PDB PTW 2019 Ra and WL Vol. 1 10-11 Nov 2020

PERMIT TO WORK SYSTEM TRAINING
PETRONAS Dagangan Berhad

HSE Division
Date : 10-11 November 2020
Venue : Virtual Classroom PTW Training
Trainer : Abdul Latif Ihsan
Open 1
Time Topic
0900 - 0930 Opening Remarks
Safety Briefing
Safety Moments
Ice Breaking
0945 - 1030 Goal and Objectives
HSE Incident Lesson Learnt
Legal Requirements
Hazards and Risks
Hierarchy of Control
1030 - 1045 Morning Break
1045 - 1300 Type of PTW (Operation, NGV & Retail)
Type of Certificate
Validity
Contents of A PTW
1300 - 1330 Q&A
Open 3
Time Topic
0900 - 0945 Recap Day 1

PTW Authorised Personnel
Training & Competency
Monitoring, Audit & Record
0945 - 1030 Case Study
1030 - 0945 Hot Work
0945 - 1030 Competent Gas Detector (CGT)
1030 - 1045 Morning break
1045 - 1300 Job Hazard Analysis (JHA)

Q&A
1300 - 1330 PTW Assessment
Open 5
10 Zeto Rules Video
Open 6
Open 7
1. Goal And Objective
2. HSE Lesson Learnt
3. Legal requirements
4. Workplace Hazards And Their Associated Risks.
5. Hierarchy Of Control
6. Area classification
7. Types of permits and certificates and their respective functions
8. The typical contents of a PTW form
9. The PTW procedure
10. Hot work
11. Roles of PTW and Certificate signatories
12. Job hazard analysis (JHA)
13. Communication and handovers at various stages of the work
14. Gas Test
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GOALS & OBJECTIVES
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At the end of this session you will be able to:
1. To understand and recognize the importance the PTW system

2. Describe the requirements of PTW & JHA
3. To know your roles and responsibilities
4. Identify the different types of PTW
5. Identify the different types of certificates required for the PTW
application
6. To apply the PTW certificate/supporting document correctly
7. Prepare and fill up the PTW forms correctly
8. Capable to do JHA
9. Capable to do gas test
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1. Written and signed statement by an authorized person for work to be
carried out under stated precautions.
2. A means of formally transferring the responsibility from area owner to

receiving party.
3. A control system designed to assist all staff and contractors working at

hazardous or potentially hazardous area to comply to safe working
procedures (practices).
Open
HSE INCIDENT LESSONS
LEARNT
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BRIEF DESCRIPTION OF INCIDENT
An NGV compressor recovery tank experienced overpressure and ruptured,
releasing blast wave and gas vapour cloud. The gas vapour was ignited by
mobile phone used by DP or sparks from metal contact during the rupture
ACTIVE FAILURES
Non-compliance with HSE standards and procedures, such as Permit to Work
(PTW), Job Hazards Analysis (JHA), Energy Isolation, PPE, ignition source
control and ZeTo Rules
KEY FINDINGS
PTW and JHA were not applied for the work. Current practice is to apply PTW
and JHA for planned/preventive maintenance work only but not for corrective
maintenance
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BRIEF DECRIPTION OF INCIDENT
A contractor (Deceased Person “DP”) fell into the sea from a jetty (approximately 3-4m above sea level) while he was conducting
repainting work on pipelines. A search and rescue effort led by BOMBA together with Port Fire and Rescue Department, JPA
Malaysia and PDRM commenced on the same day. The body was found 2 days later by the Malaysia Maritime Enforcement
Agency (MMEA) approximately 12.3km from the incident location. Immediate family members identified the body as the DP and
post mortem was conducted at the hospital on the same day. The cause of death was identified as drowning.
ACTIVE FAILURES
DP fell into the sea without wearing a life vest and drowned.
KEY FINDINGS
1. Ineffective implementation of Permit to Work (PTW) systems i.e. work proceeded without approved PTW, worker was not
wearing the required Personal Protective Equipment (PPE) (i.e not wearing life vest or safety harness) and emergency equipment
was not provided at site.
2. Inadequate hazards communication:
a. Working near water and man overboard risk was not identified in Hazards and Effects Register (HER) and Job Hazard
Analysis (JHA) for the job.
b. The scenario of man overboard was not included in the Incident Action Plan (IAP) & site Safety Briefing Pack.
3. Lack of work site enforcement and monitoring by area owner.
4. Gaps in contractor management :
Identified shortage of number of fitters working at site against the agreed quotation. Therefore, an effective buddy
system cannot be implemented.
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Open 15
Contractor Staff Contractor Company
All ZeTo Rule Violations by Contractor staff shall also Consequence on Contractor Company following
confirmed verification of ZeTo Rules violation conducted
be subjected to verification process to drive down by Contractor staff would be at operational and/or
message of non-tolerance of violation. PETRONAS level:
Operational Level:
Standardised consequence for Contractor staff • Issuance of warning letter.
following confirmed ZeTo Rule violation, i.e. • Record non-compliance in PETRONAS’ Supplier
Relationship Management (SRM) system
• Payment deduction for any lost work day (if
• 1st offense: Ban from entering Company’s applicable)
site/facility for 1 month following confirmation • Cost of legal, fines, claims and damages incurred
of offense. resulting from violation (if applicable).
• 2nd offense: Ban from entering Company’s
site/facility indefinitely. Company Level:
• For ZeTo Rules violation linked to a major HSE
incident, the Company shall automatically be rated
“D”.
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LEGAL REQUIREMENTS
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•
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WORKPLACE HAZARDS AND
THEIR ASSOCIATED RISKS
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The potential to cause harm, including ill health
and injury, damage to property, products or the
environment; production losses or increased
liabilities.
People Environment Asset Reputation
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Physical
Electrical Chemical
HAZARD
CATEGORIES
Environmental Biological
Psychosocial Ergonomics
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HAZARDS EFFECT(S) REMARKS
Noise Hearing loss Depending on the intensity and duration

of exposure
Mechanical Sparks or physical injuries Need for Lock out/ Tag out procedure
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Toxicity
Skin irritation
Eye damage
Corrosion
Carcinogen
Mutagen
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• Ergonomics (or human factors) is the scientific
discipline concerned with the understanding of
interactions among humans and other elements of a
system, and the profession that applies theory,
principles, data and methods to design in order to
optimize human well-being and overall system
performance
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• Concerns in the workplace include excessive
working time, bullying, claustrophobia and
sexual harassment.
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• Any situation or state of events which poses a
threat to the surrounding natural environment
and adversely affect people's health.
Incorporates pollution and natural disasters such
as storms and earthquakes.
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• High voltage
• Short circuits
• Static
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HIERARCHY OF CONTROL
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1 • Elimination
2 • Substitution
3 • Isolation
4 • Engineering Control
5 • Administrative Control
6 • PPE
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Control Examples
Elimination Design to eliminate hazards or completely stop the
(Avoid) practice to remove the hazard
Substitution Substitute a less hazardous material, for example
(Select Safest Method) change out chemicals, use equipment that creates
less noise, etc.
Engineering Control Examples include: Ventilation such as lab hoods, blast
(Prevent falls) shields, machine guarding, guard rails, interlocks, etc.
Administrative Examples of Warnings include: Signs, alarms, labeling
Examples of Administrative Controls include:
Procedures and training
PPE This includes any protection worn by a person to
protect them from a hazard, e.g., safety glasses,
gloves, respirator, etc.
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AREA CLASSIFICATION
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• Zone 0 –
that part of a hazardous area in which a flammable atmosphere is
continuously present or present for a long period
• Zone 1 –
likely to occur in normal operation
• Zone 2 –
not likely to occur in normal operation and if it occurs will exist only
for a short period
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TYPE OF PERMITS TO
WORK
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1. PTW For Terminal Operation
2. PTW For NGV Operation
3. PTW For Retail
4. PTW For Admin Building
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1. PTW FOR TERMINAL OPERATION
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High Risk Medium & Low Risk
1. Hot work in operations/process area 1. Hot work outside of operations/process
2. Working on live electrical system or in close area
proximity of electrical sources in substation or 2. Dismantling, disassembling, or line
switchgear room breaking of non-hazardous substance
3. Excavation 3. Activities outside of process area except
4. Confined Space Entry for items identified as high risk
5. Lifting activities using lifting equipment except
manual lifting.
6. Working at height > 2m
7. Any work that involves line breaking of
hazardous substance & pressurized /high
temperature (products, additive, steam, air, fire
water, heating oil, industrial grade chemicals)
8. Diving
9. Performing inspection, testing & maintenance
work at jetty
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No Type of Work Approving Authority (AA)
1 High Risk Executive (Assistant Superintendent/ Terminal
Superintendent) / Terminal Manager
2 Medium & Low Risk Minimum Foreman*/Operations Supervisor & higher
In the situations where Operations Supervisor is not available. Some terminal’s shift,
foreman is the highest technician in-charge for the operations.
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All work shall apply the PTW, except when:
1. The work is a routine operation, and carried out by the Owner/Operator/Residing Contractors /Maintenance personnel
reporting to Superintendents in the facility, provided that there is a written and approved procedure for the work; or
2. Maintenance work is executed in a workshop or designated area for maintenance (i.e. for servicing forklift, cleaning instrument),
located in safe zone (based on HAC) and outside from process area. In this case, the workshop/designated area shall have its
own established safe work system based on the risk assessment.
3. A work is conducted outside of PDB premise, even though it is related to PDB’s business. In this case, the work shall be
governed by established safe work system of the area where the work is being carried out. If the work involves our assets in
operations although outside of PDB premise (i.e. pipeline at jetty, hydrant pit and valve chamber at apron), PDB PTW shall apply.
4. A work related to PDB asset inside other PETRONAS OPUs (e.g. MRCB, PPTSB, MLNG, PCMSB, PGB, etc),
Superintendent/Terminal Manager shall use the relevant PETRONAS OPUs PTW system, with minimum involvement as RA from
PDB in the PTW process. However, if the relevant OPUs PTW system is not present, then they shall use PDB’s PTW system.
5. For projects, subject to the agreement in the contract, Contract Owner shall indicate which PTW system is more suitable for
the type of work to be carried out. If the Contract Owner decides that the Contractor’s PTW system is more suitable based on
the workers’ familiarity with their own system and the span of control at the work site, they shall consult the Technical
Professional (TP) for Operation Safety of PDB HSE Division. The use of contractor’s PTW system is only allowed after the
Technical Professional (TP) for Operation Safety has reviewed the Contractor’s PTW system and other relevant procedures of
managing high risk activities, and is satisfied that it meets and is aligned to the intent of the PTW system. This process shall be
documented for record purposes.
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Open
2. PTW FOR NGV OPERATION
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High Risk Medium Risk Low Risk
1. Fabrication work (welding, cutting, 1. Dismantling, disassembling, or 1. Site verification & Pre-
grinding) in process area. line breaking except at riser unit. Inspection activity prior to
2. Working on live electrical system or 2. Troubleshooting which involve repair works.
in close proximity of electrical physical works e.g. opening, 2. Scheduled Maintenances i.e.
sources in substation or switchgear breaking or testing using calibration of instrumentations
room equipment on site, compressor equipment and Pressure Relief
3. Excavation > 1.5m (regardless of overhaul, Motor services, HE Valve Testing.
method) services. 3. Dispenser calibration &
4. Excavation using machine 3. Working in enclosed, restricted rectification work
(regardless of depth) access/egress, or potentially 4. Maintenance work which not
5. Lifting activities using lifting hazardous environment e.g. involve line breaking works
equipment (e.g. mobile crane) Cable gladding and Tubing (e.g. Tagging installation, DOSH
except manual lifting replacement. Inspection & Ultrasonic Test &
6. Working at height > 2m 4. Hacking Thickness Measurement
7. Any work that involves line breaking 5. Cylinder Recertification activity (UTTM))
of hazardous substance at NGV 6. Hot work except fabrication work
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riser unit. 45
No Type of Work Approving Authority (AA)
1 High Risk Executive (Maintenance)/ Manager (Operations & Maintenance)
2 Medium & Low Risk Minimum Technician (Maintenance) or higher.
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Risk Category High Medium & Low
Remote 1. AAR shall be available at site on 1. Remote approval is allowed for this category.
Approval Key behalf of AA. 2. Joint site inspection shall be done through photos
Process 2. Site inspection to be conducted or video showing the controls are in place prior to
between AAR & RA. work execution.
3. Technician NGV Maintenance as an 3. While performing photo/video taking for joint-site
AAR. inspection, contractor shall ensure:
4. AA shall sign-off PTW within 1 month a) Outside of compressor area/HAC Zone.
from the day of work completion. b) Gas test has been conducted.
4. AA shall sign-off PTW within 1 month from the day
PTW has been issued out.
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1. The work is a routine operation, and carried out by the Owner/Operator (i.e. PDB NGV
Maintenance Team) of the facility, provided that there is a written and approved procedure for
the work;
2. Maintenance work is executed in a workshop specifically designated for maintenance activities,

and is located outside the process area. In this case, the workshop shall have its own established
safe work system; or
3. A work is conducted outside of PDB premise, even though it is related to PDB’s business. In this
case, the work shall be governed by established safe work system of the area where the work is
being carried out.
4. For projects, subject to the agreement in the contract, Contract Owner shall indicate which PTW
system is more suitable for the type of work to be carried out. If the Contract Owner decides
that the Contractor’s PTW system is more suitable based on the workers’ familiarity with their
own system and the span of control at the work site, they shall consult the Technical
Professional (TP) for Operation Safety of PDB HSE Division. The use of contractor’s PTW system
is only allowed after the Technical Professional (TP) for Operation Safety has reviewed the
Contractor’s PTW system and other relevant procedures of managing high risk activities, and is
satisfied that it meets and is aligned to the intent of the PTW system. This process shall be
documented for record purposes.
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3. PTW FOR RETAIL
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1. Normal PTW System 2. Work Clearance Form
1. Applies for High Risk Activity. 1. Applies for Low and Medium Risk.
2. Utilizing the standard PTW Forms and supporting 2. The type of works with the associated hazards and controls
certificates either in manual form or PETRONAS have been pre-identified from risk assessment and
Electronic PTW (ePTW). consolidated into checklist (manual or electronic).
3. Regional Engineer/ Regional Technician is an 3. The verifications of the control, work authorization,
Approving Authority (AA). monitoring of work until completion to be done by Rakan
Niaga/Station Supervisor/Station Manager.
3. Photo taking & Video Shooting Activity 4. Greenfield
1. Requirements: 1. Used for projects at Greenfield sites located more than 500
a. Inside a building – PTW is not required, only meters away from the existing facilities or infrastructures,
get permission from Rakan Niaga from site clearing phase until completion of construction
b. Activity outside of HAC area – implement activities.
controls as per Checklist in Attachment 4 and 2. Greenfield site is defined as new, undeveloped site or area
verify controls with dealer/dealer with no existing above or underground services (e.g.
representative chemical or hydrocarbon pipelines, storage tanks, electrical
2. Activity within HAC area – Apply Normal PTW & cables and power lines) which pose significant HSE risks to
conduct Gas Test. the project during the execution.
3. It is not applicable once hydrocarbons or hazardous
chemicals are introduced into the system (except for
chemical cleaning purposes), or once tie-in with existing
nearby process systems is completed for process plants,
facilities or infrastructures, or once Certificate of Fitness for
Occupancy is issued for Residential, Commercial or
Administration Buildings.
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4. PTW FOR ADMIN BUILDING
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1. The work is a routine operation, and carried out by the Owner/Residing Contractors provided that there is a
written and approved procedure for the work; or
2. A work is conducted outside of PDB premise, even though it is related to PDB’s business (e.g. installation of
road signage). In this case, the work shall be governed by established safe work system of the area where the
work is being carried out.
3. For projects, subject to the agreement in the contract, Contract Owner shall indicate which PTW system is
more suitable for the type of work to be carried out. If the Contract Owner decides that the Contractor’s PTW
system is more suitable based on the workers’ familiarity with their own system and the span of control at the
work site, they shall consult the Technical Professional (TP) for Operation Safety of PDB HSE Division. The use of
contractor’s PTW system is only allowed after the Technical Professional (TP) for Operation Safety has reviewed
the Contractor’s PTW system and other relevant procedures of managing high risk activities, and is satisfied
that it meets and is aligned to the intent of the PTW system. This process shall be documented for record
purposes.
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LIST OF HIGH RISK WORK
Open
Open
PERMIT TO WORK PTW No:
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY
SECTION 1 - REQUISITION HOT WORK CERTIFICATE CONFINED SPACE ENTRY CERTIFICATE
AREA CLASSIFICATIONS
Applicant’s name: …………….............................................. Department/Company: …………..….......................... Zone 0 Safe CONDITIONS TO BE IMPLEMENTED BY RECEIVING AUTHORITY / WORK LEADER
Staff no./IC no.: ……………..…………...….. Location /Facility: .………….……...……………………….…………… Zone 1

TYPE OF HOT WORK CONTROLS REQUIRED ENTRY CONDITION ❑Standby man
Equipment no.: ……………. …………….…… Area: ..………………………………………………….………………. Zone 2 Name: ………………………………….
◊ Respirable atmosphere ❑ Extra low voltage lighting (50V maximum)
❑Welding ❑Gas monitoring ◊ Irrespirable atmosphere ❑ Locate mobile equipment away from manhole
Work description: ……………………………………………………........................................................................................................................... ❑Flame cutting o Continuous
❑ Confined space entry checklist attached
…………………………………………………………………………………………………………………………..…………….………………………………………………………………
❑Open flame o Every …… hours CONTROLS REQUIRED ❑ Rescue equipment at site
❑Grinding ❑Fire watch
❑ Rescue & evacuation plan attached
……………………………………………………………………………………………………………………………… ❑Blasting Name: …………………………………………….. ❑ First entry using SCBA or air line set ❑ Complete CSE checklist
❑Power brushing ❑Fire extinguisher ❑ Entrants are CSE certified ❑ Type of communication used:
❑Gouging ❑Fire blanket
SECTION 2 – HAZARDS ❑Post weld heat treatment ❑Fire retardant screen
❑ Entrants briefed of risk by Work Leader o Rope signals
❑Entry status board / log o Walkie talkie
❑Use of pyrophoric material ❑Fire hose on standby o Maximum no. of persons allowed: o Whistle/horn
❑ Slippery floor ❑ Rotating parts ❑ Chemical ❑ Flying debris ❑ Pinch point ❑Others: …………………….. ❑Cover potentially flammable sewer/drain/sump ……. Person ❑Others: …………………………………
❑ Sharp objects/edges ❑ Dropped objects ❑ Ionizing radiation ❑ Wild animals / insects ❑ Noise ………………………………. ❑ Locate spark producing equipment away from potentially ❑ Continuous ventilation
❑ Hot surfaces ❑ Fall from height ❑ Electromagnetic field ❑ Oxygen deficiency ❑ Congested site due to vehicles flammable sewer/trench ❑Gas monitoring
❑ Moving vehicle/ ❑ Electrical ❑ Extreme weather ❑ Poisonous substance ❑ Other………………………………………… ❑Remove flammable/highly combustible material o Continuous
machinery ❑ Gas / fumes ❑ Hydrocarbon ❑ Infectious substance ………………………………. ❑Others: ……………………………………………. o Every…… hours
…………………………………………………………
SECTION 3 – WORKSITE PREPARATION / PRECAUTIONS Special precautions: …………………………………………………………………………….. Special precautions: …………………………………………………………………………
………………………………………………………………………………………………………………………………… …………………………………………………………………...…………………….………………………………
…………………………………………………………………………… …………………………………………………………………………
❑ Flammable / combustible materials removed ❑ Contact area owner before work start
❑ Area barricaded ❑ Proper access / egress to work area
This permit is approved provided the above conditions and precautions are implemented I have personally checked that all control measures to prevent release of hazard have been put in place
❑ Warning signs in place ❑ Heavy machinery/vehicle has roll-over protection
❑ Scaffold erected and safe to be used ❑ Openings with potential to fall through are covered (floor & wall)
❑ Secure tools/materials against falling ❑ Portable electrical temporary installation has been inspected & tagged
❑ Earth Leakage Circuit Breaker (ELCB)
Approving Authority Approving Authority Entry Supervisor
Special precautions: ………………………………………………………....................................................................................................................

…………………………………………………………………………………………...................................................................................................... Name: ………………………………………………………………………………….. Name: ………………………………… Name: ………………………………..
Department;: …………………......… Designation: ………………………………… Department;: …………………......… Department;: …………………......…
SECTION 4 – PERSONAL PROTECTIVE EQUIPMENT Signature: ……………………………………… Date: ……………………………… Designation: …………………………. Designation: …………………………
Signature: ………………………… Date: Signature: ………………………… Date:
………………………………….. …………………………………
Extension: ……………………………
Mandatory Respiratory Protection Eye, Face & Body Hand Protection Personal Monitoring Equipment GAS TEST RESULTS
❑Helmet ❑ Half mask respirator Protection ❑Cotton gloves ❑ Personal distress unit
❑Safety shoes ❑ Full face respirator ❑Goggles ❑Leather gloves ❑ Personal O2 monitor Tests Standard Initial result
❑Safety glass ❑ SCBA ❑Face shield ❑Rubber gloves ❑ Personal dosimeter/ Film badge/ Survey AGT Name: …………………………………………… Date: ……………..
❑Approved coverall ❑ Air line set ❑Welding mask ❑Chemical gloves meter Oxygen 19.5% to 22%
❑ Dust mask ❑Disposable suit Signature: ………………........................................... Time: …………….
Fall Protection ❑ Hood ❑Chemical suit Hearing Protection Others Combustible < 10% LEL
❑ Full body harness with ❑Rubber boots ❑Ear plug ❑ Life jacket/vest
double lanyards ❑Ear muff ❑ Seat belt
SECTION 7 – PERMIT REVALIDATION (Note: This PTW form can be used for a maximum of 7 days, subject to daily revalidation by each shift. .
❑ ……………………………………..
Nevertheless, for confined space entry it is only valid for 8 hours per day)
SECTION 5 – SUPPORTING CERTIFICATES / DOCUMENT

RECEIVING AUTHORITY APPROVING AUTHORITY AA REPRESENTATIVE WORK LEADER
Date
❑Excavation – Cert no. ……………………………………............ ❑Radiation – Cert. no. ………………………………………………………
o Excavation plan ❑Diving – Cert. no. ………………………………………………………….. Day Shift Night Shift Day Shift Night SHift Day Shift Night SHift Day Shift Night SHift
❑Lifting – Cert. no. ………………………………………………….. ❑Drawing no. …………………………………………………………………
o Lifting plan ❑PETI certificate of fitness form
o Lifting checklist ❑Job Method Statement required
❑Physical isolation – Cert. no. ……………………………………. ❑JSA required
❑Electrical isolation – Cert. no. …………………………………… ❑Others: ………………………………………………………………………
SECTION 6 – JOINT SITE VISIT BEFORE WORK START / APPROVAL
I have personally checked the area and equipment to be worked on and am satisfied the work requested can be carried out safely.
RECEIVING AUTHORITY REPRESENTATIVE APPROVING AUTHORITY REPRESENTATIVE

Name: ………………………………………….. Name: …………………………………………..
Designation: ………………………………….. Designation: ………………………………….. SECTION 8 – HAND BACK
Signature: …………………………………….. Signature: ……………………………………..
❑Work completed
❑Housekeeping completed
❑Incomplete hand-back (Equipment status, reason for hand-back, etc.) …………………………………………………………………………………………………………………
AGREED BY RECEIVING AUTHORITY APPROVED BY APPROVING AUTHORITY AGREED BY WORK LEADER
RECEIVING AUTHORITY APPROVING AUTHORITY

Name:………………………………..........
Name:……………………………….......... Name:………………………………..........
Signature: ………………………………. Name: ……………………………………………………………….. Name: ………………………………………………………………..
Signature: ………………………………. Signature: ……………………………….
Open Company/ Dept.: ………………………… Signature: …………………………………………………………… Signature: ……………………………………………………………
Date: ………………. Time: ……………. Date: ………………. Time: …………….
Date: ………………. Time: ……………. Date: ………………………………... Time: …………………….. Date: ………………………………... Time: ……………………..
Open
Open
Open
At Hazardous Area
Open
Open
(Shaded is hazardous area)
Open
Open
Front View Side View
Open
Top View
Front View
Open
Open
Vent Pipe Area
Front View Side View

Open
Front View
Side View

Open
Side View Back View

Open
1. In view of the wide distribution of PETRONAS Station
and the lean structure of Retail Regional
Engineers/Technicians, remote approval and virtual
joint-site visit for Normal PTW is allowed to ensure
the work is executed as per plan and the hazards
associated with the work are managed accordingly.
2. While exercising remote approval, AA shall exercise
his/her clear judgment and accountability in
approving the work based on virtual joint-site visit.
3. PETRONAS e-PTW is one of the accepted tools for
remote approval.
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1. The work is a routine operation, and carried out by

the Rakan Niaga/Krew PETRONAS provided that there
is a written and approved procedure for the work; or
2. A work is conducted outside of PDB premise, even
though it is related to PDB’s business (e.g. installation
of road signage for petrol stations). In this case, the
work shall be governed by established safe work
system of the area where the work is being carried
out.
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PERMIT & CERTIFICATES
VALIDITY
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No. Permit / Certificate Validity Revalidation / Extension
1 PTW • Daily - before the work
resumes the next day; or
7 consecutive
• At the start of a new shift
days, inclusive of
2 Electrical Isolation Certificate (EIC)
the day of Weekly, with maximum
3 Physical Isolation Certificate (PIC)
issuance extension duration of 12
4 Safety System Bypass / Override
weeks
(SSB/O) Certificate
5 Confined Space Entry Certificate 12 hours No revalidation / extension
6 PTW for Confined Space Entry 12 hours No revalidation / extension
7 Lifting
8 Excavation
9 Radiation
7 consecutive
10 Temporary electrical installation
days, inclusive of
certificate No revalidation / extension
the day of
11 Limitation of electrical access (LoEA)
issuance
12 Road obstruction/closure
13 Vehicle entry
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In the event that:
1. there is an incident or emergency situation where work
must stop/evacuation takes place (this includes false alarm
or emergency drill); or
2. any of the supporting certificates expires or is cancelled
3. the job must be stopped and the permit shall be suspended
as per the PDB Stop Work Procedure. After confirming that
the condition is unchanged and the permit is revalidated by
AA, the permit may be returned to the RA/WL for work to
resume.
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In the event that there is:
1. a change in job scope/work description;
2. an incident affecting the permit;
3. any violation of the PTW requirement; or
4. change in permit conditions/hazard control
measures
5. the job must be stopped, the permit shall be
terminated, and all associated certificates shall
be cancelled. Prior to resuming the work, a new
permit is required and the certificates need to
be reapplied.
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THE TYPICAL CONTENTS OF A
PTW FORM
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PERMIT TO WORK PTW No:
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT SAFELY
SECTION 1 - REQUISITION HOT WORK CERTIFICATE CONFINED SPACE ENTRY CERTIFICATE
AREA CLASSIFICATIONS
Applicant’s name: …………….............................................. Department/Company: …………..….......................... Zone 0 Safe CONDITIONS TO BE IMPLEMENTED BY RECEIVING AUTHORITY / WORK LEADER
Staff no./IC no.: ……………..…………...….. Location /Facility: .………….……...……………………….…………… Zone 1

TYPE OF HOT WORK CONTROLS REQUIRED ENTRY CONDITION ❑Standby man
Equipment no.: ……………. …………….…… Area: ..………………………………………………….………………. Zone 2 Name: ………………………………….
◊ Respirable atmosphere ❑ Extra low voltage lighting (50V maximum)
❑Welding ❑Gas monitoring ◊ Irrespirable atmosphere ❑ Locate mobile equipment away from manhole
Work description: ……………………………………………………........................................................................................................................... ❑Flame cutting o Continuous
❑ Confined space entry checklist attached
…………………………………………………………………………………………………………………………..…………….………………………………………………………………
❑Open flame o Every …… hours CONTROLS REQUIRED ❑ Rescue equipment at site
❑Grinding ❑Fire watch
❑ Rescue & evacuation plan attached
……………………………………………………………………………………………………………………………… ❑Blasting Name: …………………………………………….. ❑ First entry using SCBA or air line set ❑ Complete CSE checklist
❑Power brushing ❑Fire extinguisher ❑ Entrants are CSE certified ❑ Type of communication used:
❑Gouging ❑Fire blanket
SECTION 2 – HAZARDS ❑Post weld heat treatment ❑Fire retardant screen
❑ Entrants briefed of risk by Work Leader o Rope signals
❑Entry status board / log o Walkie talkie
❑Use of pyrophoric material ❑Fire hose on standby o Maximum no. of persons allowed: o Whistle/horn
❑ Slippery floor ❑ Rotating parts ❑ Chemical ❑ Flying debris ❑ Pinch point ❑Others: …………………….. ❑Cover potentially flammable sewer/drain/sump ……. Person ❑Others: …………………………………
❑ Sharp objects/edges ❑ Dropped objects ❑ Ionizing radiation ❑ Wild animals / insects ❑ Noise ………………………………. ❑ Locate spark producing equipment away from potentially ❑ Continuous ventilation
❑ Hot surfaces ❑ Fall from height ❑ Electromagnetic field ❑ Oxygen deficiency ❑ Congested site due to vehicles flammable sewer/trench ❑Gas monitoring
❑ Moving vehicle/ ❑ Electrical ❑ Extreme weather ❑ Poisonous substance ❑ Other………………………………………… ❑Remove flammable/highly combustible material o Continuous
machinery ❑ Gas / fumes ❑ Hydrocarbon ❑ Infectious substance ………………………………. ❑Others: ……………………………………………. o Every…… hours
…………………………………………………………
SECTION 3 – WORKSITE PREPARATION / PRECAUTIONS Special precautions: …………………………………………………………………………….. Special precautions: …………………………………………………………………………
………………………………………………………………………………………………………………………………… …………………………………………………………………...…………………….………………………………
…………………………………………………………………………… …………………………………………………………………………
❑ Flammable / combustible materials removed ❑ Contact area owner before work start
❑ Area barricaded ❑ Proper access / egress to work area
This permit is approved provided the above conditions and precautions are implemented I have personally checked that all control measures to prevent release of hazard have been put in place
❑ Warning signs in place ❑ Heavy machinery/vehicle has roll-over protection
❑ Scaffold erected and safe to be used ❑ Openings with potential to fall through are covered (floor & wall)
❑ Secure tools/materials against falling ❑ Portable electrical temporary installation has been inspected & tagged
❑ Earth Leakage Circuit Breaker (ELCB)
Approving Authority Approving Authority Entry Supervisor
Special precautions: ………………………………………………………....................................................................................................................

…………………………………………………………………………………………...................................................................................................... Name: ………………………………………………………………………………….. Name: ………………………………… Name: ………………………………..
Department;: …………………......… Designation: ………………………………… Department;: …………………......… Department;: …………………......…
SECTION 4 – PERSONAL PROTECTIVE EQUIPMENT Signature: ……………………………………… Date: ……………………………… Designation: …………………………. Designation: …………………………
Signature: ………………………… Date: Signature: ………………………… Date:
………………………………….. …………………………………
Extension: ……………………………
Mandatory Respiratory Protection Eye, Face & Body Hand Protection Personal Monitoring Equipment GAS TEST RESULTS
❑Helmet ❑ Half mask respirator Protection ❑Cotton gloves ❑ Personal distress unit
❑Safety shoes ❑ Full face respirator ❑Goggles ❑Leather gloves ❑ Personal O2 monitor Tests Standard Initial result
❑Safety glass ❑ SCBA ❑Face shield ❑Rubber gloves ❑ Personal dosimeter/ Film badge/ Survey AGT Name: …………………………………………… Date: ……………..
❑Approved coverall ❑ Air line set ❑Welding mask ❑Chemical gloves meter Oxygen 19.5% to 22%
❑ Dust mask ❑Disposable suit Signature: ………………........................................... Time: …………….
Fall Protection ❑ Hood ❑Chemical suit Hearing Protection Others Combustible < 10% LEL
❑ Full body harness with ❑Rubber boots ❑Ear plug ❑ Life jacket/vest
double lanyards ❑Ear muff ❑ Seat belt
SECTION 7 – PERMIT REVALIDATION (Note: This PTW form can be used for a maximum of 7 days, subject to daily revalidation by each shift. .
❑ ……………………………………..
Nevertheless, for confined space entry it is only valid for 8 hours per day)
SECTION 5 – SUPPORTING CERTIFICATES / DOCUMENT

RECEIVING AUTHORITY APPROVING AUTHORITY AA REPRESENTATIVE WORK LEADER
Date
❑Excavation – Cert no. ……………………………………............ ❑Radiation – Cert. no. ………………………………………………………
o Excavation plan ❑Diving – Cert. no. ………………………………………………………….. Day Shift Night Shift Day Shift Night SHift Day Shift Night SHift Day Shift Night SHift
❑Lifting – Cert. no. ………………………………………………….. ❑Drawing no. …………………………………………………………………
o Lifting plan ❑PETI certificate of fitness form
o Lifting checklist ❑Job Method Statement required
❑Physical isolation – Cert. no. ……………………………………. ❑JSA required
❑Electrical isolation – Cert. no. …………………………………… ❑Others: ………………………………………………………………………
SECTION 6 – JOINT SITE VISIT BEFORE WORK START / APPROVAL
I have personally checked the area and equipment to be worked on and am satisfied the work requested can be carried out safely.
RECEIVING AUTHORITY REPRESENTATIVE APPROVING AUTHORITY REPRESENTATIVE

Name: ………………………………………….. Name: …………………………………………..
Designation: ………………………………….. Designation: ………………………………….. SECTION 8 – HAND BACK
Signature: …………………………………….. Signature: ……………………………………..
❑Work completed
❑Housekeeping completed
❑Incomplete hand-back (Equipment status, reason for hand-back, etc.) …………………………………………………………………………………………………………………
AGREED BY RECEIVING AUTHORITY APPROVED BY APPROVING AUTHORITY AGREED BY WORK LEADER
RECEIVING AUTHORITY APPROVING AUTHORITY

Name:………………………………..........
Name:……………………………….......... Name:………………………………..........
Signature: ………………………………. Name: ……………………………………………………………….. Name: ………………………………………………………………..
Signature: ………………………………. Signature: ……………………………….
Open Company/ Dept.: ………………………… Signature: …………………………………………………………… Signature: ……………………………………………………………
Date: ………………. Time: ……………. Date: ………………. Time: …………….
Date: ………………. Time: ……………. Date: ………………………………... Time: …………………….. Date: ………………………………... Time: ……………………..
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Open 79
1. How will we do the job? Status of equipment to be worked on?
2. Do we know the job hazards?
3. Do we have a procedure for the job?
4. Do we have the tools and parts for the job?
5. Do we have competent people to do the job?
6. Do we need contractors for the job?
7. When should we do it? How much time do we need?
8. Permit requirements?
9. Simultaneous work within vicinity?
10. PPE?
Open 80
1. Detailed work description provided?
2. Correct equipment number from correct area?
3. Work order raised for the job?
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Section 1 (STEP 1)
Permit Applicant (PA) fills the Section 1 of PTW: Be specific on:
i. Work description
detailed description, no ‘multiple’ jobs. Example cleaning machinery using air compressor
– specific the work/task to be done. If it multiple work/task, please detail all the task. Example :
• erect scaffold at BD01
• change several fluorescent lighting at the compressor house by using scaffolding
• “To install 3” 150# Blind At The Downstream of Fire Water Line by Using Baby Crane”.
ii. Equipment Number and Name : the work/task which done on the equipment
iii. Location/ Facility : where the work will be done. If the work done at multiple location, the applicant shall
discuss each location with the Approving Authority and list of all the location shall be attach in the permit.
Open 82
Hazardous Areas
The AA ticks the Hazardous Zone Classification based on:
i) Zone 0
That part of a hazardous area in which a flammable atmosphere is continuously present
or present for a long period
ii) Zone 1
That part of a hazardous area in which a flammable atmosphere is likely to occur in
normal operation
iii) Zone 2
That part of a hazardous area in which a flammable atmosphere is not likely to occur in
normal operation and if it does occur, will exist only for a short period
- Safe Zone – Other zones excluding Zone 0, Zone 1 and Zone 2

Open 83
1. Identify the potential hazards which will determine the type of
precaution in Section 3 and PPE in Section 4
2. AA/RA/PA must ensure that Section 2 is properly filled up
3. If the hazard not in the list of Hazard in section please write
the specify Hazard at Others.
Kindly refer to JHA to have a better idea on the hazards
Open 84
1. Identify all control measures & precautions to bring the risk level to ALARP
2. AA/AAR prepares the equipment and site accordingly. Area or Equipment are
prepared by Area Owner who normally operate and control the equipment or
area where the work is executed.
3. E.g if energy isolation required, respective competent persons applied as
LOTO at the isolation point.
4. Special precaution: if any specify hazards to be done and it is not in the list of
precaution section 3, Approving Authority shall write down in special
precaution.
Open 85
1. Identify all the personal protective equipment (PPE)
2. PPE for protection against the hazards identified
3. If the set of PPE are different for the job, there might be multiple activities
taking place. \
4. The AA/RA should identify appropriate PPE to address hazards as specified in
section 2
Open 86
1. AA/RA should prepare relevant certificates for the job and fill-up the
certificate number in the related box.
2. Certificates and supporting documents are required for the PTW application to
certify that various checks have been made and that it is safe to carry out the
work
3. Certificates and supporting documents shall be completed and attached to the
PTW
4. Certificates/Supporting Documents consists of (but not limited to):
i. SDS
ii. JHA etc.
Open 87
Joint Site Visit by both AA and RA
Note: AA can nominate AAR
i. Is area/equipment preparation satisfactory?

ii. Energy isolation, Lockout and Tag out completed?
iii. Equipment to be worked on has been identified in
the field?
iv. Any new hazards identified while inspection?
v. Do we need to conduct risk assessment again?
vi. Equipment Inspection Done
vii. Equipment List Available
viii. Are EX Equipment Certification Available?
ix. Do we need to cancel the job?
x. Do we need to re-check on HOT WORK?
xi. Is toolbox ready to be conducted?
xii. If its hot work & gas test is required, the calibration
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certificate must be attached to the PTW 88
Limitation of
electrical
access (LoEA)
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1. RA shall consult field AA and review the
type of Hot Work (HEHW and LEHW) and
the required controls before approving this
section.
2. Approving Authority shall be based on the
OPU Approve PTW Matrix
3. RA also to nominate their fire watcher for

work involving open sparks/fire.
4. More than one fire watcher names can be

filled in, this is to ensure that if any of the
fire watcher goes for break the other fire
watcher can replace.
5. Fire watcher shall be able to identify

potential hazard
Kindly ensure all related certificates and hot work column approve prior PTW approval
Open 27 October 2020 90
Confined Space Entry
Confined Space Entry is for entry into
confined space where the following
condition;
1. Contains potentially harmful levels
of contaminants.
2. Have oxygen deficiency or excess
3. Could cause engulfment
4. Have restrict means for entry and
exit
Approval by Entry Supervisor(ES) is

required by Legal requirement (ICOP).
Internal
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Internal
Gas Test Monitoring
1. AA will assign AGT / CGT to complete this section. He shall advise the type of
gas and the frequency of monitoring. AGT shall be responsible to perform gas
testing before PTW approval.
2. AA shall determine the frequency in gas testing for Hot Work and confined
space
Internal
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Internal
1. Joint site visit by AA & RA or AA & RAR or AAR & RA or AAR & RAR
2. Confirms by signing that area/equipment has been prepared
3. RA/RAR confirms acceptance of responsibility for work as described in Section 1 after
witnessing AA/AAR implementing the precautions & equipment confirmation
4. Before work execution
– To verify area/equipment preparation & control measures are well implemented as per risk assessment
– To identify any additional hazards / control measures needed
1 2
3 4 5
Open 93
5. All of party need to sign the PTW. This arrangement is to ensure a responsible employee is in position to prevent
conflict and ensure any hazardous activities is not carried out simultaneously in his area/unit.
6. AA will approve the PTW after he/she satisfies with the PTW preparation’s requirement, precaution and safe for work
to commence
7. RA will signs the agreement section to accept the PTW
8. RA shall ensure all workers are briefed on the hazards and conditions of the PTW
9. The WL shall acknowledge in PTW and sign –off prior starting the job.
1 2
3 4 5
Open 94
1. Permit applicant briefs the work team on permit requirements
2. Permit is displayed at the work site
3. Work begins
Open 95
If Required
1. A PTW is valid for 7 days. PTW needs to be revalidated prior to work to continue.
2. To validate any changes in the surrounding environment which may impose new
hazards.
Open 96
1. Job completed
2. Housekeeping completed
3. Permit returned and signed off
4. Provide feedback if any, for future improvements
Open 97
When job is completed:
▪ WL to return PTW to RA
▪ RA should ensure
i. Job is completed & Work site in safe condition
ii. Housekeeping is done
iii. Sign-off the PTW & related documents and return to AA
▪ Joint site visit need to be conducted prior to permit closure.

▪ AA should
i. Verify & satisfy with the job completion and housekeeping has been done
ii. Sign-off the PTW and the PTW now is closed
▪ The respective competent person shall normalize the isolation and closeout the associated certificates
1 2
Open 98
The Permit to Work form and accompanying certificates must be distributed as follows:
Original Copy: To be displayed at the Worksite.

1st Copy: Held at the Control Room
2nd Copy: To be retained by the Receiving Authority
3rd copy: Security
Open 99
WORK CLEARANCE FORM FOR
LOW & MEDIUM RISK (RETAIL)
Open 100
1. Changing the oil filter ('oil filter') at dispenser
2. Repair works at dispensers area without hot work
3. Glass door replacement
4. Replacement of water pipe at toilet
5. Replacement of hanging part
6. Server related work at OPT
7. Tiles replacement at forecourt
8. Work at height > 2 meters using ladder or Mobile Elevated Working
Platform (MEWP)
9. Painting work at surau
10.Replacement of site name
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https://tinyurl.com/PS-WCF
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https://tinyurl.com/wcf-dummy
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https://tinyurl.com/PS-handback
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https://tinyurl.com/hb-dummy
Open 109
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TYPE OF CERTIFICATES
Open 111
NO Certificates Type Validity
1 Electrical Isolation Certificate Three (3) month, with re-
validation at every seven
2 Physical Isolation Certificate
Special (7) days
3 Safety System Bypass / Override (SSB/O) Certificate
Certificate
4 Confined Space Entry Certificate Normal Certificates is
limited to seven (7) days
5 Radiation Certificate
and does not require
6 Lifting Certificate revalidation
7 Road Obstruction / Closure Certificate
Normal
8 Vehicle Entry Certificate Certificate PTW & Confine Space
9 Portable Electrical Temporary Installation Entry certificate is only 12
Certificate hours
10 Excavation Certificate
11 Limitation of electrical access (LoEA)
Open 12 Diving 112
Minimum
Approving Authority Training Provider
No. Certificate Activities Competency /
for Certificates (AAC) & Duration
Training Required
1 Electrical Isolation For all work involving isolation and energisation of electrical Authorised AA 1. PTW Training PDB HSE
Certificate (EIC) equipment, to ensure that the appointed AAC has isolated the (i.e. PTW AA) 2. LOTO Training
electrical equipment to be worked on and has taken suitable
precautions to prevent inadvertent reconnection
2 Physical Isolation For work on process lines and equipment, to ensure that they have Authorised AA 1. PTW Training PDB HSE
Certificate (PIC) been depressurized and free of any hazardous material, isolated (i.e. PTW AA) 2. LOTO Training
from other equipment in the operating facility and suitable
precautions taken to ensure that they remain isolated.
3 Safety System Bypass For bypassing or overriding (e.g. during maintenance) one or more Authorised AA PTW Training PDB HSE
/ Override (SSB/O) process control, fire or gas alarm safety systems to prevent (i.e. PTW AA)
Certificate inadvertent facility shutdown.
4 Confined Space Entry For entry and working inside confined spaces during projects. i.e. Entry Supervisor 1. PTW Training 1. PDB HSE
2. NIOSH
trench 2. AGTES
5 Gas Test for Confine To record gas test results required for execution of hot work or Authorized Gas Tester 1. PTW Training 1. PDB HSE
Space confined space entry. (AGT) 2. NIOSH
2. AGTES
6 Gas Test for Non- To record gas test results required for execution hot work for non- Competent Gas Tester 1. PTW Training 1. PDB HSE
2. PDB HSE /
Confined Space Entry confined space entry (CGT) 2. Gas Test Vendor /
Manufacturer
Open 113
Approving Authority for Minimum Competency / Training Provider &
No. Certificate Activities
Certificates (AAC) Training Required Duration
7 Lifting For lifting activities e.g. using equipment such Authorised AA 1. PTW Training PDB HSE
as mobile crane, crawler crane, and lorry 2. Lifting Safety
crane.
8 Excavation For all excavations or penetration of the Authorised AA 1. PTW Training PDB HSE
ground over 150 mm in depth, except for 2. Excavation Safety
established gardens.
9 Radiation Used when handling ionizing radiation Radiation Protection 1. PTW Training 1. PDB HSE
2. AELB
sources. Officer (RPO) 2. Radiation Protection
Officer (RPO/RPS)
10 Temporary Electrical For control of temporary electrical installation Authorised Competent Person 1. PTW Training 1. PDB HSE
Installation such as generator set, ELCB and power cable (ACP) or Appointed Person (AP) 2. Competent Chargeman 2. Training centers
Certificate and socket. with electrical competency (for applicable category) (Electric) accredited
Certificate with the Energy
Commission 20
weeks)
Open 114
Training
Approving Authority for Minimum Competency /
No. Certificate Activities Provider &
Certificates (AAC) Training Required
Duration
11 Limitation of For any work on the equipment/ switchgears located Authorised AA 1. PTW Training 1. PDB HSE
Electrical Access in the vicinity of other live electrical apparatus such as (i.e. PTW AA) 2. LOTO Training 2. Respective
(LoEA) in a substation / switchroom or any live testing. Business
Lines
12 Road Obstruction/ For controlling closure of roads to ensure that access Authorised AA PTW Training PDB HSE
Closure for emergency vehicles is maintained when section(s) (i.e. PTW AA)
of a road are closed.
13 Vehicle Entry For control of vehicle entry into the process areas. Authorised AA PTW Training PDB HSE
(i.e. PTW AA)
Open 115
PHYSICAL ISOLATION
CERTIFICATE
Open 116
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)
Open 119
ELECTRICAL ISOLATION
CERTIFICATE
Open 120
S1 – Requisition.
Fill by RA or RAR or AA or AAR
S2 – Permission to isolate.
Fill by AA
S3 – PTW dependent on this electrical isolation.

Fill by AA.
S4 – Isolation.
Fill by ACP or AP
S5 – Confirmation & Acceptance.

Fill by all relevant parties
S6 – Weekly revalidation.
Fill by ACP or AP
S7 – Temporary normalisation for testing.

Fill by all relevant parties.
S8 – Permission to normalise.
Fill by AA
S9 – Normalisation.
Fill by ACP or AP
Open 121
▪ Isolation of electrical equipment and allows safe work to be
undertaken on equipment
▪An authorized and competent person has electrically isolated the
equipment to be worked on and has taken suitable precautions to
prevent inadvertent reconnection
▪Issuing, Executing authorities and Electrical Maintenance shall
jointly decide the extent of isolation required
Open 122
SAFETY SYSTEM BYPASS/
OVERRIDE CERTIFICATES
Open 123
S1 General information
(fill by RA) – location, area, equipment & tag
number, duration, drawing given
S2 Work description
(fill by RA) – reason for bypass & effect on
system
S3 Precautions
(fill by RA) – risk assessment control measures
S4 Approval
(fill by AA designated by OPU)
S5 Weekly Revalidation (
by AA)
S6 Work completion
(by RA and AA)
Open 124
• Receiving Authority (RA) fills in Section 1 of the Safety Critical Equipment Bypass
Checklist with the details of location, equipment number, date and time required for
bypass activity and related drawing for the equipment
Open 125
• The equipment SIL category and duration of the bypass activity will determine the level of
approving authority as follows:
Condition 1 :
• Area owner shall authorize the Bypass Certificate if the bypass duration is less than 7 days
• Head of Department shall authorize the certificate if the bypass duration is more than 7
days
Condition 2 :
Regardless of the bypass duration, the AA for different level of SIL shall be as follows:
• The Approving Authority shall be Area Owner for SIL 1 and SIL 2 Category
• The Approving Authority shall be Head of Department for SIL 3 Category
• The SIL 4 Category loops shall not be bypassed
Whenever above condition (Condition 1 and 2) apply, the higher level Approving Authority of
the two shall approve the bypass.
Extension of bypass shall be approved by one authority level higher than the original approver
Open 126
• RA fill up reason for bypass and effect on the system – detailed description
(based on PHA / JSA / JMS conducted)
• Fill up Method of bypass
Open 127
• RA will fill/tick in Section 3 all precautions / instructions during bypass (PHA / JSA /
JMS shall be attached)
• RA agree to implement precautions specified by signing this section
Open 128
• AA will authorize the bypass by signing this section
• Supervisor shall record the detail of bypass event in the dedicated bypass log book
Open 129
• The certificate when remaining active for an extended period shall be revalidated every
seven (7) days.
Open 130
• AA close the bypass certificate after the equipment has been normalized
Open 131
CONFINE SPACE
Open 132
• Approving Authority (AA) will discuss and verify with Entry Supervisor by checking
that all procedures and equipment specified by the permit to work/certificate are in
place before the permit is approved and allow entry to begin

Required for any CSE activities
Open 134
RADIATION
CERTIFICATES
Open 135
Certificate covers:
i. Radioactive source and

dosage
ii. Duration of radioactive work
iii. Location
iv. Purpose
v. Approval by RO/RPO, together
with AA / RA
Open 136
i. Work involving the use of radioisotopes for radiography work
ii. Risk assessment through JHA
iii. Barricade the area and provide adequate warning signs
iv. Film badges and Dosimeters shall be worn by personnel handling radiography
equipment
v. Job preferably during night time or with least or no person around
vi. Continuous monitoring of cordoned area
vii. Precaution relating to Radiation in this section is to be documented by the
Licensed Radiation Officer (RO)
viii. Handling of Ionizing Radiation Source - Radiation Protection Officer (RPO) has
granted permission to use a radio-active source and that any related extra
precautions have been taken before radiography begins
Open 137
LIFTING
CERTIFICATES
Open 138
Lifting Certificate for handling of
heavy lifting work at site.
In addition, when any Critical lift is

being conducted, the Critical Lift
Checklist must be completed.
S1 – Crane information
S2 – Activity details
S3 - Approval
Open 139
Critical Lift:
1. Lifting over live or critical/sensitive process equipment or
facility
2. Lifting > 50 % of crane load
3. Lifting load of weight more than 80% of rated capacity of the
lifting equipment at the specified working radius and boom
angle as per crane load chart
Open 140
Open 141
ROAD OBSTRUCTION
CERTIFICATES
Open 142
For closure of roads that may affect
the passage of emergency response
vehicles.
• Reasons for blockage?
• Alternative passage?
• FIT / ERT / CEFS to be informed?
Open 143
• Road Obstruction Certificate shall be applied for closure of roads that may affect
the passage of emergency response vehicles.
• Applicant must declare the reasons for the closure of roads and provide
layout/plan on the alternative passage.
• RA/AA are required to update the changes of layout to Emergency Response

Team (ERT) and other staffs.
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• Road Obstruction Certificate is required to be attached together
with PTW in providing the assurance to the AA that the work is
safe to be conducted.
• Road Obstruction Certificate shall be completed and endorsed by
the Subject Matter Expert (SME) of the activities in confirming
that all precautions are in place prior to PTW application.
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Applicant/RA to fill in general information (Section 1)
and work description (Section 2)
The Applicant will assure on the precautions required

and the implementation of all the precautions
(Section 3)
The Applicant will then declare that the checks have

been conducted and sign the certificate (Section 4)
The AAR will then conduct site verification and RA will

declare that the precautions have been implemented
(Section 4)
The AA will endorse that the activity is safe to

proceed;
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AA will approve and provide certificate
validation (Section 5)
RA/AA will provide plot plan or sketch out

location of Road Obstruction (Section 6)
Upon completion of work, RA/AA will confirm

that the work is completed (Section 7)
AA will provide confirmation that he is aware

that the work is complete and worksite maybe
returned to normal operations
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• To be filled by Applicant on the location of project, road name,
facility area, date of execution and completion date.
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• To be filled by Applicant on the reason of obstructions and
special precautions to be implemented at site.
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• To be filled by Applicant on the precautions to be implemented
i.e. alternative passage, traffic controller, barricade, signage.
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• To be declared by Applicant on ensuring the precautions to be
implemented at site.
• RA is required to sign off on this declaration.
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• To be filled by AA for approval and certificate validation.
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• To be filled by RA/AA. RA/AA are required to attach plot plan or
Sketch Out Location of Road Obstruction for further
communication.
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• To be filled by RA/AA on the status of completion. Reasons must
be provided if the job is not completed.
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• The maximum validity period for Road Obstruction Certificate is
limited to seven (7) days and does not require revalidation.
• Should an emergency occurs, all works shall stop immediately
and the Permit shall be suspended. All associated Certificates
shall be cancelled and re-applied prior to resume work.
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VEHICLE ENTRY
CERTIFICATE
Open 156
Vehicle Entry Certificate is used for
control of entry of vehicles into the
process areas.
Optional certificates that can be

used by OPU to manage specific
activity or hazard:
Open 157
• Applicant (Work Leader) to fill in Section 1 of the Vehicle Entry Certificate with
the details of the driver, PSV/GDL No. & Expiry Date (if applicable), PUSPAKOM
Validity sticker, etc.
*Remark: GDL - Good’s Driving License

PSV - Public Service Vehicle

• Applicant to fill in Section 2 on General Information:
➢ Location/facility (e.g. Scheduled Waste Shed / Miri Fuel Terminal)
➢ PTW No. to be attached with the Vehicle Certificate
➢ Vehicle details (type of vehicle, vehicle registration no., capacity of the vehicle,
road tax expiry, etc.).

• Security/ Terminal Personnel will conduct visual inspection on the vehicle by
filling/tick in Section 3 of the certificate.
• Should one of the criteria is not meet, Security/Terminal Personnel shall advise the
permit applicant to rectify the issue before allowing the vehicle to enter process
area.

• Security/ Terminal Personnel will conduct technical inspection on the vehicle by
filling/tick in Section 4 of the certificate.
• Should one of the criteria is not meet, Security/Terminal Personnel shall advise the
permit applicant to rectify the issue before allowing the vehicle to enter process
area.
*Remark: Additional Checklist will be use for Heavy Vehicle i.e. Lifting Certificate

• Prior endorsing and approving the Vehicle Entry Certificate, both Inspector
(Security/RA) & AA/Security satisfied that the vehicle has complied with the
entry requirement.

• When the job is completed, Work Leader/Vehicle Driver signs off the certificate and
returns it to the AA/Security who inspects the job site/vehicle and satisfied that work,
including cleanup is completed which he will signs off the certificate

PORTABLE ELECTRICAL
TEMPORARY INSTALLATION
CERTIFICATES & REQUIREMENTS
Open 164
Important Notes:
➢ All PE to be brought into premises to be inspected, certified &

tagged by Competent Electrical Inspector
Open 165
A ➢ Equipment details
B ➢ PE Categories Classification
➢ Inspection criteria and results

C
Note: ‘X’ mark in the Categories Colum indicates the
criteria applicable for the PE to be inspected
*Continue next page

Open 166
C ➢ Inspection criteria and results
Note: ‘X’ mark in the Categories Colum indicates the
criteria applicable for the PE to be inspected
D ➢ Examples of PE
E ➢ Remarks, Validity and Approval section
Open 167
APPROVED DO NOT USE/
FOR USE REJECT
CHECKLIST NO.: VALID UNTIL:
CHECKLIST NO.:
Notes:
➢ Sticker validity – 3 Month

➢ The validity of sticker will be considered as void if the equipment is subjected to
replacement, repair, modification and relocation to other area with different hazardous
classification. Faulty and defective equipment will also void its validity
Open 168
Notes:
➢ PDB’s person in-charge may identify PE

through this Gate Pass
Open 169
Category A - Lighting
Hand Lamps Floodlights Fluorescent Light Fittings
Category B – Electrical Supply & Distribution
Mobile Generators Portable Distribution

Boards
Portable Transformers Extension Cables
Open & Sockets
Category C – Hand Tools
Electric Disc Cutter Electric Drills Electric Grinders Heat Gun
Electrode Heaters Welding Sets Plasma Cutters
Open
Category D – Portable Machinery
Coring Machine Submersible Pumps Electrical Fan Blower Jackhammer
Electric Driven Pumps Portable Genset Portable Electric Hoist

Open
Important Notes:
➢ TI must be designed, supplied, installed, tested &

commissioned by Competent Electrical Person
➢ All PE used for TI must be inspected, certified & have valid
inspection tag by Competent Electrical Inspector
➢ PETI Certificate of Fitness (PCF) must be approved prior to
start work
Open 173
Open
*Continue next page 174
➢ Work particular
A
➢ Validity – 3 month
➢ The validity of PCF will be considered as void
if the installation is subjected to
replacement, repair, modification and
relocation to other area with different
hazardous classification. Faulty and defective
equipment will also void its validity
B ➢ Equipment particular
*Continue next page

Open 175
C ➢ Schematic drawing/sketch of
installation. It shall clearly indicate the
installation from the source of supply
until the end user of the respective
installation
D ➢ Approval section
Open 176
1. Portable Equipment must be either Class II or Class III.
2. Class I is not permitted
3. For installation in process area, Ex equipment are compulsory.
4. Voltage levels for Class II equipment's
– 110V single phase up to 2 kW.

– 240V single phase up to 2 kW.
– 415V 3-phase above 2 kW.
5. Electrical or appliance in office are exempted from this procedure.
Open
1. Only Industrial Standard distribution board allowed to be used.
2. The maximum load for the temporary installation is 335 A, 200 kW, with
arrangement 3P+N+E
3. The supply to the distribution board may be coming from a mobile

generator or substation switchboard not exceeding 200 kW.
Open 178
EXCAVATION
CERTIFICATES
Open 179
S1
applicant’s name, work location (fill by RA)
S2
work description (fill by work leader)
S3
Approval by relevant bodies (civil, mechanical,
electrical, area owner)
S4
Safety precautions (fill by AA)
S5
Final Approval (fill by AA & RA), excavation
begins
S6
Excavation completion (fill by work leader)
S7
Acknowledge work completed (by AA)
Open 180
Scope
All excavations or penetration of the ground:
Over 150 mm in depth
• Require PTW & Excavation Certificate
Below 1.5 m from ground level
• Categorized as Confined Space
Open 181
Preparations & Permit Requirements
• All excavation work on behalf of PDB\JV involving disturbance

of the ground, in buildings or workshops & on demolition sites
shall be carried out under a work permit issued in accordance
to PDB PTW Procedure.
• No excavation may be carried out without the knowledge &
approval of the Area Owner.
Open 182
Written Excavation Plan
> 1.5 m > 3.0 m

The Site
This must be Supervisor should
Written Excavation
approved by the consult with &
Written Excavation Plan must be
Area Owner prior gain approval for
Plan is required approved by Civil
to application of the Excavation
Engineer
PTW Plan from the Area
Owner
Open 183
Barriers
Ensure that:
1. Barriers are erected as soon as practicable after excavation commences
2. Barriers or stop-blocks are fitted at all locations where cranes, dumpers, lorries,
tippers maneuver close to the edge of the excavation
3. The edges of the excavation are protected from damage during vehicle
maneuvers
4. Warning light shall be installed around the excavation site during night hours.
Open 184
PTW AUTHORIZED
PERSONNEL
Open 185
No. Criteria AA AAC AAR RA RAR WL
1 Attended PTW Training and scored a minimum of 85%
✓ ✓ ✓ ✓ ✓ ✓
in the test.
2 Completed the SKG 16.1 Downstream Grounding
✓
Program L2
3 • Experienced supervising work/working under a
PTW for 1 year; or
✓ ✓
• 5 years’ working experience in a manufacturing or
construction site
4 Is based in the facility and therefore aware / informed
✓ ✓
of all activities that take place.
5 • Trained on the safe system of work related to the
specific discipline required by the certificate.
(Refer to Table 3 for specific training requirements) ✓
• Certified to be competent in the specific discipline
Open required by the certificate.1 186
TRAINING AND
COMPETENCY
Open 187
No. PTW & JHA PTW & JHA CSE Training &
Responsible Person Training & Refresher Assessment
Assessment Training
(Every 3 years)
1 Permit Applicant (PA) ✓
2 Approving Authority (AA) ✓ ✓
3 Approving Authority (AA) for CSE ✓ ✓ ✓
4 Approving Authority for Certificates
✓ ✓
(AAC)
5 Approving Authority Representative
✓ ✓
(AAR)
6 Receiving Authority (RA) ✓ ✓
7 Receiving Authority Representative
✓ ✓
(RAR)
8 Work Leader (WL) ✓ ✓
9 Confined Space Entry Supervisor (ES) ✓ ✓ ✓
10 Confined Space Authorised Entrant & ✓
✓ ✓
Standby Person
11 Authorized Gas Tester (AGT) ✓ ✓ ✓
12 Competent Gas Tester (CGT) ✓ ✓
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13 JHA Leader ✓ ✓ 188
MONITORING, AUDIT &
RECORD
Open 189
No. Frequency Type of Audit Responsible Party Reference
1 Quarterly Functional Assessment • Terminal Attachment 3–

• Superintendent and HSE account manager to Superintendent / Functional
set a schedule to conduct assurance at site, HSE Operation Assessment Checklist
utilizing respective Function Assessment (HSED) for Permit to Work
Checklist within specified timeline, • Executive
• Any gaps found will be communicated (Maintenance)
relevant parties. • Executive
• A recommendation to address the gaps is to Engineering
be made.
• The completed checklist is to be submitted to
SDD Assurance Focal Person and HSE
Assurance Coordinator
2 Yearly Management System Assessment Appointed Assurance Management System
– To assess the effectiveness of the PTW Team Checklist
system as part of the overall HSEMS.
Open 190
Open 191
Respective divisions shall keep PTW records according the
retention period below:
No. Record Retention Period
1 Completed PTWs and certificates 1 Year
2 Permit, certificate and all relevant documents related to Throughout the duration of
any incident the life of the facility
3 Training records (i.e. attendance and assessment results) 3 Years
4 PTW logbook 1 Year (from the last log)
Open 192
HOT WORK
Open 193
Any activity that involves open flames or produces heat
and / or sparks e.g. open torch / heating cutting,
welding, brazing, grinding, electrical / electronic
measuring / monitoring, blasting, mobile / portable
internal combustion engines and / or similar
operations.
Open 194
Any work which involves the use of tools, equipment or techniques that could generate heat of
sufficient intensity to ignite flammable or flammable gases, liquids, dusts or materials. Followings are
some of the Hot Work activities:
1. Welding;
2. Thermal and oxygen cutting;
3. Heating;
4. Fire-producing and spark-producing operations;
5. Grinding;
6. Abrasive blasting;
7. Photo taking
8. Concrete chipping and drilling;
9. Metal drilling;
10. Heat treatment or stress relieving of pipe work and equipment;
11. Use of hot tapping equipment (subject to appropriate dispensation);
12. Use of electrically or battery powered cameras, pagers, mobile phones,or instruments;
13. The opening of any live electrical enclosure;
14. Use of internal combustion engines unless they are specifically manufactured and certified for
use in explosive gas atmospheres; and
15. Vehicle access into the terminal and jetty.
Open 196
To provide a guide, following are the Gas Monitoring Conditions:-
Zone 0 / Confined Space

– Hot Work,
1. Test conducted outside confined space followed by the Pre-Entry testing
inside confined space.
2. Continuous Gas Test to be done. Considered necessary because of the
probable gradual release of the hazardous gas due to deliberate or accidental
disturbance of the sludge or other objects, which have trapped or absorbed
the contaminants. This includes when there is forced ventilation.
Zone 1
1. Initial Gas Test to be done
2. Following Gas Test determined by AA
Zone 2 / Safe Zone

1. Initial Gas Test to be done
2. Following Gas Test determined by AA
Open 197
©UPSTREAM HSE 2017 26
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1. If you have any doubts, you may upgrade the PTW to Hot Work &
take the necessary steps required.
2. If you have any doubts, you may increase the frequency of Gas
Monitoring
3. Last Gas Test To be Done After Work Is Done
Open 199
1. All equipment brought into the terminal should be inspected by terminal
staff prior to approving any PTW. Contractors should be reminded not to
bring any equipment into terminal without approval.
2. All equipment brought into the terminal should be listed down and
attached to the PTW.
3. Welding generators and air compressors, located within Zone 0, 1 or 2,
they should be subject to control using Hot Work Permit.
Open 200
1. Vehicle Entry Certificate is not required for routine vehicles below
i. Road Tanker
ii. LPG Cylinder Lorry
iii. PDB Operated Forklift
2. Gas Testing For routine vehicles are not required
3. Any other vehicles entering PDB Premise is subjected to vehicle
entry certificate. If AA wish to deviate, SOP should be established to
manage the risk.
4. Any movement of vehicles within Zone 0, 1 and 2 area must be as
directed by the Permit Authoriser.
5. Company Vehicle only allowed in safe area
Open 201
For any work that requires a gas test to be carried out e.g.
1. entry into a confined space (i.e. safe atmosphere for breathing)
2. or to undertake hot work (i.e. atmosphere free from flammable vapor)
3. or to undertake cold work in an open area where there is presence of toxic gas (i.e. verify if toxic gas is
below PEL)
the authorized gas tester (AGT) / competent gas tester (CGT) shall record the test results and sign the GAS
TEST RESULTS section after conducting the gas tests at site. The PTW should also state the required
frequency of gas testing appropriate to the risk.
Open 202
Open 203
ROLES AND
RESPONSIBILITIES
Open 204
1. Ensure that all personnel, including contractors, who operate and
use the PTW system are trained and are competent.
2. Ensure that monitoring/auditing/reviewing of the PTW system is
established and maintained
3. Apply consequence management on ZeTo rules non-compliance as
per the ZeTo Rules Consequence Management Guideline.
4. Ensure that Functional Assurance of the system is conducted and
its results/analysis is presented to him/her and his/her divisional
management team as per the PDB HSE Assurance Procedure.
5. Ensure that the intervention actions of gaps identified from the
Functional Assurance analysis is tracked to closure.
6. Formally appoint the respective PTW signatories relevant to their
line functions
Open 205
1. Manage resources (e.g. movement/distribution of AA to
approve and supervise work activities) to allow for effective
implementation of the PTW system.
2. Ensure that Functional Assurance of the system is conducted
and its results/analysis is presented to the Head of Division
as per the PDB HSE Assurance Procedure.
3. Ensure that the intervention actions of gaps identified from
the Functional Assurance analysis is tracked to closure.
Open 206
1. Manage resources (e.g. movement/distribution of AA to
approve and supervise work activities) to allow for effective
implementation of the PTW system.
2. Ensure that Functional Assurance of the system is conducted
and its results/analysis is presented to the Head of Division
as per the PDB HSE Assurance Procedure.
3. Ensure that the intervention actions of gaps identified from
the Functional Assurance analysis is tracked to closure.
Open 207
1. Manage resources (e.g. movement/distribution
of AA to approve and supervise work activities)
to allow for effective implementation of the
PTW system.
2. Ensure that Functional Assurance of the system
is conducted and its results/analysis is presented
to the Head of Division as per the PDB HSE
Assurance Procedure.
3. Ensure that the intervention actions of gaps
identified from the Functional Assurance
analysis is tracked to closure.
Open 208
1. Ensure that all works conducted in his/her area are with valid PTW.
2. Only issue PTW to personnel that have undergone required training.
3. Implement the PTW System in line with the requirements of this
procedure.
4. Ensure that planning, issuance and closure of permits are properly
coordinated.
5. Monitor compliance with ZeTo Rules with regards to PTW
implementation.
6. Carry out Functional Assurance to ensure compliance with the PTW
system as per the PDB HSE Assurance Procedure.
7. Keep all copies of the PTW.
8. Maintain a log to record status of PTW and their supporting certificates.
Open 209
1. Authorize PTWs and revalidate
2. Specify the controls and precautions for safe execution of the work.
3. Ensure that the work being authorized does not jeopardize ongoing operations of the
facility.
4. Ensure that the work does not conflict with other ongoing permits (jobs) and are cross-
referenced to other permits for jobs that may interact with each other.
5. Assign AAR to prepare the work area/equipment with all the necessary precautions.
6. Ensure required supporting certificates and documents are attached and made known
to all concerned parties carrying out the work.
7. Communicate with everyone affected by the work before the work begins, when the
work is suspended and when the work is completed.
8. Discuss all ongoing or suspended PTWs with the incoming PTW AA during shift
handover.
9. Ensure joint site visit and verification are conducted by the AAR together with the WL
or RA prior to approval of the PTW.
10. Ensure that conditions are acceptable prior to authorization of the PTW.
11. Receive hand back and close-out the PTW on job completion.
Open 210
1. Prepare the work area/equipment so that it
can be safely handed over to the RA or WL.
2. Visit the worksite with the RA or WL prior
authorization of the PTW by the AA.
3. Verify that the equipment has been safely
isolated for the PTW to be authorized.
4. Visit the site while work is ongoing.
Open 211
1. State any precautions or requirements
that need to be fulfilled for safe execution
of the work.
2. Carry out the physical isolation if
required.
3. Issue the corresponding certificate when
satisfied that work can proceed.
Open 212
1. Prepare the PTW with the:
a. Specific work description and location
b. The required tools, material and equipment used for the job
c. Any known hazards and hazardous activities
2. Prepare any supporting certificates required for the job.
3. Discuss the work and highlight any special precautions with the AA.
4. Discuss the work with the WL.
5. Discuss the requirements of the job hazard analysis (JHA) and PTW with the WL.
6. Supervise the work in the PTW.
7. Perform joint site visit with AAR before the PTW is issued.
8. Acknowledge the details of the PTW/certificate including any potential hazards, and all the
required precautions and conditions specified by the PTW AA or AAC.
9. Communicate all the requirements to the WL and workers for the job.
10. Ensure the workers comply with the requirements set in the PTW/certificate e.g. physical
boundaries, precautions, type of work and validity time.
11. Leave the site in a safe condition and inform the AA on completion or suspension of the
work.
12. Hand back and sign-off the PTW when the job is completed.
Open 213
1. Confirm understanding and acceptance of conditions of the PTW
and acknowledge by signing
2. Limit the number of PTW under his/her supervision to ensure the
ability to maintain effective communication and constant line of
sight on all concurrent work, and to respond in the event of an
emergency
3. Explain the JHA content and PTW conditions to the workers
4. Supervise the work and should not leave the work site while the
work is ongoing unless the work is formally handed over to
another WL, RA, or RAR.
5. Verify control measures are in place – e.g. area barricaded,
designated PPE are used
6. Ensure compliance to PTW conditions
7. Return PTW to RA on completion of the work
Open 214
1. Carry out gas tests (oxygen content, toxic gas
level and flammability) at the frequency
specified on the PTW and supporting
certificates
2. Record the gas test results in the PTW
3. Stop the work and instruct the personnel to
leave the area whenever a gas test or change
in conditions indicate that it is unsafe for the
work to continue, and report to AA.
Open 215
1. All confined space entry, for activities
involving hot or cold work.
2. As per legal requirement, the gas tester
SHALL attend AGTES training and registers
with Department of Safety & Health
Malaysia. Followed by attending the periodic
refresher training.
Open 216
1. The person who has attended training on gas testing and is
appointed to carry out gas testing for the presence of
flammable vapours, toxic gas and oxygen and issue gas test
certificates in support of PTWs
2. The coverage for CGT only for NON-CONFINED SPACE entry
for activities involving hot work
Open 217
1. Plan the work and prepare required documentation
2. Lead the risk assessment or JHA
3. Supervise activity before, during and after entry operation
4. Verify by that all tests specified by the PTW and entry permit have been
conducted and the space is safe for entry to commence
5. Confirm understanding and acceptance of conditions of the PTW and entry
certificate. Explain the JHA contents, emergency response and PTW conditions to
the workers e.g. on the hazards, emergency procedures
6. Identify all authorized entrants, the standby person and alternate
7. Verify that entry conditions remain safe whenever responsibility is transferred
and at intervals dictated by the PTW
8. Verify control measures are in place – e.g. ventilation, designated PPE, RPE are
used
9. Terminate the entry if the acceptable entry conditions cannot be maintained
10. Verify that rescue services are available before any entry and that the means for
summoning them are operable
Open 218
1. Prepare area for hot work – e.g. check fire
extinguisher, barricade, cover trenches, use
fire retardant blankets, pressurized water
hose, etc.
2. Respond when there is fire during hot work
3. If trained, monitor LEL if continuous
monitoring is required for the hot work
Open 219
COMPETENT GAS TEST
(CGT)
Open 220
A Gas Detector is an equipment used by an CGT, or sometimes
by the authorized entrant, to detect levels of gases , and to give
warning alarm if the level is dangerous. Example of dangerous
levels of gases are :
Oxygen
(20% to 20.9%)
Explosive
(<10% LEL)
Toxic
(< PEL)
Open 221
Read the instructions for
each individual gas
detector before using. The
following is an example
method and slight
variations will occur
between models.
Open 222
• Turn on gas detector
• Press the power button
to activate the device.
Open 223
• Wait for calibration
• Lights will flash to signal
the device is calibrating.
Wait for these to stop
before continuing.
• Zeroing the gas detector
Open 224
• Set gas detector
• Use the appropriate
buttons to switch your
gas detector to the
required setting. For
example press the high
sensitivity button to
detect small
concentrations of gas. You
may also wish to alter
which indicators are
active.
Open 225
• Test gas detector
• Position the sensor as
appropriate (usually fully-
extended) and use a
known gas source to
check your gas detector is
working correctly,
perhaps a gas hob or
torch. If the detector does
not begin to alert, do not
continue use.
Open 226
• Detect gas
• After the device has
stopped sensing the
known gas source,
move it around the area
where you suspect
there may be gas,
concentrating on joints
and connections.
Open 227
Open 228
The atmosphere shall be
tested by an AGT/CGT
The results shall be

recorded in the permit
to work
Open
229
1. Example of gas test at the tank area.
2. Take at least 3 different points
Open 230
1. Example of gas test at the dispenser area.
2. Take at least 3 different points
Open 231
Open 232
JOB HAZARD ANALYSIS
(JHA)
Open 233
At the end of this session you will be able to:
a) Understand the standards and requirements of JHA

b) Effectively implement the JHA standards and requirements to ensure
safety and integrity of assets
c) Identify hazards associated with the task
d) Propose control measures to mitigate the risks
e) Anticipate all the potential incident/accident that may arise during
execution
f) Plan recovery measures to avoid or minimize the consequence.
Open 234
WHAT is Job Hazard Analysis (JHA)?
1. JHA is the application of the hazards and effects management process at the task
level
a) Identifying and assessing the hazards of each element of the task
b) Defining appropriate controls and recovery measures
WHY to apply Job Hazard Analysis (JHA)?

1. To ensure potential hazards related to the job task are identified before executing the
job
2. To ensure required control and recovery barriers are identified as part of managing the
risks associated with the job task to As Low As Reasonably Practicable (ALARP)
Open 235
Terminal Operation NGV Retail Operation
JHA Leader Attended PTW & JHA training and Attended PTW & JHA training and Attended PTW & JHA training and
passed the assessment. passed the assessment. passed the assessment.
JHA Team Member Representative of Representative of Representative of party

Operations (if operations personnel Operations & Maintenance (if performing the work, e.g. Regional
is not JHA leader operations & maintenance Engineer/Technician, Contractor
Party performing the work, e.g. personnel is not JHA leader)
Regional Engineer, Contractor, Party performing the work, e.g. JHA Leader may call relevant
Maintenance personnel. Contractor discipline engineer from
TSD/GTS/HSED to assist team in
JHA Leader may call relevant JHA Leader may call relevant developing/reviewing JHA:
discipline engineer from discipline engineer from 1. Civil and Structural Mechanical
TSD/GTS/HSED to assist team in TSD/GTS/HSED to assist team in 2. Electrical
developing/reviewing JHA: developing/reviewing JHA: 3. Instrumentation & Control
1. Civil and Structural Mechanical 1. Civil and Structural 4. Material, Corrosion and
2. Electrical 2. Mechanical Inspection
3. Instrumentation & Control 3. Electrical 5. HSE
4. Material, Corrosion and 4. Instrumentation & Control
Inspection 5. Material, Corrosion and
5. HSE Inspection
6. HSE
JHA Approver Executive (Assistant Executive (Maintenance)/ Manager Regional Engineer /Head of
Superintendent/Terminal (Operations & Maintenance) Engineering Solutions
Superintendent)/Terminal Manager
Open
Internal
JHA Roles Responsibility
JHA Leader i. Form JHA Team
ii. Brief team on the work that will be performed
JHA Team Member i. Provide relevant input and make necessary corrections
1. Representative of party performing the work, e.g. Regional during the analysis.
Engineer/Technician, Contractor ii. Determine the control/recovery measures to be as low as
2. JHA Leader may call relevant discipline engineer from TSD/GTS/HSED to assist reasonably practicable.
team in developing/reviewing JHA:
i. Civil and Structural Mechanical
ii. Electrical
iii. Instrumentation & Control
iv. Material, Corrosion and Inspection
v. HSE
JHA Approver • Verify the following before approving the JHA:
a. Correct methodology applied in conducting the JHA
b. All relevant parties have sat through and collectively
conducted the JHA
c. All hazards and risks associated with the job have been
identified accordingly
d. All control/recovery measures have been determined
• Responsible for the overall implementation of safe
Open 237
management of work activities of the JHA approved.
NO Steps
1 Understand work
2 Break into single small steps
3 Identify hazard and risk associated with the step
4 Identify controls
Open 238
Control Examples
Elimination Use paint roller with extendable handles rather than
(Avoid) work on a ladder or bring the work to ground level
Substitution Use mobile elevated working platform (MEWP)

( Select Safest Method) instead of ladder to reach high place
Engineering Control Edge protection – guard rails

(Prevent falls)
Administrative Signage / procedure / work instruction
PPE Safety harness with double lanyard / Safety Helmet /

Safety Shoes
Open 239
Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
SCOPE OF WORK / JOB TITLE:
AREA / LOCATION: TAG / EQUIPMENT NO.: SERVICE / MEDIUM / METHOD :
Name Department Company Date Signature
JHA MEMBERS:
JHA TEAM LEADER

APPROVED BY:
Open
Step Step Description Potential Hazards & Control and /or Recovery Measures
No Consequence (P/E/A/R)
Open 241
TOOLBOX TALK ATTENDANCE SHEET
Declaration: Work Leader / Supervisor
As the Work Supervisor/Leader, with reference to the JHA, I have conducted the toolbox talk and briefed all workers and relevant parties on the:
• Scope of work and explained the tasks’ objectives and expectations.
• Specific hazards of the tasks.
• Required control/recovery measures and identified the individual(s) responsible for implementing the controls.
• Required PPE and inspected workers’ PPE to ensure they are sufficient and fit for purpose.
Sebagai Penyelia Kerja, dengan merujuk kepada JHA, saya telah mengadakan toolbox talk dan menerangkan kepada semua pekerja dan pihak berkaitan tentang:
• Skop kerja dan objektif tugasan.
• Hazad khusus kepada tugasan.
• Kawalan-kawalan keselamatan yang perlu diambil dan mengenalpasti individu-individu yang bertanggungjawab untuk melaksanakannya.
• PPE yang perlu digunakan dan memeriksa PPE pekerja untuk memastikan ia cukup dan sesuai untuk penggunaan.
No Name Designation / Position Department / Company Date Time Signature
1.
2.
3.
Declaration: Workers / Relevant Party
As the Worker/relevant party, I have been briefed on the contents described in the JHA by the Work Supervisor/Leader. I understand and accept what has been briefed in the toolbox talk
and will ask my Supervisor if I am in doubt when executing the job. I shall exercise my Stop Work Authority if I cannot immediately address any hazards that may endanger myself or others
around me, and report to my Work Supervisor/Leader.
Sebagai pekerja/pihak berkaitan, saya telah diterangkan tentang isi kandungan JHA oleh Penyelia Kerja. Saya faham dan menerima apa yang diterangkan dalam toolbox talk dan akan bertanya kepada Penyelia
saya sekiranya ada keraguan semasa menjalankan tugas. Saya akan menguatkuasakan Stop Work Authority jika tidak dapat mengendalikan hazad yang boleh membahayakan saya atau orang lain, dan
melaporkan kepada Penyelia Kerja.
No Name Designation / Position Department / Company Date Signature
1.
2.
3.
4.
5.
6.
7.
8.
9.
Open 10. 242
Open 243
SAMPLE OF JHA
Open 244
1 General Precaution 1.1 Bad Weather Condition 1.1.1 Stop Work and inform NGV Supervisor for further instruction.
1.2 Hazardous Worksite 1.2.1 Wear Proper PPE. Safety Helmet, Safety Shoes & Safety Glass are mandatory.
Ear Plug and Safety Glove are required based on work activity to be performed.
1.3 Emergency Situation 1.3.1 In event of emergency, Stop Work and proceed to assembly area.
1.3.2 Ensure buddy system.
1.3.3 Fire Fighting equipment to be available at work area
2 Mob & Demob 2.1 Traffic accident 2.1.1 All vehicles, permit, license, machineries, tools & equipment to be checked
activity – equipment valid and confirmed fit for the purpose
& machineries to
the site 2.2 Slip/Trip/fall 2.2.1 Wear proper PPE
2.2.2 Remove all potential hazard
2.3Unauthorized entry to work 2.3.1To put warning signage & barricade

area
3 PTW application 3.1 Unauthorized Work/Invalid 3.1.1 Obtain a valid work permit before starting the job.
with trained Permit 3.12 Valid PTW Training for AA, RA and WL
Approval Authority
and Receiving 3.2 Lack of Competency 3.2.1 Supervisor must ensure that all work activities are carried out by competent
Authority. i. Wrong control measure person
ii. Personal Injury 3.2.2 Supervisor must ensure that all work activities are carried out by competent
iii. Equipment damage person
3.2.3 Responsible person will conduct, monitor the work activities and MUST
ensure safety standard and procedures are strictly adhered
3.2.4 Do not allow unauthorized personnel in the work area
3.2.5 Toolbox briefing to all workers
Open
3.2.6 ERP briefing to all worker 245
4 Visual inspection of 4.1 Body Injury 4.1.1 Wear PPE as per PTW
work site 4.1.2 Conduct Gas Test before entering HAC Zone
& equipment 4.1.3 Buddy system
used.
5 Demolish Brick wall 5.1 Flying object hit operator. 5.1.1- 5.4.1 Mandatory PPE (Personal Protective Equipment)
5.2 Hearing injury i. Safety Boots & ear plug
5.3 Foot injury ii. Helmets
5.4 Hand Injury iii. Coverall
iv. Hand glove
v. Safety Glasses
5.5 Electrical shock to operator. 5.5.1 System Lock Out Tag Out (LOTO)
5.6 Dust pollution 5.6.1 Cover work area with plastic canvas.
6 Grill Dismantling at 6.1 Hand injury- sharp object. 6.1.1-6.2.1 Mandatory PPE (Personal Protective Equipment)
meeting room & 6.2 Foot injury- Heavy object. i. Safety Boots
pantry ii. Helmets
iii. Hand glove
iv. Safety glasses
6.3. Electrical Shock during hand drill 6.3. 1 System Lock Out Tag Out (LOTO) or used battery operated drill.
7 Dismantling Glass 7.1 Flying object- Hacking work 7.1.1-7.4.1 Mandatory PPE (Personal Protective Equipment)
Door at Meeting 7.2 Hearing injury i. Safety Boots
room & panty 7.3 Hand injury- sharp object. ii. Helmets
7.4 Foot injury- Heavy iii. Hand glove
Object iv. Ear plug
v. Safety glasses
vi. Tie the glass with rope during dismantling
Open
7.5 Electrical Shock during hand drill 7.5.1 System Lock Out Tag Out (LOTO) or used battery operated drill.246
8 Installation of 8.1 Hand injury- sharp object. 8.1.1-8.2.1 Mandatory PPE (Personal Protective Equipment)
Tempered Glass 8.2 Foot injury- Falling Heavy object. i. Safety Boots
ii. Helmets
iii. Hand glove
iv. Ear plug
v. Safety glasses
vi. Tie the glass with rope during installation
9 Install staircase for 9.1 People slip and fall 9.1.1-9.3.1 Mandatory PPE (Personal Protective Equipment)
Emergency Exit 9.2 Hand injury- corner sharp. i. Safety Boots
9.3 Foot injury- Falling Heavy & hit sharp object ii. Full body harness
iii. Ear plug
iv. Helmets
v. Hand glove
vi. Safety glasses.
9.4 Electrical shock during machined operated.
9.4.1 System Lock Out Tag Out (LOTO).
10 Install Parking 10.1 People slip and fall 10.1.1-10.1.1 Mandatory PPE (Personal Protective Equipment)
shade 10.2 Hand injury- corner sharp. i. Safety Boots
10.3 Foot injury- Falling Heavy & hit sharp object. ii. Full body harness
iii. Ear plug
iv. Helmets
v. Hand glove
vi. Safety glasses.
10.4 Electrical shock during machined operated. 10.4 System Lock Out Tag Out (LOTO).
11 Conduct 11.1 Poor Housekeeping 11.1.1 Ensure housekeeping of the site prior to work, during and
housekeeping 11.2 Slip and fall after completion of the job.
Open 11.3 Environmental pollution 11.2.1 Proper PPE 247
11.3.1 Proper waste management and disposal.
CASE STUDY
Open 248
• Excavation 0.5 meters for trenching
using backhoe
– Identify the PTW + certificate
Open 249
• To replace diesel portico
Open 250
• Standalone Diesel
knocked down by hit
& run vehicle
• As a contractor you
need to replace it
with a new one.
– Identify the PTW
Open 251
• Cleaning in the confine space using
water jet
– Identify the PTW and certificates
Open 252
• Changing bulbs at
forecourt using
scaffolding
– You need to develop
JHA for the
scaffolding work &
changing bulbs
– Identify the PTW +
certificate
Open 253
• Lifting work using mobile crane
– You need to develop JHA for lifting activity
Open 254
https://tinyurl.com/survey-ptw
Open 255
Good luck to all participants
Open 256
Open 257

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What are the goals and objectives of the Permit to Work system training?

What are the goals and objectives of the Permit to Work system training?

What types of permits and certificates are discussed in the training?

What types of permits and certificates are discussed in the training?

PERMIT TO WORK SYSTEM TRAINING

PETRONAS Dagangan Berhad

Date : 10-11 November 2020

Venue : Virtual Classroom PTW Training

Trainer : Abdul Latif Ihsan

0900 - 0945 Recap Day 1

1030 - 0945 Hot Work

0945 - 1030 Competent Gas Detector (CGT)

1030 - 1045 Morning break

1045 - 1300 Job Hazard Analysis (JHA)

1. To understand and recognize the importance the PTW system

2. A means of formally transferring the responsibility from area owner to

3. A control system designed to assist all staff and contractors working at

People Environment Asset Reputation

Noise Hearing loss Depending on the intensity and duration

1 High Risk Executive (Maintenance)/ Manager (Operations & Maintenance)

2 Medium & Low Risk Minimum Technician (Maintenance) or higher.

2. Maintenance work is executed in a workshop specifically designated for maintenance activities,

Staff no./IC no.: ……………..…………...….. Location /Facility: .………….……...……………………….…………… Zone 1

Special precautions: ………………………………………………………....................................................................................................................

SECTION 5 – SUPPORTING CERTIFICATES / DOCUMENT

SECTION 6 – JOINT SITE VISIT BEFORE WORK START / APPROVAL

RECEIVING AUTHORITY REPRESENTATIVE APPROVING AUTHORITY REPRESENTATIVE

RECEIVING AUTHORITY APPROVING AUTHORITY

(Shaded is hazardous area)

(Shaded is hazardous area)

(Shaded is hazardous area)

(Shaded is hazardous area)

1. The work is a routine operation, and carried out by

Staff no./IC no.: ……………..…………...….. Location /Facility: .………….……...……………………….…………… Zone 1

Special precautions: ………………………………………………………....................................................................................................................

SECTION 5 – SUPPORTING CERTIFICATES / DOCUMENT

SECTION 6 – JOINT SITE VISIT BEFORE WORK START / APPROVAL

RECEIVING AUTHORITY REPRESENTATIVE APPROVING AUTHORITY REPRESENTATIVE

RECEIVING AUTHORITY APPROVING AUTHORITY

- Safe Zone – Other zones excluding Zone 0, Zone 1 and Zone 2

Kindly refer to JHA to have a better idea on the hazards

i. Is area/equipment preparation satisfactory?

3. RA also to nominate their fire watcher for

4. More than one fire watcher names can be

5. Fire watcher shall be able to identify

Approval by Entry Supervisor(ES) is

7. RA will signs the agreement section to accept the PTW

▪ Joint site visit need to be conducted prior to permit closure.

Original Copy: To be displayed at the Worksite.

S3 – PTW dependent on this electrical isolation.

S5 – Confirmation & Acceptance.

S7 – Temporary normalisation for testing.

Open 27 October 2020 133

i. Radioactive source and

In addition, when any Critical lift is

• RA/AA are required to update the changes of layout to Emergency Response

The Applicant will assure on the precautions required

The Applicant will then declare that the checks have

The AAR will then conduct site verification and RA will