Permit Number P240-00-6761810 State Waiting For Verification Lifetime Expires On

Permit number : P240-00-6761810
State : Waiting for verification
Lifetime expires on
Industrial Cleaning - High
Title Grit blasting of Roof Plates of SP-23 Tank.
Description of work: • Mobilization of Material & Manpower to site

• Site Preparation – Installation of green net with roof reeling for enclosed space
• Grit blasting of Roof plate of SP-23
• Barricade & Removal of green net after grit blasting.
• Housekeeping & Demobilisation
Emergency Information
Muster point Assembly Point
Communication VHF Channel 1, Ext 224
Other Emergency Information Arrange TBM before start of work

Follow the manual handling protocol
Follow the ERP protocol
Details
Planned Start Date: 25 Mar 2024
Planned End Date: 01 Apr 2024
Site: DS T&S East Keamari
Area Authorization DS T&S East Keamari
Work locations: P240 - B - Upper Tank Farm
Equipment description: Storage Tank Terminal B (P240-TANKS_B)

Tank, SP-23 SUPLL (P240-SP23)
Hazardous Substance and Hazardous Area Grit
classification
Work order number:
Work Performer: Naseem and Son
Vehicles, Equipment and Tools to be used Scaffolding Material,, green net, grit , compressor, hopper and other general hand tools
Expected Number of People 15
ICC Requirement Full P240-00-6385660
Is Start Work Check required? No

Selected Checklists: Energy Isolation, Hot Work, Working At Height
Lead Discipline: Maintenance
Initial Gas test by Authorised Person: Yes
Continuous gas monitoring required? No
Influence of nearby activities:
Hazardous Area Classification Zone 1
General comments
Any information entered should not affect the Ensure Gas testing before starting work
assigned risk level, identified hazard/controls Ensure Proper Housekeeping
or permit type:
Initial signatures
P240-00-6761810 25/03/2024 09:25 Page 1 of 47

Type Name: Date: Dep./Company:
Request by Permit Requester Mohammed Arshad 25 Mar 2024 09:24 Naseem & Sons
Signature History
Type Name: Date: Dep./Company: Remarks:
Request by Permit Requester Mohammed Arshad 25 Mar 2024 09:24 Naseem & Sons
P240-00-6761810 25/03/2024 09:25 Page 2 of 47

Industrial Cleaning Workpermit
P240-00-6761810
Substances to be measured Carbon Monoxide [CO <35ppm]
Hydrocarbon [LEL <1perc]
Hydrogen Sulphide [H2S <10ppm]
Oxygen [O2 20perc - 21.5perc]
Note - The printed measurement are the last measurement for each substance, entered into Permit Vision
Date Time Substance Value Signer Remarks
P240-00-6761810 25/03/2024 09:25 Page 3 of 47

Keep this record with the PTW paper copy, & display these at the worksite
All members of the work party have participated in the LMRA and are Name of holder
familiar with the Jobscope and Hazard&Controls.
Company
Name Initials Name Initials
Permit number P240-00-6761810
......................... ......................... ......................... .........................
Date
......................... ......................... ......................... .........................
......................... ......................... ......................... ......................... What kind of work are you going to do?
......................... ......................... ......................... ......................... Grit blasting of Roof Plates of SP-23 Tank.
......................... ......................... ......................... .........................
Has the Permit Issuer discussed the hazards & Does the work party know the emergency alarm
controls with the Permit Holder? Yes n/a and action required in event of an alarm or Yes n/a
accident?
Has the Permit Holder warned others that may be
affected by your work? Yes n/a Does the work party know the most effective Yes n/a
escape route and the location of the nearest
muster point?
Is there conflicting work that may affect you? Yes n/a Yes n/a
Does the work party know the location of the
If yes describe hazards and controls below.
nearest eyewash station, emergency shower, first
aid kit and AED device?
Are there additional hazards that need to be controlled? If newly identified hazards are material changes to the permit, contact Permit Issuer!
Hazards Controls / Recovery Measures
.............................................................................................................. ..............................................................................................................
.............................................................................................................. ..............................................................................................................
.............................................................................................................. ..............................................................................................................
Pictograms for key hazards Indicate which Life Saving Rules are applicable.
Bypassing Safety Confined Space Driving

Controls
Obtain authorization Obtain authorization before Follow safe driving rules

FIRE AND MOTION PEOPLE
before overriding or entering a confined space
EXPLOSION
disabling safety controls
Energy Isolation Hot Work Line of Fire
Verify isolation and zero Control flammables and Keep yourself and others out
PRESSURE TOXICS energy before work ignition sources of the line of fire
begins
Safe Mechanical Work Authorisation Working At Height
Lifting
Plan lifting operations and Work with a valid permit Protect yourself against a fall
control the area when required when working at height
P240-00-6761810 25/03/2024 09:25 Page 4 of 47

Start-Work Checks | Energy Isolation
Start Work Authority: Confirm below are in place and verified prior to starting work
Save Your Life Actions Person(s)
Start-Work
All exposed person(s) performing work must confirm each of the action Performing
Verifier
items below Work
(initial)
(initial)
Checklist
I have confirmed:
1 The circuit, system, and/or equipment to be worked on, is identified
in the isolation plan or drawing.
2 All hazardous energy sources have been identified.
3 Isolation points are identified per the isolation plan and/or drawing.
4 Isolation devices are set in the identified position per isolation plan
or drawing.
5 The locks and tags are installed on the equipment/devices per the
isolation plan.
6 Zero energy state has been verified, proven and demonstrated.
Stop and seek help if any of the above controls/safeguards are not in place
Role Printed Name Date

Start -Work Verifier
P240-00-6761810 25/03/2024 09:25 Page 5 of 47

Save Your Life Actions | Energy Isolation
Start Work Authority: I will not start work until I confirm...
Actions How to (examples)
Checklist
1 The circuit, system, and/or equipment to be worked on, is identified in • Tags or markings identify the circuit, system and/or equipment indicated by the isolation plan or drawing.
the isolation plan or drawing.
2 All hazardous energy sources have been identified. • Complete a task risk assessment specific to the scope of work
• Discuss hazards with the work team prior to starting work
• Inspect equipment for potential energy sources (e.g., electrical, pressure, hydraulic, mechanical, etc.)
• Identify and mitigate hazards on any nearby energized circuit/systems/equipment
3 Isolation points are identified per the isolation plan and/or drawing. • All isolations points are in place and tagged or marked (i.e., use isolation diagram, Equipment Isolation Procedure, P&IDs, or Process Flow Diagrams).
4 Isolation devices are set in the identified position per isolation plan or • Valves are open or closed per the diagram and/or plan.
drawing. • Blinds, spades and skillets are:
• stamped or certified for the pressure rating of the equipment.
• installed per the diagram and/or plan
• Electrical isolation points are open/switched off or disconnected from power source
5 The locks and tags are installed on the equipment/devices per the • All isolations are in place and tagged or marked (i.e., use isolation diagram, Equipment Isolation Procedure, P&'IDs, or Process Flow Diagrams).
isolation plan. • Lock out tagout devices are on isolation points
• Keys are in a designated secure location
Note: If a lock is unable to be placed, confirm hazardous energy source(s) points are isolated and secured per isolation plan.
6 Zero energy state has been verified, proven and demonstrated. • Demonstrate powered equipment cannot be started.
• Systems (lines, gauges, etc.) have been tested for residual or stored energy by:
• Check bleed and vent points are open to release stored energy
• Check gauges, measurements & volt meters
Note: If zero energy is not possible, STOP and

• Confirm controls/safeguards are in place, functioning, operated and maintained to manage the risk from residual energy
P240-00-6761810 25/03/2024 09:25 Page 6 of 47

Start-Work Checks | Hot Work
Start-Work
Verifier
items below Work
(initial)
(initial)
Energy Isolation
I have confirmed:
1 The Hot Work has been evaluated for Energy Isolation requirements.
Does Hot Work require Energy Isolation? If Yes: Complete Energy
Isolation Start-Work Check. If No: Continue to the next step2.
Hot Work
I have confirmed:
2 The hazards have been identified, controlled and it is safe to start.
3 Is the Hot Work in a Hazardous area? If Yes: Confirm the initial gas
test has been completed. If No: Move to Step 5
4 The Hot Work atmosphere will be continually monitored.
5 Ignition sources are identified and controlled.
6 Flammable/combustible materials have been removed or isolated.

P240-00-6761810 25/03/2024 09:25 Page 7 of 47

Save Your Life Actions | Hot Work
Energy Isolation
1 The Hot Work has been evaluated for Energy Isolation requirements. • All potential energy sources have been identified, isolated and locked and tagged per isolation plan.
Does Hot Work require Energy Isolation? If Yes: Complete Energy • The system has been drained, flushed, or purged to remove flammable/explosive materials or gases.
Isolation Start-Work Check. If No: Continue to the next step2.
Hot Work
2 The hazards have been identified, controlled and it is safe to start. • Complete a task risk assessment specific to the scope of work
• Discuss hazards with the work team prior to the start of work
• Check for simultaneous operations that may introduce an additional hazards
3 Is the Hot Work in a Hazardous area? If Yes: Confirm the initial gas test • The initial gas test has been completed by a Qualified Gas Tester.
has been completed. If No: Move to Step 5 • At all openings below and above the hot work area
• At a minimum distance around the hot work area
• Gas readings are within the required range
Note: Confirm gas testing outside of defined hazardous area if required for other reasons. Gas testing should be in compliance with company
requirements and applicable regulations.
4 The Hot Work atmosphere will be continually monitored. • Follow-up test frequency is documented (e.g., permit) before starting work.
Note: 'Continually' monitored means periodic monitoring of the atmosphere with a defined frequency or continuous monitoring throughout the duration
of work activities.
5 Ignition sources are identified and controlled. • Barriers are in place to prevent ignition in the hot work area:
•Drains, gaps, openings in tanks or piping have been covered/sealed
•Vents are isolated/routed away from the area
• A trained Fire Watch has been designated and is at the work location.
• Firefighting equipment is inspected, on site and fully functional.
6 Flammable/combustible materials have been removed or isolated. • All flammable/combustible materials have been removed or, if not removed, measures (e.g., fire blankets) are in place to shield them from ignition
sources
P240-00-6761810 25/03/2024 09:25 Page 8 of 47

Start-Work Checks | Working At Height
Start-Work
Verifier
items below Work
(initial)
(initial)
Checklist
I have confirmed:
1 The hazards are identified, controlled and it is safe to start.
2 My fall protection equipment is: •certified •inspected •rated •fit for
the task
3 The fall protection harness is adjusted to fit.
4 The approved anchor point(s) are in place for 100% tie off.
5 If a fall occurs, the fall path is clear.
6 The tools/materials being used at height are secured.
7 Barriers and drop/exclusion zones are in place.
8 The rescue plan is in place and is ready to be used.

P240-00-6761810 25/03/2024 09:25 Page 9 of 47

Save Your Life Actions | Working At Height
Checklist
1 The hazards are identified, controlled and it is safe to start. • Complete a task risk assessment specific to the scope of work
• Discuss hazards with the work team prior to the start of work
• Check for simultaneous operations that may introduce additional hazards
2 My fall protection equipment is: •certified •inspected •rated •fit for the • Fall Protection equipment includes fall arrest and/or fall restraint
task • Full body harness is load rated to support the weight of the worker
• Check every strap, buckle, fitting and/or grommet for signs of wear on fall protection harness.
• Fall arrest system contains a self-retracting lifeline or shock absorbing lanyard
• Fall restraint contains a fixed lifeline configured to prevent the worker from reaching the edge and falling
• Fall arrest is shorter than the potential fall distance
Note: Stop and notify supervisor if the fall protection equipment has excessive wear/damage/mechanical malfunction or is not fit for the task.
3 The fall protection harness is adjusted to fit. • Only full body harnesses are used
• Harness straps are not twisted
• Harness body straps are adjusted for close body fit (i.e., no slack)
Note: Use of body belts is not allowed.
4 The approved anchor point(s) are in place for 100% tie off. • 100% tie off can occur outside of protected areas (such as an elevated work area not enclosed by handrails)
• The anchor point meets regulatory/company requirements
• The position(s) of anchor points allow for 100% tie off
• The number of anchor-points available allow for 100% tie off
• Pull on the connecting device to test if attachment is secure.
Note: Confirm anyone working at height is 100% tied off at all times (e.g., at least one hook must be anchored at all times).
5 If a fall occurs, the fall path is clear. • Fall protection is fit for purpose to protect the worker if they fall
• Fall arrest distance is shorter than fall distance to first obstruction
• If the worker is likely to swing, check that the path is free of obstructions
• Mobile obstructions have been removed from fall path
6 The tools/materials being used at height are secured. • Tools used at heights have securing wire/lanyards/tethers
• Materials used at height are secured in storage boxes, pouches, bags etc.
• Cover openings to lower levels (e.g., grating, gaps etc.) or use debris nets
Note: Follow the site/company dropped object prevention program (e.g., Work at Height tool register)
7 Barriers and drop/exclusion zones are in place. • Identify drop/exclusion zones

• Control access to drop/exclusion zones during work at height (e.g., attendant or physical barriers)
8 The rescue plan is in place and is ready to be used. • The rescue plan has been discussed, including:
• how to start the rescue response for person(s) in the water
• location of rescue equipment (i.e. fast rescue craft, pole hooks, life rings)
• The rescue crew:
• is available
• is aware of specific hazards related to this rescue
• can execute the rescue plan for the environment (e.g. stationary vs moving vessels, fixed dock / jetty, water flow/current, sea state)
• Escape routes are unobstructed
P240-00-6761810 25/03/2024 09:25 Page 10 of 47

RA/JHA P240-00-6761813
Attached to: Permit P240-00-6761810
Title: Grit blasting of Roof Plates of SP-23 Tank.
Team: Mohammed Arshad, Shaikh Ayyaz Rehman, Shariq Ahmed Approval:
Task steps Hazards Control measures Action party
Mobilization of Material & [.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
Manpower to site report if they are suffering from fatigue
[.PE.05.04] Monitor for signs of fatigue and intervene/stop work S Permit Holder
if necessary.
Ensure proper rest breaks S Permit Holder
[.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
and stop work when limit is exceeded.
[DS T&S - East PE.02] COVID-19 virus (PEOPLE) [DS T&S - East PE.02.01] No worker on site with symptom/s of S Permit Holder
COVID-19 (cough, colds, fever, shortness of breath, diarrhea,
sore throat)
[DS T&S - East PE.02.05] Thoroughly wash hands for at least S Permit Holder
20 sec before entering the terminal, before and after
break/lunch, after going to restroom, and leaving the site.
[DS T&S - East PE.02.06] Cover your mouth and nose with your S Permit Holder
covered wrist or tissue when you cough or sneeze
[DS T&S - East PE.02.07] Avoid touching your eyes, nose, or S Permit Holder
mouth
[.MO.12] Slips & Trips (MOTION) [.MO.12.01] Remove any trip hazards in the area, clean up any S Permit Holder
spills, wear anti-slip safety shoes
Ensure proper housekeeping S Permit Holder
Site Preparation – [.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
Installation of green net Risk Assessment discuss and agree the methods of
with roof reeling for communication within the work party, with Operations (if
enclosed space necessary) and with Emergency Responders (if necessary)
[.MO.05] Hand Tools - ALL (MOTION) [.MO.05.01] Flogging spanners are prohibited from use S Permit Holder
[.MO.05.02] The use of knives is prohibited S Permit Holder
[.MO.05.03] Wear appropriate hand protection suitable for task S Permit Holder
P240-00-6761810 25/03/2024 09:25 Page 11 of 47

RA/JHA P240-00-6761813
Don't use damage tools and equipment S Permit Holder

Ensure proper housekeeping S Permit Holder
Grit blasting of complete [.PE.08] Noise (PEOPLE) Ensure ear plugs during grit blasting work S Permit Holder
Roof of SP-23
[.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
Risk Assessment discuss and agree the methods of
communication within the work party, with Operations (if
necessary) and with Emergency Responders (if necessary)
Ensure proper housekeeping on daily basis S Permit Holder
[.MO.05] Hand Tools - ALL (MOTION) [.MO.05.03] Wear appropriate hand protection suitable for task S Permit Holder
Ensure proper PPEs suitable with the task S Permit Holder
[.TO.06] Dust, fume and Contaminants (TOXICS) [.TO.06.09] Ensure general ventilaton sufficient S Permit Holder
Ensure Proper dust mask S Permit Holder
Ensure KN-95 mask during painting work S Permit Holder
[.PR.01] Abrasive blasting (PRESSURE) [.PR.01.03] Erect a temporary enclosure around the open air S Permit Holder
blasting operation
Ensure Blasting hood during blasting activity S Permit Holder
● Ensure Ear Muffs during grit blasting for noise hazard
● Ensure Proper Dust Masks during grit blasting activity
● Ensure Area barricading & Safety Signage’s on site
● Ensure Housekeeping on site on daily basis
● Ensure Blasting unit is third party certified
[.PE.03] Emergency Response (PEOPLE) [.PE.03.01] A job specific emergency response plan must be S Permit Holder
available. The plan must be reviewed and understood by the
work party. The plan should include: Notifications, Roles and
Responsibilities, Initial Actions, Equipment and General Tactics
[.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
report if they are suffering from fatigue
if necessary.
P240-00-6761810 25/03/2024 09:25 Page 12 of 47

RA/JHA P240-00-6761813
[.MO.11] Sharp, abrasive objects (MOTION) Use cut resistant gloves S Permit Holder
[.FL.01] Flammable Materials - All (FIRE AND EXPLOSION) [.FL.01.01] A Fire Extinguisher shall be located at the work site. S Permit Holder
[.FL.01.06] Flammable and combustible material shall be S Permit Holder
removed and verified as hazard free from work area (including
void spaces and pockets of potential trapped material) and
surrounding area
Maintain a competent fire watch throughout the hot work. The S Permit Holder
fire Watch shall wear a High Visibility Vest
Removal of Barrications [.MO.12] Slips & Trips (MOTION) [.MO.12.01] Remove any trip hazards in the area, clean up any S Permit Holder
& green net after grit spills, wear anti-slip safety shoes
blasting.
[.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
report if they are suffering from fatigue
if necessary.
[.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
Risk Assessment discuss and agree the methods of
communication within the work party, with Operations (if
necessary) and with Emergency Responders (if necessary)
[.MO.05] Hand Tools - ALL (MOTION) [.MO.05.01] Flogging spanners are prohibited from use S Permit Holder
[.MO.05.02] The use of knives is prohibited S Permit Holder
[.MO.05.03] Wear appropriate hand protection suitable for task S Permit Holder
Never use damage tools and equipment S Permit Holder
Housekeeping & [.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
Demobilization and stop work when limit is exceeded.
[.MO.11] Sharp, abrasive objects (MOTION) Use cut resistant gloves S Permit Holder
P240-00-6761810 25/03/2024 09:25 Page 13 of 47

Isolation Certificate
ICC Number : P240-00-6385660
State : Isolation in place (Live)
Isolation Confirmation Certificate

Title Internal cleaning of NDP Tank SP-23
Reason for isolation 1. Mobilization of material and manpower to site Manually

2. Verify isolation & Gas testing
3. Installation of exhaust fan for forced ventilation & gas free
4. Internal Cleaning of Tank SP-23 Manually & Moping
5. After cleaning inspection will be done
6. Housekeeping
Details
Site DS T&S East Keamari
Working location P240 - B - Upper Tank Farm
Equipment description Keamari Terminal (P240)
Minimum Isolation Method required
Signature History
Type Name: Date: Remarks
Verify Isolation in place by Isolation Verifier Mirza Zeeshan Baig 26 Dec 2023 11:08
Isolate electrical low voltage isolation points by Isolation Owner (Electrical Low Voltage) Mirza Zeeshan Baig 26 Dec 2023 11:08
Isolate mechanical isolation points by Isolation Owner (Mech) Mirza Zeeshan Baig 26 Dec 2023 11:08
P240-00-6761810 25/03/2024 09:25 Page 14 of 47

Authorise by Isolation Authoriser Mirza Zeeshan Baig 26 Dec 2023 11:05
Verify by Isolation Verifier Mirza Zeeshan Baig 26 Dec 2023 11:05
Electrical low voltage isolation request by Isolation Owner (Electrical Low Voltage) Mohammad Anis 26 Dec 2023 11:05
Mechanical isolation request by Isolation Owner (Mech) Mohammad Anis 26 Dec 2023 11:05
Verify by Isolation Verifier Shahnawaz Khan 26 Dec 2023 10:40

(reverted)
Electrical low voltage isolation request by Isolation Owner (Electrical Low Voltage) Mohammad Anis 26 Dec 2023 09:58
(reverted)
Mechanical isolation request by Isolation Owner (Mech) Mohammad Anis 26 Dec 2023 09:57
(reverted)
P240-00-6761810 25/03/2024 09:25 Page 15 of 47

Isolation Scheme
Nr. PT ID Isolation Point Comments Type Method(s) Current State De-isolated Isolated lockout box Lockout UTI
state state no Key
1 1 250-p08-178B-11011 dispatch line Blind installed Mechanical Spade/Blind (Installed / Installed Removed Installed 23-11
Removed)
2 2 Vg-901B receipt line Blind intalled Mechanical Spade/Blind (Installed / Installed Removed Installed 23-12
Removed)
3 3 VG-334B Drain line valve Mechanical Spade/Blind (Installed / Installed Removed Installed 23-13
Removed)
4 4 Iso Valve, VG-320B 08-TRV-011B Mechanical Spade/Blind (Installed / Installed Removed Installed 23-14
(+300000341371) Removed)
5 5 Iso Valve, VG-326B T-0806B Mechanical Spade/Blind (Installed / Installed Removed Installed 23-15
(+300000373058) Removed)
6 6 Iso Valve, VG-779B 08-TRV-012B Mechanical Spade/Blind (Installed / Installed Removed Installed 23-16
(+300000341376) Removed)
7 7 VC-015B nrv Mechanical Spade/Blind (Installed / Installed Removed Installed 23-17

Removed)
8 8 Foam Non-Return Valve, VC-115B Mechanical Spade/Blind (Installed / Installed Removed Installed 23-18
SP-23 (+300000341531) Removed)
9 9 Level Gauge, 08-LG-2301B SP-23 Electrical Low Cable Connections Disconnected Connected Disconnec P-11
(+300000333863) Voltage (Disc / Conn) ted
10 10 Pressure Ind Trans, 08-PIT-2301B Electrical Low Cable Connections Disconnected Connected Disconnec P-12
SP-23 (+300000255751) Voltage (Disc / Conn) ted
11 11 Level Transmitter, 08-LT-2301B ATG Electrical Low Cable Connections Disconnected Connected Disconnec P-13
12 12 Level Switch HH, 08-LSHH-2301B Electrical Low Cable Connections Disconnected Connected Disconnec P-14
P240-00-6761810 25/03/2024 09:25 Page 16 of 47

De-Isolation Scheme
Nr. PT ID Isolation Point Comments Type Method(s) Current State De-isolated Isolated lockout box Lockout UTI
state state no Key
1 12 Level Switch HH, 08-LSHH-2301B Lock# E112 Electrical Low Cable Connections Disconnected Connected Disconnec P-14
2 11 Level Transmitter, 08-LT-2301B Lock# E113 Electrical Low Cable Connections Disconnected Connected Disconnec P-13
ATG SP-23 (+300000255750) Voltage (Disc / Conn) ted
3 10 Pressure Ind Trans, 08-PIT-2301B Lock# E114 Electrical Low Cable Connections Disconnected Connected Disconnec P-12
4 9 Level Gauge, 08-LG-2301B SP-23 Lock# E115 Electrical Low Cable Connections Disconnected Connected Disconnec P-11
(+300000333863) Voltage (Disc / Conn) ted
5 8 Foam Non-Return Valve, VC-115B Positive Isolated Tag# P-23-11 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-18
SP-23 (+300000341531) Removed)
6 7 VC-015B nrv Positive Isolated Tag# P-23-12 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-17
Removed)
7 6 Iso Valve, VG-779B 08-TRV-012B Positive Isolated Tag# P-23-13 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-16
(+300000341376) Removed)
8 5 Iso Valve, VG-326B T-0806B Positive Isolated Tag# P-23-14 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-15
(+300000373058) Removed)
9 4 Iso Valve, VG-320B 08-TRV-011B Positive Isolated Tag# P-23-15 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-14
(+300000341371) Removed)
10 3 VG-334B Drain line valve Positive Isolated Tag# P-23-16 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-13
Removed)
11 2 Vg-901B receipt line Positive Isolated Tag# P-23-17 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-12
Removed)
12 1 250-p08-178B-11011 dispatch line Positive Isolated Tag# P-23-18 Mechanical Spade/Blind (Installed / Installed Removed Installed 23-11
Removed)
P240-00-6761810 25/03/2024 09:25 Page 17 of 47

Date: 30th May, 2023 CERTIFICATE OF TRAINING
Ref No: ENV/N&S/WAHR/HSE/004/23
This Certificate is awarded to
Mr. Aziz KHAN

42000-0391388-5
Of
NASEEM & SON
For completing the course
Certificate No: ENV-N&S-WAHR-004-23
WORK AT HEIGHT & RESCUER

From
The ENV International, Pakistan
At SHELL LOBP KEMARI
Karachi - Pakistan
REMARKS: This certificate is issued after theoretical and practical evaluation of the individual. Where refresher session
Head of Inspection, Training &
is recommended after 01 year.
Certification
P240-00-6761810 25/03/2024 09:25 Page 18 of 47

S# 22, Faqeer Muhammad Goth, Opposite
Fast National University Bin Qasim Landhi Karachi- Pakistan
P: 021-34512244 | C: 0300-0062244
E: info@env.com.pk | W: http://www.env.com.pk
Inspection Certificate Of Sandblasting Unit
Client: Naseem & Son

Location: LOBP Kemari Terminal Karachi
Job reference: ENV/NS/0104/22
Inspection Date: 06th Dec, 2023
Next Inspection Date: 05th Dec, 2024
Code & Standard: OSHA -
Manufacturer & Year : AIRMAN P0707
Inspection Object: Compressor, Hooper, Hose Pipe
Certificate No.: ENV/NS/SBC-01/22
Over View of Sandblasting Unit
This document is issued by the The ENV International. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any other holder of this
document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The
Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents.
Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law.

P240-00-6761810 S# 22, Faqeer Muhammad Goth,25/03/2024
Opposite, Fast09:25
National University Bin Qasim Landhi Karachi- Pakistan Page 19 of 47
P: 021-34512244 | C: 0300-0062244, E: info@env.com.pk | W: http://www.env.com.pk
P: 021-34512244 | C: 0300-0062244
Inspection Activities:
Visual check of Hooper was carried out on the basis of its apparent condition.
1. Over all condition of the sandblasting unit found satisfactory.
2. Battery of the compressor was also found satisfactory along with its terminal.
3. Tire pressure was not proper inflated that has to be inflated at all time.
4. All pressure gauges of the compressor found satisfactory.

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P: 021-34512244 | C: 0300-0062244
5. Spark arrestor was also installed at the compressor.
6. Condition of the hose pipe of compressor was found satisfactory
7. Overall condition of hooper hose was found satisfactory.

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P: 021-34512244 | C: 0300-0062244
8. There is No such abnormal noise and leakage found in the compressor engine.
9. Overall condition of the hooper was found satisfactory.
10. Dead man switch was found satisfactory.

Opposite, Fast09:25
P: 021-34512244 | C: 0300-0062244
11. Presssure test of hoses was also found satisfactory.
12. Breathing face shield hood was found satisfactory but inside of the hood foam filter on air pipe can be installed for more
efficient work.
Findings: No significant defects were observed during visual examination.

Note: Based on Visual Examination found satisfactory. (Fit for intended use)
Prepared By Approved By
Atif Zaman Muhammad Sadiq

Opposite, Fast09:25
FIRE WATCH TRAINING
Date: 01th Dec, 2022

Ref No: ENV/N&S/FWT/HSE/018/22 CERTIFICATE OF TRAINING
Mr. Bakshi ROWAN

Of
NASEEM & SON
Certificate No: ENV-N&S-018-22
From
Karachi - Pakistan
Certification
P240-00-6761810 25/03/2024 09:25 Page 24 of 47

Emergency Response Plan
Naseem & Son
(ERP)
Naseem & Son
Scope:
Rescue Plan for Ground Level Activity
Emergency during working at height
Emergency of fire at work place / alarms sounds
Emergency during confined space (CS)
P240-00-6761810 25/03/2024 09:25 Page 25 of 47

(ERP)
Naseem & SON
Emergency Response/ Rescue Plan for Ground Level

Activity
Procedure for rescuing a suspended worker:

• All work will be immediately stopped
• Make verbal contact with the employee to help him stay calm
• The rescuers will start the rescue operation while the on-duty supervisor will inform the
Emergency Response Coordinators and the First Aid Team
• Meanwhile the rescuers took the charge for the few times to control the situation and respond to effected or
victim worker
• If the condition is normal so the work will resume after the short break of freshness.
• If something seems to be abnormal or any unsatisfied condition or the victim is not responding
• So, the rescuers will ease the victim into the stretcher.
• The victim will be sat on the ground for 15 minutes with his legs stretched W Shape to avoid
any impacts from trauma
• The first aid team will provide first aid to the victim and if needed, the victim may be
transported to a nearby hospital
• Before shifting victim to hospital inform to terminal in charge
• The supervisor will consult the ERP before resuming any activity
Rescue Team:
Aqil shah, Aziz khan, Qaim Shah
Rescue Equipment:
• Stretcher
• First aid kit
P240-00-6761810 25/03/2024 09:25 Page 26 of 47

(ERP)
Naseem & SON

Emergency Response/ Rescue Plan for Working at Height
Emergency Response/ Rescue Plan forWorking at Height
Procedure for rescuing a suspended worker:
• All work will be immediately stopped

• Make verbal contact with the employee to help him stay calm
• The rescuers will start the rescue operationwhile the on-duty supervisor will inform the
Emergency Response Coordinators and the First Aid Team
• 2 rescuers wearing safety harness will climb up to the platform with stretcher
• They will attach the stretcher with one end of the lifeline
• The rescuerson the scaffold will then release the D-ring of victim’s harness to free him from
the lanyard
• The 2 on-ground rescuers will confirm thatthey have full control of the lifeline and that the
lifeline is successfully supporting the victim
• The rescuers will ease the victim into the stretcher
• The on-ground rescuers will gradually lower the victim to the ground level
• The victim will be sat on the ground for 15 minutes with his legs stretched W Shape to avoid
any impacts from fall trauma
• The first aidteam will provide first aid to the victim and if needed, the victim may be
transported to a nearby hospital
• Before shifting victim to hospital inform to terminal incharge
• The supervisor will consult the ERP before resuming any activity
Rescue Team:
• Qaim Shah(Lifeline Operator) All the time will be on ground

• Mirwas Khan(Lifeline Operator) All the time will be on ground
• Sheraz Khan(Rescue at Roof)
• Aziz Khan(Rescue at Roof)
Rescue Equipment:
• Lifeline attached to a pulley mounted on the top of the fixed structure

• Stretcher
• 2 sets of safety harness for rescuers
• First aid kit
P240-00-6761810 25/03/2024 09:25 Page 27 of 47

(ERP)
Naseem & SON

Alternative Incident
Commander / First Incident Commander
Aider
Arshad
Qaim Shah
One Worker At call

Worker to move
Fire watch point (communication
stretcher
coordinator)
Rehman/Bakshi
Workers
Arshad
Worker to Move
Stretcher
Aqil & Aziz Khan
Sr. Details Contact #
1.
Project Manager 0300-2149743
2.
Alternative Incident Commander Qaim Shah
3.
Incident Commander 0315-2558624
4. One Worker At Call Point
( Communication coordinator) 0315-2558624
5.
Ambulance 115
6.
Police 15
7.
Fire DEPT 16
8.
Ranger’s Helpline 1101
9.
First Aider Abdul Rehman/ Sheraz
P240-00-6761810 25/03/2024 09:25 Page 28 of 47

(ERP)
Naseem & SON
Fire / Evacuation
Emergency Procedure
Laydown Area / Temporary site facilities
IN CASE OF EMERGENCY CONTROLLED EVACUATION
1. Leave the area and close doors In Non-fire situations threatening safety, such as
2. Activate wall mounted fire alarm building services interruption or hazardous
3. Fire watcher will extinguish fire or another material spill, building are evacuated underperson if he can
do direction of fire warden and emergency response
4. Report any information about fire to Shell team. The fire alarm should not be used toFIRE and
Safety Department evacuates a building without approval.
IF YOU AREON FIRE IF UNABLE TO EVACUATE
STOP where you are, DROP to floor or ground Call Emergency Number or VFX-224 & 225
and ROLL your body to smother the fire. Shell Emergency Number and N&S ERP
fire watcher will contain the fire Administration for emergency.
On spot by using fire extinguisher.
WHENFIRE ALRMSOUNDS
1. Calmly evacuate the building / container and Proceed to Assembly Point

3. Use an alternate route, if you encounter smoke or fire.
4. Follow instruction of emergency response services and fire wardens.
5. Report any one suspected remaining in the facility.
6. Reach to the assembly point leaving clear access foremergency services
7. Do not re-enteruntil authorized by fire / HSSE Department
P240-00-6761810 25/03/2024 09:25 Page 29 of 47

P240-00-6761810 25/03/2024 09:25 Page 30 of 47
Mr. Aqil Farhan SHAH

42401-6207713-1
Of
NASEEM & SON

From
Karachi - Pakistan
Certification
P240-00-6761810 25/03/2024 09:25 Page 31 of 47

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P240-00-6761810 25/03/2024 09:25 Page 37 of 47
FIRE WATCH TRAINING

Ref No: ENV/N&S/FWT/HSE/016/22 CERTIFICATE OF TRAINING
Mr. Abdul REHMAN

Of
NASEEM & SON
From
Karachi - Pakistan
Certification
P240-00-6761810 25/03/2024 09:25 Page 38 of 47

FIRST AID TRAINING

Ref No: ENV/N&S/FAT/HSE/022/22 CERTIFICATE OF TRAINING
Mr. Sheroz KHAN

Of
NASEEM & SON
From
Karachi - Pakistan
Certification
P240-00-6761810 25/03/2024 09:25 Page 39 of 47

FIRST AID TRAINING

Ref No: ENV/N&S/FAT/HSE/017/22 CERTIFICATE OF TRAINING
Mr. Abdul REHMAN

Of
NASEEM & SON
From
Karachi - Pakistan
Certification
P240-00-6761810 25/03/2024 09:25 Page 40 of 47

Mr. Qaim SHAH

42401-5264817-7
Of
NASEEM & SON

From
Karachi - Pakistan
Certification
P240-00-6761810 25/03/2024 09:25 Page 41 of 47

CLIENT: SHELL PAKISTAN LIMITED
Naseem & Son
CONTRACTOR: Naseem and Son
PROJECT TITLE: Grit blasting of roof plates of SP-23
METHOD STATEMENT:
Grit blasting of roof plates of

SP-23
Sign
Muhammad
Arshad
0 08-03-2024
ISSUED FOR Muhammad
APPROVAL Arshad
First submission
Rev Revision Description Prepared by Reviewed by Approved by
Date
Document reference number: P240-00-6693635
P240-00-6761810 25/03/2024 09:25 Page 42 of 47

REVISION LOG
Rev. Rev. Date Revised Revision Descriptions Remarks
No. page(s)
P240-00-6761810 25/03/2024 09:25 Page 43 of 47

Corresponding Permit to Work No.
Method Statement
F P240-00-6693635
The Permit Issuer, when developing the respective Permit forms, will use the Method Statement supplied.
Company: Naseem & Son Project: Grit blasting of roof plate Date: 09/03/2024
of SP-23
1. Description of works
What the work entails?
Grit blasting of roof plate of SP-23
How is it going to be completed? Summarise the operation
• Site Preparation – Installation of green net with roof reeling for enclosed space
• Grit blasting of Roof plate of SP-23
• Barricade & green net after grit blasting.
• Housekeeping & Demobilization
Where is the work going to be completed? (Summary – more details on section 5)

See detail in section 5
Duration of the work? (Stating any times when access to the Terminal will not be required.)
15 working Days.
Include site location drawings if appropriate?
NA
Are there any restrictions e.g. overhead power lines?
Nil
Are local permits required (Local regulations)?
Yes
Any other details
NA
2. Names of Responsible persons

Who is going to be working on the project?
Muhammad Arshad
Who will be in charge?

Muhammad Arshad
Who has specific responsibilities? E.g. Plant, personnel, materials, etc.
Muhammad Arshad, M Tehseen Khan
Who is to make contact with local authorities?
Muhammad Arshad
Any other details
3. Plant and Equipment
What plant equipment and tools are required to do the job?
Blasting unit, compressor, grit, hopper, paint, roller and other general hand tools
Scaffolding
no
• Loading of
materials (No)
• Others, specify
Nill
Form F – Method of Statement Distribution Permit to Work

Procedure System Version 3.0 May 2007 Page 1 of 2
P240-00-6761810 25/03/2024 09:25 Page 44 of 47
What certificates, if any, are required for plant or equipment?
Blasting Unit
What training, if any, is required for operatives?
Safety Orientation
4. Communications with the workforce

How are the procedures, hazards to be communicated to the workforce?
➢ After getting desired work permits, a group communication meeting shall be conducted to
convey the action plan in case of any change in condition, like bad weather (rain/ storm etc) or
any change in plant/process area in the form of fire, leak of gas/oil/water etc. and also in case
of fire alarm/hooter
➢ In case of any emergency and where alarm goes on, all personnel must be evacuated
immediately from the work place and must be report to muster point. Extreme care should be
considered to avoid any unlikely injury caused by panic
➢ In case of any injury occurred then rescue team shell be called up at the scene with all safety
precautions and take out the injured person using the stretcher and shift him at safe place to
provide him first aid or in case of severe injury the team should rush to nearest
hospital/medical Centre
➢ The incident shall be reported verbally to permit issuer and later incident report shall
beprepared and submit to client accordingly
Toolbox talks, safety meetings etc.
Toolbox meeting at the start of work regarding safe work.
Include records of any such meetings and record attendance.
Yes, toolbox form shall be filled on daily basis.
Other, specify.
PROPER HOUSE KEEPING.
5. How will the work be completed, i.e. Procedure step by step

Proposed Start date
08/03/2024
Step 1: Mobilization of Tools, Equipment’s to Site.
• Visual inspection of tools must be performed.

• Mobilize equipment and hand tools to site by using wheel barrow
• Equipment and tool will be mobilized to site with the help of persons and wheel barrow.
• Trained and competent resources must be deployed.
Step 2: Site Preparation – Installation of green net with roof reeling for enclosed space grit blasting
Purpose
• Ensure inspection before each use

• Ensure proper PPEs suitable with the task
• Ensure fixed spanners only
• Never use damaged tools & Equipment
• Ensure Use of walkways
• Ensure Lifesaving rules & Golden rules
Form F – Method of Statement Distribution Permit to WorkSystem
Procedure Version 3.0 May 2007 Page 4 of 5
P240-00-6761810 25/03/2024 09:25 Page 45 of 47
Step3 : Grit blasting of roof plate of SP-23
• Ensure Gas testing before starting work

• Ensure Blasting hood during blasting activity
• Ensure Ear Muffs during grit blasting for noise hazard
• Ensure Proper Dust Masks during grit blasting activity
• Ensure Area barricading & Safety Signage’s on site
• Ensure Housekeeping on site on daily basis
• Ensure Blasting unit is third party certified
• Ensure All tools and equipment’s is third party certified
• Ensure safe manual handling Techniques
• Ensure Painting after grit blasting on grit blasted area manually by using roller
• Ensure Proper Mask KN-95 during painting activity
• Ensure Housekeeping of Area
• Ensure fire extinguisher on site
Step 4: Removal of Hard Barricade & green net after grit blasting.

• Ensure proper PPEs suitable with the task
• Ensure fixed spanners only
• Never use damaged tools & Equipment
• Ensure Use of walkways
• Ensure Lifesaving rules & Golden rules
Step 5: Demobilization
• Ensure Proper Segregation of material

• Ensure Safe manual handling techniques
• Ensure Load is secured on trolley
Step 6: Housekeeping
• After completion of work housekeeping will be ensured
P240-00-6761810 25/03/2024 09:25 Page 46 of 47

P: 021-34512244 | C: 0300-0062244
EXAMINATION REPORT OF PULLEY

Supplier/Owner: Naseem & Son.
Place of Inspection: Shell LOBP - Karachi, Pakistan
Standard Reference: OSHA
Job Ref. No.: ENV/NS/INS-0456/23
Report No.: ENV/RINS/0456 (Rev-00)
Tag No.: ENV/NS/MPLY/001
Date of Examination: 02-October-2023
SCOPE OF WORK: VISUAL & OPERATIONAL EXAMINATION
Sr. Type of
Manufacturer Capacity Model TAG No. Remarks
No. Equipment
Pulley N/A 500 Kg N/A ENV/NS/MPLY/001 Satisfactory
01
Findings / Remarks:
Subject Pulley is approved for operations after visual inspection and operational Check, against provided Specification by
Client/Supplier.
Recommendation:
1) Ensure all safety instructions are clearly understood and that the operators are familiar with the winch controls.
2) Keep body parts and clothing away from all moving parts as well as the rope.
3) Never exceed the maximum load specified for the winch.
4) Avoid sudden shock or movement of the winch under load and use a slow consistent speed.
5) Always wear approved, appropriate Personal Protective Equipment (PPE)
6) Always ensure clear communication between the operator and other personnel involved with the task.
Conclusion:
It is found in Satisfactory Condition at the time of inspection for intended use only.
VALIDITY OF THIS CERTIFICATE 01 YEAR, FROM DATE OF INSPECTION 02nd October, 2023 to 01st October, 2024
This Certificate does not make any warranty/indemnity expressed or implied, relating to the above equipment. This Certificate
does not relieve seller/suppliers from their contractual responsibilities with regard to quality/quantity of this delivery nor does it
discrimination the buyer’s right of claim towards their seller/suppliers for compensation for any apparent and/or hidden defects
not detected during our inspection & testing or occurring thereafter.
INSPECTED BY REVIEWED BY
Atif Zaman (Senior Inspection Engineer) Muhammad Sadiq (Operation Manager)
P240-00-6761810 25/03/2024 09:25 Page 47 of 47

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Permit number : P240-00-6761810

State : Waiting for verification

Industrial Cleaning - High

Title Grit blasting of Roof Plates of SP-23 Tank.

Description of work: • Mobilization of Material & Manpower to site

Communication VHF Channel 1, Ext 224

Other Emergency Information Arrange TBM before start of work

Planned Start Date: 25 Mar 2024

Planned End Date: 01 Apr 2024

Site: DS T&S East Keamari

Area Authorization DS T&S East Keamari

Work locations: P240 - B - Upper Tank Farm

Equipment description: Storage Tank Terminal B (P240-TANKS_B)

Work Performer: Naseem and Son

Expected Number of People 15

ICC Requirement Full P240-00-6385660

Is Start Work Check required? No

Initial Gas test by Authorised Person: Yes

Continuous gas monitoring required? No

Influence of nearby activities:

Hazardous Area Classification Zone 1

P240-00-6761810 25/03/2024 09:25 Page 1 of 47

P240-00-6761810 25/03/2024 09:25 Page 2 of 47

Substances to be measured Carbon Monoxide [CO <35ppm]

Hydrocarbon [LEL <1perc]

Hydrogen Sulphide [H2S <10ppm]

Oxygen [O2 20perc - 21.5perc]

Date Time Substance Value Signer Remarks

P240-00-6761810 25/03/2024 09:25 Page 3 of 47

......................... ......................... ......................... .........................

Hazards Controls / Recovery Measures

Bypassing Safety Confined Space Driving

Obtain authorization Obtain authorization before Follow safe driving rules

P240-00-6761810 25/03/2024 09:25 Page 4 of 47

Role Printed Name Date

P240-00-6761810 25/03/2024 09:25 Page 5 of 47

Note: If zero energy is not possible, STOP and

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Role Printed Name Date

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P240-00-6761810 25/03/2024 09:25 Page 8 of 47

Role Printed Name Date

P240-00-6761810 25/03/2024 09:25 Page 9 of 47

Note: Use of body belts is not allowed.

7 Barriers and drop/exclusion zones are in place. • Identify drop/exclusion zones

P240-00-6761810 25/03/2024 09:25 Page 10 of 47

Title: Grit blasting of Roof Plates of SP-23 Tank.

Team: Mohammed Arshad, Shaikh Ayyaz Rehman, Shariq Ahmed Approval:

Task steps Hazards Control measures Action party

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Don't use damage tools and equipment S Permit Holder

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P240-00-6761810 25/03/2024 09:25 Page 13 of 47

Isolation Confirmation Certificate

Reason for isolation 1. Mobilization of material and manpower to site Manually

Working location P240 - B - Upper Tank Farm

Equipment description Keamari Terminal (P240)

Minimum Isolation Method required

P240-00-6761810 25/03/2024 09:25 Page 14 of 47

Authorise by Isolation Authoriser Mirza Zeeshan Baig 26 Dec 2023 11:05

Verify by Isolation Verifier Mirza Zeeshan Baig 26 Dec 2023 11:05

Verify by Isolation Verifier Shahnawaz Khan 26 Dec 2023 10:40

P240-00-6761810 25/03/2024 09:25 Page 15 of 47