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    Line Break, Equip Opening Permit

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    Syed Mustafa Hussain
    The document is an equipment opening/line break permit that outlines safety procedures for work. It identifies the plant area, hazards, required protections, isolation methods, gas testing requirements before and after work. The permit must be authorized and then closed out once work is completed and the site returned to a safe condition.

    Copyright:

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

    Line Break, Equip Opening Permit

    Uploaded by

    Syed Mustafa Hussain
    25 views1 page
    The document is an equipment opening/line break permit that outlines safety procedures for work. It identifies the plant area, hazards, required protections, isolation methods, gas testing requirements before and after work. The permit must be authorized and then closed out once work is completed and the site returned to a safe condition.

    Original Title

    Line Break ,equip opening permit

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    © © All Rights Reserved

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    The document is an equipment opening/line break permit that outlines safety procedures for work. It identifies the plant area, hazards, required protections, isolation methods, gas testing requirements before and after work. The permit must be authorized and then closed out once work is completed and the site returned to a safe condition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views1 page

    Line Break, Equip Opening Permit

    Uploaded by

    Syed Mustafa Hussain
    The document is an equipment opening/line break permit that outlines safety procedures for work. It identifies the plant area, hazards, required protections, isolation methods, gas testing requirements before and after work. The permit must be authorized and then closed out once work is completed and the site returned to a safe condition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    National Refinery Limited NRL-FAF-FPR-001 (A)

    Permit No.__________
    EQUIPMENT OPENING/LINE BREAK PERMIT Rev. # 00 Date: 23-08-2022

    Section 1 – Work Description


    A. Identify Plant Facility area:

    B. Exact work location:

    C. Work to be done

    d. Equipment to be used at the site

    STOP WORK if job site does not meet work permit conditions and any applicable National Refinery Limited safety and health requirements at any time.

    Section 2 – Hazards identification & Control: (Tick mark the Relevant)


    A. Identify and attach any supplementary forms required to perform/control the work:
    Job Safety Analysis Gas test records Isolation plan Blind list Critical Lift Plan
    Excavation Checklist Hydrotest procedure(s) Other ________________________________ Other: _______________________________
    B. Energy Types:
    Hydrocarbon/gas/steam/chemicals Mechanical Electrical Hydraulic/pneumatic
    Potential energy (spring loaded, gravity) Automated extinguishing system Other _________________________________________________
    C. Isolation Method(s):
    Locked switch/breaker Mechanical block Block valve Single block & bleed
    Double block & bleed Blinding Disconnect Others
    D. Potential Exposures:
    High noise level Hydrogen Sulfide (H2S) Flammable liquids/gases Hazardous/toxic materials High Pressure
    Radioactive materials High Temperature Pyrophoric Material Other: _______________________________
    E. Protective Equipment:
    Personal H2S monitor Gas Masks Goggles/face shield Chemical Suit.coveralls Fall protection
    Barricades/warning signs Respiratory protection Additional Safety Precautions
    F. Fire Protection Methods:
    Fire Extinguisher Fire monitor/hose Area wetted Fire barriers/shields
    G. Remove all Ignition sources within 15 m (35 ft) of equipment opening/line break
    H. Inform downwind activities (or operations) of equipment opening/line break
    I. Fire Watch required J. List any Additional Safety Precautions: ____________________________________________________________
    _________________________________________________________________________________________________________________________________
    IN AN EMERGENCY: Call at 2329 /2330. In case of Fire Emergency call at 2333.
    Section 3 – Gas Testing/Monitoring
    Periodic monitoring required: Yes No if yes. Gas testing frequency: ________________________________________________
    ONLY CERTIFIED GAS TESTERS PERFORM GAS TESTS
    Other gases
    LEL (%) H2S (ppm) O2 (%) Date NRL No. Signature
    (name/value)
    Before break

    After break

    Section 4 – Permit Authorization & Closure

    Issuing Authority Receiving Authority


    Duration: From: _________ hrs. To: _______ hrs.
    NRL No.
    NRL No. Countersignature(s) if applicable: (Manager / Sr. Engineer / Engineer)
    Signature
    Signature Issuing Authority Receiving Authority
    Date:
    Date:
    ________________
    This permit is Date: ___________________ Issuing Authority Receiving Authority
    renewed / Extended
    From: _______ hrs. To: _______ hrs. Sign:_______________ NRL No.:________ Sign:_______________ NRL No.:_______
    I HAVE INSPECTED THE WORK SITE AND CONFIRM THAT IT HAS BEEN RETURNED TO A SAFE CONDITION

    Issuing Receiving
    Permit Closeout: Authority: ________ NRL No. _________ Authority: ________ NRL No. ______

    Date: ___________ Time: __________ Date: _________ Time: __________

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