CONFINED SPACE ENTRY PLAN

FACILITY MIP PKG 17 RAS TANURA AREA PIPELINE PROJECT CSEP SHALL NOT BE EXCEED 7 DAYS
LOCATION: START DATE: END DATE:
DAY1 DAY2 DAY3 DAY4 DAY5 DAY6 DAY7
CSEP # ENTITY EXECUTING THE JOB
PERMIT ISSUER
NUMBER OF EMPLOYEES
SIGNATURE:
SCOPE OF WORK
NOTE: ATTACH DRAWING SHOWING EACH ISOLATION
ISOLATION METHOD □ Locked switch/breaker □ Blinding □ Disconnect
POINT AS WELL AS BLIND LIST.
□ Purging □ Cleaning □ Flushing □ O2 □ CO □ H2S □ LEL
ELIMINATING ATMOSPHERIC GAS
ATMOSPHERIC □ Steaming-out □ Natural Ventilation TESTING TYPES AND □ Other:……………………………..
HAZARDS BY: FREQUENCY
□ Mechanical Ventilation □ N2/CO2 inerting □ Frequency……….hrs………..

TYPES OF EQUIPMENT REQUIRED TYPE OF PPE

□ Self contained breathing apparatus □ Air movers □ Rescue equipment (IN ADDITION TO HARD HAT,CLEAR SAFETY GLASSES
REQUIRED FOR
CONFINED SPACE
□ Lighting □ Communication equipment □ Fire extinguisher
ENTRY:
□ Personal H2S Monitor Dectector □ FRC

□ Goggles/face shield □ Chemical suit/coverall

□ Ladder required □ External scaffold required □ Internal scaffold required
□ Gloves (Specify):.................................................
ACCESS AND EGRESS □ Fall Protection required □ Platform modification required
□ Respiratory Protection (Specify):.........during grit
□ Other:……....................................................................................................................................
blasting.........................................
□ Other..................................................................
□ Within eye sight □ Line signals □ Radios
PROTECTION OF □ Edge protection □ Caution tape □ Hard barricade MEANS OF
SURROUNDING COMMUNICATION □ Other:…………………………………………………………………
AREAS □ Warning lights □ Warning aigns □ Flagman WITH ENTRANTS
□ Signals were dicussed with personnel before entry.
PREVENTION OF
UNAUTHORIZED
ENTRY
EMERGENCY
RESPONSE AND
RESCUE
Depth = m
DRAWING

Parking area Stand by man along

with confined space
entry log sheet

Access/Egress: Access Ladder Width = M

and ramp type access

The drawing of the Confined Space must show ALL Isolation if required , Entry and Ventilation points
Additional documents required
NAME Position Badge Signature Date before initiating CSE activities.
□ CSE Work Permit
Prepared by:
□ Gas Testing Log Sheet

□ CS Entry Log Sheet

Confined Space Entry Sup-
□ Job Safety Analysis
1. CSEP WILL NOT EXCEED 7 DAYS. If additional time is needed, a new CSEP will have to be prepared and appro ved.
2. Copy of both sides of this Approved CSEP must be posted at the entrance of the Confined Space in clear plastic envelopes.
3. Initial confined space entry into pits, sumps, vessels, tanks, drums, or other process equipment that may have previously contained
flammable, combustible, or toxic materi als will require addit ional approvals by proponent management prior to work commencing.