Zubair Mishrif SS Medical Emergency

ENI - IRAQ
ZUBAIR MISHRIF DGS ELECTRICAL INTEGRATION
MEDICAL EMERGENCY RESPONSE PLAN
Issue For Marco Renato di Silvio

EX-DE 01 20/12/19 Silvio Belloni
Approval Mambelli Marzo Belloni
Issue For Marco Renato di Silvio
EX-DE 00 29/11/19 Silvio Belloni
Comments Mambelli Marzo Belloni
Validity Rev.
Status number Prepared Checked Approved Contractor Company
Date Description
by by by Approval Approval
Revision Index
Company logo and business name Project name Company Document ID
ZUBAIR MISHRIF 251010DFPATB425
DGS ELECTRICAL
eni iraq b.v. INTEGRATION
Job N.
Contractor logo and business name Contractor Document ID
19C016-9H103
CONSORTIUM TOZZI SUD - ALBILAL GROUP Contract N. 4600038271
Vendor logo and business name Vendor Document ID
Order N.
Facility Name Location Scale Sheet of Sheets
ZUBAIR MISHRIF DGS ONSHORE N/A 1 of 18
Document Title Supersedes N.
Medical Emergency Response Plan Superseded by N.

Plant Area Plant Unit
N/A N/A
Software: Microsoft Word 97-2003 File No. 251010DFPATB425_EXDE01_18.docx
This document is property of eni Iraq B.V.

It shall neither be shown to Third Parties not used for purposes other than those for which it has been sent.
COMPANY Document CONTRACTOR Revision Index Sheet of
Identification Document Sheets
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Identification Rev.
Status
CONSORTIUM TOZZI SUD – 251010DFPATB425 19C016-9H103 2 / 18
ALBILAL GROUP EX-DE 01
REVISION HISTORY
Rev. Date Nr. of Description

sheets
EX-DE 00 29/11/2019 15 Issue For Comments
EX-DE 01 20/12/2019 18 Issue For Approval

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INDEX
1. Purpose.......................................................................................................................................... 4
2. Objectives...................................................................................................................................... 4
3. Scope............................................................................................................................................. 5
4. References..................................................................................................................................... 5
4.1. Project Documents..................................................................................................................................5
4.2. Standard Documents...............................................................................................................................5
5. Abbreviations and Definitions...................................................................................................... 6
5.1. Abbreviations..........................................................................................................................................6
5.2. Definitions...............................................................................................................................................7
6. Medical Emergency Response Plan Structure...........................................................................8
7. Roles and Responsibility.............................................................................................................. 8
8. Medical Treatment and First Aid................................................................................................ 10
8.1. General..................................................................................................................................................10
8.2. Medical Facilities................................................................................................................... 11
9. Organization and MER Infrastructure........................................................................................ 12
9.1. Communication.....................................................................................................................................12
9.2. Emergency Drills..................................................................................................................................12
9.3. Inspection / Maintenance......................................................................................................................12
10. MER Scenarios........................................................................................................................ 12
10.1. In case of minor Injury..........................................................................................................................12
10.2. In case of major Injury..........................................................................................................................12
10.3. In case of infection................................................................................................................................12
11. Attachments............................................................................................................................ 13
11.1. Attachment 1 – First Aid Lock.............................................................................................................14
11.2. Attachment 2 - Ambulance Plot Plan...................................................................................................15
11.3. Attachment 3 - Contractor Camp and Substation Layout with the exact position of Ambulance and
first aid kits.........................................................................................................................................................16
11.4. Attachment 4: Contact Details and Phone Numbers............................................................................17
11.5. Medical Emergency Management Flow Chart.....................................................................................18

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1. Purpose
The purpose of this Medical Emergency Response Plan is to provide a system of
preparedness for dealing with all emergency scenarios with an environmental or
health and safety impact on the New 33kV/11kV Main Substation at Zubair Mishrif
DGS including offsite events created by project components. Whilst also aligning to
COMPANY Emergency Emergencies Plan to ensure coordinated emergency
response in line with Green (Level 1 Response), Yellow (Level 2 Response) and
Red (Level 3 Response) type events In accordance to COMPANY Circular 387,
project emergency resources shall also cater for, when required, external emergency
response including warehouse and laydown areas. Any downstream roads
emergencies shall be handled by Ministry of Interior responsible directorates &
Emergency Response, operations center for the Republic of Iraq. However,
CONTRACTOR shall provide support in terms of first aid, initial response to
control the scene upon the judgement of the COMPANY Security Supervisor. When
an Emergency occurs involving a member of the public outside the vicinity of
Project area, the COMPANY supervisor shall assess the severity of the situation and
will deploy appropriate combined resources to the scene of the emergency without
jeopardizing the plant and construction organizations emergency preparedness for
plant and construction operations ongoing requirements, with the exception of road
traffic accidents that occur on the route, all road traffic accidents shall be dealt with
by the Ministry of Interior responsible directorate.
2. Objectives
The objectives of this Medical Emergency Response Plan are to:
 Protect life.
 Protect the environment.
 Contain the impact to environment
 Protect the assets of the Site (property/plant and equipment)
 Promptly assess and notify the COMPANY emergency services.
 Promptly notify the related parties as appropriate.
 Provide assistance to COMPANY emergency services.
 Provide for the investigation, analysis and reporting of the emergency.
 Provide for restoration and clean up following an emergency.
We will achieve these objectives by:

 Developing plans and procedures to manage potential emergencies that are
foreseeable.
 Selecting and training key individuals to respond in the event of an
emergency.
 Providing the necessary resources to facilitate an appropriate emergency
response.
 Testing emergency plans by regular drills, announced and unannounced,
reporting effectiveness of drills conducted on COMPANY or
CONTRACTOR forms.
 Reviewing emergency plans on an on-going basis.

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3. Scope
The scope of the Medical Emergency Response Plan includes the following occurrences on the
Project Construction Site, Laydown area and warehouses:
 Fire / Medical
 Bomb Threat/ Suspicious Package
 Chemical Release or Explosion (Spill/Gas Leak)
 Natural Disaster/Storm/Adverse Weather
 Vehicle Collision within project environs or on public road
 Working at height rescue
 Confined space rescue
 Radiation emergency
 Earthquake
 Lightening
 Terrorism
4. References
4.1. Project Documents
POS CODE DESCRIPTION

1 00250600BFRB85810_CDFE02_22 PROJECT HSE PHILOSOPHY
2 00250600BFPA85800_CDFE02_58 PROJECT HSE PLAN
Field Electrical Installation Simultaneous
3 00250600BFPAEI052_CDFE00_19
Operations (SIMOPS)
QUANTITATIVE RISK ASSESSMENT
4 00250600BFPT85200_CDFE02_33
METHODOLOGY
FIRE SAFETY ASSESSMENT
5 00250600BFPT85220_CDFE02_31
METHODOLOGY
LOSS PREVENTION & ENVIRONMENT
6 00250600BFRB85000_CDFE03_09
BASIS
LOSS PREVENTION & ENVIRONMENT
7 00250600BFRB85001_CDFE04_128
PHILOSOPHY
GUIDELINES FOR SIMULTANEOUS
8 00250600BFRV85918_CDFE03_23
OPERATIONS
9 ITT-05-17 APPENDIX S-SECURITY
4.2. Standard Documents
POS CODE DESCRIPTION

1 1.1.1.30 Contract HSE Requirement for Abroad Activities
2 1.3.0.07 HSE Minimum Design Requirements
3 EIBV-H-P-016-03-E HSE Risk Management and reporting
4 EIBV-H-S-158-01-E HSE Philosophy
5 1.3.0.06 COMPANY EMERGENCY RESPONSE PLAN

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STANDARD HSE
6 1.3.1.47 ENVIRONMENTAL, SOCIAL & HEALTH
IMPACT ASSESSMENT
MEDICAL EMERGENCY PREPAREDNESS AND
7 1.3.2.08
RESPONSE
8 1.3.2.11 Minimum Health Standards
9 1.3.2.11_01 MHS 1 – Development of a Health Programme
10 1.3.2.11_02 MHS 2– Health Risk Assessment
11 1.3.2.11_04 MHS 4 – Fitness to Work
MHS 5 – First Aid and Medical Emergency
12 1.3.2.11_05
Response
Training Programme for medical and paramedical
13 1.3.2.15
personnel
14 1.3.2.18 Catering and Water Hygen
Wast, WasteWater, Tenorm, Drilling Residues
15 1.3.4.05
Managment
16 EIBV-H-P-216-00-E ZFOD contract HSE requirements
17 EIBV-H-P-216-00-E ZFOD contract HSE requirements_Annexes
Operating Instruction Professionale Safety
18 opi hse 007 eni spa r01 Technical Prescriptions on Vehicles Driving in
Non-EU Countries.
Professional Operating Instruction-HSE Risk
19 opi-sg-hse-001-ep-r01
Management and Reporting
5. Abbreviations and Definitions

Abbreviations end Definitions used within this document are listed below:
5.1. Abbreviations
COMPANY ENI Iraq B.V.

CONTRACTOR Consortium Tozzi Sud – AlBILAL Group
SUB-CONTRACTOR Sub-contractor of specialized work’s portion,
appointed by CONTRACTOR
VENDOR Vendor of goods/services, appointed by
CONTRACTOR
PROJECT EPC - New 33kV/11kV Main Substation at
Zubair Mishrif DGS
EPC Engineering, Procurement Construction
E&I Electrical & Instrumentation
F&G Fire & Gas System
QHSE Quality, Health, Safety & Environment
ERP Emergency Response Procedure
MSDS Material Safety Data Sheet
MOI Ministry of Interior
CMT Crisis Management Team
SIO Security Implementation Officer
SERT Site Emergency Response Team

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5.2. Definitions
EMERGENCY: Event that is leading, or is likely to lead, to serious harm to people,

properties, environment, image or reputation and/or assets.
Anemergency situation requires a reaction and a control by an
organisation, according to Emergency Plans issued to this purpose.
EMERGENCY Is a group of people who prepare for and respond to any emergency.
RESPONSE TEAM: Could include Safety Officer, Fire Fighting Officer, First Aid
Personnel, Security Personnel, Expert in Emergencies.
HAZARD: Source or situations with a potential for harms in terms of injury or ill
health, damage to property, damage to the workplace environment or
a combination of these.
RISK: Combination of the likelihood and consequence(s)of a specified

hazards event occurring.
NEAR MISS: A near miss is an unplanned event that did not result in injury,
illness, or damage but had the potential to do so.
INCIDENT: Event that gave rise to an accident or had the potential to lead to an
accident. An incident where no ill health, injury, damage, or other
loss occurs is also often referred to as a “near miss”. The term
“incident” includes “near-misses” (OHSAS 18001:2000).
ACCIDENT: Undesired event giving rise to death, ill health, injury, damage or
other loss (OHSAS 18002:2000). An alternative simpler definition:
unplanned event giving rise to undesired outcome (death, ill health).
DUTY He is the on-duty Doctor (CONTRACTOR or SUBCONTRACTOR)

MEDICAL who is respond to any medical emergency non site and camp. He can
OFFICER: be mobilized to the incident area by Incident Commander. At least
one Doctor shall be nominated as Duty Medical Officer any time.
DUTY The person appointed to receive radio transmission or phone call

RESPONDER: relating to any kind of incident/accident.
EMERGENCY DUTY It is the phone number that Supervisors shall call to alert/notify the
NUMBER: Duty Responder of an incident.
EMPLOYEE: Any person engaged in activities for the benefit of the Project and
who receives payment, even on a temporary basis.
MSDS Material Safety Data Sheet
MEDICAL A work related injury, which results in neither lost time nor restricted
TREATMENT CASE work but which requires treatment by or under the

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supervision of, or from the specific order of, a medical doctor.
CPR Cardiopulmonary Resuscitation
DFA Designated First Aider
MER Medical Emergency Response
6. Medical Emergency Response Plan Structure

The structure of the Emergency Response Procedure centres around the following key
individuals for incidents that occur within/outside the Project works:
 Site Emergency Controller

 Administrative / Assistants
 Site Emergency Response Team
 HSE Manager
 Environmental Consultant (on call)
 Mechanical / Electrical Lead Supervisors
 Emergency Wardens
 First Aid Personnel
 Security
 Security Implementation Officer
7. Roles and Responsibility
Site Emergency Controller

Mission Controller and Coordinator for Emergency at Site. He is the first interface for
COMPANY in case of emergency.
Responsibilities  Arrange for relevant neighboring management to be contacted or be
contacted by in the event of community evacuation required as a
result of major hazard on neighboring site;
 Take control of emergency situation in a holding capacity;
 Arrange for the COMPANY Emergency Services to be contacted on
COMPANY’s emergency phone number;
 Direct/liaise with the Emergency Services on arrival;
 Liaise with relevant subcontractor/supervisor to ensure
immediate containment measures are implemented;
 Arrange for Electricians / Fitters to isolate necessary plant or
utilities;
 Arrange for surface water/drains and or water courses to be protected;
 Staff the phone / arrange for phone to be staffed;
 Inform relevant authorities- COMPANY Coordinate Emergency
requirements and reporting structure;
Administrative / Assistants
Mission Assist during the Emergency
Responsibilities  Call Site Manager (or his delegate), to act as Site Emergency
Controller (Green Level 1);
 Call COMPANY Emergency Services as instructed by Site
Emergency Controller;

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 Assist Site Emergency Controller as directed;
Site Emergency Response Team (SERT)

Mission Physically manage the emergency
Responsibilities  Take immediate containment measures/evacuation as directed by
Emergency Warden;
 Call COMPANY Emergency Services as instructed by Site
Emergency Controller;
 Assist Site Emergency Controller as directed;
HSE Manager
Mission supervision of all Project activities related to HSE and reporting to the Project
Manager
Responsibilities  Activate alarm system located in HSE office in the event of a Site
Evacuation;
 Assess extent of Health and Safety threat and liaise with Site Emergency
controller to minimize effects;
 Prepare and implement external HSE resources to cater for external
emergencies, traffic management systems, spill containment resources,
project ambulance and medical services deployment for incidents
including warehouses and laydown area;
 Notify COMPANY Emergency Services & Security Departments of
events that occur;
Environmental Consult
Mission Driving according to Iraqi laws, interventions in case of environmental
emergency
Responsibilities  Assess extent of environmental threat and/or contamination and liaise
with Site Emergency Controller to minimize effects;
 Inform COMPANY HSE/Security departments for further
notification to Environmental Enforcements Authorities
 Prepare plans for clean-up and restoration limiting impact on local
community
Mechanical / Electrical Lead Supervisors

Mission During the Emergencies they arrange staff for activity of containment.
Responsibilities  Arrange for staff to isolate necessary plant / equipment & utilities on
request;
 Arrange for staff to assist Emergency Services/Emergency Response
Teams on arrival if requested;
 Provide a task specific risk assessment and task specific resources
for confined space entry for rescue purposes.
Emergency Wardens (Supervisors and Sub-contractors)

Mission During the Emergencies they arrange staff for activity of containment.
Responsibilities  Evacuate emergency affected area;
 Conduct head count at Assembly Point, account for all personnel,
subcontractors and visitors. Notify Site Emergency Controller if any
persons missing. Establish safe distance & safe assembly point for
external emergency situation;
 Assist Site Emergency Controller as necessary.

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First Aid Personnel

Mission Provide first aid treatment to casualties.
Responsibilities  Provide first aid treatment to casualties;
 Liaise with and assist ambulance service in transit and on arrival to
accident scene;
Security
Mission Provide security services at site.
Responsibilities  Control access to and exit from site;
 Direct emergency services and enforcement authorities on
arrival;
Security Implementation Officer

Mission Make sure to follow the security plan.
Responsibilities  Security Implementation Officers must ensure that Security Plans and
Evacuation Plans are complete, systematic and constantly updated, i.e.
that the plans assess each and every operational or procedural element,
regarding the management of existing security risks and include all
planned activities for security- related emergency events. Direct
emergency services and enforcement authorities on arrival.
8. Medical Treatment and First Aid
8.1. General
Trained first-aid personnel and suitable first-aid supplies and facilities shall be
supplied at the site, and a doctor and a nurse or at least a trained first-aid person shall
be assigned at those locations.
Each work site shall maintain close communication with and have access to
occupational Medical Service (hospital or clinic).
A list with details of the nearest hospital, including its locations and phone numbers,
shall be posted in all the site offices and to be updated regularly.
The following number of Contractor’s personnel to be trained as DFAs:
 Category 1 site (e.g. office activity) 1 per 100 or part thereof
 Category 2 site (e.g. construction site) 1 per 50 or part thereof
Medical Professional: At least one Medical Professional on SITE unless response

time (one hour) can be assured at all times including the hours of darkness, a non-
dedicated third party ambulance / medevac provider may provide the Medical
Professional.
The Contractor shall have MER Infrastructure and resources in the performance of
the work and to meet the following tiered response times:

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Description Response
Time
First response by personnel on emergency site 4 minutes
Trained and Certified First Aider arrives on scene, assesses 20 minutes
casualty, provides basic life support
Medical Professional arrives, assesses injury and need for 1 hour
further action
Admission to and Care at nearest approved (Tier 3) hospital 4 hours
8.2. Medical Facilities
8.2.1.Medical Clinic
Clinic to include facilities and equipment as per recommendations identified in line with
OGP level 3 standards, Ref OGP 343 Managing Health for field operations in oil and gas
activities.
8.2.2. First Aid Kit

Clinic to include facilities and equipment as per recommendations identified in line with OGP
level 3 standards, Ref OGP 343 Managing Health for field operations in oil and gas activities.
The clinic shall be located in the contractor’s camp.
Content of First aid box will comply with the following requirements:

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8.2.3. Ambulance
One 4x4 ambulance to be equipped in line Company standards, (see the Attachment-1).
9. Organization and MER Infrastructure
9.1. Communication
Contractor shall ensure that each workplace has an effective and secure means of
communicating with the medical clinic. A log must be kept of crew movements and
status. All remote operations shall have 24hr access to assistance from project
management. This will be clearly defined with contact numbers, as necessary and to
be updated regularly.
9.2. Emergency Drills
Contractor shall ensure that all emergency procedures relevant to the operation are
practiced on a periodic basis. All drills will have a defined scope and scale; will
be followed by a detailed debrief; response times will be monitored and trended
against predefined targets (if available); frequency of drills will be regularly
reviewed; drills performed without warning.
Drill records and reports must be kept. A drill program must be part of the HSE
plan.
9.3. Inspection / Maintenance
Contractor will periodically inspect and maintain all equipment used as part of an
emergency response plan as per a specific program, defined by legislation or
company policies. Records of certification shall be kept.
10. MER Scenarios
10.1. In case of minor Injury
Because many medical conditions are not life-threatening (e.g. superficial wound) emergency
medical services shall be applied by DFA which is equipped with first aid kit (first aid kit is
located in each workplace with trained first aider) and to be recorded in the first aid log
(Attachment-2).
10.2. In case of major Injury
Provide first aid that eases pain and reduces the risk of further harm, so in case of major injury
emergency response plan shall be activated to evacuate the workplace and DFA shall be in
charge to provide first aid (e.g. CPR, Strengthen the fracture) till the ambulance arrived to the
location to transport the injured person to the clinic.
In the clinic, the Medical Professional have to decide to send the injured person to the
approved hospital.
10.3. In case of infection
If any infection case discovered in the project (e.g. Chickenpox, Cholera) the following action
has to take:

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 Medical check has to perform for all project manpower to identify the infected
personnel.
 After identifying the infected personnel, they shall be separate in the quarantine.
 Contact with professional hospital for treatment.
11. Attachments
 Attachment 1: First Aid Log

 Attachment 2: Ambulance plot plan
 Attachment 3: Contractor Camp and Substation Layout with the exact
position of Ambulance and first aid kits
 Attachment 4: Contact Details and Phone Numbers
 Attachment 5: Medical Emergency Management Flow Chart

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11.1. Attachment 1 – First Aid Lock
Date of Time of Type of Exact What was injured doing at First Aid
S.N Name Function Part of body affected
Injury injury Injury location time of accident action

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11.2. Attachment 2 - Ambulance Plot Plan

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11.3. Attachment 3 - Contractor Camp and Substation Layout with the exact
position of Ambulance and first aid kits

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11.4. Attachment 4: Contact Details and Phone Numbers
NAME POSITION MAIL PHONE NUMBER

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Status
11.5. Medical Emergency Management Flow Chart
Incident / Accident
Worker to inform his /

her supervisor
CONTRACTOR Supervisor to
contact Emergency Duty
Responder
Emergency Duty Responder to

call Duty Medical Officer /
Environmental Emergency Team
YES NO
Can the Emergency be
managed internally?
COMPANY, with support

of Contractor, activate and
coordinate external
resuorces
NO
Is a Minor, Moderate Emergency Response Team
Incident / Accident? asks for Site Emergency
Response Team support
YES
NO
Emergency Response Team Is the emergency
manages the Emergency under control ?
directly with the duty medical
officer
YES
Emergency Response Team to

keep in touch with
COMPANY /
CONYTRACTOR

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ENI - IRAQ

ZUBAIR MISHRIF DGS ELECTRICAL INTEGRATION

MEDICAL EMERGENCY RESPONSE PLAN

Issue For Marco Renato di Silvio

Medical Emergency Response Plan Superseded by N.

This document is property of eni Iraq B.V.

Rev. Date Nr. of Description

This document is property of eni Iraq B.V.

This document is property of eni Iraq B.V.

We will achieve these objectives by:

This document is property of eni Iraq B.V.

4.1. Project Documents

POS CODE DESCRIPTION

4.2. Standard Documents

POS CODE DESCRIPTION

This document is property of eni Iraq B.V.

5. Abbreviations and Definitions

COMPANY ENI Iraq B.V.

SERT Site Emergency Response Team

This document is property of eni Iraq B.V.

This document is property of eni Iraq B.V.

EMERGENCY: Event that is leading, or is likely to lead, to serious harm to people,

RISK: Combination of the likelihood and consequence(s)of a specified

DUTY He is the on-duty Doctor (CONTRACTOR or SUBCONTRACTOR)

DUTY The person appointed to receive radio transmission or phone call

MSDS Material Safety Data Sheet

This document is property of eni Iraq B.V.

supervision of, or from the specific order of, a medical doctor.

CPR Cardiopulmonary Resuscitation

DFA Designated First Aider

MER Medical Emergency Response

6. Medical Emergency Response Plan Structure

 Site Emergency Controller

7. Roles and Responsibility

Site Emergency Controller

This document is property of eni Iraq B.V.

 Assist Site Emergency Controller as directed;

Site Emergency Response Team (SERT)

Mechanical / Electrical Lead Supervisors

Emergency Wardens (Supervisors and Sub-contractors)

This document is property of eni Iraq B.V.

First Aid Personnel

Security Implementation Officer

8. Medical Treatment and First Aid

Medical Professional: At least one Medical Professional on SITE unless response

This document is property of eni Iraq B.V.

8.2. Medical Facilities

8.2.2. First Aid Kit

This document is property of eni Iraq B.V.

9. Organization and MER Infrastructure

9.2. Emergency Drills

9.3. Inspection / Maintenance

10. MER Scenarios

10.1. In case of minor Injury

10.2. In case of major Injury

10.3. In case of infection

This document is property of eni Iraq B.V.

 Attachment 1: First Aid Log

This document is property of eni Iraq B.V.

11.1. Attachment 1 – First Aid Lock

This document is property of eni Iraq B.V.

11.2. Attachment 2 - Ambulance Plot Plan