Commissioning Template Rev

TITLE OF PROJECT
Document Title : Commisioning Document for ……..

Document No : CM-
Vendor Name :
Package Description :
Tag No : -
Purchase Order Number : CM-RJJ000
Vendor Code :
Vendor Rev. No. : 0
Revaluation Date :
VENDOR/SUBCONTRACTOR CONTRACTOR COMPANY

REV. DESCRIPTION DATE
PREPARED CHECKED APPROVED CHECKED APPROVED CHECKED APPROVED
0 Issued For Use

C Issued For Approval
B Issued For Review
A Issued For Internal Review
Contract No : CONTRACTOR Document No: PAGE 1 OF ……
LABORATORIUM I&C
REVISION HISTORICAL SHEET
Rev. Date Section Description
A All Issued for Internal Review

B All Issued for Review
C All Issued for Approval
0 All Issued for Use

Document No : JTB-
Revision :
Contractor Doc. No : Error! No text of specified style in Page 2 of 17
document.
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HSE NOTIFICATION SYMBOL
Indicates a potential hazard minor or

 CAUTION: moderate injuries may occur
Indicates a potential hazard serious injuries
 WARNING: or death MAY occur
Indicates a potential hazard serious injuries
 DANGER: or death are VERY LIKELY to occur
Indicates a notification which have critical or
! IMPORTANT:
important information
Indicates to stop the works and make sure
identification hazards are safely clear
before continuing the works.
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TABLE OF CONTENTS
1 OVERVIEW..............................................................................................................5
1.1 Purpose...............................................................................................................5
1.2 General Overview................................................................................................5
1.3 Integrity-Critical Steps..........................................................................................5
1.4 Abbreviation.........................................................................................................6
1.5 References...........................................................................................................7
2 HEALTH, SAFETY AND ENVIRONMENTAL CONSIDERATIONS...........................8
2.1 Permit and Job Safety Analysis (JSA)..................................................................8
2.2 Personal Protective Equipment (PPE)..................................................................8
2.3 Requirement........................................................................................................ 9
3 PROCEDURE CLASSIFICATION RISK ASSESMENT............................................9
4 HAZOP, HAZID, and SIL........................................................................................10
5 TOOLS & COMMISSIONING SERVICE.................................................................10
6 GENERAL WORK PREPARATION........................................................................11
7 COMMISSIONING TASK 1....................................................................................11
7.1 Specific Work Preparation..................................................................................11
7.2 Sub task 1.......................................................................................................... 12
7.3 Sub task 2.......................................................................................................... 12
7.4 Sub task 3.......................................................................................................... 12
7.5 Task Completion Work.......................................................................................13
8 COMMISSIONING TASK 2....................................................................................13
8.1 Specific Work Preparation..................................................................................13
8.2 Sub task 1.......................................................................................................... 13
8.3 Sub task 2.......................................................................................................... 13
8.4 Sub task 3.......................................................................................................... 13
8.5 Task Completion Work.......................................................................................14
9 FEED BACK FORM................................................................................................14
APPENDIX 1: Form Commissioning Checklist for ……........................................................15
APPENDIX 2:....................................................................................................................... 15
APPENDIX 3:....................................................................................................................... 15
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1 OVERVIEW
1.1 Purpose
This procedure describes a guideline for commissioning task and activities of………
This procedure is developed based on commissioning strategy detail analysis,
Isolation and safety precautions that must be taken into account for safe
commissioning activities.
1.2 General Overview

This procedure applied for equipment…… in field JTB-PEPC. The commissioning
task included in this procedure is based on below system boundary:
Below is the list of equipment tag number at field JTB-PEPC :
No. Area Tag

No
1.
2.
3.
4.
5.
The Commissioning regime for the equipment …. are as per below table :
Commissi Commissi Type of Schedule Responsi Dependenc
oning oning Commissi ble y
Program Task oning
(main task) (sub task) PM (Monthly/Quarterly/ Facility & (need unit
annually?) Commissi shutdown/o
oning nline?)
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1.3 Integrity-Critical Steps
! IMPORTANT: This procedure may contain one or more Integrity-Critical steps.
These Integrity-Critical activities are highlighted with distinctive red text and a special
symbol:
Instructions and information that follow the Stop Sign address an identified
hazard. Failure to follow the instructions can increase exposure to this
potential hazard
1.4 Abbreviation (add ITEM or develop TABLE if required)

DCS Distributed Control System
ESD Emergency Shutdown
FGS Fire & Gas System
FO Field Operator
HAZOP Hazard and Operability
HAZID Hazard Identification
HH High-High Alarm
HP High Pressure
HSSE Health, Safety, Security and Environment
JSA Job Safety Analysis
JTB Jambaran Tiung Biru
KO Knock Out
KOD Knock Out Drum
LCP Local Control Panel
LEL Lower Explosive Limit
LL Low-Low Alarm
LO Lead Operator
LOTO Lock Out Tag Out
LP Low Pressure
MOS Commissioning Override System
OCCR Operator Central Control Room
PCV Pressure Control Valve
P&ID Piping & Instrumentation Diagram
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PPE Personnel Protective Equipment
PSD Process Shutdown
PSV Pressure Safety Valve
PTW Permit to Work
SCBA Self-Contained Breathing Apparatus
SIKA Sistem Kerja Aman
SIL Safety Integrity Level
SA Supervisor Area
SCR Supervisor Central Control Room
SSPS Senior Supervisor Production Shift
UPS Uninterruptible Power Supply
USD Unit Shutdown
1.5 References
1.5.1 Engineering Information & Drawings

The following engineering information & drawings provide details function diagrams
of specific system:
 JTB-RJJ-000-M0-DTS-…….._Rev_.. Data Sheet of …………….
 JTB-RJJ-000-P0-PID-……….._Rev_.. P&ID …………..
 JTB-RJJ-000-…………_Rev_.... Installation, Operation and Commissioning
Manual for ……….
 JTB-RJJ-XXX-XX-XXX-XXX Equipment Strategy documents
 JTB-RJJ-XXX-XX-XXX-XXX Material Handling Study
 Manual handling Procedure

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2 HEALTH, SAFETY AND ENVIRONMENTAL CONSIDERATIONS
2.1 Permit and Job Safety Analysis (JSA)

Approved permits. and a Job Safety Analysis (JSA) are required when working in
operations areas. All engineering and management safeguards must be applied
before any work activities begin.
See the "Work Management System" for guidance on the permits required when
implementing this procedure.
2.2 Personal Protective Equipment (PPE)
2.2.1 Operators are required to wear the appropriate Personal Protective Equipment
(PPE) at all times. PPE includes:
a) Safety helmet with chin strap.
b) Safety glasses or (where appropriate) safety goggles.
c) Safety shoes with steel toes and non slip soles.
d) Coverall (wear pack)
e) Ear plug
f) Hand gloves
g) Personal Gas Detector (including detecting H2S)
2.2.2 Additional PPE must be worn where required for the job or the location:
……………..
2.2.3 Special PPE must be worn where required for the specific job or the location:
a) Breathing Apparatus
2.2.4 Environmental Precautions

Commissioning is conducted in accordance with governmental requirements for
protection of the environment. All Hydrocarbon liquid such as lube oil and grease
shall be drained to the available and proper location.
All rubbish from commissioning activities shall be collected and throw to garbage bin.
2.2.5 Special Safety Considerations

The following activities are essential to conducting work safely:
 The Health, Safety and Environment (HSE) Technician or Operator will
conduct a safety briefing prior to the start of any work that is not normal
operations. Complete a JSA prior to starting the work.
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 Obtain all required work permits for procedure execution. Ensure all fire
protection systems are working properly. Ensure all safety systems are
available and working properly. Follow good housekeeping practices.
 Immediate guards must be in place when working in rotating equipment.
 A safety harness must be worn when working on high.
 High temperatures may be present on the area, Be cautious of radiation
heat. Hot signs must be put in the appropriate area.
 Self-Contained Breathing Apparatus (SCBA) and/or Breathing Apparatus
Station is available around LP Flare System Area.
 Be aware of slip hazards on the concrete base area.
 Each technician should have a radio communications, tested and tuned to the
correct frequency. Maintain communications with the DCS Central Control
Room (CCR) as appropriate.
2.3 Requirement
2.3.1 Commissioning Personnel Requirement

Only qualified commissioning personnel are assigned to do commissioning activities.
To qualify for the commissioning task, the personnel must successfully complete the
following:
a) Apprenticeship program
b) Commissioning orientation
c) Safety training series
d) Firefighting training
e) H2S awareness training
f) SIKA training
g) K3 Migas Training
h) Commissioning tools training
i) ….. (add if required)
2.3.2 Contractor Qualification

Third party Contractors are utilized for specific assignments; the skills required of
contractors are job-specific.
! IMPORTANT: Qualified commissioning personnel must monitor contractors to

ensure
the job is executed safely.
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3 PROCEDURE CLASSIFICATION RISK ASSESMENT
Put matrix and data from Task Classification
4 HAZOP, HAZID, and SIL
HAZOP, HAZID, and SIL documents have been reviewed and no required action
HAZOP, HAZID, and SIL close out for this Commissioning Procedure
5 TOOLS, DOCUMENT AND MATERIAL
The tools, material, listed in table below are used in the commissioning of the ………
No Tools/Document/Material Details
1. Basic Tools
2. Special Tools
3. Heavy Equipments
4. Lifting Equipments
5. Scaffolding/Movable
platform
6. Safety Equipments
7. Manual book
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8. Checklist Form
9. Materials/Parts
10. Consumables
6 GENERAL WORK PREPARATION
Below general preparation should be done before commencing all the commissioning task in
this procedure:
a) Prepare JSA and Permit to Work
b) Prepare related documentation: WO, Work package, Procedures, manual book, drawing,
MSDS, inspection data, commissioning form
c) Prepare tools and materials, including related LOTO
d) Prepare complete necessary PPE related to the work
e) Tool box talk session
f) (add if required)
7 PRE COMMISSIONING TASK
7.1 Specific Work Preparation

The following procedure details the step to be undertaken before working on Commissioning
Task 1:
7.1.1. Electrical Isolation & Grounding Work
Ste Action/Remarks Done Reference
p by
1. (step by step action started in capital verb, complete
with picture if necessary)
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7.1.2. Process Isolation Work
p by
7.1.3. Inerting/purging Work

p by
7.2 Sub task 1

The following procedure details the step to be undertaken to do Sub Task 1:

p by
7.3 Sub task 2


p by
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7.4 Sub task 3
p by
7.5 Task Completion Work

The following procedure details the step to be undertaken after finish working on
Commissioning Task 1:

p by
8 COMMISSIONING TASK
8.1 Specific Work Preparation

The following procedure details the step to be undertaken before working on Commissioning
Task 2:
8.1.1. Electrical Isolation & Grounding Work
8.1.2. Process Isolation Work
8.1.3. Inerting/purging Work
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8.1.4.
8.2 Sub task 1


p by
8.3 Sub task 2


p by
8.4 Sub task 3

p by
8.5 Task Completion Work

The following procedure details the step to be undertaken after finish working on
Commissioning Task 2:

p by
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9 FEED BACK FORM
The following table lists describes feedback forms that requires to be filled with
suggestion, improvement of any deviation step unclear and/or error text, tag number,
drawing and etc.
Section Suggestion/ Deviation/Action

No. Action By Sign
No. Improvement Unclear
1.
2.
3.
4.
5.
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APPENDIX 1: Form Pre Commissioning Checklist for …… (Put all checklist here)
APPENDIX 2: Form Commissioning Checklist for
APPENDIX 3:
Document No : CM-
Revision :
document.

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TITLE OF PROJECT

Document Title : Commisioning Document for ……..

VENDOR/SUBCONTRACTOR CONTRACTOR COMPANY

0 Issued For Use

Contract No : CONTRACTOR Document No: PAGE 1 OF ……

Rev. Date Section Description

A All Issued for Internal Review

0 All Issued for Use

Indicates a potential hazard minor or

1.2 General Overview

No. Area Tag

1.4 Abbreviation (add ITEM or develop TABLE if required)

1.5.1 Engineering Information & Drawings

2.1 Permit and Job Safety Analysis (JSA)

2.2 Personal Protective Equipment (PPE)

2.2.4 Environmental Precautions

2.2.5 Special Safety Considerations

2.3.1 Commissioning Personnel Requirement

2.3.2 Contractor Qualification

! IMPORTANT: Qualified commissioning personnel must monitor contractors to

Put matrix and data from Task Classification

4 HAZOP, HAZID, and SIL

5 TOOLS, DOCUMENT AND MATERIAL

6 GENERAL WORK PREPARATION

7 PRE COMMISSIONING TASK

7.1 Specific Work Preparation

7.1.3. Inerting/purging Work

7.2 Sub task 1

Ste Action/Remarks Done Reference

7.3 Sub task 2

Ste Action/Remarks Done Reference

7.5 Task Completion Work

Ste Action/Remarks Done Reference

8.1 Specific Work Preparation

8.1.2. Process Isolation Work

8.1.3. Inerting/purging Work

8.2 Sub task 1

Ste Action/Remarks Done Reference

8.3 Sub task 2

Ste Action/Remarks Done Reference

8.4 Sub task 3

8.5 Task Completion Work

Ste Action/Remarks Done Reference

9 FEED BACK FORM

Section Suggestion/ Deviation/Action

APPENDIX 2: Form Commissioning Checklist for

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