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    PTW - AG&P Piping Works (Weekly)

    Uploaded by

    Caleb del Mundo
    The document is a work permit for hot work activities such as welding and cutting. It provides details of the work location, dates, equipment involved, contractors performing the work, description of activities including pipe welding and concrete cutting, safety instructions, required preparation checks and fire safety protections. Personnel from multiple departments must approve the permit before work can begin and also accept completion of the work.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    PTW - AG&P Piping Works (Weekly)

    Uploaded by

    Caleb del Mundo
    109 views2 pages
    The document is a work permit for hot work activities such as welding and cutting. It provides details of the work location, dates, equipment involved, contractors performing the work, description of activities including pipe welding and concrete cutting, safety instructions, required preparation checks and fire safety protections. Personnel from multiple departments must approve the permit before work can begin and also accept completion of the work.

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    PTW - AG&P Piping Works(weekly)

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    © © All Rights Reserved

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    The document is a work permit for hot work activities such as welding and cutting. It provides details of the work location, dates, equipment involved, contractors performing the work, description of activities including pipe welding and concrete cutting, safety instructions, required preparation checks and fire safety protections. Personnel from multiple departments must approve the permit before work can begin and also accept completion of the work.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    109 views2 pages

    PTW - AG&P Piping Works (Weekly)

    Uploaded by

    Caleb del Mundo
    The document is a work permit for hot work activities such as welding and cutting. It provides details of the work location, dates, equipment involved, contractors performing the work, description of activities including pipe welding and concrete cutting, safety instructions, required preparation checks and fire safety protections. Personnel from multiple departments must approve the permit before work can begin and also accept completion of the work.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    REV 3_07-01-2022 WORK PERMIT

    Single-Use Longterm Use


    Control No.:
    Cold Work Hot Work Confined Space Entry Excavation Critical Lifting Work
    Location NPC GRF Date Issued 12/27/2022 Valid Until 1/2/2023 Work Request No.

    Equipment I.D. N/A Time 0800H Time 1700H


    Working Group: (Pls. Use back page for multiple contractor)
    MPDSI/SPPC Group: In house Contractor: Other External Contractor:

    TSD/Project Engineering N/A AG&P


    (Department/Section) (Company/Department/Section) (Company/Department/Section)
    Description of Activities: (Pls. use back page for more details)
    PIPING, STEELWORKS, AND OTHER HOT WORK ACTIVITIES:
    1. Preparation, beveling, and tack welding of 16" pipes; 2. Full welding of accepted pipe joints; 3. Inspection & testing
    activities (e.g. FDT, QC); 4. Concrete cutting & chipping of box culvert area; 5. Breaking of rip rap rocks outside box culvert
    area;

    Important Instructions & Notes: (Pls. use back page for more details)
    All activities should be per approved Method Statement (MS), and Contractor shall have a hard copy available at site.
    The approved Inspection Test Plan (ITP) shall be implemented, and hold points shall be witnessed by SPPC.

    Process/ Equipment Preparation Special PPE and Protective Device Additonals Documents & Attachments
    (Check if Required) (Check if Required) (Check if Required)
    Equipment/Line Isolation Chemical Suit Hot Work Permit
    Equipment/Line Draining Fire retardant suit Confined Space Entry
    Gas Venting/Purge w/ inert gas SCBA/ Air Line Excavation Work
    Water sealing/Floating Full/Half Mask Respirator Critical Lifting
    water flushing/ Steaming out Safety Harness Job Safety Analysis
    Chemical washing/ Neutralizing Fall protection safety net SDS for Chemicals
    Lockout & Tagout at local Insulated Gloves & Boots Structural design
    Tagout only at local Portable Gas Detectors Rigging/Laydown plan
    Equipment on test mode H2S Monitor Alternate Route plan (Road Blockage)
    Others: Others: Others:

    WORK APPROVAL WORK ACCEPTANCE


    1. Work Permit Requested By: 1. Work Done By:
    (Indicate Date of request) MA Del Mundo (Indicate Date of work completion)
    Name & Signature Name & Signature
    2. Work Permit Endosed By: 2. Work Inspected by:
    (MPDSI/SPPC Supv or Supt) MA Del Mundo (Aux Operator)

    Name & Signature Name & Signature


    3. Work Permit Checked By: 3. Equipment ready for Re-energizing
    (MPDSI Safety officer) (For Equipment w/ Lockout/Tagout)
    Note: can be waived if cold work only

    Name & Signature Name & Signature


    4. Work Permit Approved By: 4. Work Accepted by:
    (Ops Shift Supv on duty) (Operations Shift Supervisor)

    Name & Signature Name & Signature


    5. Work Permit Attachment Verified By: 5. Work Verified by:
    (Operations Shift Superintendent) (Operations shift superintendent)

    Name & Signature Name & Signature


    Permit Cancellation: (Reason for Permit cancellation) Permit Extension Requested By:

    Name & Signature


    New Permit validity:
    Date:
    Permit Cancelled By: (MPDSI/SPPC) Time:
    Indicate Date
    Extension Approved By:
    (Ops Shift Superintendent)

    Name & Signature Name & Signature


    HOT WORK PERMIT
    REV 3_07-01-2022
    Control No.:

    Location NPC GRF Date Issued 12/27/2022 Valid Until 1/2/2023 Work Request No.
    Equipment I.D. N/A Time 0800H Time 1700H -
    Working Group: (Pls. Use back page for multiple contractor)
    MPDSI/SPPC Group: In house Contractor: Other External Contractor:

    TSD/Project Engineering N/A AG&P


    (Department/Section) (Company/Department/Section) (Company/Department/Section)

    Description of Activities: (Pls. use back page for more details)


    PIPING, STEELWORKS, AND OTHER HOT WORK ACTIVITIES:
    1. Preparation, beveling, and tack welding of 16" pipes; 2. Full welding of accepted pipe joints; 3. Inspection & testing
    activities (e.g. FDT, QC); 4. Concrete cutting & chipping of box culvert area; 5. Breaking of rip rap rocks outside box culvert
    area;

    Important Instructions & Notes: (Pls. use back page for more details)
    All activities should be per approved Method Statement (MS), and Contractor shall have a hard copy available at site.
    The approved Inspection Test Plan (ITP) shall be implemented, and hold points shall be witnessed by SPPC.
    Preparation Checklist
    Process or Equipment Preparation Y N N/A Remarks
    Equipment & lines depressurized,drained or vent-out Y
    Equipment & lines Isolated and Blinded Y
    Equipment & lines water flushed, steamed or Purge-out Y
    Equipment & lines De-energized or Locked-out & tagged-out Y
    Work group site preparation
    Hotwork equipment tested, checked if good condition Y
    Barricades, Tarps or Canvass installed to isolate hotwork area Y
    Sewers, Holes & Combustible floors covered by blankets Y
    Job site clear of trash, flammable & combustibles materials Y
    Additional Fans/ Blowers to preven accumulation of combustible dust Y
    Gas tanks/cylinders properly secured moved away Y
    Other Work Preparation and Detailed Instruction:

    Fire - Safety Protection Requirements & Special PPE


    Fire - Safety Protection Requirements Y N N/A PPE Y N N/A
    Fire Watch Hose Y Full sleeve Leather/ Fire retardant jacket Y
    Fire Extinguisher at job site Y Welding gloves Y
    Charged Fire Hose w/ Nozzle Y Face shield/ Welding mask Y
    Fire retardant/ Asbestos Blankets Y Leather Apron Y
    Gas Reading
    Gas tested By:
    Vessel or Line Internals : Indicate Date of testing
    (If Possible/ accsible) O2% LEL

    Name & Signature


    Environment: O2% LEL
    Other Safety Precautions:

    Incase of fire report immedietly to the following emergency contact number.


    Control Room Contact Number- Safety Office -
    Security Office -

    Work Permit Requested By: MPDSI Safety Personnel


    (Indicate Company & Position) -
    MA Del Mundo
    Name & Signature Name & Signature
    Permit Cancellation: (Reason for Permit cancellation) Permit Extension Requested By:

    Name & Signature


    New Permit validity:
    Date:
    Permit Cancelled By: (MPDSI/SPPC) Time:
    Indicate Date Extension Approved By:
    (Ops Shift Superintendent)

    Name & Signature Name & Signature

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