WORK PERMIT

WORK PERMIT
1. OBJECTIVE
Define the measures to be taken in order to:

To avoid any risk of fire and explosion;

Preventing any operation that could endanger human life, damage facilities or
harm the environment.

2. GENERALITIES
The work permit is a written document authorizing the performance of a specific job under certain conditions.
specific and this in order to ensure the safety of people and property and to safeguard the environment.
The work permit contains the written instructions on:
1-The nature of work
The place of work
3-The period during which the work can take place
4-All protective equipment to be used or worn
5-All precautions to take to avoid compromising the health and safety of:
Personnel engaged in operations
b-The other personnel on or near the facility.

3. PROCEDURE
This procedure defines the steps to follow for the use of the Work Permit to minimize risks.
d’incidents lors de la réalisation des travaux non routiniers ou qui présentent un danger particulier.

3.1. Use of the work permit

The use of work permits is mandatory in the following cases:
Open flame work
Work at height
Heavy or complicated handling work
Work in restricted spaces, confined spaces, and in storage tanks and vessels.
Work on pressure devices and capacities and on HP (High Pressure) circuits
Work in the presence of gas
Modification or blockage work on passages
Work on electrical circuits
Work with radioactive sources
Work with or in the presence of explosives
Excavation work
Non-routine work.

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Industrial Risk Management and Services Company "AMAL"
 WORK PERMIT

3.2. Precautions to take before starting a job

The site manager or the SSE manager must ensure that the work permit clearly states:
- The work to be done, the procedure and the specific tools for carrying out the various operations (a single location,
a single piece of equipment;

- All safety conditions to be taken, and that all stakeholders:

. Have the required qualification;
. Have a perfect knowledge of the risks, the site, the installations on or near which
they work;
. They understood and accept the task to be executed;
. Knowing to whom they have to answer;
. Knowing that they must close the work permit.
The work permit must be co-signed by the applicant and/or the executor before the start and at the end of
operations.
The HSE manager and/or the site manager are responsible for defining the measures and precautions.
specific measures to take for carrying out the work in a safe environment.
The lead electrician or the electrician on duty is responsible for the electrical insulation of motors and
electric circuits with padlocks or other comparable means.
The chief mechanic or service mechanic is responsible for the mechanical insulation of the parts.
pressurized circuits (e.g.: full flange disconnecting pipes, etc…) and moving parts
of equipment seat interventions.
The chief electrician or the electrician and the chief mechanic or the mechanic are also responsible for
check that the isolation procedures are properly carried out on the equipment subject to interventions.
The consignation label must be displayed at the entrance of the protected area during the work or attached to
the equipment in question.

The Security officer and/or the site manager must also:

Ensure that the staff working on the site have received the appropriate safety training;
Ensure the rational use of personal and collective protective equipment by this personnel;
Ensure the control of work areas;
Organize a safety meeting and, if necessary, a safety drill before starting the work.

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Service Company and Mastery of Industrial Risks 'AMAL'
 WORK PERMIT

3.3. Work Permit Application Form

Use the company's 'WORK PERMIT' forms.
The form must be correctly filled out and signed in three copies.
It must be completed at the beginning of each post until the work is finished.
The work permit must be signed by the representative of the project manager.
One must be submitted to the office of the M.O representative when the work is completed.
The other copy will be kept by the person who performed the work.
The original will be kept by the site manager and filed in a special register.

ATTENTION :
All work permits will be canceled
---upon activation of the general gas or fire alarm bell
upon expiration of their validity
Their renewal, if necessary, is mandatory.

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Industrial Risk Management and Services Company "AMAL"
 WORK PERMIT

WORK PERMIT TEMPLATE

WORK PERMIT NO...

Rig No: Nature of work
Well name: Mechanical work Pressure work
Client : Electrical work Others

Part 1 – must be filled out by the person applying for the Work Permit
Nom :……………………….…. Fonction :………………..……... Société :………………..………. Date :……………..……………
Description of the work: ..................

Conditions
Risk zone Contaminated atmosphere Explosive atmosphere
Unprotected area By the sea Underwater work
Confined space Bad weather conditions In height

Nature of the work to be done

Construction Abduction Modification Maintenance
Operation by crane and
Installation Welding / cutting Routine inspection
forklift
Equipment usage High electrical work
Non-routine work Radio Control
dangerous tension
Non-application of Routine work in
Heavy handling Other activities
procedures danger zones
Repair Personnel lift

Safety precautions required for work

Disposition Personal protective equipment Equipment and tools
Mechanical and/or electrical isolation * Head Protection Fire Detector
Security meeting Face Protection Fire fighting equipment
Inform the client or other services Welder's mask Gas Detector (H2S /CHx)
Have the client's permission Welding Glasses Fans, Extractors
Awareness or rescue boat informant Safety glasses Scaffolding
Broadcast information by loudspeaker SCBA Scales
Tools special Mechanics/
Alert the fire/rescue team Air Filters
Electric
Welding and equipment
Request first aid Ear protection
cutting
Surveillance Insulating gloves with long sleeves Disc grinder
Clear and/or clean the premises Leather Gloves Drill
Water curtain High Resistance Gloves Portable radio
Analysis of the work Insulated apron Vehicle
Special procedure to be established Leather apron Gremlin
Isolation Fire-Resistant Suit Forklift
Signaling Welding apron Personnel lifting platform
Zone restriction Safety Harness Nacelle for equipment
Delimitation of the area Stop-Shute Insulating tools
Installation of barriers Lifebuoy Manometers
Ventilate the places Seat belt Ammeter/Voltmeter
Rescue equipment
Purge / degassing Life jackets
Electric
coupling and grounding Diving suit Others
Others Others
To detail the operation of sealing and locking:
…………………………………………………………………………………………………………………………………………

Made by: Name:_________________Signature:_______________Date:______________Time:_____Minutes:____

Other comments: …………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………..

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Industrial Risk Management Services Company 'AMAL'
 WORK PERMIT

Person(s) designated to carry out the work to be briefed:

Name
Function
Company
Signature

As the Applicant for this permit, I am satisfied with the above safety precautions which are adequate for
ensure the safety of designated persons performing the work and of other individuals.
I made sure that the individuals assigned to this work know their tasks and the related procedures.
Name, Position, Date and Signature ___________________________________________________________

Part 2 - Approval of the Client Representative in charge of the permit

I give permission to start the work as specified above and to continue it as long as the
The conditions will remain as described above. This permit is valid:
De : ______/______/______/à ________hrs_______mn A : ______/______/______à __________hrs_________mn

Other comments: ..................................................................................

………………………………………………………………………………………………………………………………………..
Name, Position, Date and Signature: __________________________________

Part 3 - To be signed by the Representative in charge of the permit if the work is completed

The work is completed during the validity of this Permit and the work sites are returned to good conditions.
of safety and operation.
Name, position, Date and Signature: __________________________________

Part 4 - To be signed by the client representative in charge of the permit if the work is not completed,
at the end of the validity of the permit or in case of suspension of the works

This permit is suspended on Date: _________/________/________ at: __________hrs__________min

In my capacity as …………………………….., I declare that upon the expiration of the validity period of this permit or for
for other reasons, the work has been suspended and the work sites have been secured, and that precautions have been taken
measures taken to ensure that the safety of individuals is not affected by the resumption of activities in these places.
The resumption of work requires a new permit.

Name, position, date and signature____________________________________

Dispatching: When Part 1 is completed, Part 2 must be approved and signed by the Client Representative.
The original of the permit must be handed over to the person in charge of executing the [Link] is to
hand over to the Client's representative and the 2thcopy to the Site Manager CTF. When part 3 or 4 is
completed, the original is then handed over to the CTF Site Manager and filed in a special binder.

Other copies could be sent to other departments if necessary.

Note: This form is only used with the agreement of the Client's representative; if applicable, use the one from the Client.

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Industrial Risk Management and Services Company 'AMAL'