Permit number : P210-00-7439480

State : Live (04 Oct 08:32 - 04 Oct 17:00)

Lifetime expires on 17-12-2024

Cold Work - Low low

Title De-mobilization of Material from site to workshop

Description of work: Moblization of Manpower to site

De-mobilization of Material and manpower from site CFP tank farm to workshop (Naseem &
Son) contractor area
Housekeeping

Emergency Information
Muster point Near Main Office

Communication Verbal

Other Emergency Information Abdul hadi 03268040480

Details

Planned Start Date: 15 Sep 2024

Planned End Date: 14 Dec 2024

Site: DS GC LSC Keamari

Area Authorization DS GC LSC Keamari

Work locations: P210 - Office Block & Engineering Workshop

Equipment description: Material (Scaffolding & other)

Hazardous Substance and Hazardous Area NA

classification
Work order number: OPEX

Work Performer: Naseem and Son

Vehicles, Equipment and Tools to be used Four wheel trolley, wheel barrow, dust collector and brush for housekeeping

Expected Number of People 8

ICC Requirement None

Is Start Work Check required? No

Lead Discipline: Maintenance

Initial Gas test by Authorised Person:

Continuous gas monitoring required?

Influence of nearby activities:

Hazardous Area Classification Hazard Free - No flammable material in area

Expected Re-issue Date:

General comments

Any information entered should not affect the Ensure proper housekeeping on completion of work
assigned risk level, identified hazard/controls
or permit type:

Initial signatures
Type Name: Date: Dep./Company:

Request by Permit Requester Shaikh Ayyaz Rehman 14 Sep 2024 09:51 N&S

P210-00-7439480 10/04/2024 10:30 Page 1 of 5

Signature History
Type Name: Date: Dep./Company: Remarks:

Take responsibility of the Sagar Sharma 04 Oct 2024 10:30 Naseem & Son
Holder
Accept re-issue by Permit Muhammad Ramzan 04 Oct 2024 08:44 Naseem and Son
Holder
Re-issue permit by Permit Mohammad Waseem 04 Oct 2024 08:32 ASIL
Issuer
Suspend by Issuer Mazhar Mustafa 03 Oct 2024 17:02 ASIL

Suspend by Permit Holder Muhammad Ramzan 03 Oct 2024 16:25 Naseem and Son

P210-00-7439480 10/04/2024 10:30 Page 2 of 5

 Keep this record with the PTW paper copy, & display these at the worksite

All members of the work party have participated in the LMRA and are Name of holder Sagar Sharma
familiar with the Jobscope and Hazard&Controls.
Company Naseem & Son
Name Initials Name Initials
Permit number P210-00-7439480
......................... ......................... ......................... .........................
Date 04 Oct 2024
......................... ......................... ......................... .........................

......................... ......................... ......................... ......................... What kind of work are you going to do?

......................... ......................... ......................... ......................... De-mobilization of Material from site to workshop

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

Has the Permit Issuer discussed the hazards & Does the work party know the emergency alarm
controls with the Permit Holder? Yes n/a and action required in event of an alarm or Yes n/a
accident?
Has the Permit Holder warned others that may be
affected by your work? Yes n/a Does the work party know the most effective Yes n/a
escape route and the location of the nearest
muster point?
Is there conflicting work that may affect you? Yes n/a Yes n/a
Does the work party know the location of the
If yes describe hazards and controls below.
nearest eyewash station, emergency shower, first
aid kit and AED device?

Are there additional hazards that need to be controlled? If newly identified hazards are material changes to the permit, contact Permit Issuer!

Hazards Controls / Recovery Measures

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

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

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

Pictograms for key hazards Indicate which Life Saving Rules are applicable.

Bypassing Safety Confined Space Driving

Controls

Obtain authorization Obtain authorization before Follow safe driving rules

MOTION PEOPLE
before overriding or entering a confined space
disabling safety controls
Energy Isolation Hot Work Line of Fire

Verify isolation and zero Control flammables and Keep yourself and others out
energy before work ignition sources of the line of fire
begins
Safe Mechanical Work Authorisation Working At Height
Lifting

Plan lifting operations and Work with a valid permit Protect yourself against a fall
control the area when required when working at height

P210-00-7439480 10/04/2024 10:30 Page 3 of 5

 RA/JHA P210-00-7439499
Attached to: Permit P210-00-7439480

Title: De-mobilization of Material from site to workshop

Team: Muhammad Ramzan, Sagar Sharma, Shaikh Ayyaz Rehman Approval:

Task steps Hazards Control measures Action party

Moblization of Manpower [.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
to site Risk Assessment discuss and agree the methods of
communication within the work party, with Operations (if
necessary) and with Emergency Responders (if necessary)
[.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
and stop work when limit is exceeded.
[.MO.12] Slips & Trips (MOTION) [.MO.12.01] Remove any trip hazards in the area, clean up any S Permit Holder
spills, wear anti-slip safety shoes
De-mobilization of Physical Effort (push, pull, lift, carry) (PEOPLE) Physical workload during manual handling operations limited to S Permit Holder
Material and manpower 25 kg maximum.
from site CFP tank farm
to workshop (Naseem &
Son) contractor area
[.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
report if they are suffering from fatigue
[.PE.05.04] Monitor for signs of fatigue and intervene/stop work S Permit Holder
if necessary.
[.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
and stop work when limit is exceeded.
[.MO.12] Slips & Trips (MOTION) [.MO.12.01] Remove any trip hazards in the area, clean up any S Permit Holder
spills, wear anti-slip safety shoes
[.MO.11] Sharp, abrasive objects (MOTION) [.MO.11.01] Use cut resistant gloves (cut level 4 or more) S Permit Holder
Ensure Proper Housekeeping S Permit Holder
Ensure Full sleeve clothing S Permit Holder
Housekeeping [.PE.07] Hazardous Weather (PEOPLE) [.PE.07.02] Set weather limitations (lightning, rain, wind speed) S Permit Holder
and stop work when limit is exceeded.
[.PE.05] Fatigue (PEOPLE) [.PE.05.02] Prior to start of work request work party to self S Permit Holder
report if they are suffering from fatigue
[.PE.05.04] Monitor for signs of fatigue and intervene/stop work S Permit Holder
if necessary.
P210-00-7439480 10/04/2024 10:30 Page 4 of 5
 RA/JHA P210-00-7439499
Attached to: Permit P210-00-7439480

[.PE.01] Communication (PEOPLE) [.PE.01.01] During permit issuance and toolbox talk/Last Minute S Permit Holder
Risk Assessment discuss and agree the methods of
communication within the work party, with Operations (if
necessary) and with Emergency Responders (if necessary)
[.PE.09] Poor Lighting (PEOPLE) [.PE.09.02] Restrict work to daylight hours only S Permit Holder

P210-00-7439480 10/04/2024 10:30 Page 5 of 5