺫ‬ꢅꢄꢁ ꢜ/ ‫ﻟﺲ‬ ꢗꢒꢍ‫ ﺁ‬ꢗꢑ‫ﺍﺉ‬ꢑꢑًꢍ ‫ﺩ‬ꢁ‫ﯨﻲ‬ ‫ﺥ‬٤ꢊ‫ ٌﺍ‬ٝ‫ﺙ‬ꢈٓ
  blanked/ blinded/   corrosive chemicals   protective clothing
disconnected (.….............)
ꢀ٤ٜ‫ﻃﺮ‬/ ꢉ٤َ‫ؿ‬ ꢂ‫ﻯ‬ꢟꢇ / ‫ ﻻ‬ꢅ‫ﺵ‬ꢞꢁ ꢘ‫ﺋﺎ‬ꢏꢒ‫ ﺫﺕ‬ꢓ‫ﺫﺡ‬ ‫ﺀ‬ꢁ‫ﻯ‬ꢛ ْ‫ﻯ‬ꢠ‫ﺭ‬ꢡ ‫ ﻡ‬ꢔꢅ‫ُﻋﺎﻱ‬ꢇ / ‫ ﺍﻍﺯ‬/ ꢂ‫ﺍﺙ‬
‫ُﻋﺎ ﻍ‬ꢇ
  flushed / purged   pyrophoric iron /   dust / gas / air line
scales mask
) ‫ﺥ‬٤ꢌ٤ٗ‫ﺏ‬ꢌ٤ٓ / ‫ﺥ‬٤‫ؼ‬٤‫ﺝ‬ꢅ ( ‫ﺥ‬٣ٜٞ‫ﺭ‬ ‫ﺥ‬٤ꢌ٤‫ﺑﺰﺭ‬ꢍ‫ﺀﺑﺚ ﺍ‬ꢀٜꢃ / ‫ﺀﺑﺚ‬ꢀٜꢃ ‫ﻣﺐ‬
‫ ﺇٗﻭ‬ꢉ‫ ؽﺝ‬ٝ‫ٓﺥ‬ꢈَُ‫ﺣﻞ ﺍ‬
  ventilated   electricity / static   safety harness & lifeline
(natural/mechanical)
ꢥꢀ‫ﺍُ ﻅ‬١ ‫ﺏ ﻩ‬ꢐٓٝ ‫ ﺩﺏ‬ُٞ‫ﺥ ﺍُﺑﺞ‬٤‫ﻁ‬ꢜ‫ﺭ‬ ꢎِ‫ﺹ‬
/ ‫ ﻫﺒﻘﺚ‬/ ‫ﺣﻬﺎ‬ꢀ‫ؽ‬ ‫ ﺍُٔ ﺍﻝ ﺩ‬ꢉꢔٝ /٢ꢕ ‫ ﻫﺄ‬ꢉ٤ꢔٞ‫ﺭ‬
  sewers & drains   heat/ steam / frost   eqpt. grounded/bonded
covered
ٖ ٓ ꢚ‫ﺍ‬ꢀ‫ ﺯ‬ꢈ ُ‫ ﺍُﺛﺒﻮِﺥ‬ꢂ‫ﺍ‬ُٞٔ‫ﯨﺈﺍُﺥ ﺍ‬
‫ﺍُٔ٘ﻁﻭﺥ‬ ‫ﺥ‬٤ُ‫ﺙﺥ ﺏ‬ٞꢅ‫ﻩ‬ ‫ﻥ‬٣ꢀ‫ﺥ ؽ‬٣‫ﺏ‬ꢄꢅ
     
combustibles removed high humidity fire extinguisher(s)
from area
‫ﺍﻣﻲ‬ꢢꢁ ‫ﺍﺯ‬ꢊꢒ‫ﺭﻥ‬ꢅًꢋ‫ﺍﺏﻱ‬ꢑꢋَꢁ ꢓꢥٍꢅ‫ﺷﺈ ﻋﺎﻱ‬ ‫ﻥ‬٣ꢀ‫ﺕ ؽ‬ꢊ‫ﺍ‬ꢀٓ
  cont. inert gas flow   ionizing radiation   fire watch
arranged (name ……………………)

Page 39 of 51
)ِ‫ﺭﻅ ﺩﺃَﺍ‬ꢁَ( ꢣꢑꢅꢉꢅ‫ﻥ‬ꢁ ꢤꢋꢇ ꢗꢏꢝꢁ‫ﻱﻯ‬ ‫ﺥ‬ꢅٞꢜꢦٓ /‫ﺥ‬٣‫ ﺑﻊ ﻩ‬ٙ‫ﺏ‬٤ّ ٓٞꢅꢀ‫ﻑ‬

  appr’d by Inspection   .......................................   running/pressurised
(see below) . water hose
ꢗꢱ‫ﺍ‬ꢚ ꢗ‫ﻱ‬ꢆꢄ ꢲ‫ﺩﺍﻫﺶ‬ꢭ‫ﻱ‬ꢂ،‫ﺭ‬ꢟ‫ﻥ‬ꢁ ꢭَ‫ﺍ‬ꢳ ꢲ‫ﺩﻭﺱ‬
‫ﻱ‬ꢗ‫ﻥ‬ꢴꢁ ‫ﻕ‬ꢁ‫ﺭ‬ꢅ‫ﺡ‬ꢆ‫ﻥ‬ꢛ‫ﻭﺍ‬ꢏ‫ﻱ‬ꢌꢒꢀ‫ﺕﺭ‬/ ‫ﻁ‬ꢓ‫ﺭ‬ꢟꢀ ꢭꢇ‫ﻯ‬ꢬꢁ ‫ﺭ‬ꢓ‫ﻯ‬ꢋ‫ﺕ‬
  engine with exhaust ......................................
 
barricade with flame
spark arrester & valid   retardant tarpaulin
safety certificate /tape/ ..................
Name of Fire Watch: / BA attendant:...................................................................................... ٟꢀ‫ ﻓﺄ‬ꢉ٤ꢔ‫ﺏ‬
ꢄ‫ﺭ‬
Others / Details /...........................................................................................................................................
See the back of this permit for additional requirements ‫ﺥ‬٤‫ﻛﺐ‬ ꢕꢆ‫ﻙﺥ ﺍُٔﻃﺰِﺩﺑﺞ ﺍ‬ꢀ‫ٔؼ‬ꢖ ُ٣ꢀ‫ﺍ ﺍُﺯ ﻅ‬ꢋٛ ꢗِ‫ﻑ‬ꢀꢘٗ ‫ﺍ‬
and other conditions. ٟꢀ‫ﻑ‬ꢁ‫ﺍ‬ꢅٝꢀꢒُ ‫ﺍ‬ٝ
ꢉ٤ꢜꢒ‫ ﺭ ﺫ ﺍُﺯ‬ꢅٞ ‫ﻑﻁ‬٠ِ ‫ﻍ ػ‬٤ꢊꢀ‫ﺭ‬ꢉٔ‫ػ‬، ّ ‫ﺏ‬، ُ ꢉꢃ‫ ﺍﻳﻒٓ ٕﺯﺁ‬ꢖ‫ﻁ‬ꢍ٠ِ ‫ ػ‬ꢉٔ‫ﺏُﺥ ﺍُؼ‬٢ ‫ﻙ‬ꢙ٤‫ﺯ‬ꢄ‫ﺍُﺯ‬ꢊَْ ‫ﻭﻛﺎﺥ‬ٞꢚ ٓ‫ﺕ ﻫﺈﺑﻚ‬ꢐ٣
Inspection approval paper shall be attached for hot tap, patch work on live lines and work on a
corroded tank roof.
ꢀ‫ﺥﺑﺚُﻕﻁ‬ꢅ‫ﺑﺞ ﺩ ٘ﻭﻁﺥٓ ﺏ‬ꢃꢀُٔ‫ ٍﺍ‬ٞ‫ﻑ‬ꢂ ꢠُ‫ﻡ‬٢ ‫ػٔﺏ ٍﺍَُﻓﺐ٘ﺥﺙٔﺏﻙ‬ꢁ‫ﻍ ﺍ‬٤١ ꢐُٔ‫ﺵﺯﺏ ٍﻫﺒﺠﻌﺈ‬٠ ꢈُٗꢂꢁ‫ﻙ ﺽ ﺍُ ﻝ ﺍ‬
LEL TEST IS MANDATORY FOR ALL HOT WORK INCLUDING VEHICLE ENTRY IN HAZARDOUS
AREA
4.(A) Gas  Not Required (only outside operation ‫ ٓ٘ﻁﻭﺥ‬ꢛ‫ ﺓ (ﻫﺒﻒ‬ِٞ‫ٓﻁ‬ꢀ٤ ‫ ؿ‬-4 ꢦꢙꢞ )‫(ﺃ‬
Test area) )ꢑ‫ﺩﺏﻙﻭ‬٤ِٔ‫ ﺍُؼ‬ꢢ‫ﺍ‬ꢧ‫ﻥ‬ꢂ
 Continuous monitoring ‫ﺝﺥ‬ꢊ‫ﺍ‬ꢀٓ  Re-test ..... ꢉꢃ ‫ ﺽ‬ꢄُ‫ ﺍ‬ꢂ‫ؼﺏ‬٣
‫ﺡ‬ꢀٔ‫َﺯ‬ every…..hour(s) ‫ﺏػﺥ‬ꢍ
 See associated Entry ‫ﻧﻚ‬ꢀُٔ‫ ٍﺍ‬ٞ‫ ﺍُﻓﻞ‬ꢖ٣ꢀ‫ﺭ ﻅ‬ꢀꢘٗ ‫ﺍ‬
Authorisation
‫ﺥ‬٣ꢂ‫ ﻩ‬ُٞ‫ﺍ‬ ‫ﺍُؾﻝ‬ ‫ﻝ‬٤‫ﺯ‬٣ꢀ‫ﺝ‬ꢃ ٍٝ‫ﺃ‬ ‫ﻝ‬٤ꢃَ‫ ﺃ‬٢ٗ‫ﺑﺺ‬ ‫ﺧﻌﻪ‬ꢂ ‫َٗﺧﺞ‬ ‫ﺏﻯ‬ꢜُ‫ﺑﻚؽﺽ ﺍ‬
٠ٗꢂꢁ‫ﺍ‬ ٖ٤ꢐꢃَ‫ﺃ‬ ٢‫ﻉ‬ٝ‫ﻝ ﻩ‬٤ُٜ‫ﺍ‬ ‫ﻝ‬٤ꢃَ‫ﺃ‬ ‫ ﺫ‬٣ꢀ‫ﺝ‬ꢌُ‫ﺍ‬ ٟꢀ‫ﺃﻑ‬ ‫ﺣﻬﺎ‬ꢀ‫ﺍُؾ‬ ‫ﺧﺚ‬
ٞꢅꢀُ‫ﺍ‬ GAS TESTER’S
ٍ‫ﺵﺯﺏ‬ꢈُ O2 ٕ ٕٞ‫ﺙ‬ꢀꢌُ‫ﺍ‬ SO2
Comb H2S CO
Shif LEL % ppm ppm ppm Othe Temp RH ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ꢗ٤ꢝٞ‫ْ ﺍُﺯ‬ꢊ‫ﻩ‬ ‫ـ‬٣‫ﺍُﺑﺰ ﻩ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬
t <1% >19.5 <10 <25 <2 rs C % Name & Emp. No. Date Time
Signature
(B) Electrical ‫ﺽﻝ‬ ꢋ‫ﻥ‬ꢂ )ꢍ(

Isolation ꢊ‫ﺑﺶﺋﺎ‬ꢛ‫ﻛﻦ‬ꢂ
 Not Required (or  Use “DO NOT OPERATE” ꢞ" ‫ﺥ‬ꢊ‫ ﻟﻘﺰ ّﺑﻄﺚ‬ꢍ‫ﺍ‬
N/A) ‫ ﺑﻰ‬ꢒꢩ‫ﻱ‬ꢪ‫ ﻍ‬Tag "ꢉꢜꢒ‫ﺭ‬
 Use single  Use ‫ ﺩﺫ‬ꢅꢬꢁ ‫ ﻡ‬ꢉꢏ‫ﻥ‬ꢁ ꢛ‫ َﺍﻅ‬ꢛ‫ﺫﺥ‬ꢅꢄꢁ
lock ꢫ ꢉ ꢁ ꢉꢏ ꢁ
‫ﺫﺥ ﻥ ﻡﻥ ﺩﺭ‬ꢛ ꢅꢄꢁ Multilock
(i) All electrical circuits / equipment have been (i) :‫ﻁﺥ‬ꢍ‫ﺍ‬ٞ‫ﺥﺙ‬٤‫ﺑﺚﺉ‬ꢀٜꢌُ‫ ﺍ‬ꢀ‫ﺋﺎ‬ٝ‫ ﺍُﻝ‬ٝ‫ﻍ ﺍُٔؼ ﺩﺍﻝ‬٤ٔ‫ﺩّ ﻱ ٍﻉ‬

Page 40 of 51
isolated by:
Emp. Name. ꢍْ ‫ﺍ‬ Emp. ꢊْ ‫ﻩ‬ Designation ‫ﺥ‬ꢄ٤ꢝُٞ‫ﺍ‬ Signat ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ Tele ꢗ‫ﺏﺭ‬ٛ
ꢗꢝُٞٔ‫ﺍ‬ No ꢗ٤ꢝٞ‫ﺍُﺯ‬ ure .
(ii) Multi Lock System (ii) ‫ﺩﺫ‬ꢋꢁً‫ﻥ‬ꢂ ‫ﻣﻒ‬ꢜ‫ﻥ‬ꢂ ꢈ‫ﻅﺍ‬ꢖ

‫ﺥ‬٣ꢂ‫ ﻩ‬ُٞ‫ﺍ‬
Name / Emp. No./ Signature ꢗ٤ꢝٞ‫ﺍُﺯ‬ꢊْ ‫ ﻩ‬/ ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ١‫ ﺫ ﺍُﺑﺰ ﻩ‬ꢊُٞ‫ﺍ‬
ꢪ
Shi Electrical ‫ﺏٗﺥ‬٤‫ﺍُ ﻅ‬ Mechanical ‫ﺏٗﺥ‬٤‫ﺍُ ﻅ‬ Others ٟꢀ‫ﻓﺄ‬ Dat T
ft Maint. ‫ﺥ‬٤‫ﺑﺚﺉ‬ꢀٜꢌُ‫ﺍ‬ Maint. ‫ﺥ‬٤ꢌ٤ٗ‫ﺏ‬ꢌ٤ُٔ‫ﺍ‬ e e
5. Authorization / Renewal (It is safe to proceed -5 ‫ﺫٌﺫ‬ꢝꢁ‫ﻥ‬ꢂ / ‫ﺷﺺٌﺡ‬ꢁ‫ﻥ‬ꢂ) ꢊꢞ ‫ﺫﺀ‬ꢄ‫ﻥ‬ꢂ ꢟ‫ ﻭًٌﻙ‬ꢟ‫ ﻳﺂ‬ꢌꢠ‫ﻯ‬
with this job) ‫ﻡ‬ꢋً‫ﻥ‬ꢂ ꢂ‫ﺯ‬ꢒ(
/ ‫ﺥ‬٣ꢂ‫ ﻩ‬ُٞ‫ﺍ‬ Time ‫ ﺫ‬ꢊُٞ‫ﺍ‬ Name / Emp. No./ Signature. ‫ﻑ‬ꢑꢮ‫ﻯ‬ꢅ‫ﻥ‬ꢁ ꢤꢇꢂ / ꢭꢑꢇ‫ﻯ‬ꢅ‫ﻥ‬ꢁ
‫ـ‬٣‫ﺍُﻫﺒﺰ‬
Date / ٖ ٠ُ‫ﺇ‬ ‫ﺍُٔ ﻅﻫﻞ‬ ꢋꢄُ٘ٔ‫ﺍ‬ ٍٝ‫ﺍُٔﺑﻮ‬ ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ
Shift From To Issuer Executor Contractor Field
Operator
6. Permit Closure 6 ‫ﺷﺺٌﺡ‬ꢁ‫ﻥ‬ꢂ ꢡꢓ‫ ﻏﺈ‬-

(A)  ْ‫ﺭ‬   will continue
Work completed ٙ‫ﯨﺐ‬
ꢐٗ‫ﺇ‬ stopped ꢗꢊٞ‫ ﺭ‬on...................…….. ꢯ ‫ﺭ‬ꢅًꢋꢓ ꢰ‫ﻯ‬ꢄ ꢅꢂ‫ﻉ‬ꢃ‫ﺍ‬
Site handed- Housekeeping

over  Yes No ٍ‫ ﺁﻱ‬ꢭꢵ‫ﻯ‬ꢀ ꢭꢇ‫ﻯ‬ꢬꢁ ꢤꢑꢒꢋ‫ﺕ‬ꢜ done  Yes  No ‫ ﻧﺒﻚ‬ꢆ‫ ﺍ‬ꢇ‫ﻳﻆ‬ꢈꢉ
Multilock  Not ‫ﻣﻒ‬ꢜ‫ﻥ‬ꢂ ꢈ‫ﻅﺍ‬ꢖ
in safe condition Removed applicable  Yes  No ‫ﺩﺫ‬ꢋꢁً‫ﻥ‬ꢂ ‫ﻡ‬ꢢٌ‫ﺃ‬
ꢋꢄُ٘ٔ‫ﺍ‬ꢍْ ‫ﺍ‬ ‫ﻑ‬ꢑꢮ‫ﻯ‬ꢅ‫ﻥ‬ꢁ ꢤꢇꢂ ‫ﺥ‬ꢄ٤ꢝُٞ‫ﺍ‬ ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬ ‫ـ‬٣‫ﺍُﻫﺒﺰ‬ ꢗ
Executor name Emp.No. Designation Signature Time Date Te
Remarks:...……........................................................
...............................................................................………………….‫ﺩﺏ‬ꢘ‫ؽ‬ꢈٓ

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(B) Agreed to above. Site was checked ً‫ﺏ‬ꢈꢋ‫ ﺩ ﺁ‬ꢎꢏꢏ ꢐꢑ‫ﻭ‬ꢆ‫ﻑﺻﺢ ﺍ‬

ꢏ ، ꢒꢓꢌ‫ﺭ ﺃ‬ꢔ‫ﺏ ﺫ‬ꢋ ‫ﯨﻞ‬ꢌ ‫ﻓﺎﻭﺗﻖ‬ꢆ‫ ﺝ ﺍ‬ꢍ )
 Yes No
and found safe.
Field Operator signature/Emp. ꢗ٤ꢝٞ‫ﺍُﺯ‬ꢊْ ‫ ﻩ‬/ ꢉ‫ ﺍُؾﻭ‬ꢉꢜꢒٓ ‫ﻍ‬٤ꢊٞ‫ﺭ‬
No............................……………………
‫ﺍُٔ ﻅﻫﻞ‬ꢍْ ‫ﺍ‬ ꢗ٤ꢝٞ‫ﺍُﺯ‬ꢊْ ‫ﻩ‬ ‫ﺥ‬ꢄ٤ꢝُٞ‫ﺍ‬ ‫ﻍ‬٤ꢊٞ‫ﺍُﺯ‬ ‫ ﺫ‬ꢊُٞ‫ﺍ‬ ‫ـ‬٣‫ﺍُﻫﺒﺰ‬ ꢗ
Issuer name Emp.No. Designation Signature Time Date Te
REV-1a/Sep 2002 DIAL "888" IN EMERGENCY ꢤ‫ﺱ‬

ꢂ‫ﻯ‬ꢑ‫ﻥ‬ꢂ ꢀ‫ﻧﺎ‬ꢕ ꢊꢞ "888" ꢣ‫ﻗﺲ‬ꢎ‫ﺗﺎ‬ꢒ ꢐ‫ﻣﺼﺖ ﻫﻊ‬ꢂ
APPENDIX - D
(Reverse of Hot Work Permit form)
GENERAL CONDITIONS OF PERMIT
1 Display the permit at work site with associated authorisations.
2 Separate permits are required for different Maintenance crafts & jobs.
3 Only authorised personnel holding valid "Work Permit Issuer/Executor" card can sign permit.
4 Only field operators/contractors with work "permit awareness training" can sign respective column.
5 Only authorised gas testers holding valid certification for gas test can sign gas test.
6 Issuer may authorize work, only if the gas tests results are within the permissible range.
7 Mention Clear description of the work. Issuer or executor may fill Section-1.
8 Issuer must fill or tick all relevant items from Sections 2 to 4. Specify additional requirements under remarks. Inform
critical work and road closures to ECCC. (ECCC will inform Safety)
9 Operation's Issuer is responsible for safe handing over of equipment to Maintenance.
10 Field operator must check site and sign the permit before start of the work.
11 Executor must not start work before getting permit or on an incomplete work permit.
12 Executor must provide adequate supervision and must be always present during critical work.
13 Executor must ensure providing all recommended protective before starting work and compliance to all permit
conditions. He must ensure his people are wearing appropriate PPE.
14 Suspend all work in case of plant emergency or accident.
15 Issuing Division and Safety personnel have the right to stop the job any time on safety reasons.
16 Field operator shall monitor permit conditions and site conditions frequently.
17 Executor must renew the permit if the work is 'stopped' or 'not started' for over 2 hrs.
18 Close the permit by completing Section-6 of original and field operator copy. Keep in file for 1 month.
19 All tools and equipment shall be secured and personnel protected from falling objects.
20 Do not anchor to or suspend loads on process piping.
21 Do not use scaffolds without valid green scaffold tag.

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22 Do not use wooden planks in running units.

23 Any exemption shall be with prior approval of KNPC Safety.
SPECIAL PRECAUTIONS FOR HOT WORK

1. Flammable Gas Test (LEL) within 15 meters is compulsory prior to any hot work. This includes vehicle entry and use
of portable battery operated instruments.
2. Cover and seal sewers, drains, vents or any other gas escaping points within 15 meters. Use flame retardant
tarpaulin for barricading.
3. Issuer must check the Hot Tapping Authorisation form approved by all parties before authorising hot tapping,
patchwork on live lines and work on corroded tank roof.
4. Positively isolate the line/equipment by blinding for welding, cutting or grinding. Closing valve alone is not
acceptable.
5. Clear combustible material and heavy oil deposits within 8 meters.
6. Ensure 2 fire extinguishers are available within 8 meters. Do not use unit extinguishers. Personnel engaged in the
job must know how to use fire extinguishers.
7. Carry out all possible fabrication and welding outside unit area. Limit site welds to minimum.
8. Welder and helper must wear eye protection. Welder must use face shield, which can be fitted to the helmet.
9. Welders must wear leather or flame resistant gauntlets/gloves, apron and high safety boots.
10. Welder must use leather shoulder covers and ear plugs for overhead work.
11. Check the welding machine, terminals, cables & cable laying before start of work
12. Provide adequate ventilation or respiratory protection against welding fumes.
13. Field operator must guide the drivers on which route to follow when entering a unit.
14. Issuer must check valid safety certificate for mobile equipment and vehicles
15. Vehicle entry allowed only for loading and unloading and not for remaining in hazardous area or passenger
transport.
‫ﺹﺵٌﺡ‬ꢁ‫ﻥﻩ‬ꢀ‫ﺍﻱ‬ꢋ‫ﻥ‬ꢂ ‫ﻭﺵﻁ‬ꢥ‫ﻥ‬ꢂ
. ‫ﺥ‬ꢊꢈ‫ ﺩﺍﻡ ﺍُؼ‬ꢖ٣‫ ٓﻍ ﺍُﺯ ﻫﺒﻆ‬ꢉٔ‫ﻍ ﺍُؼ‬ꢊٞ ٢ ‫ﻙ‬ꢖ٣ꢀ‫ﻍ ﺍُﺯ ﻅ‬ꢕ ٝ‫ﺕ‬ꢐ٣ - 1
. ‫ﺥ‬ꢄِ‫ﺏٗﺥ ٓﺯﻕ‬٤ꢔ‫ﺥ‬٤ِٔ‫ ػ‬ꢉꢌ ُ‫ َﻭﺯِﺥ‬ꢖ٣‫ﺭ ﻫﺒﻆ‬ꢛ‫ﺍ‬ꢀ‫ﻗﺰ‬ꢍ‫ﺕ ﺍ‬ꢐ٣ - 2
.ٍ ٞ‫ؼ‬ꢄُٔ‫ﺥ ﺍ‬٣‫ﻫﺐ‬ꢍ ꢉٔ‫ﻣﺈ ٕﺍُؼ‬ꢋꢄ٘ ٓ/‫ﺥ ٓ ﻅﻫﻞ‬ꢊ‫ﺑﻄﺚ‬٠ِ ‫ ٕػ‬ِٞꢔ‫ﺍُﺏ‬ꢠُꢋ ‫ ٕﺙ‬ُٞٞ‫ ﺍُٔﻕ‬ꢡ‫ﻗﺶﺏ‬ꢁ‫ ﺍ‬ꢞ‫ ﺇ‬ꢖ٣‫ﺍُﺯ ﻫﺒﻆ‬٠ِ ‫ﻍ ػ‬٤ꢊٞ‫ﺙﺏُﺯ‬ّٞ ‫ﻭ‬٣ ꢞ - 3
‫ﺍ‬ٞ‫ﻝﺭِﻭ‬ꢊ ‫ﺍ‬ٞٗ‫ﺏ‬ꢃ ‫ ﺇﺍﻡ‬ꢖ٣‫ﺍُﺯ ﻫﺒﻆ‬٢ ‫ﻙ‬ْٜ‫ﺥﺙ‬ꢔ‫ػٔﺣﻞ ﺍُﺑﻖ‬ꢁ‫ﺑﻒٗﺩﺏ ﺍ‬٢ ‫ﻍﻙ‬٤ꢊٞ‫ ﺍُﺯ‬ꢉ‫ﺍُؾﻭ‬٢ ‫ ٍﻙ‬ٝ‫ػٔﺏ ٍﺍُٔﺑﻮ‬ٝ ꢉ‫ﺍُ ﻭ‬٢ِ ꢜꢒٔꢑ ُ‫ﻭﻙ‬ ٖ ꢌٔ٣ - 4
. ꢉٔ‫ﺍُؼ‬ ꢖ٣‫ﺏ ّﺭ ﻫﺒﻆ‬ꢘ٘‫ﺥﺙ‬٤‫ػ‬ٞ‫ ﺍُﺯ‬ꢎٓ‫ﺏ‬ꢀٗ‫ﺥﺙ‬ꢊ‫ﺑﻄﺚ‬٠ِ ‫ﺍ ػ‬ِٞ‫ ؽ ﻅ‬ٝ‫ﺕ‬٣‫ﺍُﺯﻫﻞ‬
ꢊَْ ٖ ٓ ‫ﺣﻪ‬ꢂ‫ﺏ‬ꢔٍ ٞ‫ؼ‬ꢄُٔ‫ﺥ ﺍ‬٣‫ﻫﺐ‬ꢍ ‫ﺥ‬ꢊ‫ﺑﻄﺚ‬٠ِ ‫ ٕػ‬ِٞꢔ‫ﺍُﺏ‬، ꢠُꢋ ‫ ٕﺙ‬ُٞٞ‫ ﺍُٔﻕ‬ꢡ‫ﻗﺶﺏ‬ꢁ‫ ﺍ‬ꢞ‫ﺏﻯ ﺇ‬ꢜُ‫ﻫﺒﺠﺰ ﺽﻙ ﺍ‬ ‫ﺍﻑ‬٠ ِ‫ﻍ ػ‬٤ꢊٞ‫ﺙﺏُﺯ‬ّٞ ‫ﻭ‬٣ ꢞ - 5
. ‫ﺏﻯ‬ꢜُ‫ ﻙﺽ ﺍ‬٠ ِ‫ﺝﺏ ػ‬٣‫ﺍﺭﻝ ﻩ‬ٞ‫ ْﺭِﻭ‬ٜٗ‫ﻝﺙﺅ‬٤ꢄ‫ٓﺥﺭ‬ꢈَُ‫ﺍ‬
.ٚ ‫ﺙ‬ꢓَُٞٔٔ‫ﺍ‬ٟ ‫ٔ ٖﺍُٔﻝ‬ꢕ ‫ﯨﺐ‬ ꢜُ‫ ﺽﻙ ﺍ‬ꢎ‫ﺏٗ ﺫ ٗﺑﺰﺉ‬ꢃ ‫ ﺇﺍﻡ‬ꢞ‫ ﺇ‬ꢉٔ‫ﺀﺍ ﺍُؼ‬ꢂ‫ﺅﺙ‬ ꢖ٣ ꢀ‫ﺙﺏُﺯ ﻅ‬ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ٓ ﻅﻫﻞﺭ ﻅ‬ّٞ ‫ﻭ‬٣ ꢞ - 6
. 1-َْ ‫ﺏٗﺩﺏ ﺍُﻭ‬٤‫ﺀﺏﺙ‬ꢄ٤‫ﺯ‬ꢍ‫ﺍ‬ٙꢋ ꢄ٘ٓٝ ‫ ﺃ‬ꢖ٣ꢀ‫ٓ ﻅﻫﻞ ﺍُﺯ ﻅ‬٠ِ ‫ػ‬ٝ . ꢉٔ‫ ُِؼ‬ꢖꢕ‫ﺍ‬١ ٝꢉ٤‫ ﻅ‬ꢄ‫ﺭ‬ꢗꢔ ٝ‫ﺕ ﺇ ﺑﻂﺀ‬ꢐ٣ - 7
‫ﺏﺭ ﺫ‬ٛꢀꢃꢋ‫ﺥﺙ‬٤‫ﻛﺐ‬ ꢕꢆ‫ﻝ ﺍُٔﻃﺰِﺩﺑﺞ ﺍ‬٣‫ ﻝﺭ‬ٝ، 4٠ُ ‫ ﺇ‬2َْ ‫ﺥ ٓ ٖﺍُﻭ‬ꢊꢈ‫ ﺩﺍﻡ ﺍُؼ‬ꢂٞ٘ ‫ ﺍُﺝ‬ꢉꢃ ‫ﺀﺏ‬ꢄ٤‫ﺯ‬ꢍ‫ ﺍ‬ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ٓ ﻅﻫﻞﺭ ﻅ‬٠ِ ‫ﺕ ػ‬ꢐ٣ - 8
‫ﻫﺒﻄﻒ‬ꢣ‫ﻱﺙ‬ꢃꢀُٔ‫ﺍ‬ّٞ ‫ﻭ‬٣ٝ ( ꢚꢀ‫ ﺍُﻁ‬ꢚꢈ‫ ﺇؿ‬ٝ‫ﺡ‬ꢀ‫ػٔﺏ ٍﺍُﻃﻖ‬ꢁ‫ﺑﺚ‬ꢢ‫ﻫﺎ‬ٞ‫ ﺩ ﺍُﻁ‬ꢞ‫ﺍﺭ ﺑﻆ‬ꢌْ ‫ﻱ ﺭ‬ꢃꢀٓ ‫ﺯ ْ ﻫﺒﻄﻔﺈ‬٣ٕ ‫ﺃ‬٠ ِ‫ ػ‬، ‫ﺩﺏ‬ꢘ‫ؽ‬ꢈُٔ‫ﺙ٘ﻝ ﺍ‬
. ) ‫ٓﺥ‬ꢈَُ‫ﺍ‬ꢊَْ
. ‫ﺏٗﺥ‬٤‫ﺍُ ﻅ‬٠ ُ‫ٗﺥ ﺇ‬ٞٓ‫ ﻩﺡ ٓﺅ‬ٞ‫ ْﺍُٔؼﻝﺍ ﺩﺙ ﻅ‬٤َِ‫ ػ ٖﺭ‬ꢞٞꢤَٓ ‫ﺏ ﺩ‬٤ِٔ‫ ٓ ٖﺍُؼ‬ꢉٔ‫ ﺍُؼ‬ꢖ٣ꢀ‫ ٕٓ ﻅﻝ ﻩﺭ ﻅ‬ٞꢌ٣ - 9

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‫‪KUWAIT NATIONAL PETROLEUM COMPANY‬‬
‫‪- 10‬ػ ِ‪ ꢉꢜꢒٓ٠‬ﺍُؾﻭ‪ ꢉ‬ﺃ ٕ‪٣‬ﺯ‪ꢄ‬ﻟﻮ ﺍُٔ‪ꢊٞ‬ﻍ‪ꢊٞ٣ ٝ‬ﻍ ػ ِ‪٠‬ﺍُﺯ ﻅ‪ꢊ ꢖ٣ꢀ‬ﺝ‪ꢉ‬ﺀﻟﺚ ﺍُؼٔ‪. ꢉ‬‬
‫‪- 11‬ػ ِ‪٠‬ﺍُﺋﺒﻮ ْﺙﺏُﺯ٘ ‪ꢋ٤ꢄ‬ػﻝ ّٓﺷﺒﺞ‪ꢀ‬ﺡ ﺍُؼٔ‪ꢊ ꢉ‬ﺝ‪ ꢉ‬ؽ ﻅُ‪ٚ ٞ‬ػ ِ‪٠‬ﺭ ﻅ‪ ꢓ١ꢀ‬ﺍُؼٔ‪ ꢉ‬ﺃ ‪ٝ‬ػ ِ‪٠‬ﺭ ﻅ‪ ꢖ٣ꢀ‬ػٔ‪ ꢉ‬ؿ ‪ꢌٓꢀ٤‬ﺯٔ‪. ꢉ‬‬
‫‪- 12‬ػِ ‪٠‬ﺍُﻭﺏﺉ ْﺙﺏُﺯ٘‪ꢋ٤ꢄ‬ﺭ‪ٞ‬ﻙ‪ ꢀ٤‬ﺇﺵ‪ꢀ‬ﺍ‪٘ٓ ꢥ‬ﺏ‪ꢍ‬ﺕ ‪ꢐ٣ٝ‬ﺕ ﺃ ٕ‪ٕٞٓ ٞꢌ٣‬ﻉ‪ꢂٞ‬ﺍ ‪ٞꢅ‬ﺍ ٍﻙﺯ‪ꢀ‬ﺡﺭ٘‪ ꢋ٤ꢄ‬ﺃ ‪١‬ػٔ‪٣ ꢉ‬ﺯَ ْﺙﺏُﻕﻁ‪ ٞ‬ﻩﺡ ‪.‬‬
‫‪- 13‬ػ ِ‪٠‬ﺍُﺋﺒﻮ ْﺙﺏُﺯ٘‪ ꢋ٤ꢄ‬ﺃ ٕ‪٣‬ﺅﺯ‪ꢃ‬ﻝ ٓ ٖﺭ‪ٞ‬ﻙ ‪َٓ ꢉꢃꢀ٤‬ﺯِﻱٓﺩﺏ ﺍُ‪ꢊٞ‬ﺏ‪٣‬ﺥ ﺍُٔ‪٠ꢔ ٞ‬ﺙ‪ٜ‬ﺏ ‪ꢊ‬ﺝ‪ ꢉ‬ﺍُﺀﻟﺞﻙ ‪٢‬ﺍُؼٔ‪ٝ , ꢉ‬ﺍُ‪ꢞ‬ﻳﺰﺍ ّﺙ‪٤ٔꢐ‬ﻍ ﺍُ‪ꢅٝ ꢀꢒ‬ﺍُ‪ٞ‬ﻫﺎ‪ꢂ‬ﺡ‬
‫ﻙ ‪٢‬ﺍُﺯ ﻅ‪ꢐ٣ٝ . ꢖ٣ꢀ‬ﺕ ػِ‪ٚ ٤‬ﺃ ٕ‪٣‬ﺅﺯ‪ꢃ‬ﻝ ٓ ٖﻟﺮﻫﺎﺀﺍ ﺍ‪ꢁ‬ﺑﻘﺶ‪ ꢡ‬ﺍُﺑﺰﺙؼ‪ ٓٚ ٖ ُ٤‬ﻝ ﺩﺍ ﺍُ‪ꢊٞ‬ﺏ‪٣‬ﺥ ﺍُ‪ꢒ‬ﻕ ﻅ‪٤‬ﺥ ‪.‬‬
‫‪ꢐ٣- 14‬ﺕ ﺇ‪٣‬ﺑﻮ‪ ꢥ‬ﻉٔ‪٤‬ﻍ ﺍ‪ꢁ‬ػٔﺏ ٍﻙ ‪٢‬ؽﺏُﺥ ﺍُﻁ‪ٞ‬ﺍ ﻩ‪ ꢢ‬ﺃ ‪ٝ‬ػ٘ﻝ‪ ꢏ ٞꢊٝ‬ﺏ‪ꢂ‬ﺱ ‪.‬‬
‫‪ ٣- 15‬ﻥ ُ‪ٜꢐ‬ﺥ ﺇ‪ꢔ‬ﻝﻫﺎﺭ ﻅ‪ ꢖ٣ꢀ‬ﺍُؼٔ‪٢ꢄꢝ ٞ ٝ ꢉ‬ﺍَُ‪ٓꢈ‬ﺥ ﺇ‪٣‬ﺑﻮ‪ ꢥ‬ﺍُؼٔ‪ꢉ‬ﻙ ‪٢‬ﺃ‪ ١ ꢊٝ‬ﺫ ػ٘ﻝ ﻝ ّﺍُ‪ꢞ‬ﻳﺰﺍ ّﺙ‪ꢅٝ ꢀꢒ‬ﺍَُ‪ٓꢈ‬ﺥ ‪.‬‬
‫ﺯﻙ‪ꢀ‬ﺡ‪ ٝ‬ﻓﺄ ‪.ٟꢀ‬‬ ‫‪ꢐ٣- 16‬ﺕ ػ ِ‪ ꢉꢜꢒٓ٠‬ﺍُؾﻭ‪ꢀٓ ꢉ‬ﺍ‪ꢊ‬ﺝﺥ ﺍُ‪ꢅٝ ꢀꢒ‬ﺍُٔ‪ٞꢃꢋ‬ﺣﻪﻙ ‪٢‬ﺍُﺯ ﻅ‪ꢀٓٝ ꢖ٣ꢀ‬ﺍ‪ꢊ‬ﺝﺥ ‪ ꢥٝꢀꢝ‬ﺍُٔ‪ꢊٞ‬ﻍ‪ ، ٝ‬ﻡ ُ‪ꢠ‬ﺙ‪ٖ ٤‬‬
‫‪ꢐ٣- 17‬ﺕ ػ ِ‪٠‬ﺍُﺋﺒﻮ ْﺙﺏُﺯ٘ ‪ꢋ٤ꢄ‬ﺭ‪ꢐ‬ﻝ‪٣‬ﻝ ﺍُﺯ ﻅ‪ ꢖ٣ꢀ‬ﺇﺍﻡ ﺃ ‪ꢗꢊٝ‬ﺍُؼٔ‪ ꢉ‬ﺃ ‪٣ُْ ٝ‬ﺝﺃﻝﺙؼﻝ ﺍٗﻭ‪ꢦ‬ﺏﺀ ‪ꢍ‬ﺏػﺯ‪ٖ ٖٓ ٤‬ﺇ‪ꢔ‬ﻫﺎﻝ ‪.ٙ‬‬
‫‪ꢝ‬ﺙَ٘ﻕﺥﻙ ‪٢‬ﺍُُِٔ ‪ٔꢗ‬ﺣﻞﺵ‪ٝ ꢀٜ‬ﺍ ﻝ ‪.‬‬ ‫‪ꢐ٣- 18‬ﺕ ﺇ‪ꢄꢊ‬ﺏ ٍﺍُﺯ ﻅ‪ꢖ٣ ꢀ‬ﺙ‪ٔꢃꢣ‬ﺏ ٍﺍُﻭ َْﺍَُﺏ‪ٖ ٓ ꢧꢂ‬ﺍَُ٘ﻕﺥ ﺍ‪٤ِꢔꢁ‬ﺥ‪َٗ ٝ‬ﻕﺥ ٓ‪ ꢉꢜꢒ‬ﺍُؾﻭ‪٣ .ꢉ‬ؾﺯ‪ꢗ‬‬
‫‪- 19‬ﺭ‪ꢕٞ‬ﻍ ﺍ‪ ꢞ٥‬ﺩ‪ ٝ‬ﺍُٔؼ ﺩﺍﻝﻙ ‪ꢌٓ٢‬ﺏ‪ُٖ ٕٓ ꢟ‬ؾٔﺏ‪٣‬ﺥ ﺍ‪ꢁ‬ﻗﺶﺏ‪ٖ ꢍٓ ꢡ‬ﻭ‪ٜꢅٞ‬ﺏ ػِ ْ‪.ٜ٤‬‬
‫‪ꢐ٣- 20‬ﺕ ػﻝ‪ꢕّ ٝ‬ﻍ ؽٔ‪ ꢞٞ‬ﺩ ﺃ ‪ ٝ‬ﺭِ‪٤‬ﻭ‪ٜ‬ﺏ ػ ِ‪٠‬ﺃٗﺏﺙ‪٤‬ﺕ ﺍُؼِٔ‪٤‬ﺩﺏ ‪.‬‬
‫ﺅﺭ‪ꢃ‬ﻝ ٓ ٖﺃ ٕﺍَُﺑﻮ‪ ꢞ‬ﺩ ‪ ٞ‬ﻧﻜﺎ ػِ‪ٜ٤‬ﺏ ‪ꢊ‬ﺝ‪ ꢉ‬ﺍ‪ꢍ‬ﻗﺰﺍﻝٓ‪ٜ‬ﺏ‪ ، ٝ‬ﻡ ُ‪ꢠ‬ﺙ‪ꢄ‬ؾﺽ ﺍ‪ꢃ‬ﺯٔﺏ ٍﺍُﺑﻮﺉٔﺥ ‪ٝٝ‬ﻉ ‪ꢂٞ‬ﺍُﺑﻄﺞ‪ꢊ‬ﺥ ﺍُﻕ‪ꢀꢦ‬ﺀﺍ ‪.‬‬ ‫‪- 21‬‬
‫‪ꢞ- 22‬ﺭَﺯﻟﻖ ّﺍ‪ُٞꢁ‬ﺍ‪ ꢓ‬ﺍُﻕ‪ꢒ‬ﺝ‪٤‬ﺥﻙ ‪٢‬ﺍُ‪ٞ‬ؽ ﺩﺍﻝ ﺍُﺏ ِﺥ ‪.‬‬
‫‪ꢐ٣- 23‬ﺕ ﺍُ ﻅ‪ٍ ٞ‬ػ ِ‪ٞ ٠‬ﻛﺎﻭﺥ َﺝﻭﺥ ٓ ٖ َْ‪ꢊ‬ﺍَُ‪ٓꢈ‬ﺥﺙ‪ꢃꢀꢒ‬ﺥ ﺍُﺝﺯ‪ٍ ٝꢀ‬ﺍُ‪٤٘ꢅٞ‬ﺥ ﺍُ‪٣ٞꢌ‬ﺯ‪٤‬ﺥﻙ ‪٢‬ﺃ‪٣‬ﺥ ؽﺏُﺥ ﺍ‪ꢍ‬ﺯ٘‪ꢩ‬ﺏﺉ‪٤‬ﺥ ‪.‬‬
‫ﺛﺎ ﺥﺍ‪ꢀꢏ‬ﺏ‪ꢁ‬ﺹﺵٌﺡ ‪ꢂ‬ﻥ‪ًꢋ‬ﻡ ‪ꢂ‬ﻥ‪ꢔ‬ﺍﺥ‪ꢟ‬‬ ‫‪ꢁꢕٍꢂ‬ﺍﻁ‬

‫ﯨﺐ ﺍُﺑﻮﺙ‪ꢈُ ꢉ‬ﺵﺯﺏ ٍ(ﺍُؾﻝ ﺍ‪ꢐꢄٗ٠ ꢈُٗꢂꢁ‬ﻫﺐ) ‪ꢂٖ ٔꢕ‬ﺍﺉ‪ꢀ‬ﺡ ‪ꢊ‬ﻁ‪ٛꢀ‬ﺏ ‪ٓ15‬ﺯ‪ꢀ‬ﺍ ‪ꢊ‬ﺝ‪ ꢉ‬ﺍُﻭ‪٤‬ﺏ ّﺙﺅ ‪١‬ػٔ‪ꢍ ꢉ‬ﻓﺐ ٖ‪.‬‬ ‫ٓ ٖﺍُ‪ ٝꢀꢦ‬ﻩ ‪ ١‬ﺽﻙ ﺍُ‪ꢜ‬‬ ‫‪-1‬‬
‫‪٣ٝ‬ﺯ‪ٖ ٔꢦ‬ﻡُ‪ꢂ ꢠ‬ﻑ‪ٍ ٞ‬ﺍُٔ‪ꢃꢀ‬ﺑﺞ ﺩ‪ ٝ‬ﺍ‪ꢍ‬ﻗﺰﺍﻝ ّﺍ‪ꢁ‬ﻉ‪ٜ‬ﺣﻲ ﺍُﻝ‪٤ꢊ‬ﻭﺥ ﺍُٔؾُٔ‪ٞ‬ﺥﺙﺏُ‪٤‬ﻝ‪ ٝ‬ﺍُﺯ ‪٢‬ﺭؼٔ‪ꢉ‬ﺙﺏُﻫﺒﻄﺞ‪٣‬ﺩﺏ ‪.‬‬
‫ﯨﺐ ‪ꢂٖ ٔꢕ‬ﺍﺉ‪ꢀ‬ﺡ ‪ꢊ‬ﻁ‪ٛꢀ‬ﺏ ‪ٓ15‬ﺯ‪ꢀ‬ﺍ ‪.‬‬ ‫‪ꢐ٣‬ﺕﺭ‪ꢜ‬ﻁ‪٤‬ﺥ‪ ٝ‬ﻱ ٍﺍُﺑﺞُ‪ ٞ‬ﺩﺏ ‪ꢐٓٝ‬ﺏ ﻩ ‪١‬ﺍُ ﻅ‪ٝ ꢥꢀ‬ﻙ ﺩﺏﺯ ﺍُﺯ‪٣ٜٞ‬ﺥ ﺃ ‪ٝ‬ﺃ‪٣‬ﺥ ‪ٞ‬ﺍ‪ꢕ‬ﻍ ‪٣‬ﺯَ‪ ꢀ‬ﺓ ٓ٘‪ٜ‬ﺏ ﺍُ‪ꢜ‬‬ ‫‪-2‬‬
‫ﺍ‪ꢍ‬ﻗﺰﻝ ّﺍُﺯ‪ꢀ‬ﺙُ‪ٖ ٤ٞ‬ﺍُٔﺑﻮ‪ ّ ꢈُٝ‬ﺯ‪ꢀ‬ﺍ‪.ꢚ‬‬
‫ػ ِ‪ ٓ٠‬ﻅﻫﻞ ﻣﺈ ٕﺍُؼٔ‪ ꢉ‬ﺃ ٕ‪٣‬ﺅﺯ‪ꢃ‬ﻝ ٓ ٖﺃ ٕٗٔ‪ٞ‬ﻡ‪ꢛ‬ﺭ ﻅ‪ ꢖ٣ꢀ‬ػٔ‪ ꢉ‬ﺍُ‪ ꢈꢔٞ‬ﺩ ﺍَُﻓﺐ٘ﺥ ‪ꢊ‬ﻝﺭٔ ﺫ ﺍُٔ‪ٞ‬ﻛﺎﻭﺥ ػِ‪ٖ ꢊٓٚ ٤‬ﺝ‪ ꢉꢃ ꢉ‬ﺍ‪ꢀꢅꢁ‬ﺍ‪ ꢥ‬ﺍُٔؼ٘‪٤‬ﺥ‬ ‫‪-3‬‬
‫‪ꢊ‬ﺝ‪ ꢉ‬ﺍُﺯ ﻅ‪ꢖ٣ꢀ‬ﺙؼٔ‪ ꢉ‬ﺍُ‪ ꢈꢔٞ‬ﺩ ﺍَُﻓﺐ٘ﺥ ﺃ ‪ٝ‬ﺭ‪٤ꢊꢀ‬ﻍﻃﻒ ‪ꢅٞ‬ﺍُ‪ꢜ‬ﺏﺍﻯ ﺩ‪ ٝ‬ﺍ ُ‪ٞ‬ﺍﺉ‪ ꢉ‬ﺍُﺛﺒﻮِﺥُ‪ꢈ‬ﺵﺯﺏ ٍﺃ ‪ٝ‬ﺍُؼٔ‪ ꢉ‬ػ ِ‪٠‬ﺍَُﻁ‪ ꢓٞ‬ﺍُٔﺁﺯِ‪ꢃ‬ﺥ‬
‫ُِﻕﺍﻱٗﺩﺏ ‪.‬‬
‫‪ꢐ٣‬ﺕ ﻱ ٍﺍُﻃﻖ‪ٝ ꢅٞ‬ﺍٍٓؼ ﺩﺍﻝ ػ‪٣ٖ ꢀꢅ‬ﻥ ﺍ‪ꢍ‬ﺯﻟﻖﺍ‪ّ ꢍ‬ﺍﻝ‪ ꢂ‬ﺩﺍﻙ ‪٢‬ﺏ‪ ꢞ‬ﺩ ﺍُِﺏ ّﺃ ‪ٝ‬ﺍُﻏﻄﻮ ﺃ ‪ٝ‬ﺍُ ﻅﻭ‪ꢖٔ ٣َ ꢞٝ . ꢉ‬ﺑﺚ‪ꢃꢞ‬ﺯ‪ꢄ‬ﺏﺀﺙ‪ꢣ‬ؿ‪ꢚꢈ‬‬ ‫‪-4‬‬
‫‪ٔꢔ‬ﺏ‪ّ ٝ‬ﺍ ﻝﺙ ٔ‪.ٙꢂꢀꢄ‬‬
‫ﺑﻮﺙ‪٣‬ﺏ ﺍُﻱ‪ ٣‬ﺫ ﺍُ‪ꢩ‬ﻭ‪ٝ ꢉ٤‬ﻡ ُ‪ꢂٖ ٔꢕꢠ‬ﺍﺉ‪ꢀ‬ﺡ ‪ꢊ‬ﻁ‪ٛꢀ‬ﺏ ‪ 8‬ﺃٓﻫﺒﺰ ‪.‬‬ ‫‪ꢐ٣‬ﺕﺭ٘‪ꢗ٤ ꢘ‬ﺍُٔ٘ﻁﻭﺥ ٓ ٖ‪ ꢉꢃ‬ﺍُٔ‪ٞ‬ﺍ‪ ꢂ‬ﺍُﺛﺒﻮِﺥُ‪ ꢈ‬ؽﺯ‪ꢀ‬ﺍ‪ٝ ꢚ‬‬ ‫‪-5‬‬
‫ﺹ٘ﺯ‪ꢂٖ ٔꢕ )ٖ٤‬ﺍﺉ‪ꢀ‬ﺡ ‪ꢊ‬ﻁ‪ٛꢀ‬ﺏ ‪ 8‬ﺃٓﻫﺒﺰ ‪ꢞ .‬ﺭَﻗﺰﻝ ّٓﻁ‪ꢤꢄ‬ﺩﺏ ﺍُؾ‪٣ꢀ‬ﻥ ﺍُﺑﻖ‪ꢔ‬ﺥﺙﺏُ‪ ٞ‬ﺣﻞ ‪ꢐ٣ٝ .‬ﺕ‬ ‫‪ꢐ٣‬ﺕ ﺍُﺅﺯ‪ꢃ‬ﻝ ٓ ٖﺭ‪ٞ‬ﺍﻙ‪ٓ ꢀ‬ﻁ‪ꢤꢄ‬ﺯ ‪٢‬ؽ‪٣ꢀ‬ﻥ (ﺍ‬ ‫‪-6‬‬
‫ػِ ‪٠‬ﺍ‪ꢁ‬ﻗﺶﺏ‪ ꢡ‬ﺍُٔ٘ﻕ‪ٖ ٤ꢅꢀ‬ﻙ ‪٢‬ﺍُؼٔ‪ٓ ꢉ‬ؼ‪ꢀ‬ﻙﺥ ‪٤ꢄ٤ꢃ‬ﺥ ﺍ‪ꢍ‬ﺯﻟﻖﺍ ّٓﻁ‪ꢤꢄ‬ﺥ ﺍُؾ‪٣ꢀ‬ﻥ ‪.‬‬
‫‪ꢐ٣‬ﺕ ﺍُﻭ‪٤‬ﺏ ّﺙ‪٤ٔꢐ‬ﻍ ػِٔ‪٤‬ﺩﺏ ﺍُﺯ ﻅ٘‪٤‬ﻍ‪ ٝ‬ﺍُِﺏ ّﺍُٔؾﺯِٔﺥﻫﺒﻒ‪ ꢛ‬ﺍُ‪ ٞ‬ﺣﻞ ﺍُﺯ ‪٣٢‬ﺯ ْﻙ‪ٜ٤‬ﺏ ﺍُؼٔ ‪ٓꢉ ،‬ﻍﻭﺭِ‪ ꢉ٤‬ﺃػٔﺏ ٍﺍُِﺏ ّﺙﺏُٔ‪ꢊٞ‬ﻍ ﺇ ُ‪٠‬ﺃ ‪٠ٗꢂ‬‬ ‫‪-7‬‬
‫ﻝ ٓٔ‪.ٖ ꢌ‬‬
‫‪ꢐ٣‬ﺕ ػ ِ‪٠‬ﺍُِﺏ‪َ ّ ٝ‬ﺏ ﻝ ‪ ٙ‬ﺩﻫﺎ‪ꢂ‬ﺍﺀ‪ ٝ‬ﺍ‪٤ꢊ‬ﺩﺏ ﺍُؼ‪ٔꢃ .ٕ ٞ٤‬ﺏ ‪ꢐ٣‬ﺕ ػ ِ‪٠‬ﺍُِﺏ ّﺍ‪ꢍ‬ﺯﻟﻖﺍ٘‪ّ ꢊ‬ﺏ‪ ꢏ‬ﺍُ‪ٞ‬ﻉ ‪ٚ‬ﺍُ ‪ٚ ꢔِٝ ٖꢌٔ٣١ꢋ‬ﺙﺏُﻕ‪ٞ‬ﺣﻢ ‪.‬‬ ‫‪-8‬‬
‫‪ꢐ٣‬ﺕ ػ ِ‪٠‬ﺍُِﺏٓ‪ٖ ٤‬ﺍ‪ꢍ‬ﺯؼٔﺏ ٍﺍُﻭ‪ꢄ‬ﺩﺍﯨﺐ‪ ٝ‬ﺍ‪ ꢁ‬ﻩ‪ ٝ‬ﺓﺍ‪ ٝ‬ﺃؽ‪٣ꢋ‬ﺥ ﺍَُ‪ٓꢈ‬ﺥ ﺩﺍﻡ ﺍُ‪ꢂٞꢐ‬ﺡ ﺍُؼﺏُ‪٤‬ﺥ ‪،‬ﺙ‪ ꢅꢀꢒ‬ﺃ ٕﺭ‪ ٕٓ ٞꢌ‬ﻅ٘‪ٞ‬ػﺥِ‪ٜ ꢃ‬ﺏ ٓ ٖﺍُِ‪ꢐ‬ﻝ ﺃ ‪ٝ‬‬ ‫‪-9‬‬
‫ٓ ٖﺏ‪ꢂ‬ﺡ ٓﺑﻮ‪ٓٝ‬ﺥُ ِؾ‪٣ꢀ‬ﻥ ‪.‬‬
‫ُ‪ꢫ‬ػٔﺏ ٍﺍُﺯ ‪٢‬ﻙ ‪َ ꢚٞ‬ﺯ ‪ٟٞ‬ﺍُ‪ꢀ‬ﺃ‪ꢐ٣ ꢧ‬ﺕ ػ ِ‪٠‬ﺍُِﺏ ّﺍ‪ꢍ‬ﺯﻟﻖﺍ ّٓ‪ꢈ‬ﺙ ٌﻉِﻝ‪٣‬ﺥ ُؾٔﺏ‪٣‬ﺥ ﺍُ‪ꢌ‬ﺯ‪ꢍٖٝ ، ٤ꢄ‬ﺍﻝ‪ ꢂ‬ﺩﺍ ﺍ‪ꢁ‬ﻡ ٕ‪.‬‬ ‫‪- 10‬‬
‫‪ꢐ٣‬ﺕ ﺽﻙ ٓﺏ‪٘٤ꢃ‬ﺥ ﺍُِﺏ‪ّ ٝ‬ﺍ‪ꢀꢅꢁ‬ﺍ‪ٝ ꢥ‬ﺍُ‪ꢌ‬ﺏﺙ‪ ꢈ‬ﺩ‪ٝ‬ﺭٔﻝ‪٣‬ﺍﻝﺭ‪ٜ‬ﺏ ‪ꢊ‬ﺝ‪ꢉ‬ﺀﻟﺚ ﺍُؼٔ‪. ꢉ‬‬ ‫‪- 11‬‬
‫ﯨﺐ ﺍُﺯ ٘‪ꢕ٢َꢄ‬ﻝ ﻗﺜﺄ‪ꢀ‬ﺡ ﺍُِﺏ ّ‪.‬‬‫‪ꢐ٣‬ﺕﺭ‪ٞ‬ﻙ ‪ꢀ٤‬ﺭ‪٣ٜٞ‬ﺥ ٓ‪ꢈ‬ﺉٔﺥ ﺃ‪ꢊٝ ٝ‬ﺏ‪٣‬ﺥ ُِ‪ٜꢐ‬‬ ‫‪- 12‬‬
‫ػ ِ‪ ꢉꢜꢒٓ٠‬ﺍُؾﻭ‪ ꢉ‬ﺷﻬﺈﺏ‪ ꢂ‬ﺍَُﺏﺉﻭ‪ٖ ٤‬ﺇ ُ‪٠‬ﺍَُٔﺩﺍﻫﺐ ﺍُﺯ ‪ꢐ٣٢‬ﺕ ػِ ْ‪ٜ٤‬ﺍَُ‪ꢀ٤‬ﻙ‪ٜ٤‬ﺏ ػ٘ﻝ ‪ꢂ‬ﻑ‪ٍ ٞ‬ﺍُ‪ ٞ‬ﺣﻞ ‪.‬‬ ‫‪- 13‬‬
‫ػ ِ‪ ٓ٠‬ﻅﻫﻞﺭ ﻅ‪ ꢖ٣ꢀ‬ﺍُؼٔ‪ ꢉ‬ﺽﻙﺵ‪ٜ‬ﺏ‪ꢂ‬ﺡ ﺍَُ‪ٓꢈ‬ﺥ ﺍُﺑﻖ‪ꢔ‬ﺥﺙﺏُٔ‪ꢃꢀ‬ﺑﺞ ﺩ‪ ٝ‬ﺍُٔؼ ﺩﺍﻝ ﺍُٔ ﺯ‪ꢃꢀ‬ﺥُ ‪ٔꢦ‬ﺏ ٕﺃٗ‪ٜ‬ﺏ ‪ꢍ‬ﻫﺐ‪٣‬ﺥ ﺍُٔ‪ꢄ‬ؼ‪.ٍ ٞ‬‬ ‫‪- 14‬‬
‫َ‪ ꢖٔ٣‬ﻓﻠﺚ‪ٍ ٞ‬ﺍُٔ‪ꢃꢀ‬ﺩﺑﺞ ‪ꢁ‬ؿ‪ꢀ‬ﺍ‪ ꢭ‬ﺍُ ﺯٔ‪ٝ ꢉ٤‬ﺍُﺯ ‪ꢬ٣ꢀꢄ‬ﻙﻭُ‪ُِ٤ٌ ٝ ꢑ‬ﺝﺀﺑﻮﻙ ‪٢‬ﺍُٔ٘ﻁﻭﺥ ﺍُﻕﻁ‪ꢀ‬ﺡ ﺃُ ‪٘ٝ‬ﻭ‪ ꢉ‬ﺍُ‪ꢃꢀ‬ﺓﺏ ‪.‬‬ ‫‪- 15‬‬
‫‪Document no: HSE-TSSA-06-2029 Rev. - 2‬‬ ‫‪Title: Safe Work Practices:‬‬

‫‪Date of issue: Feb. 2010‬‬ ‫‪Work Permit System & Risk Assessment‬‬
‫‪Page 44 of 51‬‬

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Hunter Document Ref : 1048-07

ACE Document Ref : ACE/MS/303/2018/REV. 2

METHOD STATEMENT FOR INSTALLATION OF ONE BLAST RESISTANT MODULE

Prepared Approved Reviewed &

The purpose of this document is to explain the method and procedures th

 KNPC’s HSE Guidelines for Contractors (KNPC Doc # HSE

 SWP Work Permit & Risk Assessment, HSE-TSSA-06

 Engine Driven Mobile Equipment Safety, HSE-TSSA

 SWP on Lifting Appliances & Tackles, HSE-TSSA-06

 SWP on Hand & Portable Power Tools, HSE-TSSA-06

 Scaffolds, Ladders & Works at Height SWP, HSE-TSSA

 Welding, Cutting and Heating SWP, HSE-TSSA-05-2011,

 Critical Task Risk Assessments

5. Organization & Responsibilities:

 Responsible to liaise with Client/ Consultant etc.

6.1 Access to Site:

6.2 List of required work Permits:

 Cold Work Permit

 Hot Work Permit

6.3 Driving the crane to site and rig-up

6.4 Arrangement of Lifting Gears in the Spreader Bar:

Slings and other lifting

 Position the truck near to crane.

6.6 Installation Procedure:

7. Lifting and Rigging

The attached lifting and rigging plan comes under Category

Refer the attached.

9. Ground Pressure Chart:

This document has to be provided to us by KCCEC/ HUNTER.

10. Route Map:

Attached route map from Gate to Shelter no. 3.

11. Plant/ Equipment & Tools:

The SWL of all lifting equipment will be clearly mentioned on e equipment.

Location MAA MAB SHU LM OTHER Ref. No: PRJ‐PDI‐HUNTER‐RA‐18‐0001

Location MAA MAB SHU LM OTHER Ref. No: PRJ‐PDI‐HUNTER‐RA‐18‐0001

Location MAA MAB SHU LM OTHER Ref. No: PRJ‐PDI‐HUNTER‐RA‐18‐0001

96,6 t 8,68 m x 8,50 m 360° ISO

KERB STONE BOUNDARY

PACKAGE UNIT BASE

EXISTING ASPHALT ROAD

INSTALL - 1 INSTALL - 2 INSTALL - 3 INSTALL - 4

01 24-02-19 REVISED AS PER NEW CRANE LOCATION SK SK VK

VENDOR: HUNTER BUILDINGS INTERNATIONAL

169, POSTBUS 123 / 1230 AC,

CONTRACTOR: KCCEC Engineering & Contracting Co.

Kuwait National Petroleum Co. (K.S.C)

PROCUREMENT OF BLAST RESISTANT SHELTERS AT

LIFTING PLAN LAYOUT OF SHELTER NO. 3

PROJECT NO. MAA-07-09

CAD FILE REFERENCE HI-1048-LP-01 SHEET REV.

KNPC DRAWING NO. 01 of 06 01

EXISTING ASPHALT ROAD

PART-1 PART-2 PART-3 PART-4

INSTALL - 1 INSTALL - 2 INSTALL - 3 INSTALL - 4

01 23-02-19 REVISED AS PER NEW CRANE LOCATION SK SK VK

VENDOR: HUNTER BUILDINGS INTERNATIONAL

169, POSTBUS 123 / 1230 AC,

CONTRACTOR: KCCEC Engineering & Contracting Co.