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8/13/2019 Check List for Crane
1/30
ANNEXURE - XXIII
Date:
Report No:
NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITED
NAME OF SUB-CONTRACTOR :
PROJECT : CCRU HEATER REVAMP
WORK LOCATION : ERECTION SITE / FABRICATION YARD
No. of Persons Present :
Topic Description :
Trained By :
Hazards / Risks:
Precautions:
Sign. Of Safety Engineer Sign. of Safety Engineer
(Subcontractor) TPKTI
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
TOOL BOX MEETING
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ANNEXURE - XXII
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION: :CCRU HEATER REVAMP
1 Yes / No
2 Yes / No
3 Yes / No
4 Yes / No
5 Yes / No
6 Yes / No
7 Yes / No
8 Yes / No
9 Yes / No
10 Yes / No
11 Yes / No
12 Are "No smoking" boards displpayed inside store room? Yes / No13 Is color codes for cylinder followed? Yes / No
Safety Engineer Safety Engineer TPKTI PMC
Are the workmen have been informed about the hazards?
Are the valve protection caps provided?
Is the ramp used for unloading cylinders from truck?
Are the cylinders rolled instead of taking in handcart?
CHECKLIST FOR INSPECTING HANDLING AND STORING OF GAS CYLINDERS
Sr. No. Remarks &Suggestions
Description Observation
Are the cylinders stored in hot sun?
Is there any sponteneous cumbustive material present
Are heat source like electric heater, oven, open flames
Are acetylene / LPG cylinders maintained in upright
Are the cylinders secured to avoid falling from upright
If the oxygen cylinders are staged horizontally, are they
If the store room well ventillated?
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ANNEXURE - XXI
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION: :CCRU HEATER REVAMP
1 Yes / No
2 Yes / No
3 Yes / No
4 Yes / No
5 Yes / No
6 Yes / No
7 Yes / No
8 Yes / No
9 Yes / No
10 Yes / No
11 Yes / No
Safety Engineer Safety Engineer TPKTI PMC
Does the gas cutter use PPE's?
Are the regulator assembly & the hose joints leaky?
Is the regulator on the oxygen cylinder lubricated?
Are the cylinder kept away from hot works?
Is the gas cutting slag prevented from spreading?
Is handcart used to keep cylinders upright while moving /
Are color codes followed on both cylinders / hose pipes?
Is the condition of the pressure gauges on the cylinder
Are the hose joints proper?
Is the gas cutter informed, how to avoid flash back & back
Are fire extinguishers kept nearby?
CHECKLIST FOR INSPECTING GAS CUTTING WORKS
Sr. No. Remarks &Suggestions
Description Observation
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ANNEXURE - XX
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION: :CCRU HEATER REVAMP
1 Yes / No
2 Yes / No
3 Yes / No
4 Yes / No
5 Yes / No
6 Yes / No
7 Yes / No
8 Yes / No
9 Yes / No
10 Yes / No
11 Yes / No
Safety Engineer Safety Engineer TPKTI PMC
Is the welding machine earthed properly?
Is rod / angle / channel used as return lead?
Are the output terminals of the machine maintained tight
Is the spacing between terminals adequate?
CHECKLIST FOR INSPECTING WELDING WORKS
Sr. No. Remarks &Suggestions
Description Observation
Are combustive / inflammable materials present nearby?
Are fire extinguishers kept nearby?
Does the welder use PPE's?
Are the cable joints made with ferrules, maintained,
Is the condition of welding cable proper?
Is the condition of electrode holder proper?
Are welding sparks contained to avoid spreading?
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ANNEXURE - XIX
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION: :CCRU HEATER REVAMP
1 Yes / No
2
3
4 Yes / No
5 Yes / No
6 Yes / No
7 Yes / No
8 Yes / No
9 Yes / No
10 Yes / No
11 Yes / No12 Yes / No
13 Yes / No
14 Yes / No
15 Yes / No
16 Yes / No
17 Yes / No
18 Yes / No
19 Yes / No
20 Yes / No
21 Yes / No
22 Yes / No
23 Yes / No
24 Yes / No
25 Yes / No
26 Yes / No
Safety Engineer Safety Engineer
TPKTI PMC
If the thickness of the weld joints between the
equipments & the blind / end plates adequate?
Are the blind flanges machined properly?
Are all the rotating & moving parts of the pump guarded?
Is the capacity of the pump adequate?
Are all the personnel informed about the test pressure?
Are the hose connection in the pump proper?
Is the equipment cleared for the test?
Are the parts that are not to be tested, isolated?Are all the studs and nuts provided in the flange joints?
Are all the flange joints provided with suitable gaskets?
Are the blind / end plates having adequate thickness?
If stiffners are provided on the blind / end plates, are they
adequate?
Are all the personnel informed about the hazards
invloved.
What is design pressure?
What is test pressure?
Is the barricaded?
Is the area is evacuated prior to test?
Is the pump provided with safety valve?
CHECKLIST FOR HYDROTESTING.
Sr. No. Remarks &Suggestions
Description Observation
Are the vents kept open during water filling?
Are all the personnel inform not to tighten the flange
joints under pressure?
Are all the personnel informed not to do any hot /
mechanical work on the equipment during the test?
Are all the personnel informed not to drain water on the
electrical system? (Hose pipe may be used to avoid such
incidents)
Are all the gauges calibrated & suitable for the test?
Is every gauge provided with isolation valve?
Are all the personnel informed not to losen gauges
without isolating them, using the valve?
Are vents provided at all the higher points?
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ANNEXURE - XVIII
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. :
WORK DESCRIPTION: :
1 OK / NOT OK
2 OK / NOT OK
3 OK / NOT OK
4 OK / NOT OK
5 OK / NOT OK
6 OK / NOT OK
7 OK / NOT OK
8 Adequate / Inadequate
9 OK / NOT OK
10 OK / NOT OK
11 OK / NOT OK
12 OK / NOT OK13 OK / NOT OK
14 Over hoist break & lock. OK / NOT OK
15 OK / NOT OK
16 OK / NOT OK
17 OK / NOT OK
18 OK / NOT OK
19 Adequate / Inadequate
20 OK / NOT OK
21 Yes / No
22 Yes / No
23 OK / NOT OK
24 OK / NOT OK
25 Available / Not Available
26 OK / NOT OK
Safety Engineer Execution Engineer
Sub Con Sub Con
Safety Engineer Execution Engineer
TPKTI TPKTI
Load test details.
Operators fitness.
Tyre pressure.
Battery & lamps.
Moving & rotating parts guarded.
Load chart provided.
Nos. & position of pendent rope.
Reverse horn.
CRANE INSPECTION CHECKLIST
Sr. No. Remarks &Suggestions
Description Observation
Boom limit cut-off switch
Condition of boom
Condition of wire rope
No. of load lines.
Hook & Hook Latch.
Over hoist limit switch.
Boom limit switch
Boom angle indicator
Outrigger fully extended.
Size and condition of switch.
Stability of the crane.
Soil condition
Swing break & lockPropel break & lock.
Boom break & lock.
Main Clutch.
Leakage in hydaulic cylinder.
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ANNEXURE - XVII
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION: :CCRU HEATER REVAMP
1
2 Yes / No
3
3.a Yes / No
3.b Yes / No
3.c Yes / No
3.d Yes / No
3.e Yes / No
3.f Yes / No
3.g Yes / No
3.h Yes / No
3.i Yes / No
3.j Yes / No
3.k Yes / No
3.l Yes / No
3.m Yes / No
3.n Yes / No
Safety Engineer Safety Engineer
TPKTI PMC
Protection against sharp edge to avoid sling damage.
Are the signal provided with whistle / suitable
communication device.
Do the workmen use safety belts.
Area clearance taken care of.
Tag lines provided.
If suspension method is involved, whether the condition
of the suspension method is checked.
Inspection by DP Test.
Any standby tools & tackles required and arranged.
Any safety required.
Adequate illumination is arranged.
Availability of guy ropes.
Object / Material
Approximate weight: Position of CG determined
WORKING AREA
Is sditablesling / D-shackles selected.
Are bull dgo grips being provided in correct manner for
wire ropes / slings.
Are required nos. of U-clamps fastened.
CHECKLIST FOR ERECTION WORK
Sr. No. Remarks &Suggestions
Description Observation
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ANNEXURE - XVI
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION: :CCRU HEATER REVAMP
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Safety Engineer Safety Engineer
TPKTI PMC
Checking of lifting & haulage tackles, wire ropes, slings, D-shackles, etc. are being done
before use.
Certified wire ropes, slings, etc. for SWL should be used & SWL capacity to be written on
each equipments.
Pully blocks should be properly checked and used.
Centre of gravity and load transfer at slinging points should be properly ascertained
before lifting.
CHECKLIST FOR LIFTING TACKLES.
Sr. No. YES / NOItems
If bent pins are there, it should be replace by same size of pins & not by bolts.
The shackles, pins worn out more than 10% of the original dia are to be replaced.
Crane should not be allowed to work near by over head lines.
Only one signal man can give signal to the operator in his visibility & understandable by
each other.
Crane capacity, boom reach & stable positioning are to be taken care.
Tag line should be used for guiding while lifting the loads.
Sharp edges can be avoided. From breakage of wire rope, etc.
Approach for the working & moving area should be freee from men, material etc.
Above checklist points and other related safety points for safe execution of this job are
taken care and will be maintained till completion.
The wire rope clamps should be sufficiently provided in the proper direction.
Over loading & impact loading should be totally avoided.
Crossing, twisting, kinking or knoting of chains & wire ropes should be avoided.
Alteration, welding etc. should be avoided in the lifting Hooks, Shackles,Pins, etc.
8/13/2019 Check List for Crane
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ANNEXURE - XV
VEHICLE IDENTIFICATION NUMBER :
NAME OF CONTRACTOR / SUBCONTRACTOR :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
Good Rejected Not Applicable
1 Access & Egress
2 Backup Alarm
3 Body
4 Both Side Mirror
5 Brakes
6 Bulhead Partition
7 Clutch
8 Data Nameplate
9 Fire Extinguisher
10 Frame
11 Fuel System
12 Glass
13 Guardrails
14 Guards
15 Horns
16 Hydraulic System
17 Lights
18 Lugs
19 Muffler & Exhaust Pipes
20 Muffler Guards
21 Parking Brakes
22 Plateform decking
23 Seats
24 Seat Belts
25 Steering Mechanism
26 Tracks, Tires & Wheels27 Turn Signals
28 Wind Shield Wipers
29 Driving License
30 RC / FC Document
31 Insurance Document
32 Test Certificate
33 The Driver & helper is Safety trained
Safety Engineer Safety Engineer
TPKTI PMC
VEHICLE INSPECTION
ConditionSr. No. Items Remarks
8/13/2019 Check List for Crane
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Page 10 of 30
ANNEXURE - XIV
FOR MONTH:
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
OWNER : M/s INDIAN OIL CORPOARTION LIMITED
CONSULTANT : M/s ENGINEERS INDIA LIMITED
NAME OF CONTRACTOR :TECHNIP KT INDIA LTD.
PROJECT :CCRU HEATER REVAMP
LOCATION :FABRICATION / ERECTION SITE
INSPECTED BY :
(Write 'NA' where not applicable)
S.NO. ITEM YES NO REMARKS ACTION
1 HOUSE KEEPINGA. Waste container provided and used
B. Sanitary facilities adequate and cleanC. Passage and walkways clear.
D. General neatness of working areas.
E. Others
2 PERSONAL PROTECTIVE EQUIPMENTA. Goggles / Shields
B. Face Protection
C. Hearing Protection
D. Safety Shoe Provided
E. Hand Protection
F. Respiratory mask etc.
G. Safety Belts.
H. Safety Helmets / Hard hatI. Others
3 EXCAVATION / OPENINGSA. Opening properly covered / barricxated
B. Excavation Shored
C. Excavation barricaded
D. Overnight lighting provided
E. Others
4 WELDING / CUTTINGA. Gas Cylinders chained / upright
B. Cables and Hoses not obstructing
C. Screens or shields used
D. Flammable Material ProtectedE. Fire extinguisher (s) accessible
F. Others
5 SCAFFOLDINGA. Fully Decked Platforms
B. Guard and intermediate rails in place.
C. Toe Boards in place
D. Adequate Shoring
E. Adequate access
F. Others
TECHNIP KT INDIA LTD.
IOCL-PANIPAT
MONTHLY CHECKLIST CUM COMPLIANCE REPORT
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Page 11 of 30
ANNEXURE - XIV
S.NO. ITEM YES NO REMARKS ACTION
6 LADDER
A. Extension side rail 1 (one) M above
B. Top of landing
C. Properly secured
D.
Angle +/- 70
o
from horizontal.E. Others7 HOIST, CRANES AND DERRICK
A. Condition of cables and sheaves OK
B. Condition of slings, chains, hooksand eyes OK.
C. Inspection and maintenance logs maintained.
D. Outriggers used.
E. Sign / barricades provided
F. Signals observed and understood
G. Qualified operators
H. Others
8 MACHINERY, TOOLS AND EQUIPMENTSA. Proper instructions.
B. Safety devices
C. Proper cords
D. Inspection & Maintenance
E. Others
9 VEHICLE AND TRAFFICA. Rules and regulations observed.
B. Inspection & Maintenance
C. Licensed Drivers
D. Others
10 TEMPORARY FACILITIESA. Emergecy instruction posted
B. Fire extinguishers provided
C. First aid equipment available
D. General neatness
E. In accordance with electrical requirement
F. Secured against strom damage
G. Others
11 FIRE PREVENTIONA. Personal instructed
B. Fire Extinguisher checked
C. No smocking at prohibited area
D. Hydrant Clear
E. Others
12 ELECTRICAL
A. Use of 3-core armoured cables
B. Usage of all insulated or double-insulated electrical tools
C. All electrical connection are routed through ELCB
D. Natural Earthing at the source of power (Main ELCB)
E. Continuity & tightness of earth conductor
F.Covering of jnction boxes, panels and other energized
wiring places
G. Ground fault circuit interrupters provided
H. Prevention of tripping hazards.
I. Others
8/13/2019 Check List for Crane
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Page 12 of 30
ANNEXURE - XIVS.NO. ITEM YES NO REMARKS ACTION
13 HANDLING AND STORAGE OF MATERIAL
A. Properly Storage or stacked
B. Passage ways clear
C. Others
14 FLAMMABLE GASES & LIQUIDSA. Containers clearly identified
B. Proper Storage
C.Fire Extinguishers nearby
D. Others
15 WORKING AT HEIGHTA. Erection Plan & work permit obtained
B. Safety Nets (If required)
C. Safety Belts & Full body harness & Lynards; chute lines
D. Others
16 CONFINED SPACE
A. Work permit obtained
B. Test for toxic gases & sufficient availability of oxygen conducted
C. Atleast one person outside the confined space for monitoring, deputed
D. Availability of sufficient means of entry, exit and venmtilation
E. Fire extingisher & first aid facility ensured
F. Lighting provision made by 24 V lamp
G. Proper usage of PPE's ensred
17 ENVIRONMENTA. Chemical & other Effluents properly disposed
B. Cleaning liquid of pipe disposed off proper;ly
C. Sea-water used for hydrotesting disposed as per
agreed procedureD. Lubricant waste / Engine oil properly disposed
E. Waste from canteen, office, sanitation etc. disposed
properlyF. Disposal of surpluseath, stripping materials oily rags &
combustible material done properly
G. Green belt protection18 RADIOGRAPHYA. Proper storage and handling of resource as per BARC
guidelinesB. Working permit obtained
C. Cordning of area done
D. Use of appropriate PPE's ensured
E. Proper training to workers / supervisors imparted
F. Minimum occupancy of workplace ensured
19 HEALTH CHECKSA. Hygenic condition at labour camp O.K.?
B. Availability of First Aid Material
C. Proper sanitation at site, office & labour camp.
D. Arrangement of medical facilities
E. Measures for dealing with illness
F. Availability of potable drinking water for workmen & staffG. Provision of creches for children.
NAME OF SAFETY ENGINEER:
SIGN.: DATE:
TPKTI
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ANNEXURE - XIII
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06NAME OF CONSULTANT : M/s ENGINEERS INDIA LIMITED
NAME OF CONTRACTOR : TECHNIP KTI LTD.
WORK DESCRIPTION : CCRU HEATER REVAMP
REPORT FOR THE MONTH OF :
S.NO.
THIS MONTH CUMULATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
For Technip KT India Ltd.
Safety Officer Resident Construction Manager
Total work hours worked in hours
Accident without injury (Dangerous occurrences)
Compensation cases raised with insurance
Compensation cases resolved and paid to workmen
Remarks:
Please mark Yes or No in item no. 3,4 & 5.
Whether workmen compensation policy is valid
whether workmen registered under ESI Act
Number of fatal accidents
Number of Lost Time Accident Other than Fatal
Other accidents (Non Lost Time)
Total No. Of Accidents
Total Strength (Staff + Workmen) in mandays
Number of HSE meeting organized at site
Whether workmen compensation policy taken
TECHNIP KTI LTD.
IOCL-PANIPAT
MONTHLY HEALTH SAFETY & ENVIRONMENT (HSE) REPORT
DESCRIPTION
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Page 14 of 30
ANNEXURE - XII
NAME OF CONTRACTOR : TECHNIP KTI LTD.
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06WORK DESCRIPTION: : CCRU HEATER REVAMP
TO: SAFETY SUPERVISOR (TPKTI)
FROM ; SAFETY SUPERVISOR (SUB-CONTRACTOR)
COPY TO:
DATE & TIME OF INCIDENT: :
NAME OF INJURED PERSON (MALE / FEMALE):
PLACE OF INCIDENT:
FIRST REPORT: BY:
NAME & ID No.:
DEPT. OR COMPANY:
ON:
DATE & TIME:
DESCRIPTION OF INCIDENT:
PROPERTY & PERSONAL INVOLVED:
COUNTER MEASURES TAKEN OR SUGGESTED:
FIRST AID TREATMENT:
TECHNIP KTI LTD.
IOCL-PANIPAT
INCIDENT REPORT
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Page 15 of 30
ANNEXURE - XII
NAME OF CONTRACTOR : TECHNIP KTI LTD.
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06WORK DESCRIPTION: : CCRU HEATER REVAMP
TECHNIP KTI LTD.
IOCL-PANIPAT
INCIDENT REPORT
ESTIMATED LOSS TIME DUE TO INJURIES:
DATE REPORTED: :
REPORTED BY: :
NAME & SIGNATURE: :
TYPE OF CONTACT CONTACT WITH
STRUCK AGAINST
STRUCK BY ELECTRICITY
CAUGHT IN HEAT
COUGHT ON COLD
CAUGHT BETWEEN RADIATION
SLIP CAUSTCS
FALL ON SAME LEVEL NOISE
FALL ON LOWER LEVEL TOXIC OR NOXIOUS SUSTANCES
OVER EXERTION
CODING OF BASIC CAUSES
PERSONAL FACTOR JOB FACTORS
INADEQUATE CAPABILITY INADEQUATE LEADERSHIP
LACK OF KNOWLEDGE INADEQUATE SUPERVISON
LACH OF SKILL INADEQUATE PURCHASING
STRESS INADEQUATE ENGINEERING
IMPORPER MOTIVATION INADEQUATE SUBCONTRACTING
INADEQUATE MAINTENANCE
INADEQUATE CONST. EQUIPMENTS
WEAR & TEAR
ABUSE & MISUSE
REVIEW:
SIGNATURE TITLE DATE
REVIEWER'S COMMENT ON THE INVESTIGATION'S ANALYSIS OF THE BASIS
CAUSES OF THIS ACCIDENT AND THE RENEDIAL ACTION DIRECTIED
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ANNEXURE
For PMC Use:
Valid From : To: Permit No.
Name Of The Contractor: Date :
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 Regiastered By:
Job Description : CCRU HEATER REVAMP (Name & Designation):
Job Location : CCRU
No Of Persons Required :
S.No. Yes No S.No. Yes Noa. j.
b. k.
c. l.
d. m.
e. n.
f. o.
g. p.
h. q.
i. r.
Additional precaution to be taken during execution of the work
# work should be suspended during unfavourable weather condition (Heavy Rain, Thundering / lightening, high wind).
# Tool Box to be conducted before starting new activity.
# The permit automatically get cancelled in case of emergency.
** Write 'NA' where not applicable
The work will be executed under the close supervision of : (Name of Supervisors)
Signature of Principal Contractor Signature of PMC
(RCM or Authorised Person) (RCM or Authorised Person)
Name & Designation Name & Designation
Note: Permit to be made in triplicate, Original to be maintain at site
1) Copy to IOCL Project Safety Cell
2) PMC Safety Cell
Activity are to be carried out in the
presence of the supervisor
Make shift arrangement is to be strictly
avaoided in the erection activities.
Checklist of scaffolding.Ambulance / Emergency vehicle
available
First aid center with qualified personnel
available
Item
Rescue equipment and trained rescue
team availableUse of ladder (all straight / extension rope)
to reach the work location.
Wind indicator provided
SAP made
Adequate illumination arranged
Safety Harness secured to a fixed
structure / strong anchoring point
safety net used
Steel Scaffolding / platform / rightly
erected / used
Safe access to work place working pltf. with
handrail & toe guard provided
Helmet, shoe, hand gloves and other
rfequired PPE's are used
Good House Keeping is maintained in &
around area.
HEIGHT WORK PERMIT
(For IOCL Panipat Refinery Project Construction Sites)
Permission is required for the above job. I (permittee), undertake that my site condition is completely safe for the height job
and the persons are physically fit and properly trained for height job. I will also ensure the following as advised by PMC,
Item
Safety Harness With Life line used
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NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITED
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMP
WORK LOCATION : CCRU
1 2 3 4 5 6 7 8 9 10 11 12 1
1
2
3
4
5
6
7
8
9
10
S.No. DESCRIPTION
Safe Plan Of Action
Induction
Tool Box Meeting
Fire Fighting
First Aid
Emergency Response
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
HSE PLAN - TRAINING
Training Hours - Month wise
Risk Analysis
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ANNEXURE - IX
NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITEDCONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMP
WORK LOCATION : CCRU UNIT
1)
2)
3)
4)
5)
6)
7)
8)
9)
10) RULES & REGULATIONS INSIDE THE REFINERY
11) PPE'S REQUIREMENTS & USE
12) FIRE PREVENTION & PROTECTION
13) ERECTION WORK & HEAVY LIFTS
14) ELECTRICAL HAZARDS
SAEFTY & SECURITY
HOUSEKEEPING
MEDICAL & FIRST AID FACILITIES AT SITE
WORKING AT HEIGHT / FALL PREVENTION
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
LIST OF TOPICS FOR INDUCTION / TOOL BOX MEETINGS
RESPONSIBILITIES OF ALL STAFF / WORKMEN
IMPORTANCE OF VARIOUS PERMITS
ESCAPE ROUTE / ASSEMBLY POINT
HSE POLICES OF CLIENT / CONSULTANT & CONTRACTOR
SAFE USE OF TOOLS AND TACKLES
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ANNEXURE - VIII
NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITEDCONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMP
WORK LOCATION : CCRU UNIT
S.No. YES NO1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
Signature of Supervisor Signature of Supervisor
(Subcontractor)TPKTI
Sign. Of Safety Officer Sign. Of Safety Officer
(Subcontractor) (TPKTI)
Proper access to the scaffold platform available or not ?
Do all ladders and scaffold provide safe access for employees to
reach their place of work?Are all walkways level and free from any obstructions such as stored
material and wastes?Are there adequate barriers or other edge protection to stop fall from
open edge of the building, gangways, etc.?
Is there adequate artificial lightning when work is carried out on after
dark hours or inside buildings?whether all scaffold material stored safely?
Are holes and openings are securely fenced off or provided with fixed,
clearly marked covers?
Are the boards adequately secured to prevent accidental
displacement in the exposed location?
TECHNIP KT INDIA LTD.
Have any upright, ledger, braces or struts been removed?
If any ties have been removed since the scaffold was erected, have
additional ties been provided to replace them?
Are the working platform fully boarded?
IOCL - PANIPAT
SAFETY CHECKLIST - SCAFFOLD
Are all uprights provided with base plates (and, where necessary,
timber sole plates or prevented in some other ways from slipping or
sinking?
Description
Is the scaffold sufficient to carry the load imposed on it?
Whether safe / unsafe tags are displayed at site for information?
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NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITED
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMPWORK LOCATION : FABRICATION YARD / ERECTION SITE
DATE :
REPORT NO. :
YES NO YES NO1)
a)
b)
2)
a)
b)
c)
d)e)
3)
a)
b)
4)
a)
b)
c)
d)
e)
f)
5)a)
b)
6)
a)
b)
c)
7)
a)
b)
c)
d)
e)
8)
a)
b)
c)
d)
e)
f)
g)
9)
a)
b)
c)
10)
a)
b)
CCRU HEATER REVAMP
OTHER'S, IF ANY
FIRE PROTECTION
Fire Extinguishers identified & checked
Proper No. of Fire extinguisher
Fire Plan For site
Proper Tools for each job
Neat & Secure storage area
Safety Meeting Material Available
TECHNIP KT INDIA LTD.
Head Protection
Ear Protection
Safety Belt, Lines
POWER TOOLSAll tools operated is a safe manner
All tools have required guards
HAND TOOLS
IOCL - PANIPAT
DAILY SAFETY CHECKLIST
Adequate LightingMaterial property stored
ADEQUATE IMMEDIATELYS.No. DESCRIPTION
JOB SITE INFORMATION
Adequate First-Aid Equipment
Sanitary Facilities adequate and clean
ELECTRICAL TOOLS
Adequate wiring, well insulated and sfused properly
All Equipment grounded / earthened.
HOUSEKEEPING & SANITATION
General Neatness of working area
Passageways & walkways clear
Metal ladders not used around electrial hazards.
Electrical danger posted.
Terminal Boxes equipped with cover.
ELCBS fitted at D/BS
Inspection by Field Engineer pre-use & record kept.
LADDERS
Ladders inspected and in good condition
PERSONNEL PROTECTIVE EQUIPMENT
Equipment available and in use.
Eye Protection, Safety Glasses, Face Shields
Excavations
Welding & gas cylinder storage
Foot Protection, Safety Shoes
Gloves, Apron, Sleeves
Ladders are used in safe manner
SCAFFOLDING
Scaffold plumb and square with cross bracing
Scaffolding in good condition
Scaffolding footing and anchorage.
Guard and handrail where needed.
Safety belts available where needed.
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ANNEXU
NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITED
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMP
WORK LOCATION : CCRU UNIT
DATE OF INSPECTION: INSTALLATION NO.:
A. INSTALLATION
1 ELCB connected
2 Proper switch-fuse used
3 Installation earthed.
4 FIRE BUCKETS INSTALLED.
5 Dange Board installed
6 Fire Extinguisher installed
7 Authorised chart displayed
8 Artificial respiration chart displayed.
9 Isolation switches are accessible.
10 Installation area illuminated.
11 Canopy for macheniry provided.
12 Spare holes for SWBD plugged.
13 Wiring of installation is dressed.
14 Installation maintained neat & clean.
15
Installation checked and certified by licentiate
supervisor.
B EARTHING
1 Following equipments are earthed:
2 Distribution Board.
3 Main Switch
4 Busbar chamber.
5 Welding machines
6 Drill machines
7 Grinding machines8 Dewatering pumps.
9 Any other equipment in use.
C CABLES / SOCKET / PLUGS
1Armount cables used for power distribution.
2 Flexible cable laid with G.I.if used for power
distribution
3 Cable witre are notr running on ground but
supported on wodden support.
4 Cables runnig on ground are burried.
5 Armoured cables and G.I.wires are earthed at
both ends.
6 Proper rates 3-pin socket/plug used for power
extension to grinding / drill machines etc.
D SAFETY EQUIPMENTS
Following safety equipments are provided
toconcerned technicians:
1 Hand Gloves
2 Safety Shoe.
NOTE;The items tick marked as 'No'are to be attended / complied urgently.
Signature:
Name:
Designetion:
Date:
DescriptionS.No.COMMITMENT FOR
COMPLIANCE
Status Of Compliance
YES NO
:
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
INSPECTION OF TEMPORARY ELECTRICAL INSTALLATION
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ANNEXURE -
NAME OF CONTRACTOR : TECHNIP K T INDIA LIMITED
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMPWORK LOCATION : CCRU UNIT
Yes Low Med High
*
*
*
*
*
*
*
*
*
*
*
*
*
*
**
*
*
*
*
*
*
*
*
*
*
*
Sign. Of Safety Engineer Sign. of Safety Engineer
(Subcontractor) TPKTI
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
ASSESSMENT OF RISK AT SITE
Level of Risk
(Tick as appropriate) Possible remedial action(If the anser to the question is 'Yes' place a tick against it and
consider the level of risk)
Question to consider
The Task - do they involve:
stooping?
reaching upwards?
large vertical movement?
holding loads away from trunk?
twisting?
insufficient rest or recovery?
a workrate imposed by a process?
The loads- they are:
heavy?
long carrying distance?
Strenuous pushing or pulling?
unpredictable movements?
repetative handling?
strong air movement?
poor lighting condition?
Individual capability-does the job:
required unusual capability?
Is movement or posture hindered by clothing or
personal protective equipmrnts?
bulky / unwieldy?
difficult to grasp?
unstable / unpredictable?
intrinsically harmfull (e.g. sharp / hot?)
hazard those with a health problem?
hazard those who are pregnant?
call for special information / training?
Other factors-
The working environment -are they:
constraints on posture?
poor floor?
variations in level?
hot/cold/humid condition?
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ANNEXURE - IV
NAME OF CONTRACTOR :TECHNIP KTI LTD.
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06WORK DESCRIPTION: :CCRU HEATER REVAMP
ITEM: LIFT DATE :
REQUIREMENT DATE COMPLETED SIGNED
1 Check Shackles / Link Pins Fit / Lifting Eyes
2 Check Access Available TO Vessel Foundations
3 Check Nuts On Holding Down Bolts Are Free Turning &
Lubricated4 Check Holding Down Bolts Match Vessel Skirt
5 Provide & Fix Shims To Vessel Foundations
6 Remove Clean & Lubricate Vessel Trunnions
7 Check Orientation Marks on Vessels and Foundation
8 Check and Bring to Site all Hand Tools And Wrench's forTightening Holding Down Nuts.
9 Check High Temp. Lubricant Available
** If not applicable print N/A
10 Do Not Pre-lift Hazard / Risk Assessment.
Check Crane Relocation Routes And Ground Compaction
And Slew Areas.
11 Assemble Lifting Gear
12 Check All Test Certificates For Cranes
Safety Officer Safety Officer
(TPKTI) (PMC)
TECHNIP KTI LTD.
IOCL-PANIPAT
PRE-LIFT CHECKLIST
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ANNEXURE - III
NAME OF CONTRACTOR: TECHNIP KTI LTD.
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
WORK DESCRIPTION: : CCRU HEATER REVAMP CONTROLLED SL.NO.
NAME OF RADIOGRAPHY AGENCY : SIGN. :BARC REGISTRATION NO. : VALID UPTO :SOURCE STRENGHT (in CU/in SV) :CORDONING DISTANCE: COMPUTED : ACTUAL :
I / WE HAVE CHECKED THE FOLLOWING POINTS BEFORE / DURING THE RADIOGRAPHY:
S.NO. DONE NOT REQUIRED
1
2
3
4
5
6
7
SIGN.: DATE:
ITEM
Equipmnt / Work Area inspected
House Keeping and accessbility checked and found in order
Sourrounding ares cordoned off (as per BARC guideline)
Adequate illuminastion at work site.
Prence of toxic gas / oxygen content - gas test done
(Concentration of toxic gas .)
Stand by personnel provided during Radiography
NAME OF SAFETY ENGINEER:
THIS PERMIT REMAINS VALID TILL :..AM / PM, DATE:....
Radio isotopes kept within safe containers
TECHNIP KTI LTD.
IOCL-PANIPAT
RADIOGRAPHY CHECKLIST
TPKTI
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ANNE
NAME OF CONTRACTOR : TECHNIP KTI LTD.
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
WORK DESCRIPTION : CCRU HEATER REVAMP
AreaEngineer
Superviso SafetyOfficer
1 HSE Policy
2 Safety Commitments
3 Training (Induction & Periodic)
4 Reporting Statics
5 Statuary Requirements (Registration,
Records of Payments, Licenses)
6 Facilities
i First Aid
ii
Emergency care services( Ambulance /
Doctor)
iii Medical Examination (Pre & Periodical)
iv Temporary accommodations
v Drinking water Tank
vi Urinals & Latrines
vii Saptic Tank / Disposal System
viii Canteen
ix Waste Disposal
7 Fire Fight ing System
8 Traffic Rules
9 Use Of PPE's
10 Work Permit System
11 Safety Publicity
12 Cutout / openings
13 Scaffolds
14 Ladders
15 Welding / cutting M/C
16 Elec. Hand Tools & Distribution Boards
17 Mechanical Equipments
18 Load Test
LEGENDS: DC0 : Deatil Checking
DTC : Check in Detail For Critical items
RS : Random Sample
RAN : Random Verification
NB : Need Based (Involving co-ordination with client)
NA : Not Applicable
Safety Engineer Safety Officer
TPKTI (PMC)
TECHNIP KTI LTD.
IOCL-PANIPAT
QUALITY PLAN - SAFETY
Frequency
Operating Checking
ActivityS.No..Contractors
EIL Client
Extent of checking by
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Page 26 of 30
ANNEXURE - I
PROJ: CCRU HEATER REVAMP
DATE:
REPORT No.:
1 INDU : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06
Surname...Forenames.. Gate Pass No2 EMPLOYER DETAILS
Company Name
3 CLIENT REQUIREMENT
Induction Requirement YES / NO If yes - Date / Date set of / For Induction
4 SITE RULES, CONDITIONS AND FACILITIES
Tick Box when topic have been discussed :
1.0 Introduction
2.0 General Safety Rules
3.0 Safety Organisation (Chain of command)
4.0 Site Attendance Procedure, Signing in, Clocking in, Showing of security cards
5.0 Site Emergency Procedure, including clients requirements
6.0 Protective clothing & equipments7.0 Hot weather / summer works. No removal of clothing
8.0 Eye protection
9.0 Working at Heights
10.0 Portable / fixed ladders
11.0 Work on roofs
12.0 Noise
13.0 Gas Cylinder
14.0 Alcohol Policy / Drug Abuse
15.0 Welfare arrangements, Penalty of abuse. Obligation to keep clean
16.0 Smocking policy
17.0 Work place / Food Consumption
18.0 House keeping / denailing of Timbers
19.0 Fire prevention and Protection / site procedure & Precautions
20.0 Hand and portable power tools
21.0 Electrical
22.0 Abrasive Wheels
23.0 Stationary Machines
24.0 First / III Health Reporting
25.0 Manual Lifting & Handling
26.0 Transportation / Plant
27.0 Cartridge Tools
28.0 Entry into confined spaces
29.0 COSHH (Control of substances Hazardous to health)
30.0 Excavation / Overhead Services
31.0 Permit to work
32.0 Movement on site
33.0 Security - lock it or lose it34.0 Liability to search vehicles and personnel
35.0 Dangerous Occurrences / Near Miss
36.0 Establish who is the site advisor or person responsible on site. You will be asked
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
INDUCTION CHECK LISTHEALTH SAFETY AND HYGIENE
FOR EMPLOYEES & CONTRACTOR'S EMPLOYEES
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Page 27 of 30
ANNEXURE - I
PROJ: CCRU HEATER REVAMP
DATE:
REPORT No.:
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
INDUCTION CHECK LISTHEALTH SAFETY AND HYGIENE
FOR EMPLOYEES & CONTRACTOR'S EMPLOYEES
5
.
6 Your Company Safety Policy and Safety Plan for this contract and your Specific Job Task
Have you seen any of these documents? Policy Yes/No Plan Yes/No
7 General
I confirm I undertake my own personal responsibility for the health, safety and environment.
I understand that I may be removed from site if I do not follow Health & Safety Policies, rules and procedures.
8 DO NOT PUT YOURSELF AND OTHERS AT RISK
If you are in doubt about anything - seek help or guidance from your own and/or the company.
Signed InducteeSignature Inductor..
Date...Print Inductor
9 If you have any particular Health or Safety ideas or suggestions - SHARE THEM
TPKTI EIL / IOCL
(REVIEWED BY)
I also understand that I may be subject to discipline by the company or my own employer. Or both. And that I could face persecution by
health and safety inspector if I do not co-operate with Health and Safety Rules and Policies.
Report your ideas to the company Construction Supervision, to visiting safety officer, through own
supervisor, or when you or your representative attend site safety committee meetings.
Your Health - should the company and your work colleagues know about your health? Are you taking special lyprescribed medication? Are you epileptic or diabetic, or do you have a heart condition? If we all know -we can help if you
become ill. If we don't
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Page 28 of 30
ANNEXURE - I
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Page 29 of 30
ANNEXURE - I
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S. No. Description Annexure
1 INDUCTION CHECK LIST I2 QUALITY PLAN - SAFETY II
3 RADIOGRAPHY CHECKLIST III
4 PRE-LIFT CHECKLIST IV
5 ASSESSMENT OF RISK AT SITE V
6 INSPECTION OF TEMPORARY ELECTRICAL INSTALLATION VI
7 DAILY SAFETY CHECKLIST VII
8 SAFETY CHECKLIST - SCAFFOLD VIII
9 LIST OF TOPICS FOR INDUCTION / TOOL BOX MEETINGS IX
10 HSE PLAN - TRAINING X
11 HEIGHT DECLARATION PERMIT XI
12 INCIDENT REPORT XII
13 MONTHLY HEALTH SAFETY & ENVIRONMENT (HSE) REPORT XIII
14 MONTHLY CHECKLIST CUM COMPLIANCE REPORT XIV
15 VEHICLE INSPECTION XV
16 CHECKLIST FOR LIFTING TACKLES. XVI
17 CHECKLIST FOR ERECTION WORK XVII
18 CRANE INSPECTION CHECKLIST XVIII
19 CHECKLIST FOR HYDROTESTING. XIX
20 CHECKLIST FOR WELDING WORKS XX
21 CHECKLIST FOR GAS CUTTING WORKS. XXI
22 CHECKLIST FOR HANDLING & STORAGE OF GAS CYLINDERS XXII
23 TOOL BOX TALK XXIII
24 CONFINED SPACE ENTRY PERMITS
A HSE ORGANISATION CHART A
B SITE ORGANISATION CHART B
C CONTINGENCY PLAN FOR HYDROGEN REFORMER C
INDEX