PREVENTION PLAN FOR LIGHTS REPLACEMENT OCT 2022

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PSR/HSE/MS/AFR

HSE Prevention Plan


Effective date: 1st September Page 1/26
Revision: 03
2022

APPENDIX 1 - HSE PREVENTION PLAN

OPERATION: ELECTRICAL WORKS –REPLACEMENT OF FAULTY CAT


WASH LIGHTS
REF. NO . SOUTH C TSS PP/02-2022…
(TO BE PROVIDED ON AUTHORISATIONS TO WORK AND PERMITS)

START DATE: 10 TH DEC 2022

SCHEDULED END DATE: 20 TH DEC 2022

SITE: SOUTH C TOTAL SERVICE STATION

Presence of the worksite manager of each Contractor is compulsory.

THIS DOCUMENT MUST BE ARCHIVED FOR A PERIOD OF 10 YEARS. THE ASSOCIATED DOCUMENTS (GENERAL
AUTHORISATIONS TO WORK, SPECIFIC PERMITS, ETC.) ARE ARCHIVED FOR THE CURRENT YEAR AND THE
PREVIOUS YEAR.

1. DEFINITION OF THE OPERATION AND OBLIGATIONS OF THE ECs AND UC

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PSR/HSE/MS/AFR
HSE Prevention Plan
Effective date: 1st September Page 1/26
Revision: 03
2022

Today, 10th Dec 2022, Eng. Kamau on behalf of TotalEnergies Kenya limited, located in Kenya,
user company (UC)
And the representatives of the Contractors (ECs) designated below (refer to §2 Identification of
signatories on the following page)
Have compiled this HSE Prevention Plan following a joint prior inspection of the site,
concerning the operation of Electrical Repairs – Replacement of faulty lights at the car wash and
station, which will take place from 10th Dec 2022 until 20th Dec 2022.
Should the operation extend beyond this date, a new HSE Prevention Plan must be produced.
The aim of this agreement is to fix, prior to starting the works, the prevention measures adapted
to the risks identified for health, safety and the environment in the retained dangerous activity
phases. This analysis is as comprehensive as possible for the different work phases and the
ensuing risk situations.
The User Company Manager has an obligation to ensure that the representatives and worksite
managers of all Contractors take part and to invite every person involved in the drafting of the HSE
Prevention Plan to supply any relevant information and to ensure the general coordination of
works.
Each Contractor Manager undertakes to supply any relevant information and to transmit all the
information contained in this HSE Prevention Plan to their sub-contracting companies and to each
of their own employees called to take part in the worksite and to remain responsible for applying
the prevention measures necessary for the protection of their personnel.
This HSE Prevention Plan must be updated or completed based on:
changes to works and risks,
the intervention of new Contractors.
Any Contractor that could not take part in the joint prior inspection and the HSE Prevention Plan
coordination meeting can be included in the HSE Prevention Plan as long as the HSE Prevention
Plan is updated with:
a prior meeting between the User Company and the Contractor,
analysis of the possible interference and risks generated by the Contractor,
distribution of the updated HSE Prevention Plan to all the Contractors working on the site
(with acknowledgement of receipt from all contractors who signed the previous version of
the HSE Prevention Plan).
This HSE Prevention Plan supplements the general safety instructions and any legal obligations
resulting from any texts in force in the country of the entity of which each Contractor must
inform its employees.

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PSR/HSE/MS/AFR
HSE Prevention Plan
Effective date: 1st September Page 1/26
Revision: 03
2022

2. IDENTIFICATION OF SIGNATORIES

User Company (entity)


Name and address of the site:
South C Total Service station – Kenya.............................................................................
..........................................................................................................................................
..........................................................................................................................................
Tel.: ........................................................... Fax: .............................................................
Operator or delegated agent (name and role):............................................................
Instructing party Eng. Kamau – Project Engineer........................................................
Worksite supervisor (name and role): .........................................................................

Contractors:

Worksite manager Location of


No. Company Staff Period Works
the works
Name Quality
Replaceme
nt of faulty
Kelvin Kelvin lights at car
1 HSEQ Officer
Ondari Ondari wash and
station
Kinetic
10 SOUTH C
Controls Henry Projects Henry
2 Dys tss
Mulwa Engineer Mulwa

Ephraim Lead Ephraim


3
Ndegwa Technician Ndegwa

10

11
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PSR/HSE/MS/AFR
HSE Prevention Plan
Effective date: 1st September Page 1/26
Revision: 03
2022

Sub-contracting companies for Contractors (second level): N/A

Company Worksite manager


EC
Staff Period Works
No. (sub- Name Quality
contracting)

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HSE Prevention Plan
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Revision: 03
2022

An organisation chart including the name, role and hierarchical link between all workers must be
attached for each company, whether a contractor or a sub-contractor.
The Contractor is responsible for informing the operator or the instructing party as quickly as
possible of any new sub-contractor employed, that was not foreseen in this HSE Prevention Plan.

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HSE Prevention Plan
Effective date: 1st September Page 1/26
Revision: 03
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3. REMINDER OF THE GOLDEN RULES

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HSE Prevention Plan
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HSE Prevention Plan
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Revision: 03
2022

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HSE Prevention Plan
Effective date: 1st September Page 1/26
Revision: 03
2022

4. GENERAL SAFETY INSTRUCTIONS

General

The site where you are going to work, excluding closed sites, is classified as high-risk due to the
dangerous nature of the petroleum products stored and handled there. The prevention of
major accidents as defined in our policy is our leading priority. Within this framework, we
have strict prevention measures described in the Safety Management System (SMS) to which
you adhere more especially by ensuring:
the knowledge and control of risks related to works in our systems,
observance of jointly defined safety measures,
control over interference between works.
The 12 TotalEnergies Golden Rules are intended to avoid accidents at the workstation and
protect life by:
sharing the basic rules that everyone must know and apply,
reinforcing prevention by encouraging everyone to intervene as soon as a deviation is
observed,
stopping the work if the risk is not managed,
reporting anomalies.

 The site manager undertakes to inform his or her personnel and ensure
that safety instructions are observed.
 A qualified representative of the EC aware of the instructions and with
suitable authority must be present on the site throughout the duration of
the works.
 Personnel not knowing the language of the country must be permanently
Important under the control of a person capable of giving them instructions.
 Only people required for the works are present at the site.
 Working hours must be respected.
It is
 to start work without a work authorisation
prohibited
 to carry out hot work without a fire permit
 to install stakes or dig without an excavation permit
 to clean/degas without a cleaning/degassing permit
 to work in a confined atmosphere without a permit to work in confined
spaces
 to work at height without a permit to work at height
 to carry out a lifting operation without a lifting permit
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HSE Prevention Plan
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Revision: 03
2022

Protective equipment
 the worksite manager makes available to their personnel the appropriate
collective and personal protection, compliant with the current standards,
and ensures they are correctly used
 due to the dangers caused by certain synthetic fibres (static electricity,
melting in heat, etc.), it is compulsory to wear clothing and underclothing
made of natural fibres (100% cotton or compliant with current standards)
 any clothing impregnated with a petroleum product must be changed
immediately, with standard precautions being taken
General health and safety rules

 The sanitary facilities made available must be kept perfectly clean.


 The Contractor must provide 3 litres of cool drinking water per person per day.
 Access and traffic ways must remain clear.

It is prohibited
 to use fire or flames in any form whatsoever, unless it is for the
completion of works covered by a fire permit
 to use a mobile phone, MP3 speakers or other similar devices (leave
in the changing rooms), except for closed worksites
 to bring an outside person onto the worksite, or an animal or a child
onto the site
 to be in an unauthorised location or route
 to eat meals in the worksite zone
 to take unauthorised photos
 to run on the site
 to participate in dangerous games, quarrels or initiation ceremonies
 to operate equipment or valves (except entity personnel)
 to bring in or take out equipment or products without authorisation
 to borrow entity equipment or tooling without authorisation
 to use fire-fighting terminals without authorisation
 to drive a forklift truck without a driving authorisation
Worksite installations

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HSE Prevention Plan
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Revision: 03
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Important
 The worksite manager:
- ensures that the worksite is tidy and clean
- ensures that personnel do not leave any objects, tools or
equipment in pipework or tanks
 Certified extinguishers suitable for the risks involved are made
available to the Contractor close to hot workstations
 Personnel must be trained in how to use them
 Anyone noticing the start of a fire must raise the alarm and use the
extinguishing equipment.
 The User Company and the Contractor must each provide 2
extinguishers suitable for the works involved.
It is prohibited
 to use drums as a support or as a makeshift bench
 to refuel any device when operating

Cleaning – Waste

 leave the areas clean and tidy, without any material or waste of any type
left in situ
 respect the waste management method in force on the site
It is prohibited
 to use flammable products without authorisation for cleaning purposes
 to leave papers, oily rags or miscellaneous debris lying around.
 these must be collected in metal bins fitted with lids
 to leave any dangerous tools or objects lying around (sharp sheets,
planks with nails in, etc.)

Risks on the site

 Be careful when moving around:


- so as not to trip (obstacles/deterioration) or slide when moving
around (slippery floors: presence of lubricants)
- of the movement of trolleys, lorries and pedestrians: respect the
signs
- of the risk of falling objects in storage and lifting areas
 Presence of hazardous chemicals: wear your PPE.

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HSE Prevention Plan
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Revision: 03
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Conduct in the event of an accident


Any accident, whether to persons or equipment, must systematically and immediately be
reported to the operator or the instructing party.

In the event of an accident to a person:


 Protect the victim, without putting yourself in danger
 Alert the emergency services in accordance with the emergency plan,
and inform the operator or the instructing party
 Help, provide assistance (do not move the victim unless there is a
serious and imminent danger)
 Never give the victim anything to drink.
 In the event of splashes, use the safety showers and eye washes
available.

In the event of an accident involving equipment:


 take the steps necessary without exposing yourself to unnecessary
risks.
If the alarm sounds or a gas detector is triggered:
 stop work
 turn off all naked flames on the worksite
 stop equipment, machinery and motor vehicles
 close equipment that could present a fire risk, and evacuate it as
do not start work quickly as possible (especially gas cylinders)
again until the  leave all passageways clear for the safety teams
end of the alert is
confirmed by the  evacuate, taking the nearest emergency exit, never turning back
operator or the  gather around the worksite manager, at the meeting point (see
instructing party attached plans)
 await further instructions
Reminder
Alarm signal: Whistle
Meeting Point: At Assembly Point
Place to give the alert: Nearest ESD

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Revision: 03
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Other information concerning the evacuation and emergency instructions specific to the
site:
...................................................................................................................................................
Site emergency procedures to apply as per the displayed emergency response Plan.............
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................

5. HEALTH AND HYGIENE

Medical fitness sheets:


These sheets (to be provided by the EC) must be produced by their works doctor. The fitness for
the post defined must take into consideration the constraints linked to the intervention on our
installations.
Enhanced medical supervision:
Do the works covered by this HSE Prevention Plan include enhanced medical supervision
stations?
NO
YES  The list of these stations must be provided by the EC and attached to
this plan.

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HSE Prevention Plan
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Revision: 03
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List of personnel assigned to the operation who have received the necessary instructions
to provide first aid in the event of an emergency (at least 1 person for every 20 employees)

User Company Contractor

SURNAME First name Position SURNAME First name Position

John Kisoi First aider /


Technician
Onesmus Manzolo First
aider/Technician
Ephraim Ndegwa First
aider/Technician

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Sanitary facilities:

Installed by Maintained by
Location (specify UC or (specify UC or
EC) EC)
1 locker with 2 compartments for n/a
…….. men (state the number of
people)
1 locker with 2 compartments for n/a
…….. women (state the number of
people)
n/a
1 wash basin for 10 people in the
men's changing room

n/a
1 wash basin for 10 people in the
women's changing room

n/a
Men's showers (number:……….)

n/a
Women's showers (number:……….)

 UC
1 cubicle and 1 urinal for 20 men

 UC
2 cubicles for 20 women

n/a
Catering facilities

 EC
Pharmacy kits/First Aid Kits

Other:

Other:

Other:

Other:

Other:

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6. HAZOP RISK ANALYSIS DATA

The results of the HAZOP risk analysis carried out in the project phase must be given in the table
below.

Identified risks Prevention and protection measures to be


implemented
- Barricade the area of work and install
Vehicular and Human traffic
signage.
- Traffic marshal for continuous site
surveillance and traffic control.
- Keep off traffic routes

- Proper liaison with station management to


Co-activities
have all the works done cohesively and
safely.
- Adhere to covid-19 prevention and control
measures
- Maintain social distance and sanitize
- Wear face masks

- Isolate power, lock and tag out


Electrocution, electric shocks and or burns
- Engage competent skilled and authorized
technician
- Use of approved PPEs
- Adhere to safe work procedure
- Use of approved tools and equipment
- Strict adherence to Golden safety rules

- Use of approved scaffolding and safety


Trips and Falls from height
harness
- Adhere to work at height permit
requirements
- Engage competent and trained personnel
to work at height
- Use of approved PPEs, Work at height
Helmets and safety harness

Poor House Keeping - Ensure proper site management and


Proper house keeping

- No working in an adverse weather


Adverse weather conditions (rains)
conditions. Stop works when it rains.

7. CRITICAL PHASES REQUIRING CAMERA SURVEILLANCE


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Working at heights for replacement of faulty car wash lights.....................................................


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

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8. JOINT PRIOR INSPECTION

During the joint prior inspection, carried out on 8th Dec 2022, in the presence of the
representatives of the Contractors indicated on the first page, the following actions were carried
out:

identification:
 of the risks linked to the activity of the site or its environment (in particular
overhead power lines, miscellaneous networks, water table, the neighbourhood,
etc.),
 of the areas which may present the risk of interference with the activity of
Contractors,
definition of the work sector of the Contractors,
establishing of the zones in this sector which may present a danger to personnel and
signalling of occasional risks inside this zone,
location
 of parking areas (heavy goods vehicles, private vehicles, machinery, etc.),
 of workshops and equipment storage areas,
 of the emergency exits,
 of the meeting point in the event of an alert,
 of the changing rooms, sanitary facilities, catering facilities and first aid equipment,
etc.
indication of the access paths and routes to be followed by the personnel, vehicles and
machinery to get to:
 the worksite,
 the equipment storage workshops,
 the changing rooms, sanitary facilities, catering facilities,
 the meeting point in the event of an emergency,
 the location of the first aid equipment, etc.
communication of the safety instructions applicable to the operation with regard to the
employees of these companies when at their place of work or when travelling.

All this information relating to a work area is marked on the plans appended to this document, and
will be recalled during the drafting of the general authorisation to work and if necessary the
additional permits.

All of these points appear on the joint prior inspection/launch meeting for the worksite, which must
be attached to this HSE Prevention Plan.

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9. GENERAL AUTHORISATION TO WORK AND ADDITIONAL PERMITS

The General Authorisation to Work and associated Specific Permits must be drawn up and signed
before starting the works involved.

It is prohibited to start work in any location whatsoever without this AUTHORISATION TO WORK -
unless it involves regular services or routine operations for which an operating procedure has been
written by the Contractor and validated by the User Company.

In addition, a certain number of works are prohibited without an additional permit:

Fire Permit, in order to carry out hot work meeting one or more of the following criteria:
 likely to produce naked flames,
 giving off sparks,
 generating a fire hazard because of work at high temperatures,
 carried out in zones at risk of explosion with equipment that could cause self-
ignition.

Excavation Permit for work involving digging below the ground to a depth greater than
0.50 metres, earthwork or drilling the soil, installing stakes using mechanical or manual
means.

Cleaning/degassing permit, for cleaning/degassing any enclosed container and for the
preliminary lowering phase of legs at floating screen or roof level. A cleaning/degassing
certificate must be submitted to the operator or instructing party following this intervention.

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HSE Prevention Plan
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Revision: 03
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Permit to work in confined spaces in order to carry out works other than cleaning-
degassing inside the following confined spaces, once the head is inserted, even if only
partially
 enclosed containers, tanks, underground vessels,
 access to floating roofs when lowered,
 tankers (mobile tankers, tank cars, etc.),
 pipes, pits, valve chambers, underground vessel manhole stacks,
 sumps, drains, pipe paths,
 trenches, uncovered ditches and bunds more than 1.5 metres deep
and when the depth exceeds the smallest horizontal dimension (length or width),
 welding tents or spaces covered with a tarpaulin created provisionally, etc.
It is prohibited to enter a confined space without authorisation.

Permit to work at height, for any work exposing the worker to a risk of falling with height
difference of more than 2 metres, even above water, which may involve the use of specific
equipment (scaffolding, mobile elevating work platforms, ladders), but also refers to
situations which do not require such equipment (such as for example work on platforms,
roofs, etc.).

Lifting permit for all work lifting loads weighing 100 kg or more using bridge cranes,
cranes, warehousing carriers, winches and similar devices moved manually, installed
temporarily above a work area or an area of circulation.

 Observe the working times scheduled on the General Authorisations to Work and the Additional
Permits. If these times are exceeded, ask the operator or instructing party to re-write them.

 Complete the weekend work declaration if working outside of the usual working hours.

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List of people authorised to issue authorisations and permits, and to perform certain tasks
Enter "Not Applicable" in the boxes of documents and tasks which will not be necessary for the
operation.

Name(s) and Position(s) of people authorised to


Documents/Tasks
issue the documents or perform the task

General authorisation to work Eng. Kamau, SGS, Onesmus Manzolo, Ephraim


Ndegwa
n/a
Fire permit

Excavation permit n/a

Cleaning – degassing permit n/a

Lifting permit n/a

Choice of lifting equipment n/a

Permit to work at height Eng. Kamau, SGS, Onesmus Manzolo, Ephraim


Ndegwa

Inspection of scaffolding Eng. Kamau, SGS, Onesmus Manzolo, Ephraim


Ndegwa

Permit to work in confined spaces n/a

Electrical lockout Eng. Kamau, SGS, Onesmus Manzolo, Ephraim


Ndegwa

Other lockouts: n/a

n/a
Declaration of weekend work

Authorisation for provisional repair of n/a


leaks

Other:

Other:

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10. RISK ANALYSIS AND MANAGEMENT OF CONCURRENT ACTIVITY

After the joint prior inspection, the following is carried out:

analysis of the risks that could result from interference between activities, systems and
equipment,
definition of dangerous activity phases and the corresponding specific prevention resources
to set up, including for protection of the environment.

A risk analysis guide corresponds to each dangerous activity phase below.


 Check the dangerous activity phases corresponding to the work covered in this HSE Prevention
Plan, and complete the associated risk analysis guides.

1. Opening of hazardous product line or enclosed container


2. Cleaning-degassing work
3. Stopping leaks during operations
4. Work on dangerous machinery
5. Work on electrical installations
6. Hot work
7. Hot work in zones at risk of explosion
8. Excavation and earthwork
9. Work at height
10. Work in confined spaces
11. Lifting work
12. High-pressure cleaning work
13. Sandblasting and painting work
14. Work in a hydrocarbon depot
15. Line draining and rinsing works
16. Work beside water
17. Work in pre-manufacturing workshop
18. Use of pressurised equipment / compressors / gas cylinders
19. Green areas
20. Temporary electrical installations
21. Circulation of vehicles and machinery
22. Radiography / gammagraphy work
23. Refuelling
24. Work in the vicinity of uninsulated live power lines
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25. Diving work


26. Unusual interventions leading to exposure of personnel to hazardous
substances
27. Demolition work
28. Work on installations at very low or very high temperatures
29. Work requiring the use of explosives
30. Work on lifts

 Risk analyses linked to the works checked above must be inserted into this HSE Prevention
Plan.

11. PREVENTION ORGANISATIONS AND LOCAL AUTHORITIES IF NECESSARY

Authority 1 (to be specified): .......................


Secretary:

AAR Insurance Company Limited

Place of work: Sarit Center Westlands- Nairobi-Kenya

Tel: +254731191064

Authority 2 (to be specified):........................


................................................................
................................................................
Tel.: ........................................................

Authority 3 (to be specified):


................................................................
................................................................
Tel.:.........................................................

Authority 4 (to be specified):


................................................................
................................................................
Tel.:.........................................................

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12. ATTACHMENTS

Risk analyses carried out


Number of pages (to be specified):...........................
Specific prevention measures
Number of pages:.....................................................
Situation plan (area for access, intervention, storage, access and circulation paths for
pedestrians, vehicles and machinery)
Plan of the areas presenting hazards and green areas
Evacuation plan including emergency exits, and the meeting point in the event of an alert,
and the shortest evacuation route in the event of an emergency to the nearest hospital
Delegation of signature for the prevention plans by the EC manager(s)
Medical fitness sheets and list of stations requiring enhanced medical supervision
Internal regulations for setting up the site and/or entity
Special safety instructions
 Titles:
Adhere to Total Energies Golden Safety Rules
Adhere to Kinetic Controls Safety Commandments..
Follow Safe work procedure
List of products brought onto the site by the EC + the product Safety Data Sheets
Internal management commitment documents (HSE Policy – as attached, etc.)
Technical documents associated with the work (lifting plans, excavation plans, etc.),
Acknowledgement of receipt of instructions contained in the HSE Prevention Plan
 to be returned to us signed by all participants working on the site as soon as the work starts, and
whenever
a new personnel member arrives
Method(s) of operation:
 Titles:
..................................................................................
..................................................................................
..................................................................................
Organisation chart with name, role and hierarchical link between all workers for each EC and
for the UC,
List of the equipment used by each EC and proof of compliance of the equipment,
Training certificates and accreditation of personnel,
Joint prior inspection/start of works report
Other: ...............................................................................................................................

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You are reminded that the appended documents form an integral part of the HSE Prevention
Plan.
13. SIGNATORIES FOR VALIDATION

The company managers, signatories of this HSE Prevention Plan, undertake to inform their
employees of the measures defined in this document.

User Company (entity):

Name Position Signature

Eng. Kamau Projects Engineer

SGS

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Main Contractors and sub-contractors:

Name of
Name Address + tel. Position Signature
representative

Kinetic P.O. BOX 474-00606 Eng. Henry Projects Kinetic Controls


Controls Mulwa Engineer Limited
Limited Nairobi, Kenya.

Kelvin Ondari HSE Officer

Ephraim Electrical
Ndegwa Technician

External opinions if necessary, based on the regulations in force:

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

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

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2022

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

Level 1 confidentiality. For TotalEnergies company internal use. Page 27/27


Acknowledgement of receipt of the HSE
Prevention Plan
REC-TUGA-HSEQ-006 Revision: 03 Effective date: August 2022 Page 1/2

APPENDIX 2 – ACKNOWLEDGEMENT OF RECEIPT OF HSE


PREVENTION PLAN

The personnel of Contractors and their Sub-contractors declare that they are aware of
the risks inherent in the site and the prevention and protection measures relating
thereto.
This information, contained in the HSE Prevention Plan, has been reported to them
by the manager of the Contractor for which they work.
They also acknowledge having followed a safety briefing given by the User Company.

KKINETIC CONTROLS
COMPANY: LILIMITED

HSE Prevention Plan REF no: SOUTH CTSS PP/02-2022 Safety


briefing
Date Name of the worker Qualification Signature Signature

Level 1 confidentiality. For TotalEnergies company internal use. Page 1/27


Acknowledgement of receipt of the HSE
Prevention Plan
REC-TUGA-HSEQ-006 Revision: 03 Effective date: August 2022 Page 2/2

KKINETIC CONTROLS
COMPANY: LILIMITED
HSE Prevention Plan REF no.: SOUTH CTSS PP/02-2022 Safety
briefing
Date Name of the worker Qualification Signature Signature

Archiving by the entity with the HSE Prevention Plan for a duration of 10 years.

Level 1 confidentiality. For TotalEnergies company internal use. Page 2/27


Joint prior inspection and start of works
REC-TUGA-HSEQ-006 Revision: 03 Effective date: August 2022 Page 1/1

Level 1 confidentiality. For TotalEnergies company internal use. Page 1/27

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