Non-Routine Operation/ Activity Form
Doc. No.: AG&P-HSE-FRM-70
(NRO) Non-Routine Operation / Activity Rev No.:00
Eff. Date: 30/11/2022
NRO 27/12/2024
Number KAN/NRO/O&M/LCNG/SEMM/003 Date
Zone / GA KANCHIPURAM Area PNG Steel LCNG CNG
City / Town Job / Site
/ Village SEMMENCHERRY /KANCHIPURAM LCNG-SEMMENCHERY
Location
NRO Activity Start Date 04-01-2025 Activity Completion Date 05-01-2025
Validity Start Time 23:00 Hrs Completion Time 05:00 Hrs
Scope /
Installation of fire protection PVC strips against Sprinkler system over High-Pressure Reciprocating Pumps at
Description
of the job LCNG Semmancherry.
Name of
the M/s Remple Innovations Pvt Ltd
Contractor
Site Hazard / Risk Management
Hazard Identification and Risk Assessment (HIRA) (for Task / Activity) Attached-Yes
Site Specific Risk Assessment Attached-Yes
Emergency / Contingency Arrangement
Availability of First Aid Box at site Yes
Fire Extinguishers Fire Tender
Fire Fighting Arrangement
Fire Hydrant System
Chettinad Hospital, Kelambakkam -
Name, Address and Contact Number of Nearest Hospital
9840107000
Name, Address and Contact Number of Nearest Fire Station Siruseri sipcot fire station - 101, 112
Name of First Aider(S) Mr. Suresh kumar (+91 8610205288)
Name of Fire Fighter(S) Mr. Nakul (+91 81687 16544)
Name of Rescue Person(S) If Any Mr. Nidhin D (+91 95260 10786)
Contact Person and Contact Number O&M Control Room –8056586333 /
Mr. Ramit Mann 9711404163
in case of Emergency 18002022999
Operational Management (Applicable Isolations for Performing the Job)
Applicable Isolation Closed By Confirmed By
Type
Yes / NO Details (Work In charge) (HSE Engineer)
Suction line
from LNG
tank to RCP
pumps and
Return line
Welding work Yes Mr. Sasikumar N Mr. Nakul
from RCP
pumps to
LNG Tank
will be
isolated.
All cable to
RCP
pumps and
Electrical Isolation Yes the cable Mr. Sasikumar N Mr. Nakul
from RCP
pumps will
be isolated
Safe venting
of all tubing.
Others (Specify) Yes Ensure 0% Mr. Sasikumar N Mr. Nakul
using LEL
detector
List of Work force involved in the task
SN Name Responsibility
From AG&P
1 Mr. Ramit Mann Overall Implementation
Overall coordination with engineer In-charge, participating Toolbox Talk, need
2 Mr. Suresh Kumar I
base visit at site
3 Mr. Sasikumar N Overall site / Job In charge at Site
4 Mr. Nidhin D GA HSE Assurance at site, consultation with Head HSE, if reqd.
From Contractor side
SN Role Name Number Remarks
1 Overall, In charge Mr. Parthiban 98408 89894 M/s Remple Innovations Pvt Ltd
2 Site Supervisor Mr. Saran 94457 29548 M/s Remple Innovations Pvt Ltd
3 Safety Supervisor
4 Others
List of critical Equipment / Tools / Instrument
Fit For
Checked By Verified By
SN Item Qty Purpose
(Work In charge) (HSE Engineer)
Certification
Mr. Nakul
1 Fire Extinguishers 03 Yes Mr. Sasikumar N
2 Non sparking tools 01 set Yes Mr. Sasikumar N Mr. Nakul
3 Drilling Machine 01 Yes Mr. Sasikumar N Mr. Nakul
4 Cutting Machine 01 Yes Mr. Sasikumar N Mr. Nakul
Status before Activity / Operation:
DRG.
SN Sequence of Actions / Operation (e.g. position of valves etc.) Action By Checked By Details
1 Power supply (Raw power & UPS power) to be switched off Mr. Sasikumar N Mr. Nakul -
2 All suction and return valve for RCP pumps will be switched off Mr. Sasikumar N Mr. Nakul
3 Fire extinguisher availability to be in position Mr. Sasikumar N Mr. Nakul
Check around the near vicinity for any abnormal activity being Mr. Sasikumar N Mr. Nakul
4
carried out which may create ignition during the venting process
Job Assurance Plan / Activity Plan
SN Sequence of Actions Date Time Performed By Verified By
1 Installation of fire protection PVC strips against Sprinkler system over High-Pressure Reciprocating Pumps
SSRA & Tool Box Talk & Mr. Sasikumar N
1.1 Intimation to EIC-CCR/EIC-O&M 04-01-2025 22:30 Hrs Mr. Nakul
SS tubing from RCP pumps
1.2 discharge to High Pressure 04-01-2025 23:00 Hrs Mr. Nakul
Mr. Sasikumar N
vaporizer to be vented out.
Check for the LEL Level in
atmosphere near the vent pipe is
not exceeding 20% LEL, if
1.3 exceeds the 20% LEL, Venting 04-01-2025 23:10 Hrs Mr. Sasikumar N Mr. Nakul
will be stopped temporarily till the
concentration of Gas reaches
below 20 %
High Pressure Vaporizer will be
Mr. Sasikumar N
1.4 isolated by closing the Discharge 04-01-2025 23:15 Hrs Mr. Nakul
valves & actuators
Fixing of Fireproof PVC strips
Mr. Saran
1.5 against sprinkler through welding 04-01-2025 23:45 am Mr. Sasikumar N
& cutting machine
Status After Activity / Operation
Drg.
SN Sequence of Actions / Operation (e.g. position of valves etc.) Action By Checked By
Details
House keeping will be ensured and move out from dyke area. Mr. Saran Mr. Sasikumar N
1
Contingency Action Plan for (System, Equipment failure/Personal Injury/Uncontrolled gas leakage/Fire &
explosion/Gas supply interruption)
SN Scenario Sequence of Actions Responsibility
1. Informing emergency number
2. Ensuring cordoning off the incident site
3. Providing basic first Aid to IP
1 Human injury 4. Shifting injured person to nearest hospital
using emergency vehicle
5. All members of the crew shall assemble at
the assembly point
Exposure to vibration/high noise
1. Ensure wearing of appropriate PPE as per
2 of equipment.
risk exposure
1. Identify applicable AG&P life savers and
ensure compliance monitoring with
applicable AG&P life saver rules.
2. Use of non-sparking tool
Continuous monitoring of atmosphere for
CH4 percentage for safe limit.
3 Spark generation near gas area
3. Do not allow hot work or potential ignition
source work if gas concentration is more
than safe limit.
4. Welding / Cutting in enclosure / Boot
Ensure availability of required fire
extinguisher and person trained in
firefighting.
Documentation
Documents/Certificate
Available at Site
SN Requirement (Yes/No) Remarks
(Yes/No)
1 Lifting Plan No No
2 Isolation Plan Yes Yes
3 Emergency / Rescue Plan Yes Yes ERDMP-attached
4 Activity HIRA Yes Yes
5 Site Specific Risk Register Yes Yes
6 PPE Matrix Yes Yes
Will be submitted before
7 PTW Yes No
the activity
NRO Authorization - Prior to work
NRO Initiated By
Signature
Ramit Mann Ramit Mann
30/12/24 11:50:57
Chief Manager- O&M
Thirukkumaran NT
Regional Head
Technical / Operational/ HSE Review of NRO (If applicable as per matrix)
NRO Reviewed By Signature
Biswajit Chatterjee
VP (O&M)
Satyajeet Shinde
Sr. VP (TS)
Viswanath K
General Manager (HSE)
NRO Approved By Signature
Chiradeep Datta
COO