PSSR .doc

Management Of Change(Covers SHEM-09/SHEM-06 & OIMS-3.1/OIMS-7.1)

Issue No.:12 Date: September 2013

Rev. No.:1 Date: May 2014

Next Review Date: September 2018

Page 90 of 99

Form-08A: CONSTRUCTION BUTLIST ITEMS (CONTRACTOR) Initiator: PSSR team leader and Members, as applicable

DCR / AF No.: DCR Title : SEP-U71-U-BFW-01 DEAERATOR & CHEMICAL INJECTION

AREA: □ KOP □ UOD □ LDPE □ Poly-Cat □ Finishing □ Packaging □ Logistics □√ General (SEP)

SHEM /(Discipline) : [ ] 07.01 | M = Mechanical (Includes Rotating equipment) [ ] 07.02 | M = PSV [ ] 07.03 | A = Analyzer [ ] 07.03 | E = Electrical [ ] 07.03 | I = Instrument [ ] 07.03 = H | HVAC [ ] 07.04 | F = Fixed Equipment (Tanks, Pres. vessels) [ ] 07.05 | P = Piping [ ] 07.07 | H = Hoses[ ] 07.09 | C = Cathodic Protection [ ] 08.06 | L = Lifting, M = Mobile [ ] 11. 03 | ER = Emergency Response

Notes: (1) It is preferable to prepare separate but list for each discipline (2) “YES" But list items must be completed before project start-up. (3) "NO" But list items can be done after project start up. (4) Construction items from PSSR checklist shall be included in But List. (5) DCR cannot be closed before area owner sign-off for "NO” but list completion or waiver.

PSSR ITEM

SHEM Discip-line

DESCRIPTION(Provide clear description of but-list items. Attach

separate sheets, if necessary)

INITIATOR(But-List

identifying Person)

TYPE(Y or N)see notes

STATUSC-Completed,

NR- Not Required,W - Waived)

ACCEPTANCE(Sign off By Discipline Initiator)

1

07.01 MUY-FAN-10A – Lube oil system - Access not available for Filter 52 AA/B & other valve’s operation at Lube oil skid

SUNIL / PRADEEP

N

C SUNIL / PRADEEP

2

07.01 M

UY-FAN-10A – Turbine side - Clutch base jackbolts fouls with shims – to be elevated/raise the position to avoid the fouling.

SUNIL / PRADEEP

Y

SUNIL / PRADEEP

407.01 M

UY-FAN-10A – Turbine side – Gear box - jackbolts fouls with shims – to be elevated/raise the position to avoid the fouling.

SUNIL / PRADEEP

NSUNIL / PRADEEP

5

07.01 M

UY-FAN-10A – Turbine side – Gear box – foundation bolts are small in length – to be replaced with standard.

SUNIL / PRADEEP

Y

C SUNIL / PRADEEP

607.01 M WILLIS

7

07.01 M SUNIL / PRADEEP

8

07.01 M C SUNIL / PRADEEP

9


10


11




14


15







Page 91 of 99

17


18


19




22


23

07.01 M CKemya punch

SUNIL / PRADEEP

24


25


26

07.01 Civil Benzamine

27

07.01

Civil Benzamine

2807.01

Civil Benzamine

29

07.01

M Benzamine

3007.01

Civil Benzamine

31

07.01

M

Fadi

32

07.01

M

SUNIL / PRADEEP

33

07.01

M

SUNIL / PRADEEP

34

07.01

M

SUNIL / PRADEEP

35

07.01

M

SUNIL / PRADEEP

Note: It is the Responsibility of Construction Engineer for Capital projects or Maintenance Field Change coordinator for expense projects for getting the entire "NO" But list items completed from the Contractor.





Page 92 of 99

KEMYA ASSIGNED ENGINEERE &PM Project Engineer (Capital Projects)

( Sign after but list items are identified and listed)

PSSR TEAM LEADER("YES" but list items shall be completed

before Start-Up)

PSSR TEAM LEADER orAREA MOC COORDINATOR

( "NO" but list items are completed or waived )

Name: Name: Name: Name:

Sign: Sign: Sign: Sign:

Date: Date: Date: Date:

Page _____ of _____

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