AUTHORIZATION FORM

HIGH-RISK ACTIVITIES AFTER NORMAL WORKING HOURS

Location: Govt. Gate, Main Gate, Computer Gate, Sulfur Gate, Main Plant Area(South, East ,West,North), Flare
Area (South, East ,West,North)and Sulfur Fence Area (South, East ,West,North, UPS Building)

Start Date: _June 1- June 30, 2024 Time: 5:00 A.M Duration: 4:00 P.M – 10:00 P.M.

Initiator: _Ben-Hur Q. Salvatierra

DESCRIPTION OF THE JOB (Project, Activity)

REBAR WORK, COMPACTION, PAINTING, COATING & SURFACE PREPARATION, COMPACTION & BACKFILLING,
MANUAL AND MECHANICAL EXCAVATION, TRENCH BACKFILLING, CABLE LAYING, FENCE AND WARNING TAPE
INSTALLATION, GROUNDING WORK, CABLE TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING ,
CONDUIT INSTALLATION, PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC
CABLE PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION,LOADING/UNLOADING.
HIGH-RISK ACTIVITIES TO BE PERFORMED Yes No
Does the activity involve opening of equipment that have the potential to contain hazardous materials, √
and/or require isolating sources of energy?

Does the activity have the potential to develop sparks, flames or sufficient heat to cause ignition? √

Does the activity involve entry into process equipment or enclosures that has the potential to contain √
hazardous materials?
Does the activity require excavation around known or suspected underground lines, working at heights or √
crane lift?
Others [Please Specify]:

JUSTIFICATION POINTS FOR HIGH-RISK ACTIVITIES Yes No

√
Must the activity be performed after normal working hours?

√
Have the necessary risk assessments, plans, and procedures been thoroughly reviewed and approved?

√
Are the necessary resources available for conducting the activities?

√
Will adequate supervision and oversight be provided during the execution?

√
Will required controls be implemented during the execution?

√
Is there a detailed Emergency Response Plan in place to address any potential incident during the execution?

ADDITIONAL JUSTIFICATION AND BUSINESS NEED

I hereby authorize the execution of the above activities to be performed after normal working hours in accordance with Saudi
Aramco safety requirements and procedures.

Recommended by: Division Head Approved by: Department Head

Signature: ________________ Signature: _______________

Date: ____________________ Date: ___________________

Approved forms must be shared with area Loss Prevention office prior to commencing the activities.

Saudi Aramco: Company General Use

 AUTHORIZATION FORM

HIGH-RISK ACTIVITIES AFTER NORMAL WORKING HOURS

Location: Govt. Gate, Main gate, Computer gate, Sulfur Gate, Main Plant Area(South, East ,West,North), Flare area
(South, East ,West,North)and Sulfur Fence Area (South, East ,West,North, UPS Building)

Start Date: _June 1- June 30, 2024______________ Time:_5:00 A.M Duration: 4:00 P.M – 10:00 P.M.

Initiator: _Ben-Hur Q. Salvatierra

DESCRIPTION OF THE JOB (Project, Activity)

Excavation and Backfilling (Manual & Mechanical excavation for duct bank, MV & LV cable, Manhole)

HIGH-RISK ACTIVITIES TO BE PERFORMED Yes No

Does the activity involve opening of equipment that have the potential to contain hazardous materials, √
and/or require isolating sources of energy?

Does the activity have the potential to develop sparks, flames or sufficient heat to cause ignition? √

Does the activity involve entry into process equipment or enclosures that has the potential to contain √
hazardous materials?
Does the activity require excavation around known or suspected underground lines, working at heights or √
crane lift?
Others [Please Specify]:

JUSTIFICATION POINTS FOR HIGH-RISK ACTIVITIES Yes No

√
Must the activity be performed after normal working hours?

√
Have the necessary risk assessments, plans, and procedures been thoroughly reviewed and approved?

√
Are the necessary resources available for conducting the activities?

√
Will adequate supervision and oversight be provided during the execution?

√
Will required controls be implemented during the execution?

√
Is there a detailed Emergency Response Plan in place to address any potential incident during the execution?

ADDITIONAL JUSTIFICATION AND BUSINESS NEED

I hereby authorize the execution of the above activities to be performed after normal working hours in accordance with Saudi
Aramco safety requirements and procedures.

Recommended by: Division Head Approved by: Department Head

Signature: ________________ Signature: _______________

Date: ____________________ Date: ___________________

Approved forms must be shared with area Loss Prevention office prior to commencing the activities.

Saudi Aramco: Company General Use

 AUTHORIZATION FORM

HIGH-RISK ACTIVITIES AFTER NORMAL WORKING HOURS

Location: Govt. Gate, Main Gate, Computer Gate, Sulfur Gate, Main Plant Area(South, East ,West,North), Flare
Area (South, East ,West,North)and Sulfur Fence Area (South, East ,West,North, UPS Building)

Start Date: _June 1-June 30, 2024 Time:_5 A.M Duration: 4 P.M-10 P.M

Initiator: _Ben-Hur Q. Salvatierra

DESCRIPTION OF THE JOB (Project, Activity)

Hot Work (Concrete Pouring with Pump, Heavy Equipment Operation, Entry & using of Light and Heavy
Vehicle, Cutting, grinding , brazing )

HIGH-RISK ACTIVITIES TO BE PERFORMED Yes No

Does the activity involve opening of equipment that have the potential to contain hazardous materials,
√
and/or require isolating sources of energy?
Does the activity have the potential to develop sparks, flames or sufficient heat to cause ignition? √

Does the activity involve entry into process equipment or enclosures that has the potential to contain
√
hazardous materials?
Does the activity require excavation around known or suspected underground lines, working at heights or
√
crane lift?
Others [Please Specify]:
√

JUSTIFICATION POINTS FOR HIGH-RISK ACTIVITIES Yes No

Must the activity be performed after normal working hours? √

Have the necessary risk assessments, plans, and procedures been thoroughly reviewed and approved? √

Are the necessary resources available for conducting the activities? √

Will adequate supervision and oversight be provided during the execution? √

Will required controls be implemented during the execution? √

Is there a detailed Emergency Response Plan in place to address any potential incident during the
√
execution?
ADDITIONAL JUSTIFICATION AND BUSINESS NEED

I hereby authorize the execution of the above activities to be performed after normal working hours in accordance with Saudi
Aramco safety requirements and procedures.

Recommended by: Division Head Approved by: Department Head

Signature: ________________ Signature: _______________

Date: ____________________ Date: ___________________

Approved forms must be shared with area Loss Prevention office prior to commencing the activities.

Saudi Aramco: Company General Use

 AUTHORIZATION FORM

HIGH-RISK ACTIVITIES AFTER NORMAL WORKING HOURS

Location: Govt. Gate, Main Gate, Computer Gate, Sulfur Gate, Main Plant Area (South, East ,West,North), Flare
Area (South, East ,West,North)and Sulfur Fence Area (South, East ,West,North, UPS Building)

Start Date: _June 1- June 30, 2024 Time: 5:00 A.M Duration: 4:00 P.M – 10:00 P.M.

Initiator: _Ben-Hur Q. Salvatierra

DESCRIPTION OF THE JOB (Project, Activity)

Lifting ( Loading , unloading , Shifting of Materials, Equipment , fence post, pipes , concertina , Electrical
Cable Drums, Camera poles, Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors,
Panels, Space Frame, Shifting of Scaffolding Materials)

HIGH-RISK ACTIVITIES TO BE PERFORMED Yes No

Does the activity involve opening of equipment that have the potential to contain hazardous materials, √
and/or require isolating sources of energy?

Does the activity have the potential to develop sparks, flames or sufficient heat to cause ignition? √

Does the activity involve entry into process equipment or enclosures that has the potential to contain √
hazardous materials?
Does the activity require excavation around known or suspected underground lines, working at heights or √
crane lift?
Others [Please Specify]:

JUSTIFICATION POINTS FOR HIGH-RISK ACTIVITIES Yes No

√
Must the activity be performed after normal working hours?

√
Have the necessary risk assessments, plans, and procedures been thoroughly reviewed and approved?

√
Are the necessary resources available for conducting the activities?

√
Will adequate supervision and oversight be provided during the execution?

√
Will required controls be implemented during the execution?

√
Is there a detailed Emergency Response Plan in place to address any potential incident during the execution?

ADDITIONAL JUSTIFICATION AND BUSINESS NEED

I hereby authorize the execution of the above activities to be performed after normal working hours in accordance with Saudi
Aramco safety requirements and procedures.

Recommended by: Division Head Approved by: Department Head

Signature: ________________ Signature: _______________

Date: ____________________ Date: ___________________

Approved forms must be shared with area Loss Prevention office prior to commencing the activities.

Saudi Aramco: Company General Use

 AUTHORIZATION FORM

HIGH-RISK ACTIVITIES AFTER NORMAL WORKING HOURS

Location: Govt. Gate, Main Gate, Computer Gate, Sulfur Gate, Main Plant Area(South, East ,West,North), Flare
Area (South, East ,West,North)and Sulfur Fence Area (South, East ,West,North, UPS Building)

Start Date: _June 1- June 30, 2024 Time: 5:00 A.M Duration: 4:00 P.M – 10:00 P.M.

Initiator: _Ben-Hur Q. Salvatierra

DESCRIPTION OF THE JOB (Project, Activity)

Scaffolding ( Erection, Altering , Dismantling), Using of Man lift for Space Frame Installation, Erection of
Precast Panel, Spreading gravel on the Roof, Installation of HVAC, Fire Fighting Systems, Lights , Gypsum
board, Acoustic Ceiling, Concreting & Grouting (above 1.8 m )

HIGH-RISK ACTIVITIES TO BE PERFORMED Yes No

Does the activity involve opening of equipment that have the potential to contain hazardous materials, √
and/or require isolating sources of energy?

Does the activity have the potential to develop sparks, flames or sufficient heat to cause ignition? √

Does the activity involve entry into process equipment or enclosures that has the potential to contain √
hazardous materials?
Does the activity require excavation around known or suspected underground lines, working at heights or √
crane lift?
Others [Please Specify]:

JUSTIFICATION POINTS FOR HIGH-RISK ACTIVITIES Yes No

√
Must the activity be performed after normal working hours?

√
Have the necessary risk assessments, plans, and procedures been thoroughly reviewed and approved?

√
Are the necessary resources available for conducting the activities?

√
Will adequate supervision and oversight be provided during the execution?

√
Will required controls be implemented during the execution?

√
Is there a detailed Emergency Response Plan in place to address any potential incident during the execution?

ADDITIONAL JUSTIFICATION AND BUSINESS NEED

I hereby authorize the execution of the above activities to be performed after normal working hours in accordance with Saudi
Aramco safety requirements and procedures.

Recommended by: Division Head Approved by: Department Head

Signature: ________________ Signature: _______________

Date: ____________________ Date: ___________________

Approved forms must be shared with area Loss Prevention office prior to commencing the activities.

Saudi Aramco: Company General Use

 #

01-JUNE-2024 TO 30-JUNE-2024
4-Weeks Construction Look Ahead for Package-05 TANAJIB GAS PLANT
Stations Works
Work Station/s # Dicipline Activity Description Timing PERMIT TYPE

Heavy Equipment Operation, Entry & using of Light and Heavy Vehicle, Cutting, grinding , brazing
, Loading , unloading , Shifting of Materials, Equipment , Electrical Cable Drums, Camera poles,
1 MECHANICAL Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors, Panels, Space Frame, 16:00 - 22:00 INTERNAL PERMIT
Shifting of Scaffolding Materials)Installation of HVAC, Fire Fighting Systems, Cutting, Grinding ,
Brazing.

GOVERNMENT
2 ELECTRICAL CABLE LAYING, FENCE AND WARNING TAPE INSTALLATION, GROUNDING WORK, CABLE 16:00 - 22:00 INTERNAL PERMIT
SECURITY GATE TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING , CONDUIT INSTALLATION,
PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC CABLE
PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION

Scaffolding ( Erection, Altering , Dismantling), Using of Man lift for Space Frame Installation,
Erection of Precast Panel, Spreading gravel on the Roof, Installation of HVAC, Fire Fighting
3
CIVIL Systems, Lights , Gypsum board, Acoustic Ceiling, Concreting & Grouting (above 1.8 m ) Manual & 16:00 - 22:00 INTERNAL PERMIT
Mechanical excavation for duct bank, MV & LV cable in Manhole, Concrete Pouring with Pump,
concrete Pouring .

Heavy Equipment Operation, Entry & using of Light and Heavy Vehicle, Cutting, grinding , brazing
, Loading , unloading , Shifting of Materials, Equipment , Electrical Cable Drums, Camera poles,
1 MECHANICAL Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors, Panels, Space Frame, 16:00 - 22:00 INTERNAL PERMIT
Shifting of Scaffolding Materials)Installation of HVAC, Fire Fighting Systems, Cutting, Grinding ,
Brazing.

2 ELECTRICAL CABLE LAYING, FENCE AND WARNING TAPE INSTALLATION, GROUNDING WORK, CABLE 16:00 - 22:00 INTERNAL PERMIT
MAIN GATE TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING , CONDUIT INSTALLATION,
PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC CABLE
PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION

Scaffolding ( Erection, Altering , Dismantling), Using of Man lift for Space Frame Installation,
Erection of Precast Panel, Spreading gravel on the Roof, Installation of HVAC, Fire Fighting
3
CIVIL Systems, Lights , Gypsum board, Acoustic Ceiling, Concreting & Grouting (above 1.8 m ) Manual & 16:00 - 22:00 INTERNAL PERMIT
Mechanical excavation for duct bank, MV & LV cable, Manhole Concrete Pouring with Pump,
Concrete Pouring

Heavy Equipment Operation, Entry & using of Light and Heavy Vehicle, Cutting, grinding , brazing
, Loading , unloading , Shifting of Materials, Equipment , Electrical Cable Drums, Camera poles,
1 MECHANICAL Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors, Panels, Space Frame, 16:00 - 22:00 INTERNAL PERMIT
Shifting of Scaffolding Materials)Installation of HVAC, Fire Fighting Systems, Cutting, Grinding ,
Brazing.

COMPUTER GATE 2 ELECTRICAL CABLE LAYING, FENCE AND WARNING TAPE INSTALLATION, GROUNDING WORK, CABLE 16:00 - 22:00 INTERNAL PERMIT
TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING , CONDUIT INSTALLATION,
PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC CABLE
PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION

Scaffolding ( Erection, Altering , Dismantling), Using of Man lift for Space Frame Installation,
Erection of Precast Panel, Spreading gravel on the Roof, Installation of HVAC, Fire Fighting
3 CIVIL Systems, Lights , Gypsum board, Acoustic Ceiling, Concreting & Grouting (above 1.8 m ) Manual & 16:00 - 22:00 INTERNAL PERMIT
Mechanical excavation for duct bank, MV & LV cable, Manhole Concrete Pouring with Pump,
Concrete Pouring.

Heavy Equipment Operation, Entry & using of Light and Heavy Vehicle, Cutting, grinding , brazing
, Loading , unloading , Shifting of Materials, Equipment , Electrical Cable Drums, Camera poles,
1 MECHANICAL Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors, Panels, Space Frame, 16:00 - 22:00 INTERNAL PERMIT
Shifting of Scaffolding Materials)Installation of HVAC, Fire Fighting Systems, Cutting, Grinding ,
Brazing. Fence post , Concertina, V support , Vinyl Coted Wire Mesh,

MAIN PLANT AREA

(WEST , EAST, SOUTH,
NORTH, UPS CABLE LAYING, FENCE AND WARNING TAPE INSTALLATION, GROUNDING WORK, CABLE
BUILDING) TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING , CONDUIT INSTALLATION,
2 ELECTRICAL 16:00 - 22:00 INTERNAL PERMIT
PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC CABLE
PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION

Scaffolding ( Erection, Altering , Dismantling), , Concreting & Grouting (above 1.8 m ) Manual &
3 CIVIL Mechanical excavation for duct bank, MV & LV cable, Manhole Concrete Pouring with Pump, 16:00 - 22:00 INTERNAL PERMIT
Concrete Pouring.

Heavy Equipment Operation, Entry & using of Light and Heavy Vehicle, Cutting, grinding , brazing
, Loading , unloading , Shifting of Materials, Equipment , Electrical Cable Drums, Camera poles,
1 MECHANICAL Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors, Panels, Space Frame, 16:00 - 22:00 INTERNAL PERMIT
Shifting of Scaffolding Materials), Cutting, Grinding , Brazing. Fence post , Concertina, V support ,
Vinyl Coted Wire Mesh,

FLARE AREA (WEST ,

CABLE LAYING, FENCE AND WARNING TAPE INSTALLATION, GROUNDING WORK, CABLE
EAST, SOUTH, TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING , CONDUIT INSTALLATION,
2 ELECTRICAL 16:00 - 22:00 INTERNAL PERMIT
NORTH,UPS BUILDING) PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC CABLE
PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION

Scaffolding ( Erection, Altering , Dismantling), , Concreting & Grouting (above 1.8 m ) Manual &
3 CIVIL Mechanical excavation for duct bank, MV & LV cable, Manhole Concrete Pouring with Pump, 16:00 - 22:00 INTERNAL PERMIT
Concrete Pouring.

# Saudi Aramco: Company General Use

 #

Heavy Equipment Operation, Entry & using of Light and Heavy Vehicle, Cutting, grinding , brazing
, Loading , unloading , Shifting of Materials, Equipment , Electrical Cable Drums, Camera poles,
1 MECHANICAL Lifting of Lighting Poles, Lifting of Precast Foundation, Transformers, Doors, Panels, Space Frame, 16:00 - 22:00 INTERNAL PERMIT
Shifting of Scaffolding Materials), Cutting, Grinding , Brazing. Fence post , Concertina, V support ,
Vinyl Coted Wire Mesh,

CABLE LAYING, FENCE AND WARNING TAPE INSTALLATION, GROUNDING WORK, CABLE
SULFUR FENCE (WEST , TERMINATION, MEGGER TESTING, CONDUITING , CONDUIT BENDING , CONDUIT INSTALLATION,
2 ELECTRICAL 16:00 - 22:00 INTERNAL PERMIT
EAST, SOUTH, PANELS INSTALLATION , , PRECOMMISSIONING OF EQUIPMENT/ ENERGIZATION , FOC CABLE
NORTH,UPS BUILDING) PULLING, FOC SUBDUCT INSTALLATION, FOC SPLICING AND TERMINATION

Scaffolding ( Erection, Altering , Dismantling), , Concreting & Grouting (above 1.8 m ) Manual &
3 CIVIL Mechanical excavation for duct bank, MV & LV cable, Manhole Concrete Pouring with Pump, 16:00 - 22:00 INTERNAL PERMIT
Concrete Pouring.

# Saudi Aramco: Company General Use