Escolar Documentos
Profissional Documentos
Cultura Documentos
Page 1 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
10-Maintain housekeeping
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
3 Chorine Contact Tank Erection of 22762 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
Scaffolding required 1 - Wear helmet and safety gloves 6-Jun-10 6-Jun-10 Completio
n
2 - Wear safety goggles/faceshield 5:05 PM 5:05 PM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
Page 2 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
4 Chlorine Contact Tank To construct the 17843 not Personnel Protective Equipment Shuaib Chalasa Tzoul Until Job
superstructure for required 1 - Wear helmet and safety gloves 14-Jul-10 14-Jul-10 Completio
Chlrine Contact Tank n
2 - Wear safety goggles/faceshield 9:50 AM 9:51 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not carryprecautions
out any hot work
74-Stop work if any imminent danger
5 Chlorination Building To construct the 38030 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Roger Agasen 28-Aug-10
superstructure of required near fuel gas skids/lines
1 - Wear helmet and safety gloves ahmed
28-Jul-10 28-Jul-10
the proposed
Chlorination Bldg.
Page 3 of 168
Ite API, Date & API, Date &
Proposed PTWC
m ToScope
construct the
of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. superstructure of Signatures Signatures
the proposed
2 - Wear safety goggles/faceshield 8:11 AM 9:35 AM
Chlorination Bldg.
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Lifting Equiptment
20-Use tested & certified crane/forklift
21-Use tested & certified lifting tackles
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
6 Main Electrical Bldg Removal of forms 38292 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:00 AM 7:00 AM Completio
n
4 - Wear appropriate handgloves 21-Aug-10 21-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
Page 4 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
24-Inspect before use
26-Use insulated tools
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Page 5 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
8 Poly Preparation Bldg Removal of forms 38280 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:20 AM 7:50 AM Completio
n
4 - Wear appropriate handgloves 23-Aug-10 23-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
9 Recycling Sludge Erection of 38068 not occurs and without
Personnel personnel
Protective on or
Equipment Iqbal Chalasa Tzoul not
Tank Scaffolding near fuel gas skids/lines
required 1 - Wear helmet and safety gloves indicated
31-Jul-10 31-Jul-10
2-Wear safety goggles/faceshield 2:00 PM 2:10 PM
4 - Wear appropriate handgloves
Page 6 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do not carry out any hot work
74-Stop work if any imminent danger
10 New Biological Tank Soil Improvement 38151 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Roger Agasen 9-Sep-10
TK-832 near fuel gas skids/lines
required 1 - Wear helmet and safety gloves ahmed
8-Aug-10 8-Aug-10
2 - Wear safety goggles/faceshield 6:12 AM 6:50 AM
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
11 Biological Sludge Superstructure 17619 not near fuel gas
Personnel skids/lines Equipment
Protective Shuaib Chalasa Tzoul Until Job
Holding Tank Construction of required 1 - Wear helmet and safety gloves 25-Jun-10 25-Jun-10 Completio
Biological Slidge n
Holding Tank
Page 7 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Superstructure
Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Construction of Signatures Signatures
Biological Slidge
2 - Wear safety goggles/faceshield 10:30 AM 10:30 AM
Holding Tank
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Page 8 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Biological Sludge Exavation
Scope offor the
Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Holding Tank foundation of BSHT Signatures Signatures
2-Wear safety goggles/faceshield 6:21 AM 7:10 AM
3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7-Wear appropriate respirator
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable / Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
14 Proposed To excavate for the 38110 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Chalasa Tzoul 29-Aug-10
Construction of foundation required near fuel gas skids/lines
1 - Wear helmet and safety gloves ahmed
3-Aug-10 3-Aug-10
Equilization Tank
2 - Wear safety goggles/faceshield 9:55 AM 10:27 AM
3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
Page 9 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand Portable Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do notextra precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
15 Re-Aeration of Foundation Works 22522 not Personnel Protective Equipment Shuaib Roger Agasen Until Job
Electrical and Blowers required 1 - Wear helmet and safety gloves 25-May-10 25-May-10 Completio
Bldg n
2 - Wear safety goggles/faceshield 8:32 AM 8:35 AM
4 - Wear appropriate handgloves
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
Page 10 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
16 Main Electrical Bldg Removal of forms 38292 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:00 AM 7:00 AM Completio
n
4 - Wear appropriate handgloves 21-Aug-10 21-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Heights
57-Inspect and tag scaffod before use
58-Use non conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
17 Poly Preparation Bldg Removal of forms 38282 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:20 AM 7:50 AM Completio
n
Page 11 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Removal of forms
Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
4 - Wear appropriate handgloves 21-Aug-10 21-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Heights
57-Inspect and tag scaffod before use
58-Use non conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
18 Coagulation House Erection of 17982 not near fuel gas
Personnel skids/lines Equipment
Protective Shuaib Chalasa Tzoul Until Job
Scaffolding required 1 - Wear helmet and safety gloves 24-Jul-10 24-Jul-10 Completio
n
2 - Wear safety goggles/faceshield 11:23 AM 11:25 AM
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
Page 12 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
23-Employ liscenced operator
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do not carry out any hot work
74-Stop work if any imminent danger
19 Inlet Work Electrical Superstructure 17822 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Chalasa Tzoul Until Job
Bldg required near fuel gas skids/lines
1 - Wear helmet and safety gloves ahmed
12-Jul-10 12-Jul-10 Completio
n
2 - Wear safety goggles/faceshield 7:15 AM 8:54 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not carryprecautions
out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
20 Proposed To excavate for the 38312 not Personnel Protective Equipment Minhaj Chalasa Tzoul 29-Sep-10
Construction of foundation required 1 - Wear helmet and safety gloves ahmed
24-Aug-10 24-Aug-10
Primary Works beside
Inlet Work Electrical
Bldg
Page 13 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Proposed Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Construction of Signatures Signatures
Primary Works beside
2 - Wear safety goggles/faceshield 7:15 AM 8:15 AM
Inlet Work Electrical
Bldg 3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand Portable Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
Page 14 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
PTWC Prepared/Audited by: Verified by: Checked by: Noted by:
ROGELIO AGASEN MARLON ORIARTE DAN DERRICK PADAGAS DENNIS ESCOLANO CHARALAMPOS GI
SETE Project Site Civil Eng'r/APR SETE Safety Assistant SETE Safety Officer SETE Safety Supervisor SETE Construction M
Page 15 of 168
Remarks
No activity at the
area waiting for the
materials.
Proper barricade
was provided at the
area
No activity at the
area still waiting for
the materials.
Proper barricade
was provided at the
area
Page 16 of 168
ProperRemarks
barricade
was provided at the
area
Safety precautions
are followed and
observed.
Scaffolding are
complete with Green
Scaff Tag signed by
Authorized Scaffold
Supervisor and
Inspector
Safety Warning
Signs are provided
Page 17 of 168
Remarks
Safety precautions
are followed and
observed.
Lifting operation
done with certified
rigger and crane
operator
Poor housekeeping -
On going removal of
rubbish/debris inside
the tank
Safety precautions
are followed and
observed.
Page 18 of 168
Remarks
Some of the
previous safety
findings are rectified
Safety precautions
are followed and
observed.
Page 19 of 168
Remarks
Safety precautions
are followed and
observed.
Page 20 of 168
Remarks
Safety precautions
are followed and
observed.
Safety precautions
are followed and
observed.
Page 21 of 168
Remarks
Safety precautions
are followed and
observed.
Heavy equiptment
operator as well as
the equiptment have
TUV.
Safety precautions
are followed and
observed.
Page 22 of 168
Remarks
Safety precautions
are followed and
observed.
Page 23 of 168
Remarks
Safety precautions
are followed and
observed.
Page 24 of 168
Remarks
Safety precautions
are followed and
observed.
Page 25 of 168
Remarks
Safety precautions
are followed and
observed.
Safety precautions
are followed and
observed.
Page 26 of 168
SafetyRemarks
precautions
are followed and
observed.
Page 27 of 168
Remarks
Safety precautions
are followed and
observed.
Safety precautions
are followed and
observed.
Page 28 of 168
Remarks
Hard barricade,
good housekeeping,
edge sloping was
provided.
Page 29 of 168
Remarks
Noted by:
CHARALAMPOS GIDAS
SETE Construction Manager
Page 30 of 168
PERMIT TO WORK CERTIFICATE AUDIT AS OF 28 AUGUST 2010
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
1 GAC Backwash Tank Foundation Works 22518 not Personnel Protective Equipment Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety shoes 24-May-10 24-May-10 Completio
n
2 - Wear safety goggles/faceshield 8:36 AM 8:36 AM
4 - Wear appropriate handgloves
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
Extra Precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
2 GAC Backwash Tank Erection of 22791 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
Scaffolding required 1 - Wear helmet and safety gloves 8-Jun-10 8-Jun-10 Completio
n
2 - Wear safety goggles/faceshield 9:30 AM 9:30 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
Page 31 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
10-Maintain housekeeping
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
3 Chorine Contact Tank Erection of 22762 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
Scaffolding required 1 - Wear helmet and safety gloves 6-Jun-10 6-Jun-10 Completio
n
2 - Wear safety goggles/faceshield 5:05 PM 5:05 PM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
Page 32 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
4 Chlorine Contact Tank To construct the 17843 not Personnel Protective Equipment Shuaib Chalasa Tzoul Until Job
superstructure for required 1 - Wear helmet and safety gloves 14-Jul-10 14-Jul-10 Completio
Chlrine Contact Tank n
2 - Wear safety goggles/faceshield 9:50 AM 9:51 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not carryprecautions
out any hot work
74-Stop work if any imminent danger
5 Chlorination Building To construct the 38030 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Roger Agasen 28-Aug-10
superstructure of required near fuel gas skids/lines
1 - Wear helmet and safety gloves ahmed
28-Jul-10 28-Jul-10
the proposed
Chlorination Bldg.
Page 33 of 168
Ite API, Date & API, Date &
Proposed PTWC
m ToScope
construct the
of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. superstructure of Signatures Signatures
the proposed
2 - Wear safety goggles/faceshield 8:11 AM 9:35 AM
Chlorination Bldg.
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Lifting Equiptment
20-Use tested & certified crane/forklift
21-Use tested & certified lifting tackles
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
6 Main Electrical Bldg Removal of forms 38292 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:00 AM 7:00 AM Completio
n
4 - Wear appropriate handgloves 21-Aug-10 21-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
Page 34 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
24-Inspect before use
26-Use insulated tools
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Page 35 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
8 Poly Preparation Bldg Removal of forms 38280 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:20 AM 7:50 AM Completio
n
4 - Wear appropriate handgloves 23-Aug-10 23-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
9 Recycling Sludge Erection of 38068 not occurs and without
Personnel personnel
Protective on or
Equipment Iqbal Chalasa Tzoul not
Tank Scaffolding near fuel gas skids/lines
required 1 - Wear helmet and safety gloves indicated
31-Jul-10 31-Jul-10
2-Wear safety goggles/faceshield 2:00 PM 2:10 PM
4 - Wear appropriate handgloves
Page 36 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do not carry out any hot work
74-Stop work if any imminent danger
10 New Biological Tank Soil Improvement 38151 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Roger Agasen 9-Sep-10
TK-832 near fuel gas skids/lines
required 1 - Wear helmet and safety gloves ahmed
8-Aug-10 8-Aug-10
2 - Wear safety goggles/faceshield 6:12 AM 6:50 AM
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
11 Biological Sludge Superstructure 17619 not near fuel gas
Personnel skids/lines Equipment
Protective Shuaib Chalasa Tzoul Until Job
Holding Tank Construction of required 1 - Wear helmet and safety gloves 25-Jun-10 25-Jun-10 Completio
Biological Slidge n
Holding Tank
Page 37 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Superstructure
Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Construction of Signatures Signatures
Biological Slidge
2 - Wear safety goggles/faceshield 10:30 AM 10:30 AM
Holding Tank
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Page 38 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Biological Sludge Exavation
Scope offor the
Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Holding Tank foundation of BSHT Signatures Signatures
2-Wear safety goggles/faceshield 6:21 AM 7:10 AM
3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7-Wear appropriate respirator
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable / Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
14 Proposed To excavate for the 38110 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Chalasa Tzoul 29-Aug-10
Construction of foundation required near fuel gas skids/lines
1 - Wear helmet and safety gloves ahmed
3-Aug-10 3-Aug-10
Equilization Tank
2 - Wear safety goggles/faceshield 9:55 AM 10:27 AM
3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
Page 39 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand Portable Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do notextra precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
15 Re-Aeration of Foundation Works 22522 not Personnel Protective Equipment Shuaib Roger Agasen Until Job
Electrical and Blowers required 1 - Wear helmet and safety gloves 25-May-10 25-May-10 Completio
Bldg n
2 - Wear safety goggles/faceshield 8:32 AM 8:35 AM
4 - Wear appropriate handgloves
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
Page 40 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
16 Main Electrical Bldg Removal of forms 38292 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:00 AM 7:00 AM Completio
n
4 - Wear appropriate handgloves 21-Aug-10 21-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Heights
57-Inspect and tag scaffod before use
58-Use non conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
17 Poly Preparation Bldg Removal of forms 38282 not near fuel gas
Personnel skids/lines Equipment
Protective Iqbal Roger Agasen Until Job
required 1 - Wear helmet and safety gloves 7:20 AM 7:50 AM Completio
n
Page 41 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Removal of forms
Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
4 - Wear appropriate handgloves 21-Aug-10 21-Aug-10
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Heights
57-Inspect and tag scaffod before use
58-Use non conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
18 Coagulation House Erection of 17982 not near fuel gas
Personnel skids/lines Equipment
Protective Shuaib Chalasa Tzoul Until Job
Scaffolding required 1 - Wear helmet and safety gloves 24-Jul-10 24-Jul-10 Completio
n
2 - Wear safety goggles/faceshield 11:23 AM 11:25 AM
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
6-Wear full body harness/life line
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
Page 42 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
23-Employ liscenced operator
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do not carry out any hot work
74-Stop work if any imminent danger
19 Inlet Work Electrical Superstructure 17822 not occurs and without
Personnel personnel
Protective on or
Equipment Minhaj Chalasa Tzoul Until Job
Bldg required near fuel gas skids/lines
1 - Wear helmet and safety gloves ahmed
12-Jul-10 12-Jul-10 Completio
n
2 - Wear safety goggles/faceshield 7:15 AM 8:54 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not carryprecautions
out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
20 Proposed To excavate for the 38312 not Personnel Protective Equipment Minhaj Chalasa Tzoul 29-Sep-10
Construction of foundation required 1 - Wear helmet and safety gloves ahmed
24-Aug-10 24-Aug-10
Primary Works beside
Inlet Work Electrical
Bldg
Page 43 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Proposed Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Construction of Signatures Signatures
Primary Works beside
2 - Wear safety goggles/faceshield 7:15 AM 8:15 AM
Inlet Work Electrical
Bldg 3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel
barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand Portable Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra
73-Do not precautions
carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or
near fuel gas skids/lines
Page 44 of 168
Ite API, Date & API, Date &
Proposed PTWC
m Scope of Works Isolation Safety Precautions time of time of Validity
Structures No.
No. Signatures Signatures
PTWC Prepared/Audited by: Verified by: Checked by: Noted by:
ROGELIO AGASEN MARLON ORIARTE DAN DERRICK PADAGAS DENNIS ESCOLANO CHARALAMPOS GI
SETE Project Site Civil Eng'r/APR SETE Safety Assistant SETE Safety Officer SETE Safety Supervisor SETE Construction M
Page 45 of 168
Remarks
No activity at the
area waiting for the
materials.
Proper barricade
was provided at the
area
No activity at the
area still waiting for
the materials.
Proper barricade
was provided at the
area
Page 46 of 168
ProperRemarks
barricade
was provided at the
area
Safety precautions
are followed and
observed.
Scaffolding are
complete with Green
Scaff Tag signed by
Authorized Scaffold
Supervisor and
Inspector
Safety Warning
Signs are provided
Page 47 of 168
Remarks
Safety precautions
are followed and
observed.
Lifting operation
done with certified
rigger and crane
operator
Poor housekeeping -
On going removal of
rubbish/debris inside
the tank
Safety precautions
are followed and
observed.
Page 48 of 168
Remarks
Some of the
previous safety
findings are rectified
Safety precautions
are followed and
observed.
Page 49 of 168
Remarks
Safety precautions
are followed and
observed.
Page 50 of 168
Remarks
Safety precautions
are followed and
observed.
Safety precautions
are followed and
observed.
Page 51 of 168
Remarks
Safety precautions
are followed and
observed.
Heavy equiptment
operator as well as
the equiptment have
TUV.
Safety precautions
are followed and
observed.
Page 52 of 168
Remarks
Safety precautions
are followed and
observed.
Page 53 of 168
Remarks
Safety precautions
are followed and
observed.
Page 54 of 168
Remarks
Safety precautions
are followed and
observed.
Page 55 of 168
Remarks
Safety precautions
are followed and
observed.
Safety precautions
are followed and
observed.
Page 56 of 168
SafetyRemarks
precautions
are followed and
observed.
Page 57 of 168
Remarks
Safety precautions
are followed and
observed.
Safety precautions
are followed and
observed.
Page 58 of 168
Remarks
Hard barricade,
good housekeeping,
edge sloping was
provided.
Page 59 of 168
Remarks
Noted by:
CHARALAMPOS GIDAS
SETE Construction Manager
Page 60 of 168
PERMIT TO WORK CERTIFICATE AUDIT AS OF 30 Sept 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
1 GAC Backwash Tank Foundation Works 22518 not required Personnel Protective Equipment Iqbal Rogelio Agasen
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
Extra Precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
2 GAC Backwash Tank Erection of 22791 not required skids/lines
Personnel Protective Equipment Iqbal Rogeio Agasen
Scaffolding
1 - Wear helmet and safety gloves 8-Jun-10 8-Jun-10
2 - Wear safety goggles/faceshield 9:30 AM 9:30 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Working at Height
PERMIT TO WORK CERTIFICATE AUDIT AS OF 30 Sept 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
skids/lines
3 Chorine Contact Tank Erection of 22762 not required Personnel Protective Equipment Iqbal Rogelio Agasen
Scaffolding
1 - Wear helmet and safety gloves 6-Jun-10 6-Jun-10
2 - Wear safety goggles/faceshield 5:05 PM 5:05 PM
4 - Wear appropriate handgloves
4 Chlorine Contact Tank To construct the 17843 not required Personnel Protective Equipment Shuaib Chalasa Tzoul
superstructure for
Chlrine Contact Tank
1 - Wear helmet and safety gloves 14-Jul-10 14-Jul-10
2 - Wear safety goggles/faceshield 9:50 AM 9:51 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
PERMIT TO WORK CERTIFICATE AUDIT AS OF 30 Sept 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
5 Chlorination Building To construct the 38360 not required and without Protective
Personnel personnel on or near fuel gas
Equipment Minhaj ahmed rogelio Agasen
superstructure of skids/lines
the proposed
Chlorination Bldg.
1 - Wear helmet and safety gloves 28-Aug-10 28-Aug-10
2 - Wear safety goggles/faceshield 7:45 AM 9:30 AM
4 - Wear appropriate handgloves
Lifting Equiptment
20-Use tested & certified crane/forklift
21-Use tested & certified lifting tackles
22-Appoint a signal man
23-Employ liscenced operator
Working Areas
10-Maintain housekeeping
Hand Portable Power Tools
24-Inspect before use
26-Use insulated tools
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
skids/lines
10 Chlorination Building Masonry Works 135633 not required Personnel Protective Equipment Minhaj ahmed Rogelio Agasen
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable / Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
skids/lines
10 Equalization Tank Foundation Works 38393 not required Personnel Protective Equipment Minhaj ahmed Rogelio Agasen
Scaffolding are
complete with Green
Scaff Tag signed by
Authorized Scaffold
Supervisor and
Inspector
Poor housekeeping - On
going removal of
rubbish/debris inside
the tank
6-Oct-10
Noted by:
NASSER AWALEH
SETE Construction Manager
PERMIT TO WORK CERTIFICATE AUDIT AS OF 07 October 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
1 GAC Backwash Tank Foundation Works 22518 not required Personnel Protective Equipment Iqbal Rogelio Agasen
1 - Wear helmet and safety shoes 24-May-10 24-May-10
2 - Wear safety goggles/faceshield 8:36 AM 8:36 AM
4 - Wear appropriate handgloves
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
Extra Precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
2 GAC Backwash Tank Erection of 22791 not required skids/lines
Personnel Protective Equipment Iqbal Rogeio Agasen
Scaffolding 1 - Wear helmet and safety gloves 8-Jun-10 8-Jun-10
2 - Wear safety goggles/faceshield 9:30 AM 9:30 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
PERMIT TO WORK CERTIFICATE AUDIT AS OF 07 October 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
skids/lines
3 Chorine Contact Tank Erection of 22762 not required Personnel Protective Equipment Iqbal Rogelio Agasen
Scaffolding 1 - Wear helmet and safety gloves 6-Jun-10 6-Jun-10
2 - Wear safety goggles/faceshield 5:05 PM 5:05 PM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
skids/lines
4 Chlorine Contact Tank To construct the 17843 not required Personnel Protective Equipment Shuaib Chalasa Tzoul
superstructure for 1 - Wear helmet and safety gloves 14-Jul-10 14-Jul-10
Chlrine Contact Tank
2 - Wear safety goggles/faceshield 9:50 AM 9:51 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
PERMIT TO WORK CERTIFICATE AUDIT AS OF 07 October 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
10 Main Electrical Bldg Masonry Works 13563 not required and without Protective
Personnel personnel on or near fuel gas
Equipment Minhaj ahmed Rogelio Agasen
skids/lines
(work at height) 1 - Wear helmet and safety gloves 15-Sep-10 15-Sep-10
4 - Wear appropriate handgloves 8:15 AM 9:14 AM
6 - Wear full body harness & lifelines
Working Areas
10-Maintain housekeeping
Hand / Portable Power / Tools
24-Inspect before use
26-Use insulated tools
Working at Heights
57-Inspect and tags scaffold before use
PERMIT TO WORK CERTIFICATE AUDIT AS OF 07 October 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
Extra Precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
and withdraw personnel
7 Tertiary Treatment Tank To excavate for the 13690 not required Personnel Protective Equipment Minhaj ahmed Rogelio Agasen
- 851, 852, 853 foundation 1 - Wear helmet and safety gloves 25-09-10 25-09-10
2 - Wear safety goggles/faceshield 12:00 AM 10:20 AM
3-Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Hand Portable Power Tools
24-Inspect before use
Excavation
61-Provide shoring, benching, sloping
63-Keep spoil 1 meter away from edge
65-use stop blocks for vehicles
Remove water or continue dewatering
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
PERMIT TO WORK CERTIFICATE AUDIT AS OF 07 October 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
74-Stop work if any imminent danger occurs
and without personnel on or near fuel gas
10 New Biological Foundation Works 13553 not required skids/lines
Personnel Protective Equipment Minhaj ahmed Rogelio Agasen
Treatment TankTank
1 - Wear helmet and safety gloves 14-Sep-10 14-Sep-10
TK-832
2 - Wear safety goggles/faceshield 5:49 AM 9:08 AM
3 - Wear ear protectors/muffs
4 - Wear appropriate handgloves
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger occurs
10 Poly-Preparation Bldg Sand Backfilling 13637 not required and without Protective
Personnel personnel on or near fuel gas
Equipment Minhaj ahmed Rogelio Agasen
skids/lines
1 - Wear helmet and safety gloves 21-Sep-10 21-Sep-10
6 - Wear full body harness & lifeline 6:10 AM 8:38 AM
7 - Wear appropriate respirator
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
16
Lifting Equiptment
22-Appoint a signal man
23-Employ liscenced operator
Waste and Spills
71-Dispose waste on regular basis
PERMIT TO WORK CERTIFICATE AUDIT AS OF 07 October 2010
API, Date & API, Date &
Item PTWC
Proposed Structures Scope of Works Isolation Safety Precautions time of time of
No. No.
Signatures Signatures
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
76
10 Poly-Preparation Bldg Superstructure 13732 not required Personnel Protective Equipment Minhaj ahmed Rogelio Agasen
Scaffolding are
complete with Green
Scaff Tag signed by
Authorized Scaffold
Supervisor and
Inspector
Poor housekeeping - On
going removal of
rubbish/debris inside
the tank
ted by:
Validity Remarks
NASSER AWALEH
SETE Construction Manager
PERMIT TO WORK CERTIFICATE AUDIT AS OF 25 Sept 2010
API, Date &
Item Proposed PTWC
Scope of Works Isolation Safety Precautions time of
No. Structures No.
Signatures
1 GAC Backwash Tank Foundation Works 22518 not Personnel Protective Equipment Iqbal
required 1 - Wear helmet and safety shoes 24-May-10
2 - Wear safety goggles/faceshield 8:36 AM
4 - Wear appropriate handgloves
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
Extra Precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or near
fuel gas skids/lines
2 GAC Backwash Tank Erection of 22791 not Personnel Protective Equipment Iqbal
Scaffolding required
1 - Wear helmet and safety gloves 8-Jun-10
2 - Wear safety goggles/faceshield 9:30 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or near
fuel gas skids/lines
3 Chorine Contact Tank Erection of 22762 not Personnel Protective Equipment Iqbal
Scaffolding required
1 - Wear helmet and safety gloves 6-Jun-10
2 - Wear safety goggles/faceshield 5:05 PM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or near
fuel gas skids/lines
4 Chlorine Contact Tank To construct the 17843 not Personnel Protective Equipment Shuaib
superstructure for required 1 - Wear helmet and safety gloves 14-Jul-10
Chlrine Contact Tank
2 - Wear safety goggles/faceshield 9:50 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or near
fuel gas skids/lines
5 Chlorination Building To construct the 38360 not Personnel Protective Equipment Minhaj ahmed
superstructure of required 1 - Wear helmet and safety gloves 28-Aug-10
the proposed
2 - Wear safety goggles/faceshield 7:45 AM
Chlorination Bldg.
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
Lifting Equiptment
20-Use tested & certified crane/forklift
21-Use tested & certified lifting tackles
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
Working at Height
57-inspect and tag scaffold before use
58-Use non-conductive ladder
59-Use tested and certified manbasket
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working extra precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or near
fuel gas skids/lines
6 Main Electrical Bldg Removal of forms 38292 not Personnel Protective Equipment Iqbal
required 1 - Wear helmet and safety gloves 7:00 AM
4 - Wear appropriate handgloves 21-Aug-10
Removal of forms
Scaffolding are
complete with Green
Scaff Tag signed by
Authorized Scaffold
Supervisor and
Inspector
Poor housekeeping -
On going removal of
rubbish/debris inside
the tank
NASSER AWALEH
SETE Construction Manager
PERMIT TO WORK CERTIFICATE AUDIT AS OF 18 Sept 2010
API, Date & API, Date &
Item Proposed PTWC
Scope of Works Isolation Safety Precautions time of time of
No. Structures No.
Signatures Signatures
1 GAC Backwash Tank Foundation Works 22518 not Personnel Protective Equipment Iqbal Roger Agasen
required 1 - Wear helmet and safety shoes 24-May-10 24-May-10
2 - Wear safety goggles/faceshield 8:36 AM 8:36 AM
4 - Wear appropriate handgloves
Working Areas
10-Maintain housekeeping
13-Barricade area with warning tape
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Mobile Vehicle/Tankers
33-Provide grounding while unloading
34-Provide reversing(back up) alarm
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
Extra Precautions
73-Do not carry out any hot work
74-Stop work if any imminent danger
occurs and without personnel on or near
2 GAC Backwash Tank Erection of 22791 not fuel gas skids/lines
Personnel Protective Equipment Iqbal Roger Agasen
Scaffolding required 1 - Wear helmet and safety gloves 8-Jun-10 8-Jun-10
2 - Wear safety goggles/faceshield 9:30 AM 9:30 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
4 Chlorine Contact Tank To construct the 17843 not Personnel Protective Equipment Shuaib Chalasa Tzoul
superstructure for required 1 - Wear helmet and safety gloves 14-Jul-10 14-Jul-10
Chlrine Contact Tank
2 - Wear safety goggles/faceshield 9:50 AM 9:51 AM
4 - Wear appropriate handgloves
6 - Wear full body harness & lifeline
Working Areas
10-Maintain housekeeping
14-Barricade area with hard steel barrier
15-Provide flashing beacon lights
16-Provide warning/caution signs
17-Restrict/prohibit entry
Lifting Equiptment
20-Use tested & certified crane/forklift
22-Appoint a signal man
23-Employ liscenced operator
Hand / Portable Power / Tools
24-Inspect before use
25-Use Non-sparking tools
Working at Height
57-inspect and tag scaffold before use
Waste and Spills
71-Dispose waste on regular basis
72-Clean spills emediate if any while
working
73-Do notextra precautions
carry out any hot work
74-Stop work if any imminent danger
5 Chlorination Building To construct the 38360 not occurs and without
Personnel personnel
Protective on or near
Equipment Minhaj ahmed Roger Agasen
superstructure of fuel gas skids/lines
required 1 - Wear helmet and safety gloves 28-Aug-10 28-Aug-10
the proposed
Chlorination Bldg.
Scaffolding are
complete with Green
Scaff Tag signed by
Authorized Scaffold
Supervisor and
Inspector
Poor housekeeping -
On going removal of
rubbish/debris inside
the tank
6-Oct-10
Noted by:
NASSER AWALEH
SETE Construction Manager