CLASSIFICATION: C1 - CONTROLLED

QFM-R-HSS-FM107
R-1

Confined Space Rescue Plan

Confined space entry: Inert atmosphere Normal atmosphere
Equipment no.: 21AT-701 Unit/Location: 21 TANK AREA
Location of manway for entry: AT GRADE ROAD CROSSING BOX CULVERT
Manway size/Area (cm2 ): 155x161 cm (Removing 2 plates) Manway elevation (meter):
Grade
Work activity description: LAYING OF SAMPLE TUBES (2RUNS-PFA) FROM MASS
SPECTROMETER SAMPLING POINT TO ANALYSER SHELTER (AH-701) INLET.
Maximum no. of people working inside based on JHA: 2
Stand-by rescue personnel at manway: QatarEnergy Contractor N/A
Rescue Team at location: QatarEnergy Contractor N/A
1. Communication Controls: (minimum 1 to be marked Yes)
Minimum requirements will Yes No Provide details as required:
include:
(a) Communication via voice/direct YES
sight
(b) Communication via two way NO
radio
(c) Communication via hand signals YES
(d) Communication via rope signal YES
(e) Other means of communication YES Via Ex-Mobile/Sound Signal
2. Rescue Requirements: (minimum 1 to be marked Yes)
Minimum provisions required: Yes No Provide details – Specifically for Complex
Scenarios:
(a) Safety harness/rescue kit in NO
vicinity with competent user(s)
(b) Specific scaffolding erected NO
(c) Specific fire fighting provisions NO
(d) First aid kit in vicinity YES
(e) Safety Lines/Shock absorbers NO
(f) Others NO
3. Methods of Rescue: (minimum 1 to be marked Yes)
Requirements can include: Yes No Provide details as required:
(a) With SCBA YES If applicable after gas test
(b) With Air Purifier NO
(c) With an Air Purifying Device NO
(d) With a Supplied-Air Device YES
(e) Tripod YES Tripod with Winch
(f) Beam NO
(g) Stairwell NO
(h) Support Strut/Column NO
(i) Overhead NO
(j) Others NO

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CLASSIFICATION: C1 - CONTROLLED

QFM-R-HSS-FM107
R-1

Description of Action plan

The emergency rescue plan was developed to enable a quick respond for all potential emergency
situations arising while working under the Box Culvert.

Throughout the activity, there will be hole watcher standing by at the entry where the Box culvert cover
was removed. Hole watcher will control personnel entry and exit through the road crossing culvert pit
cover opening. He shall inform QatarEnergy emergency rescue team & incident controller if he found
any incident or person trapped underneath the rod crossing culvert.

The communication between hole watcher and personnel working underneath the road crossing Box
culvert will be through direct eye sight and voice. Intermittent voice communication will be held to
ensure that personnel underneath the Box Culvert is in good condition.

Buddy system shall be used while going underneath the road crossing box culvert.
Diagram of Confined Space with location of Manway for entry

Emergency Telephone no: 135 Call in case of any emergency inside confined space for
additional help.

Confined space Rescue Plan - Prepared by:

 For the job performed by Contractor, Contractor shall prepare the Confined space Rescue Plan and
submit to PA who will review and attach for permit processing.
 For the Job performed by QatarEnergy, PA shall prepare the Confined space Rescue Plan and
attach for permit processing.
Name: Staff no.: Signature: Company: Date:

PA/Worksite supervisor during execution:

Informed Stand-by rescue personnel at manway (if applicable):
Informed Rescue Team at location (if applicable):

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CLASSIFICATION: C1 - CONTROLLED

QFM-R-HSS-FM107
R-1

Name: Staff no.: Signature: Company: Date:

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