28 DEC 2020

Branch of Sinopec International Petroleum Services Corp.

MIP PKG 17 RAS TANURA AREA PIPELINE

CONTRACT No.: 6600044545 BI No.: BI-10-09004-0003

SINOPEC INTERNAL WORK PERMIT SYSTEM FORMAT

DOCUMENT No.: MIP 17 – HSE – PP – 026 REVISION: 1

MIP 17 – HSE – PP – 026 REV 1 Page 1 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP PKG 17 RAS TANURA AREA PIPELINE

CONTRACT No.: 6600044545

BI-10-09004-0003

1 12/22/20 Resubmit after Incorporating the Comments Yu Tao An Faquan

HSSE
0 12/16/19 First Issue for Review & Approval HSSE Manager Project Manager
Department
Prepared Reviewed Approved
Rev. No. Date Reason for Issue
By By By
Document Title:
Sinopec Internal Work Permit System Format

Document No.: Rev. No.: Issue/Rev. Date:

MIP16 – HSE – PP – 026 1 12/22/20
Submitted by:

MIP 17 – HSE – PP – 026 REV 1 Page 2 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

TABLE OF CONTENTS

1.0 APPENDIX A - COLD WORK PERMIT ........................................................................................................................... 4

2.0 APPENDIX B – HOT WORK PERMIT ............................................................................................................................. 6
3.0 APPENDIX C - CONFINED SPACE ENTRY PERMIT .................................................................................................. 8
4.0 APPENDIX D - EXCAVATION AND TRENCHING PERMIT .................................................................................... 10
5.0 APPENDIX E - CRANE LIFT PERMIT .......................................................................................................................... 12
6.0 APPENDIX F - WORKING AT HEIGHT PERMIT ....................................................................................................... 14
7.0 APPENDIX G - RADIOGRAPHY PERMIT .................................................................................................................... 16
8.0 APPENDIX H - NIGHT WORK PERMIT ....................................................................................................................... 18
9.0 APPENDIX I - HOLIDAY WORK PERMIT ................................................................................................................... 19
10.0 APPENDIX J – HAZARD ANALYSIS CHECKLIST ................................................................................................... 20

MIP 17 – HSE – PP – 026 REV 1 Page 3 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

1.0 APPENDIX A - COLD WORK PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 4 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 5 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

2.0 APPENDIX B – HOT WORK PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 6 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 7 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

3.0 APPENDIX C - CONFINED SPACE ENTRY PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 8 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 9 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

4.0 APPENDIX D - EXCAVATION AND TRENCHING PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 10 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 11 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

5.0 APPENDIX E - CRANE LIFT PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 12 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 13 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

6.0 APPENDIX F - WORKING AT HEIGHT PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 14 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 15 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

7.0 APPENDIX G - RADIOGRAPHY PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 16 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

MIP 17 – HSE – PP – 026 REV 1 Page 17 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

8.0 APPENDIX H - NIGHT WORK PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 18 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

9.0 APPENDIX I - HOLIDAY WORK PERMIT

1

MIP 17 – HSE – PP – 026 REV 1 Page 19 of 20

 LSTK CONTRACTOR:
COMPANY Branch of Sinopec
Saudi Arabian Oil Company International Petroleum
Services Corp
Project:
CONTRACT No# 6600044545
MIP PKG 17 RAS TANURA AREA PIPELINE
BI No. 10-09004-0003
Document title: Sinopec Internal Work Permit System Format

10.0 APPENDIX J – HAZARD ANALYSIS CHECKLIST

1

MIP 17 – HSE – PP – 026 REV 1 Page 20 of 20