Ensco

North & South America Business Unit

(NSABU)

SAFE SYSTEM OF WORK (SSOW)

Permit to Work (PTW) Materials Re-Supply Catalogue

Contents Page

Permit to Work (PTW) Hardware

(1) Permit to Work (PTW) Location Board…………………….3(2) Permit Rack…………………………………………………..3(3) Permit Rack Dividers - Authorized…………………………4(4) Permit Rack Dividers - Suspended…….…………………..4(5) Permit Rack Dividers - Cancelled…….……………………4(6) Permit Rack Dividers - Retained Isolations……………….4

(7) Magnetic Markers - Safety Systems Disabled……………..4(8) Magnetic Markers - Pressure Testing in Progress.…….….4(9) Magnetic Markers - Operator / 3rd Party Equipment.………4(10) Magnetic Markers - Hot Work…………………….…………5(11) Magnetic Markers - Cold Work……………….…………….5(12) Magnetic Markers - Entry………………………..………….5(13) Magnetic Markers - Isolations (temporary)………………..5(14) Magnetic Markers - Isolations (retained)…………………..5(15) Magnetic Markers - Isolations (Idle)…………….………….5(16) Isolation Tags…………………….…………………………..6(17) Isolation Tie Wraps…………………………………………..6(18) Isolation Chain………………….…………………………….6

Permit to Work (PTW) Forms

(19) Hot Work Permit………………………………………………7(20) Cold Work Permit…………………..…………………………7(21) Entry Permit…….…………………..………………………….7(22) Entry/Exit Log………………………….………………………7(23) Isolation Certificate………………..…………………………..8(24) Gas Test Certificate………...…………………………………8(25) Work Instruction…………………….….……………………...8(26) Job Safety Analysis/Risk Assessment Prompt…….…..…9(27) Permit Rack Wallet……..…………………………………….9(28) Permit Worksite Wallet……………………………………….9

Custodian: NSABU SHE Dept Rev 2. April 20112

PTW (PTW) Hardware

1) Permit Location Board

81.PTWPLB

2) Permit Rack

81.PTWPR

Custodian: NSABU SHE Dept Rev 2. April 20113

3) Permit Rack Dividers – Authorized

81.PTWPRDA 8

5) Permit Rack Dividers - Cancelled

81.PTWPRDC

7) Magnetic Markers - Safety System Disabled

81.PTWMMSSD

8) Magnetic Markers – Pressure Testing in Progress

81.PTWMMPTP

Custodian: NSABU SHE Dept Rev 2. April 20114

Authorized

Cancelled

P

4) Permit Rack Dividers – Suspended

81.PTWPRDS

Suspended

6) Permit Rack Dividers - Retained Isolations

81.PTWPRDRI

Retained Isolations

8) Magnetic Markers – Operator / 3rd Party Rental Equipment

81.PTWMMORE

R

10) Magnetic Markers – Hot Work (Red)

81.PTWMMHW

11) Magnetic Markers – Cold Work (Blue)

81.PTWMMCW

12) Magnetic Markers – Entry (Green)

81.PTWMME

13) Magnetic Markers – Temporary Isolations (Yellow – Black Numbers)

81.PTWMMTI

14) Magnetic Markers – Retained Isolations (Yellow – Red Numbers)

81.PTWMMTIYR

15) Magnetic Markers – Rig Idle (Hot Stacked) Isolations (Yellow – Letter ‘I’)

81.PTWMMTIYRL

Custodian: NSABU SHE Dept Rev 2. April 20115

10

10

10

10

I

10

16) Isolation Tags

81.PTWIT

17) Tie Wraps for Isolation Tags

81.PTWTW10

18) Plastic Yellow Isolation Chain

# 78238

Custodian: NSABU SHE Dept Rev 2. April 20116

Permit to Work (PTW) Forms

= English = English/Spanish

19) Hot Work Permit Form

FMCOSHE006

FMCOSHE006ENGSPAN

21) Confined Space Entry Form

FMCOSHE004

FMCOSHE004ENGSPAN

Custodian: NSABU SHE Dept Rev 2. April 20117

20) Cold Work Permit Form

FMCOSHE003 FMCOSHE003ENGSPAN

22) Confined Space Entry Exit Log

FMCOSHE005

FMCOSHE005ENGSPAN

23) Isolation Certificate

FMCOSHE008 FMCOSHE008ENGSPAN

25) Work Instruction

FMCOSHE001 FMCOSHE001ENGSPAN

Custodian: NSABU SHE Dept Rev 2. April 20118

24) Gas Test Certificate

FMCOSHE007 FMCOSHE007ENGSPAN

26) Job Safety Analysis/Risk Assessment Prompt (RAP)

FMCOSHE002 (FMCOSHE010 RAP printed on reverse side) FMCOSHE002ENGSPAN

27) Permit Rack Wallet 28) Permit Worksite Wallet

81.PTWPRW

81.PTWENVELOPE

Custodian: NSABU SHE Dept Rev 2. April 20119

ENSCOOFFSHORE COMPANY

PERMIT TO WORK