ID-G-BU-00000-00000-00462 Permit To Work

Document Title: Permit To Work
COPI Doc No.: ID-G-BU-00000-00000-00462
Originator: COPI
COPI Group Owner: HSE
Area: General
Location: General
System: General
Document Type: Procedure/ Work Instruction/Job Note
Discipline / Subdiscipline: General / General
Old COPI Document No.: COPI-HS-PR-00001
PTW_Rev3.pdf
PROPRIETARY INFORMATION
THIS DOCUMENT CONTAINS PROPRIETARY
INFORMATION BELONGING TO CONOCOPHILLIPS INDONESIA AND
MUST NOT BE WHOLLY OR PARTIALLY REPRODUCED
NOR DISCLOSED WITHOUT PRIOR WRITTEN
PERMISSION FROM CONOCOPHILLIPS INDONESIA
Jana Fred Aty Not Not

3 IFU 3 Apr 08 Issued for Use
Kusuma McFadden Supriyadi Req’d Req’d
Nindyo Tom
2 IFU Feb 06 Issued for Use PTW Team Nindyo Sukardjo Aty
Sukardjo Wellman
Supriyadi
PTW Forms Bill Benny Aty Benny Jim
1 IFU Nov 04 Corrected & Re
McIntosh Walewangko Supriyadi Walewangko Taylor
issued
Unit Owner Sr. Manager VP Ops
Rev Status Issue Date Reason for Issue Prepared Checked
Approvals
Printed initials in the approval boxes confirm that the document has been signed.
The originals are held within Document Management.
Procedure/ Work Instruction/Job Note ID-G-BU-00000-00000-00462 Rev. 3
Permit To Work
ConocoPhillips Indonesia Page 1 of 50
Revision Sheet
ConocoPhillips Indonesia Inc. Ltd
REVISION DATE DESCRIPTION OF CHANGE
0 Sep 03 Issued for Use
1 Nov 04 PTW Forms Corrected & Re issued
2 Feb 06 Issued for Use

Document Re-Formatted into new numbering from COPI-HS-PR-00001
3 3 Apr 08
into ID-G-BU-00000-00000-00462, revise Entry Certificate Form.
Permit To Work
Contents
Contents..............................................................................................................................................................2
Appendices .........................................................................................................................................................2
1 Introduction ....................................................................................................................................3
2 Purpose...........................................................................................................................................3
3 Scope ..............................................................................................................................................3
4 Definitions ......................................................................................................................................3
5 Procedure .......................................................................................................................................5
5.1 General Requirement of the Work Permit System ..........................................................................5
5.2 Hot Work Permits.............................................................................................................................6
5.3 Cold Work Permit.............................................................................................................................8
5.4 Supporting Documents/Certificate ...................................................................................................8
5.4.1 Hot Work Certificate.........................................................................................................................8
5.4.2 Entry Certificate ...............................................................................................................................8
5.4.3 Isolation Certificate (LO/TO) ............................................................................................................8
5.4.4 Ground Disturbance Certificate .......................................................................................................9
5.4.5 Hot Tap Checklist ............................................................................................................................9
5.5 Permit Identification .........................................................................................................................9
5.6 PERMIT TO WORK Responsibilities .............................................................................................10
5.7 The Operation of the Permit To Work System...............................................................................10
5.7.1 The Originator ................................................................................................................................10
5.7.2 The Responsible Person ...............................................................................................................11
5.7.3 The Authoriser ...............................................................................................................................11
5.7.4 The Issuer ......................................................................................................................................12
5.7.5 The Work Leader ...........................................................................................................................13
5.7.6 The Permit User(s) ........................................................................................................................13
5.8 Work is Now Ready to Begin .........................................................................................................14
5.9 Work Completion / Suspension .....................................................................................................15
5.10 Work Permit Review ......................................................................................................................16
5.11 Training and Competency..............................................................................................................17
5.12 Management of Permit to Work (The Central Work Permit Control Point)....................................17
5.13 The Role of Operations in Permit to Work.....................................................................................18
Appendices
Appendix A – Referenced Documents...........................................................................................................19
Appendix B – Procedure Flowchart ...............................................................................................................20
Appendix C - WORK PERMIT REVIEW CHECKLIST .....................................................................................21
Appendix C.1 Permit to Work – (Cold Work) .................................................................................................23
Appendix C.2 Permit to Work – (Hot Work) ...................................................................................................24
Appendix D - Sample of Certificates - ENTRY CERTIFICATE......................................................................25
Appendix D Sample of Certificates (cont’d) - Isolations Certificate (LO/TO).............................................26
Appendix D - Sample of Certificates (cont’d) – Hot Work Certificate .........................................................27
Appendix D - Sample of Certificates (cont’d) – Ground Disturbance Checklist (English Version).........28
Appendix D - Sample of Certificates (cont’d) – Ground Disturbance Checklist (Indonesian Version)...29
Appendix D (Cont’d) - Sample of Certificates ...............................................................................................30
Appendix D (Cont’d) – PRAC - (Previously this form was attached to Risk Assessment Procedure)....31
Appendix D (Cont’d) – PRE-JOB SAFETY MEETING SHEET ......................................................................32
(Previously this form was attached to Risk Assessment Procedure) ........................................................32
Appendix D (Cont’d) – Job Safety Analysis ..................................................................................................33
Appendix E - Example of Standing Order......................................................................................................34
Appendix F - Activities controlled by Hot and Cold Work Permits.............................................................35
Appendix G - Certificate of Competence Form .............................................................................................43
Appendix H – PERMIT TO WORK SUBSEA WORK.......................................................................................44
Permit To Work
1 Introduction
This procedure describes the Permit To Work System to be utilised at all
ConocoPhillips Indonesia (COPI) operated facilities.
The Permit To Work System is a crucial part of the COPI HSE Management System
(ID-G-BU-00000-00000-00361) and will be audited annually. All personnel working within
the Permit To Work System are required to ensure the procedure is implemented and
complied with.
No work activity will be authorised until the requirements of this procedure have been
considered and complied with.
All Operations Managers will ensure that personnel appointed to operate this
procedure in the production environment have adequate training, proven competence
and sufficient Management support to continually operate, develop and improve the
Permit To Work System.
2 Purpose
To ensure that all work carried out is performed in a safe, controlled and approved
manner.
To ensure that all applicable RI Legislation relating to the Permit To Work System is
adhered to.
3 Scope
This procedure applies to all work activities at all COPI operated facilities.
4 Definitions
Work Permit The document that authorises work to be performed under
controlled conditions
A Work Permit is a tool, which is an integral part of a safe system of work. It is used to
authorise all activities where a strict system of control is
necessary and is required for all work except that of a
routine nature.
A Work Permit may be supported by Certificates and Written Instructions, which will
cover additional requirements for safe and controlled
worksite activities.
There are two types of Work Permit – Hot Work and Cold Work
Cold Work All non-routine work requiring a Work Permit other than
Hot Work.
Permit To Work
Hot Work Work involving the use of naked flames or any potential
sources of ignition, or work that has the potential to
generate sufficient energy to produce ignition.
Certificate An authorised document covering work to be carried out in
support of a Work Permit, a copy of which will be
referenced and may be attached. (For example -
isolations, over the side, entry into confined spaces)
Standing Order A document, which lists specific safety/work requirements
and/or practices to be carried out in support of a Work
Permit
JSA Job Safety Analysis– a tool for identifying hazards in the
workplace, a JSA is completed before a Work Permit is
raised to give guidance to determine if and what type of
Work Permit is required. A Pre Job Safety Meeting record
sheet and must also be signed by every Permit User prior
to work commencing.
Originator A person competent to originate Work Permits.
Responsible Person The person responsible for a specific discipline (for
example, Operations, Electrical, Maintenance or
Construction).
Authoriser The person responsible for the supervision of production
operations and/or Area Authority and appointed to
authorise Work Permits.
Issuer The person responsible for the control of production
operations and appointed to issue Work Permits.
Work Leader A person appointed to be in direct control of the specific
activities covered by a Work Permit.
Work Permit User(s) Any personnel working with a Work Leader under the
control of a Work Permit.
Live Work Permit Board A board relating to a specific area that will display a copy
of all Work Permits currently active in that area, together
with any relevant documentation.
Long Term Isolations Board A board that will display all copies of Work Permits
involving long-term isolations together with any relevant
documentation. Isolation Certificates will be maintained in
a secure location.
RI Republic of Indonesia.
PRAC Preliminary Risk Assessment Checklist – a tool for
identifying hazards in the workplace, a PRAC is completed
before a Work Permit is raised to give guidance to
determine if an what type of Work Permit is required (See
procedure ID-G-BU-00000-00000-00463 or details of its
use) A Pre Job Safety Meeting record sheet must be
signed by every Permit User prior to work commencing.
Permit To Work
Suspended Work Permit Board A board that will display all copies of Work
Permits together with any relevant documentation on
which work has been temporarily suspended.
Local Work Permit Control Point A designated point where Copy 2 of the Work
Permit may be posted if applicable
Central Work Permit Control Point A designated point where permits are issued.
5 Procedure
5.1 General Requirement of the Work Permit System
5.1.1. The requirements and instructions on any permit must be complied with at all times.
Permits are only valid for the job, location, and the time period stated on the permit. At
the end of the stated time period on a Work Permit, the work is to be revalidated until
completion of work or cancellation of work. Revalidating requires the signature of the
Authorized COPI Representative. If is recommended that information written on the
permit should be clearly printed for clarity.
5.1.2. The permitted work being performed will comply with the specific provisions of the
relevant safety policy and procedure. All personnel working within the Work Permit
System are required to ensure the procedure is implemented and complied with.
5.1.3. Personnel performing work under a work permit are responsible for observing the area
and equipment for any change that could cause a hazard. If such a change occurs,
work is to be stopped immediately and the Authorized Company Representative
informed prior to restarting work. In some cases this might mean that a permit has to be
re-issued.
5.1.4 The offshore and onshore Management Team including Supervisors and HSE Advisor
shall make periodic audit and inspection (spot check) to ensure conditions under which
the permit was issued have not changed and remain safe.
5.1.5 On crew change day existing work permits should continue to be honoured until, at an
appropriate opportunity, revalidation permits are issued and approved by the authorizer.
5.1.6 The signatories follow normal company procedure for delegation of authority. In the
absence of any specific individual required for approval on the permit, authority is
delegated to his officially authorized stand-in.
5.1.7 There are three copies of a work permit:

1. Copy 1 (original) of the work permit posted at the work site by the work leader
together with any relevant documentation within a weatherproof medium. In the
circumstances where this is impractical, the work leader shall carry it with him at
all times.
2. Copy 2 of the work permit posted at the local permit control point by the work
leader. If there is no local permit control point then copy 2 may be retained with
copy 3.
Permit To Work
3. Copy 3 of the work permit posted on the live work permit board at the central
permit control point (see also 5.12) by the issuer.
5.1.8 Photocopies or faxed copies of fully executed work permits shall be considered valid
proof of the original. The original work permit may be copied and distributed at the
discretion of the originator, his/her direct supervisor(s), or management.
5.1.9 Preliminary Risk Assessment Check List (PRAC) see Appendix D, must be completed
prior issuing a work permit. A PRAC sheet provides guidance for the authorizer and the
work team to identify all hazards involved in their job and the precaution and
countermeasure required to minimize/eliminate these hazards.
5.1.10 Prior to issuing work permit, any other HSE requirement and assessment deemed
relevant or necessary to cover safety/work requirements and any potential hazards
associated with the work scope that the originator, work leader and / or authorizer
considers applicable such as:
- A robust Risk Assessment: Job Safety Analysis (JSA) (see Appendix D),
Qualitative/Quantitative Risk Assessment, Hazard Operability (Hazop), Control of
dangerous material/ chemicals, etc
- Isolation certificate when the work involves isolation process.
- Entry Certificate: when the work performed in a confined space area.
- Hot Work Certificate: when the work fall in Hot Work category.
- Specific Standing Order(s)
- Other than minimum PPE, fire extinguisher apparatus, etc.
- Ground disturbance
- Hot Tap
5.1.11 Specific precaution for a certain type of work described in Appendix H. shall be taken for
safe working practices.
5.2 Hot Work Permits
Hot work permits are required and Hot Work Certificate may be required (under the
discretion of Authorizer) before hot work begins to ensure the safety of all employees
and COPI assets, as follows:
5.2.1 100 meter or more from COPI facility: Hot work permit not required. Hot work permit is
also not required in the designated area for hot work.
5.2.2 100 meter or less from the edge of a COPI offshore facility and within 10m of live
plant for onshore facility including pipeline right of way: A hot work permit is re-
quired. All appropriate hot work precautions must be taken (e.g gas testing). In
addition, there shall be no well testing and all well relief valve lines shall be shut-
in. This shall include derrick barges, pipe lay barges, etc.
5.2.3 there shall be no open flame hot work 10 meters or less from live plant for an
onshore facility unless the plant is shut-in and if necessary depressurised (see
also Appendix F)
Permit To Work
Note:
The only exception to this shall be in pipeline right of way where it is permissible
to carryout hot work up to but not on the pipeline. Hot Tapping is permissible
provided all precautions noted on the checklist are followed.
5.2.4 On an offshore platform above the lowest process deck (e.g. on Belida this would
be the 14 ft deck): A hot work permit is required. All appropriate hot work
precautions must be taken. In addition and for the avoidance of doubt, there shall
be no open flame hot work unless all wells and process are shut-in. Depending
on the conditions it may be necessary to de-pressurize.
5.2.5 Simultaneous Drilling/Production Operation: A hot work permit is required if the hot work
occurs within 100 meter of the facility except, in designated safe work areas on the
drilling rig. This and any other requirements for simultaneous operation shall refer to the
separate Simultaneous Drilling and Operation Plan which must be in place before drilling
begins.
5.2.6. Opening Energized Explosion Proof Enclosures in Classified Areas: Although, a hot
work permit is required, it is not necessary to shut in wells and process. All appropriate
hot work precautions must be taken (including continuous gas monitoring and provision
of a designated fire watch).
5.2.7. Electric hand tools and soldering guns may be used in unclassified control rooms without
a hot work permit; air driven tools are permissible around live plant.
5.2.8. All offshore/onshore hot work permits will expire at the end of each normal working shift,
i.e. 1800 hours for day shift, 0600 hours for night shift. Therefore, all hot work permits
are valid for a 12 hour maximum time period. Thereafter, a new permit could be issued
or revalidate the current hot work permit.
5.2.9. Anyone carrying out hot work shall comply with this procedure.
5.2.10 Caution: Welding and X-ray will set off ultra violet fire detectors and smoke detectors.
These fire detection systems should be isolated during hot work.
5.2.11 There maybe occasions when mobile and / or portable machinery and equipment may
be required on site (e.g. mobile cranes, air compressors, welding machines etc.)
This may be acceptable provided they are diesel driven and have certified approved
automatic air shut off valves and exhaust spark arrestors fitted. On no account should
gasoline powered equipment be used. In each case there shall be evidence that a risk
assessment has been carried out and that all necessary risk reduction pre-cautions.
(e.g. Continuous Gas Monitoring) have been taken.
Permit To Work
5.3 Cold Work Permit
5.3.1. All work other than hot work required a cold work permit (the only exceptions permitted
are listed in Appendix F).
5.3.2 A cold work permit is required for permanent crews to perform non-routine or specialized
activities as determined by Authorizer.
5.3.3 In the event of emergency when the General Facilities Alarm sounded, ALL work shall
cease, work areas made safe and all work permits are suspended. Personnel will
attend their muster or emergency stations. After an emergency situation, work may
resume on the original permit, subject to revalidation by the authorizer.
5.4 Supporting Documents/Certificate
In addition to the PRAC and Job Safety Analysis (JSA) Sheet, the following is a list of
certificates / documents which may be used to support a Hot Work or a Cold Work
Permit:
5.4.1 Hot Work Certificate
Hot Work Certificate deemed necessary to the Hot Work Permit under the discretion of
Authorizer. Hot Work Certificate provide evidence that the potential hazard are
continuously monitor and cover tasks necessary for the safe and controlled operation
of the work permit system. (See appendix D)
5.4.2 Entry Certificate
An Entry Certificate is required prior to the entry of personnel into a vessel, sanitary
sewers or confined space that could expose personnel to toxic substances or oxygen
deficiency. Where exit space is limited, a specific procedure for rescue is to be
developed and included on the permit. Entry is defined as breaking the plane of the
confined space opening with any part of the body other than arms.
Refer to separate Confined Space Entry standard and Procedure for specific details.
If a boat is tied up alongside at company facility cleaning out tanks, work should comply
with that contractor's own safety policies, but should also comply with the intent of the
COPI policy. The boat should keep the company office advised concerning this work.
(See appendix D and referenced documents: ID-G-BU-00000-00000-00463 Procedure
for Carrying Out Risk Assessments at COPI Facilities and ID-G-BU-00000-00000-00372
Confined Space Entry)
5.4.3 Isolation Certificate (LO/TO)
When the nature of the work could interacts with any of hazardous energy resources
(mechanical/process, electrical, safety devices), the isolation requirements set out in
Permit To Work
ID-G-BU-00000-00000-00372 Confined Space Entry must be accomplished through an

isolation certificate. The purpose of the isolation certificate is to certify that the equipment
has been isolated and locked off from hazard sources. This certificate includes
certification of de-isolation and removing lock processes after work completion. The
certificate also acts as a register of isolations in place. (See Appendix D)
5.4.4 Ground Disturbance Certificate
A ground disturbance certificate/checklist is required when any activity carried out either
manually or by power operated mechanical equipment results in a disturbance of the
earth to a depth greater than 30 cm. Examples of ground disturbance include;
excavating, digging, trenching, installation of piles, plowing, drilling (sampling), tunneling,
augering, soil stripping and leveling, clearing, grading, ripping pile driving, rig anchoring
setting or drilling or service rig anchors, reclamation work or seismic work and installing
fence post. (See Appendix D)
5.4.5 Hot Tap Checklist
A hot tap checklist must be filled in and signed by the Work Leader before any hot
tapping activity takes place. (See Appendix D)
5.5 Permit Identification

The documented Permit to Work System comprises of two elements:
- Cold Work Permit. (See Appendix C.1)
- Hot Work Permit. (See Appendix C.2)
These two elements are supported by Risk Assessments, Certificates and Written
Instructions, specific to the facility and the work being undertaken. (See Appendix D
and E)
Activities controlled by Hot and Cold Work Permits (See Appendix F).
Additional requirements related to Sub sea work activities (See Appendix H).
The work permit system including its supporting documents described above is to state
the following:
- The location of the intended work.
- The description of the work to be performed.
- The potential hazard involve during the work
- The precautions / counter measure action and safety requirement to be taken to
eliminate / minimized those hazard.
- List of attachments i.e. JSA, LO/TO, etc.
- The period of validity and revalidation
- Authorization and issuance.
- Work Completion, Overriding, and/or cancellation conditions.
Permit To Work
- Work Permit Audit (during work in progress)
5.6 PERMIT TO WORK Responsibilities

The responsibilities for the operation of, and compliance with the Permit To Work
System lie with:
- Originator
- Responsible Person
- Authoriser
- Issuer
- Work Leader
- Work Permit User(s)
No one shall authorise a Work Permit for work they will carry out themselves.
5.7 The Operation of the Permit To Work System

Under no circumstances will any signatures be entered on the Work Permit unless all
copies of the Work Permit have been arranged sequentially. All signatures on every
Work Permit are to be clearly visible on all copies.
All entries on the Work Permit must be tidy and legible at all times. No wording on a
Work Permit may be changed after the Work Permit has been issued unless initiated
by the Authoriser.
Changes to the work description wording will only be allowed if they are of a minor
nature. Minor is described for this purpose as any changes, which does not require
the alteration of any supporting Certificates or Written Instructions.
The Authoriser can, if he deems appropriate, require a new Work Permit to be raised
to reflect any changes to the description of work or for any other circumstances.
A list of persons appointed to issue and authorise Work Permits shall be displayed at
each facility.
All work activities must be discussed and planned by the relevant personnel prior to
submission of a Work Permit for authorisation.
5.7.1 The Originator

The Originator will decide the type of permit required. E.g. Cold or Hot and will then fill
in Sections 1 and 2 of the Work Permit. The Originator must ensure that the
description in Section 1 is as detailed as possible describing not only the work to be
carried out but also the tools and equipment required to carry out the task. Equipment
description and equipment number if applicable should also be added.
If no isolations or own isolations are required, this also must be stated in Section 2
under “Other Safety Requirements”
The originator is also responsible for adding all supporting documentation, PRAC,
JSA, etc to Section 2 and attaching any supporting documentation. Any supporting
documentation should at this stage be reviewed for its currency and accuracy. There is
also space in Section 2 for adding any other safety / environmental requirements.
Permit To Work
The Originator must inform the Responsible Person that a permit has been raised and
has had the necessary discussion before the permit is submitted to the PTW planning
meeting for final agreement to proceed.
5.7.2 The Responsible Person

The Responsible Person is the discipline specific person (e.g. the Maintenance
Supervisor) who can understand the task and thus ensures the safety requirements of
the task are appropriate. The Responsible Person will provide a quality assurance
check to ensure that the details set out in Section 1 are of the standard required and
that all safety requirements have been covered and entered onto Section 2 of the
Work Permit.
The Responsible Person will also sign at the bottom of the PRAC to ensure that all
potential hazards have been identified and that risks have been reduced to As Low As
Reasonably Practicable (ALARP). If he is not satisfied that this is the case then the
Responsible Person must instigate a full Risk Assessment using the procedure ID-G-
BU-00000-00000-00463. The Responsible Person is required to revalidate the PRAC if
work has been suspended for 24 hours or more, the method of work has changed
significantly or the Work Leader or Responsible Person has changed. The responsible
person shall all ensure that the JSA to be used is current and accurate and identifies
all risks.
5.7.3 The Authoriser

The Authoriser reviews the Work Permit ensuring that all safety and legislative
considerations have been addressed, that there are no clashes of work fronts and
potential hazards at the worksite have been highlighted on the Work Permit.
Equipment may have to be isolated prior to work commencing, if this is so, it is
necessary to be absolutely sure that total and secure isolation is achieved. All
isolations can only be carried out by competent personnel and must be recorded on
Isolation Certificates and LO/TO record book.
Isolation of automated systems with a safety impact will be reviewed to ensure system
integrity is not affected. Wherever practical, suitable alternative manual / automated
systems will be instituted.
Prior to authorisation, the Authoriser ensures that any isolations required to carry out
the task have been completed and work is safe to proceed, ensuring that any attached
certificates have the Work Permit number cross - referenced and vice versa.
Where there are areas of conflict or interface communication requirements, the
Authoriser will ensure all relevant persons, including Responsible Persons, are
adequately briefed and safe working is maintained.
At the discretion of the Authoriser, in coordination with all personnel involved, Work
Permits may be suspended or delayed to ensure operational safety.
Only when the Authoriser is satisfied with all elements of the Work Permit and
supporting documentation does he indicate the period of validity (maximum 12 hours)
and signs in Box A (for revalidation, Box D). He then passes the Work Permit to the
Issuer for issuing.
Permit To Work
Note
With the wide spread area of oil and gas production operation onshore, permit to work
shall be managed by the designated Area Authority. The Area Authority shall be the
Superintendent or his delegate. (Note: That a delegate is only authorised to sign cold
work permits). Each area authority shall be clearly defined and contained in a Permit
to Work Standing Order or Site Specific Procedure. These will include but not limited
to:
• Process facilities such as pipeline right of way, wells, gathering station, plant and
utilities facilities, water treatment facilities and power generation – these would
come under Operations Superintendent.
• Camps or office buildings are under the Administration Superintendent.
• Workshops and Warehouses are under the Maintenance Superintendent and
• Road, yards, and construction areas outside the process boundaries are under
the Services Superintendent.
It should be noted that hot work activity can only be authorised by Operations
Superintendent or his delegate.
Because onshore operations are so wide spread it is permissible for Permit to
Work form to be faxed where it is not practical for the Authoriser to be physically
there to sign off.
5.7.4 The Issuer

The Issuer reviews the work to be performed and the safety requirements noted on the
Work Permit to ensure they are correct.
He then discusses the requirements with the Work Leader and where necessary the
Permit User to ensure they understand the requirements and what is expected of
them.
Once the Issuer is satisfied with the Work Permit, its supporting documentation and
the Work Leader has signed the Work Permit, the Issuer will sign and issue it to the
Work Leader.
If applicable, the Issuer specifies the Local Work Permit Control Point where copy 2 of
the Work Permit is placed, signs and completes Box C of Section 3 (or for revalidation
Box F of Section 4).
The Issuer posts copy 3 of the issued Work Permit together with any supporting
documentation, on the Live Work Permit Board at the Central Permit Control Point
(See 5.12).
Where applicable, the Issuer briefs the Operator that the Work Permit has been
issued.
Permit To Work
5.7.5 The Work Leader

The Work Leader completes Box B (for revalidation, Box E) of the Work Permit
to confirm that:
(a) The description of the work and the precautions to be taken have been read
and understood.
(b) Safe conditions at the worksite shall be maintained at all times.
(c) All Permit Users in the workgroup will be briefed and they will adhere to the
requirements.
Where applicable the Work Leader posts Copy 2 of the issued Work Permit
together with any relevant documentation at the Local Work Permit Control
Point if it exists.
The Work Leader posts Copy 1 of the issued Work Permit together with any
relevant documentation at the work site within a weatherproof pouch. In
circumstances where this is impractical, the Work Leader shall carry it with him
at all times.
The Work Leader will remain at the work site at all times and must not be called
away.
The Work Leader is held accountable for ensuring that a PJSM (see Appendix
D) is properly carried out before work commences.
5.7.6 The Permit User(s)
The Work Leader briefs the Permit User(s) prior to commencing the specified
task by holding a Pre-Job Safety Meeting where all applicable Written
Instructions and safety considerations will be discussed.
The Permit User(s) will sign the Pre-Job Safety Meeting record sheet. Signing
the PJSM indicates that the Permit Users are satisfied that they:
• Have seen and understand the requirements of the Work Permit, Written
Instructions and Risk Assessments.
• Have been fully briefed and understand the work requirements including the
hazards, their potential and the risk reducing measures.
• Understand the work scope, and possess adequate skills, knowledge and
experience to complete the task.
• Have no physical or mental constraints related to this task, and have not worked
excessive hours or shifts.
• Understand the consequences of working outside the COPI safety triangle (i.e.
the Safety Culture Expectations Card).
• Understand their responsibilities for both the work activity and safe working
practices.
Permit To Work
• Have the correct tools and equipment for the task, and they are in good order.
• Know how to access and exit the work site safely.
• Have all the necessary and specified PPE and it fits correctly.
• Have received advice on any materials or substances you may be using.
• Know the locations of the nearest emergency telephone, Medical First Aid
cabinet, ESD, Shower, Fire Extinguisher, Spill Kit.
• Are aware of what action needs to be taken in an emergency.
• Have considered the work environment.
• Understand how they will control waste.
• Have considered conflicting activities, and / or roles.
• Are familiar with the Asset and COPI’s Safety Expectations i.e. COPI motto,
STOP & 10 Principles of Safety Management (listed on the Safety Culture
Expectation Card).
If the Permit User(s) cannot answer YES to all these, the Work Leader must refer this
to the Responsible Person prior to work starting.
5.8 Work is Now Ready to Begin

The work shall be performed in accordance with the conditions of the Work Permit. No
deviations from the Work Description are permitted.
Only Permit User(s) working with the Work Leader under the control of the Permit to
Work system may carry out the work as described on the Work Permit.
When work is stopped for whatever reason the Work Leader will ensure the equipment
is left in a safe condition and the work site is clean and tidy.
In the event of a general alarm sounding, the Work Leader will ensure the shutdown of
all relevant equipment, make the work site safe and proceed to the muster/emergency
station in accordance with the Facility Emergency Procedures. Work shall not
recommence until authorisation from the Central Work Permit Control Point is given.
In the event of conditions changing at the worksite, the Work Leader will ensure the
shutdown of portable equipment, make the work site safe and proceed to the Control
Room or Central Work Permit Control Point and inform the Authoriser / Issuer of the
situation.
Under no circumstances shall Work Permits be handed directly to the next shift team
and work continued - unless the activity is a continuous process (for example wireline)
and the Authoriser has specified this in Section 2 of the Work Permit.
Where applicable, the Work Leader informs the Issuer of the suspension or completion
of activities covered by the Work Permit.
Permit To Work
5.9 Work Completion / Suspension

Upon completion of the work or at the end of the working day, the Work Leader collects
the copies of the Work Permit together with any supporting documentation and returns
them to the Central Work Permit Control Point.
The following alternatives are now possible:

(a) Work is incomplete or suspended and will be continued on the current Work
Permit.
(b) Work is incomplete and the Work Permit is no longer valid. Work will be
continued on a new Work Permit.
(c) Continuous work is in progress and has to be continued for operational and/or
safety reasons throughout shift changes.
(d) Work is completed.
(a) Work is incomplete or is suspended and will be continued on current Work

Permit.
The Issuer (or Authoriser) removes the copy from the Live Work Permit Board,
attaches copies of the Work Permit together and ensures that the Work Leader signs
Box B (or in the case of a revalidated Work Permit, Box E).
The Issuer (or Authoriser) places all copies of the Work Permit package on the
Suspended Work Permit Board. All Isolation Certificates will remain active until all
cross-referenced Work Permits have been signed off.
Where applicable, the Authoriser initiates closure of the support documentation and
deletes corresponding numbers off the Work Permit.
When work is ready to recommence, the Work Leader reports to the Authoriser to
revalidate the suspended Work Permit.
If work has been suspended for 24 hours or more, the method of work has changed
significantly or the Work Leader has changed the Responsible Person must
revalidate the PRAC.
(b) Work is incomplete and the Work Permit is invalid. Work will be continued on a
new Work Permit.
The Issuer (or Authoriser) removes the copy of the Work Permit from the Live Work
Permit Board, attaches copies of the Work Permit together and ensures that the
Work Leader signs Box B (or in the case of a revalidated Work Permit, Box E) and
completes Box G.
If required, the Authoriser discusses with the Work Leader and Originator the
requirements of the new Work Permit.
The Authoriser or Issuer inserts new Work Permit numbers on all supporting
documentation and then signs off old Work Permit numbers.
Permit To Work
The Authoriser completes Box H of the old Work Permit, ensuring that the new Work
Permit number is inserted.
Copy 1 of the old Work Permit is then filed and a new Work Permit is raised.
(c) Continuous Work is in progress and has to be continued for operational and/or
safety reasons throughout shift changes
The oncoming Work Leader arranges for copies of the Work Permit, together with
any supporting documentation to be brought to the Central Work Permit Control
Point.
The Issuer (or Authoriser) removes the copy from the Live Work Permit Board and
the Work Permit will be re-validated whilst work continues.
The Issuer (or Authoriser) ensures all signatures involved with re-validation are
obtained.
The re-validated copies of the Work Permit, together with any supporting
documentation, will be returned to the appropriate locations.
(d) Work is Complete

The Issuer (or Authoriser) removes the copy of the Work Permit from the Live Work
Permit Board, attaches the remaining copies of the Work Permit sequentially and
ensures that the Work Leader signs Box B (or in the case of a revalidated Work
Permit, Box E) and completes Box G.
The Authoriser signs off cross-references of this Work Permit on all applicable
supporting documentation.
The Authoriser completes Box H of the Work Permit.
Copy 1 of the old Work Permit is then filed at the Asset for 1 year and then archived
for a further 4 years in Offsite Storage by Line Management i.e. dedicated Document
Controller, etc (Copy 2 and 3 may be destroyed).
5.10 Work Permit Review

Each asset will ensure that the Permit To Work System is subject to a planned
systematic review on a shift-by-shift basis in accordance with a Work Permit Review
Checklist (Appendix C).
These checklists will be retained for audit/review purposes for a period of 12 months.
The objective of the checklist is to provide a flexible but formal system to randomly
review any Work Permit at any stage (preparation - implementation - completion) and
record compliance or non-compliance to this procedure.
The Operations Superintendent at each location shall regularly review the findings of
these audits to determine if there is a need for re-training of certain parts (or all) of the
PTW process.
Permit To Work
A Work Permit review may be performed by anyone who has been Permit to Work
trained.
A Work Permit review shall include all types of activities. However, the more
potentially hazardous work should be subject to a higher frequency of reviewing than
routine operations.
A review rate of ten per cent of the total of all issued Work Permits shall be achieved.
Both The Authoriser (OIM/FM or authorised delegate) and the Work Leader of the
Work Permit under review shall sign Section 5 of the Work Permit Review Checklist on
completion of the review.
The individual Work Permit under review will be signed in Box I on Copy 1 by the
Reviewer.
5.11 Training and Competency

There are two levels of training and competency within the Permit to Work System
Computer Based Training package:
Level 1 – Permit User (includes a general introduction to PTW)
Level 2 – Originator, Responsible Person, Work Leader, Issuer and Authoriser
Before anyone can become an Issuer and Authoriser they must not only pass
the training (see Appendix G), they must also have direct involvement in the
issuing and authorising procedure under the close supervision of an already
competent Authoriser for three months. If after this period they are deemed to
be competent, their names will be added to the competent Issuers / Authorisers
list which is kept at the Central Work Permit Control Point.
Training for first time users of the COPI PTW system will ideally be carried out before
going offshore/onshore.
Refresher training for Permit Users, Originators and Responsible Persons will take
place every year, however infrequent Permit Users not involved with the PTW System
for 6 months may need more frequent training, this will be at the discretion of the
asset.
Refresher PTW for Issuers and Authorisers will be done annually with names being
added to the list of Authorisers / Issuers kept at the Central Work Permit Control Point.
5.12 Management of Permit to Work (The Central Work Permit Control Point)
PTW is a rigorous and very formal process there should be clear evidence that it is
controlled; the central work permit control point must be a highly visible and obvious
focal point for everyone at the Location. It should be easily accessed by anyone who
needs to use the PTW system. The central work permit control point should be in or
near the main production control room. It should be separate area with restricted
access i.e. only the Issuer should have access – it is the Issuers “office”
Installation/Plant status should be seen “at a glance”. It must contain all the elements
of the system in one place i.e. live permit board, suspended permit board, isolations
Permit To Work
board, isolation key cabinets etc. Typical layout will have a desk as the issue point
which also acts as a barrier between the User and the safety critical information of the
work permit system. Ideally it should also be sited in the place where Installation/Plant
emergencies are managed.
Pre-planning is the key to success in the permit to work process. There should be a
daily PTW planning meeting that discusses and agrees the permits that are to be
authorised and issued for the following day. The PTW planner will bring each new
permit complete with all necessary documentation (e.g. certificates, drawings, JSAs,
PRAC, SSPs, etc) to this meeting for review by the facility management team. The
review shall consider the quality and completeness of the PTW documentation (poor
quality and incomplete should be rejected), the resources required potential conflict
with other work on going at the facility etc. Only after this has been carried out and
agreement reached can the permit be put on the following day’s work plan.
5.13 The Role of Operations in Permit to Work
The Operations Superintendent is the “Owner” and champion of the PTW process at
that Location and is held accountable to the Location manager for the way it is
managed. Operations are accountable for ensuring that the right and appropriate
isolations are in place before the work begins. Before any permit is issued Operations
must visually inspect the work site and any isolations to ensure that the conditions of
the permit can be met. Operations must have an absolute knowledge of the disposition
of all permits (and therefore associated manpower) at any time.
Permit To Work
Appendix A – Referenced Documents
Document No. Document Title

COPS HSE Standards Manual
ID-G-BU-00000-00000-00361 COPI HSE Management System
ID-G-BU-00000-00000-00372 Confined Space Entry
Procedure for Carrying out Occupational Risk Assessments
ID-G-BU-00000-00000-00463
at COPI Facilities
ID-G-BU-00000-00000-00404 Lock Out/Tag Out
Mining Police Ordinance Gazette 1930, No. 341
Radio Active Work
RI Minister of Manpower Decree No.
PER-05/men/1996
Permit To Work
Appendix B – Procedure Flowchart
Procedure Flowchart
Permit To Work
Appendix C - WORK PERMIT REVIEW CHECKLIST

Permit To Work
Appendix ‘C’ - WORK PERMIT REVIEW CHECKLIST (Cont’d)

Permit To Work
Appendix C.1 Permit to Work – (Cold Work)

Permit To Work
Appendix C.2 Permit to Work – (Hot Work)

Permit To Work
Appendix D - Sample of Certificates – ENTRY CERTIFICATE

Permit To Work
Appendix D Sample of Certificates (cont’d) - Isolations Certificate (LO/TO)

Permit To Work
Appendix D - Sample of Certificates (cont’d) – Hot Work Certificate

Permit To Work
Appendix D - Sample of Certificates (cont’d) – Ground Disturbance Checklist

(English Version)
Permit To Work
Appendix D - Sample of Certificates (cont’d) – Ground Disturbance Checklist

(Indonesian Version)
Permit To Work
Appendix D (Cont’d) - Sample of Certificates

Permit To Work
Appendix D (Cont’d) – PRAC - (Previously this form was attached to Risk

Assessment Procedure)
Permit To Work
Appendix D (Cont’d) – PRE-JOB SAFETY MEETING SHEET

(Previously this form was attached to Risk Assessment Procedure)
Procedure: ID-G-BU-00000-00000-00462 Rev. 3
Permit To Work
Appendix D (Cont’d) – Job Safety Analysis

(Previously this form was attached to Risk Assessment Procedure)
Permit To Work
Appendix E - Example of Standing Order

Permit To Work
Appendix F - Activities controlled by Hot and Cold Work Permits
ACTIVITIES CONTROLLED BY HOT AND COLD WORK PERMITS
A Work Permit is a tool, which is an integral part of a safe system of work. It is used to
authorise all activities where a stringent system of control is necessary and is required for all
work except that of a routine nature.
A Work Permit may be supported by Certificates and Standing Orders, which will cover
additional requirements for safe and controlled worksite activities.
The following type of routine nature work may not require a work permit under related supervisor
verbal permission to proceed:
- Work of a routine nature, where safety is not jeopardized to person conducted the work or
others surrounding the working environment.
- Production watch keeping and activities conducted by personnel in accordance with operating
procedures.
- Visual inspection of defined areas and equipment (except for entry into confined spaces and
restricted areas, for which a permit to work is required and also an entry certificate)
- Operation of equipment for authorized operational training activities
- Routine Drilling operations carried out in accordance with drilling procedures documentation
- Routine helideck/helipad/ground handling operations in accordance with aircraft handling
procedures documentation
- Routine pedestal crane operation in accordance with crane procedures documentation
- Routine forklift operations in permitted areas
- Routine accommodation / office activities
- Handling of non hazardous material
- Cold work inside workshop in non hazardous areas
- Use of soldering iron in non hazardous areas
- Use of non insintrically safe equipment in non hazardous areas
- Use of camera within accommodation / office (NB: authorization is required from the local
manager for use of a camera at any location of all COPI offshore and onshore facilities).
- Routine plant housekeeping operations when no power tools are required and entry into a
confined space or restricted areas is not involved.
- Urgent action needed to prevent / minimize / limit loss or damage of personnel or plant, eg in
emergency situations.
A Cold Work Permit will be used for all non-routine activities where system integrity may be
compromised; where personnel may be at risk of exposure to hazardous substances or there is
a risk of contact with extreme temperature; pressure or electrical sources.
Permit To Work
Type of Cold Work Activities (but not limited to these lists).

• all work which affects the operation of safety or emergency systems
• all planned maintenance related activity
• all work which involves breaking the containment of barriers of systems / equipment,
for example, breaking into process pipe work, removing pumps, etc
• entry into confined spaces
• use of personnel work baskets or man-riding winches
• rig skidding
• over the side work
• pressure testing of plant and equipment
• scaffolding erection and dismantling
• all electrical work requiring an electrical isolation certificate as detailed in the

Hazardous Energy Lock Out Tag Out Procedures
• survival craft launching for training / test purposes
• specialised rigging operations, including change of “falls” arrangements on cranes
• well service operations
• handling of substances hazardous to health eg radioactive sources, asbestos, toxic

chemicals
• high pressure water jetting
• painting
• use of industrial chemicals for cleaning
• removal of any part of the fixed structure eg ladders, gratings, hatches, beams etc, or
any part of a piping system (spool, valve, blind, etc)
• Diving operations
• Handling hazardous chemical/bio hazard medical waste or material
• Excavation (Ground Disturbance)
A Hot Work Permit will be used for work which will involve the use of naked flames or work that
has the potential to generate sufficient energy to produce ignition.
F.1 Hot work is defined as any work onshore or offshore which creates an arc, spark or open
flame(i.e. is not intrinsically safe), such as in the use of:
• Electric or Welding
• Shrink Sleeve Blower
Permit To Work
• Oxy/acetylene Torches
• Soldering Equipment
• Open flame
• Hilti Gun
• Electric Power Tools
• Opening or purging explosion proof or boxes in a classified area
• Use of Grinding Tools
• Portable diesel driven equipment
• Use of explosives
Most hot work will require a Hot Work Permit.
• There shall be no hot work on a live offshore platform or plant unless wells
and process are shut-in (and if necessary de-pressurized). It is noted
however that some hot work is likely to present lower risk than others e.g.
portable diesel driven equipment properly protected (see 6.2.11) and
bordered by continuous gas monitors may be used whilst the plant
remains live. In each instance these should be carefully risk assessed and
the approval given by the OIM/FM or VP Operations, as the situation
requires.
• For onshore operations there shall be no hot work within 10m of live plant.
Permit To Work
F.2 RECOMMENDED PROCEDURES
F.2.1 Where practical, all combustibles will be relocated a minimum of 10 M horizontally from
the work site. Where relocation is impractical, combustibles will be protected with fire-
proof covers or shielded by metal walls or fiberglass blankets. Openings or cracks in
walls, floors, drains or ducts within 10 M of the site will be tightly covered in order to
prevent the passage of sparks to adjacent areas
F.2.2 Prior to hot work commencing, the COPI Discipline Supervisor shall ensure:
- A Hot Work Permit is obtained, if necessary, according to Permit Policy.

- Deck drains are plugged to prevent back flow of vapors.
- The draining, venting or purging of equipment and lines is completed.
- A gas test for combustible vapors has been made. (Applicable on hydrocarbon
producing and/or processing platforms, and in the vicinity of stored chemicals or
hydrocarbon products).
- The wind direction will not cause any flammable vapor from distant vent, come to
the hot work area.
- The other side of the plate or tank plate or vessel are clean and free of
flammable material.
- Vessels or other enclosures are clean and free of flammable material.
- A fire watch and extinguishing equipment are present and operable. For fire
watch guidelines during welding or cutting torch operations refer to paragraph
G.4. During hot work other than welding or cutting torch operations, a member of
the work team may act as fire watch while work in which he is not performing a
task takes place.
F.2.3 Under no circumstances will compressed oxygen be used for ventilation or to blow
through an acetylene hose. Explosions can occur when acetylene gas is present in air
in any proportion between 25% and 80% by volume.
F.2.4 When working at a height, precautions shall be taken to prevent welding rods, stubs and
slag from falling.
F.2.5 On hydrocarbon producing and/or processing platforms, or in the vicinity of stored

chemicals or hydrocarbon products, gas testing for combustible vapors shall be made
periodically while hot work is in progress.
F.2.6 Pipelines which cross the platform or piping on a bridge must be protected from the hot
work and checked for leaks. They must not be subject to weld splatter and sparks or
used as the ground for welding return currents.
F.2.7 All hot work shall be performed as far removed from wellheads and production equip-
ment as possible.
F.2.8 On COPI operated offshore platforms, a COPI supervisor (Production Supv., Assistant
Supv., Construction Representative or Drilling Supervisor) familiar with the operating
process shall be on site until the hot work operation is completed and shall ensure the
compliance with all requirements on the Hot Work Permit are complied with.
Permit To Work
F.2.9 All personnel involved in hot work activities must be alert to the dangers of fire and
explosion. No work is permitted in the presence of flammable atmospheres, or where
flammable atmospheres may develop due to uncleaned or improperly prepared drums,
tanks or other containers, equipment which may have previously contained flammable
materials, or in areas which may develop an accumulation of combustible dusts.
F.2.10 Special precautions should be taken when cleaning out tanks and vessels or changing fuel
gas filters, as the residue encountered may contain pyrophoric substances. These sub-
stances, consisting mainly of oxides or iron sulfides, may ignite spontaneously if allowed to
dry out. Special precautions must be taken for their safe disposal.
F.3 WELDING AND CUTTING GUIDELINES
F.3.1 Welders' and helpers' personal protective equipment is to comply with ANSI/ACS Z49.1
specifications or equivalent and the Personal Protective Equipment Policy and Procedure.
F.3.2 Prior to welding, cutting, burning or brazing on tanks, vessels or equipment, the COPI
Discipline Supervisor shall ensure they are free from flammable gases and vapors, oil or
sludge. When vessels and tanks are being welded or burned on the outside, there is a
danger of toxic or flammable gases collecting within the vessel or tank. Particular care is
to be taken to ensure adequate ventilation and/or respirator protection. This is especially
relevant in confined spaces. Refer to separate Gas Freeing and Confined Space Entry
Policies and Procedures for more detail.
F.3.3 Safety meetings shall be held prior to commencing welding or cutting and at break points
such as shift changes, etc.
F.3.4 Where hardened deposits are present in the vicinity of an area to be welded or cut, and it
is not intended to remove these deposits, welding or cutting shall not start until the make
up of the deposits is determined.
F.3.5 Toxic gases and fumes produced by welding can create serious hazards. Therefore,
proper ventilation should always be assured and required respiratory equipment utilized.
Examples of toxic gas and fumes produced by welding are as follows:
- Nitrous fumes may be produced if an oxyacetylene flame is permitted to impinge on a

large section of metal for long periods during gas welding.
- Gas welding may produce carbon monoxide.
- Arc welding of iron or steel produces fumes consisting of very fine particles of iron oxide.
- Welding brass, bronze and manganese generates large quantities of carbon monoxide
and carbon dioxide.
- Lead based paints emit lead fumes when welded or cut.
F.3.6 The welding or cutting of coated materials shall only be carried out when adequate means
of removing the fumes are available, or adequate respiratory equipment is utilized. The
application of any oxyacetylene flame to metal coated with metallic lead, zinc or other
substances, may emit highly toxic vapors. This is particularly true where an excess of
oxygen is required.
F.3.7 Caution: Welding and X-ray will set off ultra violet fire detectors and smoke detec-
tors. These fire detection systems should be isolated during hot work.
Permit To Work
F.4 FIRE WATCH GUIDELINES
F.4.1 An individual assigned to fire watch shall visually monitor all welding or cutting torch
operations. A minimum of one fire watch, whose sole duty is that of fire watch, is required
on each location. When cutting through a bulkhead, roof or steel decking a fire watch shall
be present on both sides.
The fire watch will:
- Have fire extinguishing equipment present and trained in its use, including practice
on actual fires.
- Be familiar with facilities, and procedure for sounding an alarm in the event of a
fire.
- Watch for fires in all exposed areas, particularly on the blind side of bulkheads and
walls, and try to extinguish them when obviously within the capacity of the
equipment available, or otherwise sound the alarm immediately.
- Maintain a fire watch for 30 minutes after completion of cutting or welding
operations in order to detect and extinguish possible smouldering fires, including
an inspection of adjacent compartments which may have been affected.
- Gas testing for combustible vapors shall be made continuously while welding or
cutting torch operations are in progress.
Permit To Work
F.5 WELDING EQUIPMENT GUIDELINES
F.5.1 All diesel-welding machines shall be fitted with automatic air shut off valve and a spark
arrestors. Welding machines shall be shutdown anytime the job is left unattended and in
particular during refuelling. Whilst running, all machines must be attended.
F.5.2 The welding return-current clamp shall be set at the work site or within 3 m of the work site
when practical. The return-current clamp shall always be visible to the fire watch.
F.5.3 Welders shall never coil gas hoses or welding leads around their body when burning or
welding.
Note: Only diesel driven equipment (e.g. welding machines cranes etc) shall be allowed in and
around live plant (suitably risk assessed, permitted and protected), gasoline engines are
forbidden.
F.6 OXYGEN/ACETYLENE EQUIPMENT GUIDELINES
F.6.1 Cylinders of oxygen, acetylene or propane are never to be taken into a confined space.
Gas hoses and welding leads are not to be taken into a confined space until immediately
prior to their use. Likewise, they shall be removed when not actively being used. Where
this cannot be done, the oxygen and acetylene connections shall be disconnected at the
cylinders situated outside of the confined space. Closing the valve is not a disconnection.
F.6.2 Oxygen and acetylene hoses shall be turned off at the cylinder valve anytime the equip-
ment is not being actively used. A check valve shall be installed in both the oxygen and
acetylene lines. A flashback arrester shall be installed adjacent to the acetylene regulator
valve.
F.6.3 Oxygen and acetylene shall be stored separately in an upright position, protective caps on
and secured in place. Preferably, the oxygen and acetylene shall be stored in separate
well ventilated areas. A minimum of 5 M or a non combustible wall should separate the
two types of cylinders.
F.6.4 Cylinders shall be transported and used in a cradle made to hold the cylinders. The cylin-
ders shall be in a vertical position in the cradle.
Permit To Work
F.7 ELECTRICAL HOT WORK
F.7.1 The opening of explosion proof or purged enclosures in classified areas that house
powered-up arc producing devices, i.e. a source of ignition, is considered hot work.
F.7.2 Precautions must be taken when such boxes or enclosures are opened including continu-
ous gas monitoring throughout the period that the box is open and the provision of a
designated fire watch.
F.7.3 Opening explosion proof boxes that are located within purged control rooms or at any
location when the power is off and isolated does not constitute hot work.
Permit To Work
Appendix G - Certificate of Competence Form
PERMIT TO WORK SYSTEM
NAME : …………………………………………………………………………………..
COMPANY : ………………………………………I.D. No. : ………………………….
Has been trained and deemed

Competent to the level of ……………………………………………………………..
Trainer : ………………………………………….. Date : ……………………………
(Side 1)
PERMIT TO WORK SYSTEM
I have received training to the level of:

……………………………………………………………………………………………..
I understand my duties and responsibilities within ConocoPhillips Permit to Work
System.
Print : …………………………………………………………………………………….
Sign : ……………………………………………………………………………………
(Side 2)
On successful completion of the training and having been assessed competent at the level of training given, a
plasticised copy of the above certificate will be awarded to the trainee.
This Certificate must be retained and made available on request at the permit issue point as proof of
competency within COPI Permit to Work System.
Permit To Work
Appendix H – PERMIT TO WORK SUBSEA WORK
PERMIT TO WORK FOR SUBSEA WORK

The following subsea activities shall be controlled by the COPI Permit to Work System:
• All diving activities (involving divers, manned submersibles, ROV’s or other remotely
operated or towed vehicles or devices) within the installations 500m safety zone.
• All subsea construction activities directly involving existing COPI installations or subsea
production facilities, subsea wellheads, subsea valves or subsea pipelines or umbilicals.
• All subsea repair, maintenance or production support activities directly involving COPI
subsea production facilities, subsea wellheads, or subsea valves.
1
The following subsea activities do not require to be controlled by the COPI Permit to Work
system :
• Non construction, maintenance or production support activities outside the installation’s
500m safety zone and remote from subsea production facilities, subsea wellheads, and
subsea valves.
ROLES AND RESPONSIBILITIES
ROLES
Responsible person Diving Supervisor or ROV Supervisor
Originator Subsea Operations COPI Representative
Authoriser- By prior agreement with all parties it can be one of the following
positions:
Main Complex or Wellhead Platform OIM, Operations Supervisor.
Issuer Subsea Operations COPI Representative
Work Leader Diving Supervisor, ROV Supervisor, Officer of the Watch
Work permit user Diving, ROV and Marine Crews
RESPONSIBILITIES (Refer to Section 6.7 of procedure)

Permit To Work
THE PERMIT TO WORK PROCESS
WORKSCOPE DETAIL
Prior to work commencing the Subsea Operations COPI Representative shall review in detail
the scope of the work covered by the Work Permit with either the OIM, or Operations
Supervisor. This review shall include the exact location, detail and timing of the work.
It shall also detail all job specific safety requirements such as isolation of equipment to be
worked on (e.g. hydraulic pumps, electric motors), isolation of equipment which could endanger
the divers, (e.g. fire water pumps), the cessation of work topsides which could endanger the
divers (e.g. scaffolding).
PERMIT AUTHORISATION AGREEMENT
Prior to work commencing the Subsea Operations COPI Representative and the OIM will
discuss and agree who will be appointed to authorise the Work Permits. As described in the
roles section, it could be the OIM or Operations Supervisor.
It cannot be stressed too strongly that this process needs to be agreed up front and prior to
work commencing.
EQUIPMENT ISOLATION AND ISOLATION CERTIFICATES
Isolation Certificates for equipment isolated on the platform will be raised by the Operations
Supervisor and signed as isolated by the operations and / or maintenance personnel.
For isolations, which require to be made subsea, Isolations Certificates will be raised by the
Subsea Operations COPI Representative, and signed as isolated by the person overseeing the
subsea isolations, the Diving Supervisor.
If de-pressurisation of subsea pipework is required, the person performing the de-pressurisation

task will sign to indicate that it will be depressured and made safe before intrusive work is
allowed to proceed.
Copies of Isolation Certificates raised by the installation will be transmitted by fax if necessary to
the Diving Support Vessel (DSV) and vice versa.
EQUIPMENT DE-ISOLATION
Ideally, when isolations (process, electrical, hydraulic) are removed divers should not be in the
water. There are hazards associated with raising and lowering divers in and out of the water,
this needs to be taken into account. A Risk Assessment performed prior to work commencing
Permit To Work
should compare the Hazards and Risks associated with de-isolation with divers in and out of the
water. The method, which minimises the risk to the divers, should be the one chosen.
DIVING CERTIFICATES
The diving contractor may use diving certificates these will be company specific and will be
raised by the Diving Superintendent. Diving Operations cannot commence until a Diving
Certificate has been issued. A Diving Certificate is issued after a Work Permit is in place and
after final diving and marine checks have been carried out on the DSV. The Diving Certificate is
displayed in the diving control room, and a copy should be displayed on the vessel bridge. A
further copy is transmitted to platform control room for display with the Work Permit.
WORK PERMIT ISSUE

The Work Permit can only be issued when all relevant signatures have been obtained (including
that of the Authoriser) and supporting documentation e.g. Isolation Certificates, Diving
Certificates, Risk Assessments etc. are in place.
The Work Permit Issuer will ensure all of the supporting documentation is retained with the
Work Permit at all times. He will also ensure that copies of all newly issued Work Permits and
supporting documentation are transmitted to the installation control room for display. Copies of
the Work Permit shall also be displayed in the diving or ROV control room, depending whether
the job is diving or ROV work and the vessel bridge.
Permit To Work
PRE JOB SAFETY MEETING

A Pre Job Safety Meeting will be held with the Work Leader and the Work Permit Users
following issue of the Work Permit, to discuss the detail of the work and roles and
responsibilities of the people performing the work.
The Work Permit Users will sign to say they understand the task and hazards associated with it.
The Pre - Job Risk Assessment Checklist (PRAC) is used for this purpose and kept with the
Work Permit.
PERMIT REVALIDATION
At the end of 12 hours working or at shift change the Work Permit must be revalidated. This
must be done by the Authoriser, Issuer and Work Leader who sign as appropriate to allow work
to continue.
If the Authoriser is on the main complex the Work Permit must be transmitted to them for
revalidation this can be done by fax. As mentioned before, if this is out of normal working hours,
agreement must be made during normal working hours who this person will be.
TRANSMISSION OF DOCUMENTS
Copies of Work Permits and Certificates etc. shall be transmitted electronically between the
DSV and the platform. In the event of problems with this method of transmission, the documents
will be transmitted by FAX.
Permit To Work
Flowchart of the Subsea PTW process
Subsea Operations COPI Rep. (SOCR) and platform discuss the scope of work; Work Permit
and supporting documentation are raised by the SOCR.
Are isolations required on Platform?
Isolations applied on Platform. Isolation

Certificate transmitted to DSV
Are Sub sea isolations required?
SOCR raises Isolation Certificate if no other

isolations required.
The SOCR transmits the partially signed
up Work Permit and supporting
documentation to the Platform for
authorisation by the OIM or Operations
Supervisor.
The OIM or Operations Supervisor reviews the Work

Permit and all supporting documentation to ensure all
safety considerations have been addressed and a safe
system of work has been established.
The OIM or Operations Supervisor transmits the

authorised Work Permit to the SOCR on the DSV
Permit To Work
Flowchart of the Subsea PTW process
SOCR issues Work Permit to Work

Leader. Work Permit is transmitted to
Platform.
Work Leader carries out PJSM with

all Work Permit Users
Subsea Team apply isolations (if required) SOCR completes

Isolation Certificate. Certificate is transmitted to Platform.
Work carried out as detailed on the Work Permit.

Does the Work Permit require re-validation?
Work Permit re-validated after 12 hours

and transmitted to SOCR for re-issuing.
Work is completed as detailed on the Work Permit, Subsea

isolations removed if applicable
Work Permit signed off by the Work Leader, if applicable Subsea isolations
signed off. Documents are then transmitted to the Platform.
Work Permit is signed off by the Authoriser, if applicable isolations on the Main
Complex / Satellite are removed and the Isolation Certificate signed off.

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ID-G-BU-00000-00000-00462 Permit To Work

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Document Title: Permit To Work

COPI Doc No.: ID-G-BU-00000-00000-00462

Jana Fred Aty Not Not

REVISION DATE DESCRIPTION OF CHANGE

0 Sep 03 Issued for Use

1 Nov 04 PTW Forms Corrected & Re issued

2 Feb 06 Issued for Use

5.1.7 There are three copies of a work permit:

5.2 Hot Work Permits

5.3 Cold Work Permit

5.4 Supporting Documents/Certificate

5.4.1 Hot Work Certificate

5.4.2 Entry Certificate

5.4.3 Isolation Certificate (LO/TO)

ID-G-BU-00000-00000-00372 Confined Space Entry must be accomplished through an

5.4.4 Ground Disturbance Certificate

5.4.5 Hot Tap Checklist

5.5 Permit Identification

- Work Permit Audit (during work in progress)

5.6 PERMIT TO WORK Responsibilities

5.7 The Operation of the Permit To Work System

5.7.1 The Originator

5.7.2 The Responsible Person

5.7.3 The Authoriser

5.7.4 The Issuer

5.7.5 The Work Leader

5.7.6 The Permit User(s)

5.8 Work is Now Ready to Begin

5.9 Work Completion / Suspension

The following alternatives are now possible:

(a) Work is incomplete or is suspended and will be continued on current Work

(d) Work is Complete

5.10 Work Permit Review

5.11 Training and Competency

5.13 The Role of Operations in Permit to Work

Appendix A – Referenced Documents

Document No. Document Title

Appendix B – Procedure Flowchart

Appendix C - WORK PERMIT REVIEW CHECKLIST

Appendix ‘C’ - WORK PERMIT REVIEW CHECKLIST (Cont’d)

Appendix C.1 Permit to Work – (Cold Work)

Appendix C.2 Permit to Work – (Hot Work)

Appendix D - Sample of Certificates – ENTRY CERTIFICATE

Appendix D Sample of Certificates (cont’d) - Isolations Certificate (LO/TO)

Appendix D - Sample of Certificates (cont’d) – Hot Work Certificate

Appendix D - Sample of Certificates (cont’d) – Ground Disturbance Checklist

Appendix D - Sample of Certificates (cont’d) – Ground Disturbance Checklist

Appendix D (Cont’d) - Sample of Certificates

Appendix D (Cont’d) – PRAC - (Previously this form was attached to Risk

Appendix D (Cont’d) – PRE-JOB SAFETY MEETING SHEET

Appendix D (Cont’d) – Job Safety Analysis

Appendix E - Example of Standing Order

Appendix F - Activities controlled by Hot and Cold Work Permits

ACTIVITIES CONTROLLED BY HOT AND COLD WORK PERMITS

Type of Cold Work Activities (but not limited to these lists).

• all planned maintenance related activity

• entry into confined spaces

• use of personnel work baskets or man-riding winches