Permit To Work Procedure Summary

WW ALL S 05 002
Rev. 4, July 2013
PETRONAS CARIGALI
PERMIT TO WORK
PROCEDURE
PETRONAS CARIGALI SDN BHD

Permit To Work Procedure WW ALL S 05 002
Main Table of Contents Rev. 4, July 2013
PERMIT TO WORK PROCEDURE

Main Table of Contents
Preliminary Foreword
Distribution List
Amendment Summary
Abbreviations and Acronyms
Referenced Documents
Section 1 Introduction
Section 2 Roles and Responsibilities
Section 3 Permit to Work Application Process
Section 4 Certificates
Section 5 Work and Activities Management
Section 6 Training
Section 7 Inspection & Auditing
Appendices Appendix 1 Sample of Appointment Letter

Appendix 2 PTW and Certificates
Appendix 3 Steps for Filling-up PTW and Certificates
Appendix 4 Template for PTW Logbook
Appendix 5 PTW Sample Assessment Questions
Appendix 6 PTW Daily Audit Checklist
Appendix 7 PTW Weekly/Quarterly Audit Checklist
Appendix 8 PTW 6-Monthly Audit Checklist
PETRONAS CARIGALI SDN BHD MAIN TABLE OF CONTENTS

Page i
Preliminary Rev. 4, July 2013
FOREWORD
Authority for Rev. 4 issue

Issue Approval
Document Custodian
The following person has been assigned as the document custodian:
Name Haslina Bt Abdullah
Reference Indicator Head
Position Head, Operations Integrity
Proprietary Information
This document contains proprietary information belonging to
PETRONAS Carigali Sdn Bhd and must not be wholly or partially reproduced nor
disclosed without prior permission from PETRONAS Carigali Sdn Bhd.
PETRONAS CARIGALI SDN BHD PRELIMINARY

Page ii
DISTRIBUTION LIST
Copy No. Title Location
01 President, PCSB and CEO PDP MD – KL
02 Vice President PETRONAS and CEO PEX PEX – KL
03 DGM DD – KL
04 DR DD – KL
05 DRD (HSE) DD – KL
06 DFE DD – KL
07 DPP DD – KL
08 DRMB DD – KL
09 P&E DD – KL
10 DHSE DD – KL
11 FIN MD – KL
12 EPHSE MD – KL
13 HRM MD – KL
14 PED MD – KL
15 PED (HSE) MD – KL
16 SCM MD – KL
17 CAA MD – KL
18 SP MD – KL
19 TIM MD – KL
20 PM (CHO) MD – KL

Page iv
21 PD PMO
22 PSE PMO
23 SD SBO
24 SSE SBO
25 BD SKO
26 BSE SKO
27 PI (CHO) MD – KL
28 MO MO
29 MO (HSE) MO
30 VO VO
31 VO (HSE) VO
32 INO INO
33 INO (HSE) INO
34 UO (HSE) UO
35 TO TO
36 TO (HSE) TO
37 IRQ IRQ
38 IRQ (HSE) IRQ
39 XMAS PEX – KL
40 XSK PEX – KL
41 XSB PEX – KL
42 XPM PEX – KL

Page iv
43 XINT PEX – KL
44 XAFR PEX – KL
45 XATL PEX – KL
46 XSEAN PEX – KL
47 XSEAS PEX – KL
48 XMEA PEX – KL
BIE
49 SKO
BIE6
50 SKO
BRM
51 SKO
BTA
52 SKO
BWI
53 SKO
54 IO Iraq
55 OE KL
56 PDP KL
57 PI KL
58 PIE PMO
59 PIE6 PMO
60 PM KL
61 PRM PMO
62 PTA PMO
63 PWI PMO
64 SIE SBO

Page iv
65 SIE6 SBO
66 SRM SBO
67 STA SBO
68 SWI SBO
69 XTS PEX – KL
70 XGO PEX – KL
71 XGP PEX – KL
72 XGM PEX – KL
73 XBD PEX – KL
74 XPL PEX – KL
75 XHSE PEX – KL
76 XHR PEX – KL
Note to All Copy Holders:

Should you are transferred to other OPU, or should it be impractical for you following
your move to a new position, please return this manual to the Custodian. The Custodian
will make arrangement for re-distribution.

Page iv
AMENDMENT SUMMARY
The Permit to Work Procedure shall be revised every three (3) years or earlier should there
is change in relevant regulation, PETRONAS Technical Standard and/or findings arising
from assurance exercise and incident investigations.
This sheet must be completed in detail at each revision once this document has been
approved.
Details must include revision number, description and indication of which pages and
paragraphs have been revised, date of revision approval, approvers title and signature.
Rev Description Date Approver Title Signature

2 Inclusion of: Sep 2011 Head Saifuddin Shah
1. PTS 60.2001 HSE Division B Sowkkatali
PETRONAS Group
Guidelines for Permit to
Work System
2. PTS 60.2102
Recommendation of
Electrical Safety
(Standard)
3. PTS 60.2212 Bypassing
of SCE
4. PTS 60.2117 Energy
Isolation Standard
Inclusion of: Dec 2012 Head Saifuddin
1. Requirement of Hot HSE Division Shah B
Work in Hazardous Sowkkatali
Zone
2. Roles and
Responsibilities of
3 Contractors
Management and
Individual Working
Under the PTW
3. Improvement to permits
and certificates
4. Diving of Certificate
Minor amendment to the Head Hamadi B Tani
4 July 2013
permits and certificates HSE Operations
Notes:
(1) Document Holders to update Amendment Record as and when amendments/new
revisions are received.

Page v
(2) For description of amendment the Document Holder should indicate correction,
modification, update or deletion issue.
(3) Document Holder to enter their company reference number, sign and date the
record of entry.
(4) Where part amendments are issued, the relevant page(s) will be identified with a
lower case letter in the revision status line in the header.

Page v
ABBREVIATIONS AND ACRONYMS
The abbreviations and acronyms used in this document shall have the following meaning:
Applicant/RA The person who applies for the PTW e.g. the foreman/
supervisor responsible for planning and execution of the
work. The Permit Applicant can also be the Receiving
Authority (RA). The Permit Applicant shall be responsible for
the following:
 discusses work with Work Leader (WL) and Authorised
Supervisor (AS)
 specifies location and work description
 specifies tools and equipment
 specifies known hazards and hazardous activities
Appointed Person (AP) The person trained for certain duties (e.g. isolation/de-
isolation of electrical equipment, synchronising, etc.) and has
sufficient technical knowledge and experience to enable him
to avoid danger.
Approving Authority (AA) The person who is responsible for approving the PTW and
shall ensure all precautions are specified and controls in
place. He carries the overall responsibility for the facility and
all work carried out. His responsibilities among others
includes:
 assign Authorised Gas Tester (AGT) and other required
competent persons
 approves/revalidates PTW
 receives PTW handback
 specifies controls/precautions for safe work
 specifies other Certificates
Areas of the facilities assigned to the Approving Authority

(AA) shall be clearly defined to ensure clear boundary of
authority is set covering all areas of the facilities. There shall
be no overlap between Approving Authority (AA). Where a
PTW is required to cover work in more than one area it shall
be approved by all the respective Approving Authority (AA).
The Approving Authority can be an Offshore/Onshore

Installation Manager, Terminal Superintendent, Warehouse
Manager or any person authorized by PETRONAS Carigali.
Approving Authority The person authorised by the Approving Authority (AA) to

Representative (AAR) carry out safety precautions prescribed in the
PTW/Certificates prior to commencement of work.

Page vi
Authorised Competent The person registered with Energy Commission or equivalent

Person (ACP) local authority and authorised by Management. He has
sufficient technical knowledge and experience to enable him
to avoid danger and who can have authority delegated to him,
according to his knowledge and experience to carry out
operations in power systems and work on electrical
equipment. He has the authority to issue and cancel Electrical
Isolation Certificate and Limit of Electrical Access on
Electrical Equipment/System.
Authorised Supervisor (AS) Supervisor authorised by PETRONAS Carigali Management

to endorse PTW. The Authorised Supervisor shall be a
Production Supervisor or Operation Supervisor. In the event
the Production Supervisor or Operation Supervisor is not on
site, the Maintenance Supervisor or any person authorised by
the Approving Authority can take the role of the Authorised
Supervisor.
Authorised Gas Tester A person who is trained and qualified to carry out gas testing.
(AGT) The AGT should attend training provided by PETRONAS
Carigali recognised training organisation.
For countries that impose legal requirements on AGT, such

requirements shall be complied with e.g. in Malaysia, the
AGT for confined space entry shall meet requirements set by
Department of Occupational Safety and Health (DOSH)
Malaysia Code of Practice.
Certificate Written and signed statement that specified checks or tests

have been carried out by an authorized person and that
conditions are acceptable. Certificates do not replaced the
PTW but are complementary.
Hot Work Hot work is any work where heat is used and generated.
Example of hot work are :
 Welding, flame cutting, grinding, grit/sandblasting, etc
(positive ignition sources)
 any work which may generate incentive sparks or other
sources of ignition e.g. taking of photograph using camera
with flash, use of non-intrinsically safe equipment, including
opening of junction boxes etc (potential ignition sources).
Cold Work Any work other than hot work defined above.
Example of cold work:
 Erect/dismantle of scaffolding
 Housekeeping etc.

Page vii
Confined Space An enclosed or partially enclosed space that is at

atmospheric pressure during occupancy and is not intended
or designed primarily as a place of work, and is liable at any
time to have an atmosphere which contains potentially
harmful levels of contaminants; have an oxygen deficiency
or excess; or cause engulfment; and could have restricted
means for entry and exit.
Display Board A board which displays all active work permits at an

installation/facility. It is normally located in the main
operations control room.
Gas Testing Gas testing is done to check a workplace, prior to the

commencement and during work activities for the level of
oxygen, flammable and toxic gases. This is to alert
personnel involved should the environment become
dangerous.
Hazard An evaluation of the potential hazards, their severity and

Assessment likelihood associated with any work activity.
Isolation A physical barrier between a source of energy and a place

of work.
Job Hazard Analysis (JHA) Job Hazard Analysis (JHA) is the application of the
hazards and effects management process at the task
level, identifying and assessing the hazards of each
element of the task and defining appropriate controls and
recovery measures.
Override/Bypass The temporary bypass of a safety device, to allow certain

work to proceed without causing an unnecessary process
shutdown or fire alarm (e.g.) fire detectors overridden during
welding operations.
Personal Protective Equipment, clothing or devices used to protect employees

Equipment (PPE) from potential hazards that are or may become present
during a job task.
Potential Hazard An event, circumstances or condition, if not controlled, has

the potential to harm personnel, environment, asset or
reputation.
Precautionary Measures Preventative and contingency steps taken to ensure a work

site safe and to prepare for emergencies.

Page viii
Radiation Protection The Radiation Protection Supervisor/Radiation Protection

Officer/Supervisor Officer (RPS/RPO) is a person with the technical
(RPO/RPS) competency and approved by Atomic Energy Licensing
Board to supervise the implementation of the radiation
protection programme including all the appropriate radiation
protection regulations, measures and procedures.
A safety briefing carried out by the Work Leader (WL)
Toolbox Talk highlighting to all those directly or indirectly involved in the
work of the potential hazards associated with the work and
the precautions to be taken throughout the execution of the
work. Carried out before work begins, preferably at the
worksite.
Validity The period of time (as defined) during which an approved

document such as the PTW, Certificate and other documents
in this PTW system is valid for its intended purpose.
Work Leader (WL) The person who leads or carries out the work:
 confirms conditions of PTW and agreement by signing
 explains Job Hazard Analysis (JHA) content and PTW
conditions to workers
 supervises and is at site at all times
 ensures no deviation to PTW conditions
 returns PTW to Receiving Authority (RA)
 ensure all the safety precautions prescribed in the
PTW/Certificates are carried out prior to commencement of
work
Work Crew A group of people working together led by the Work Leader
(WL).
PTW Written and signed statement by an authorized person for

work to be carried out under stated precautions.

Page ix
REFERENCED DOCUMENTS
Doc. No. Title
JKKP DP(S) 127/379/3-1 Industry Code of Practice for Safe Working in a

Confined Space
PTS 18.5101 PETRONAS Group Guidelines for Permit to Work
System
PTS 18.5205 Electrical Safety Rules
PTS 18.5226 Guideline Bypassing of Safety Critical Equipment
PTS 18.5219 Energy Isolation Standard
PTS 18.5218 Excavation
WW ALL S 05 003 PETRONAS Carigali Confined Space Entry Procedure
WW ALL S 04 018 PETRONAS Carigali Energy Isolation Guideline
WW ALL S 04 019 PETRONAS Carigali Bypass of SCE Equipment
Guideline
WW ALL S 04 012 PETRONAS Carigali Job Hazard Analysis Guideline

Page x
Introduction Rev. 4, July 2013
SECTION 1
INTRODUCTION
Contents
Paragraph Page No.

1 INTRODUCTION 2
1.1 Purpose 2
1.2 Scope 2
1.3 Permit to Work Requirement 2
1.4 Hot work in Non-Hydrocarbon Facilities 5
1.5 Hot Work in Hazardous Area 5
PETRONAS CARIGALI SDN BHD SECTION 1

Page 1
1 INTRODUCTION
1.1 Purpose
This Procedure defines PETRONAS Carigali Permit to

Work (PTW) system and the process of obtaining work
permits including the requirements of obtaining Certificates
where required.
1.2 Scope
The requirements defined in this procedure shall be

applicable for all hazardous activities carried out at all work
locations throughout PETRONAS Carigali global
operations, including Contractors and Sub-Contractors
engaged for work on Company facilities.
Hazardous are activities that have been identified by the

Hazards and Effects Management Process as vital to
ensure asset integrity, prevent incidents, and/or mitigate
adverse HSE effects.
Examples of hazardous activities are pigging, production

sampling, wireline activities, blasting, welding, etc.
1.3 Permit to Work Requirement
(1) The purpose of PTW system is to ensure that risks

associated with work activities are managed to a level
that is as low as reasonably practicable (ALARP). The
PTW is a written document authorizing persons to
carry out the work concerned, warning them of
possible hazards and spelling out precautions needed
for the job to be done safely.
(2) Listed below is the criteria for the application of PTW

system:
(a) For work carried out on PETRONAS Carigali

facilities, PETRONAS Carigali PTW System
shall be used;
(b) For work carried out on Contractor’s facilities,

Contractor’s PTW may be used subject to
PETRONAS Carigali review and acceptability.
When Contractor PTW system is used,
PETRONAS Carigali representatives (e.g. OIM,
Terminal Manager, CSR, Drilling Supervisor)
shall be included as part of the signatory parties
for acknowledgement.

Page 2
(3) For workover/infill drilling work carried out on the rig

floor, where Contractor’s PTW is applied, a photocopy
of the Contractor’s PTW shall be provided to the OIM
for reference.
(4) As a general principle, PTW shall be applied for all

activities which may harmfully affect the personnel,
environment, asset or reputation carried out on
PETRONAS Carigali facilities. The examples of work
that requires PTW among others are as follows:
(a) Hot Work: Any activities or equipment which

may have the potential to generate incentive
sparks or other sources of ignition such as
welding, flame cutting, grinding,
grit/sandblasting, taking of photograph using
camera with flash, use of non-intrinsically safe
equipment, including opening of junction boxes
etc. (potential ignition sources). Refer to sub-
section 1.5 for details of hot work requirement in
hazardous area;
(b) Cold Work: Any activities or equipment which

does not have the potential to generate sparks
such as erecting/dismantling of scaffolding, cold
cutting, etc;
(c) Work in confined space i.e. Any enclosed or

partially enclosed space, either above or below
ground or deck level, where entry is possible
and where accumulation of dust or gases which
are flammable or hazardous to health;
Examples of confined space are:
(i) Process vessels and related equipment

(vessel tower skirt and flare stacks),
boilers;
(ii) Cooling tower, pipe, storage tanks, other

tanks including pontoon in floating roof
tanks;
(iii) Spaces located below ground or deck

level, such as drain pits, sewage pits and
associated tunnels, ducts, trenches, wells,
shafts, cellars, vaults and unventilated
rooms which may be considered confined
space under specific circumstances;
(iv) The cargo, ballast or void space onboard

ship; and

Page 3
(v) The support columns/legs/pontoons of

fixed or mobile off-shore installations.
(d) Excavation work of the ground in excess of

150mm (brownfield);
(e) Mechanical lifting activities involving pedestal,

mobile and gantry crane. Lifting using gantry
crane in workshop may be carried out without a
PTW;
(f) Radiation work involving the handling of

radioactive materials such as radiography
works, working in or on equipment containing
radioisotopes and removing or servicing
radioisotopes;
(g) Closure of any road that may affect the passage

of emergency response vehicles;
(h) Electrical works in close proximity to live

conductors/equipment/apparatus,or testing of
live voltage conductors;
(i) Diving activities e.g. inspection and

maintenance of subsurface structures,
decommissioning of facilities, etc.;
(j) Work with bypass of safety critical equipment

that may jeopardise reliability of process control;
(k) Work requiring energy isolation e.g. physical,

electrical or radiation; and
(l) Vehicle entry into PETRONAS Carigali

production facilities.
(5) For work which requires Certificates, the Work Permit

shall be supplemented with the required Certificates.
(6) In cases of doubt as to whether a work activity

requires a PTW, the PTW requirement shall be
complied with if deemed necessary by the Approving
Authority.

Page 4
1.4 Hot work in Non-Hydrocarbon Facilities
(1) Non-hydrocarbon facilities are facilities that do not

process, store or operate hydrocarbon or any
flammable materials in its facilities. Examples of non-
hydrocarbon facilities are supply base, office, base
camp, fabrication yard, etc.
(2) For hot work at non-HC facilities, the work may be

carried out without conducting gas test in view that
there is no expected presence of HC in the area.
(3) However, other controls and recovery measures in

making safe the activity shall still be implemented.
1.5 Hot Work in Hazardous Area
(1) Hazardous area are defined as below (based on IP

Model Code of Safe Practice Part 15):
Zone 0: Hazardous area in which a

flammable atmosphere is
continuously present or present for
a long period
flammable atmosphere is likely to
occur in normal operation.
flammable atmosphere is not likely
to occur in normal operation and if
it occurs will exist only for a short
period.
Non- Area where flammable vapours,
classified/ liquids or gas do not or are not
hazardous expected to exist
area
Hierarchy of Hot Work Management
(1) Where possible, hot work should not be carried out in

hazardous area.
(2) However, if the hot work is unavoidable, the next

preference is to shutdown, depressurise and render
hydrocarbon-free. This is to minimize the potential
source of fuel that may be ignited by the spark
produced from the hot work activities.

Page 5
(3) The requirements for carrying out hot work in

hazardous area are as follows:
Zone Limitations
Zone 0  No hot work on live facility shall be
allowed, unless the facility is
shutdown, depressurise and render
hydrocarbon-free.
Zone 1  For open flame hot work e.g. oxy

cutting, grinding, etc., the facility shall
be shutdown, depressurise and render
hydrocarbon-free prior proceeding with
hot work.
 For blasting, the activity shall only

proceed after conversion of instrument
gas to instrument air, flanges are
wrapped and the area is barricaded
Note: For blasting on process piping

where the remaining wall thickness is
less than the corrosion allowance, the
piping/equipment shall be shutdown
prior blasting.
 Non-open flame/non-blasting hot work

e.g. use of portable hand-held non-
intrinsically safe (non-Ex) equipment in
Zone 1 area may proceed with
implementation of other control and
recovery barriers
Zone 2  Open flame hot work on live facility

shall only proceed with use of
Pressurised Habitat
 For blasting, the activity may only

proceed after conversion of instrument
gas to instrument air, flanges are
wrapped and the area is barricaded
Note: For blasting on process piping

where the remaining wall thickness is
less than the corrosion allowance, the
piping/equipment shall be shutdown
prior blasting.
 Non-open flame/non-blasting hot work

e.g. use of portable hand-held and
mobile non-intrinsically safe (non-Ex)
equipment e.g. mobile genset, mobile
air-compressor, etc. in Zone 2 area
may proceed with implementation of
other control and recovery barriers.

Page 6
Non- Hot work may be allowed with the conduct

classified/ of gas testing and implementation of other
hazardous/ required control and recovery barriers
safe area identified in risk assessment
(4) Additionally, a rigorous risk assessment shall also be

conducted for all hot work activities to identify any
other control and recovery barriers to ensure the risks
associated with the work is minimised to ALARP.
(5) Regular gas testing at site shall be carried out for any
hot work activity.
Note: Gas test at start of shift or activity only is not

acceptable. AGT has the authority to withdraw
a PTW if condition is deem unsafe.
(6) For facilities equipped with fixed gas detectors, the

gas detectors shall not be bypassed during the hot
work activities.
(7) For hot work inside confined space, in addition to the

hot work requirement, the confined space entry
requirement (e.g. medical declaration, CSE training,
etc) shall be fully complied with.
(8) The process to allow the hot work activities to be

conducted on ‘live’ facility is summarized as Figure 1
and 2 below.
(9) For hot work in confined space, the conduct of the

work shall comply with WW ALL S 05 004
PETRONAS Carigali Confined Space Procedure.

Page 7
Start
Need to conduct hot work on ‘live’

facility in Zone 1
No No
Open-flame hot
Blasting (grit/ganite)? Non-open flame/Non-blasting
work?
Yes
No
Process piping/
Yes equipment?
Yes
No Convert instrument gas to

Corrosion > corrosion
instrument air, wrap flanges
allowance?
and barricade the area
Yes
Shutdown and blowdown
Conduct activity risk

assessment
Implement control/recovery
barriers
Proceed with Hot Work
End
Figure 1: Decision tree for hot work activities in Zone 1

Page 8
Start
Need to conduct hot

work on ‘live’ facility in
Zone 2
No
No
Open-flame hot Blasting (Grit/
Non-open flame/Non-blasting
work? ganite)?
Yes Yes
Conduct risk No
assessment and Process piping/

Implement Pressurised equipment?
Habitat
Yes
No
Corrosion > Convert Instrument gas to
corrosion Instrument air, wrap flanges and
allowance? barricade the area
Yes
Shutdown and Blowdown
Conduct activity risk assessment
Implement control/ recovery

barriers
Proceed with hot work
End
Figure 2: Decision tree for hot work activities in Zone 2

Page 9
Roles and Responsibilities Rev. 4, July 2013
SECTION 2
ROLES AND RESPONSIBILITIES
Content
Paragraph Page No.

1 ROLES AND RESPONSIBILITIES 2
1.1 Permit Signatories 2
1.2 Contractors Management 7
1.3 Other Competent Personnel 7
1.4 Roles and Responsibilities at Remote Facilities 8

Page 1
1 ROLES AND RESPONSIBILITIES
The following are the key roles and their responsibilities in

PTW. Personnel who are assigned to these roles as per the
PTW Signatory Matrix below shall have completed the
required training and passed the required assessment.
PTW Signatory Matrix

Signatories Personnel
Approving Authority (AA) Offshore/Onshore Installation
Manager (OIM)
Authorised Supervisor (AS) Operations
Supervisor/Maintenance
Supervisor/Senior
Technician/Technician
Approving Authority Senior Technician/Technician
Representative
Applicant/Receiving Authority Competent PETRONAS
Carigali/Contractors’
Personnel
Work Leader Competent PETRONAS
Carigali/Contractors’
Personnel
To ensure there is no conflict of roles, there must be a

minimum of two distinct responsibility. The person who
applies for the permit shall not be the same person as the
one who shall approve this permit.
1.1 Permit Signatories
Applicant/Receiving Authority (RA)
Applicant/Receiving Authority shall be the person who will

be directly involved with the work. He/she shall be
responsible in the execution, planning and supervising of
the work.
The Applicant/Receiving Authority (RA) shall be responsible

for:
(1) Describing in detail on the work activity, including the

tools and equipment to be used, number of workers
involved, equipment/location of the work;
(2) Completing a JHA specifying hazards and

precautions to be taken;
(3) Preparation of worksite, ensuring implementation of

all identified control and recovery barriers;
(4) Job is thoroughly discussed with the Authorised

Supervisor (AS) and/or Approving Authority (AA);

Page 2
(5) The PTW top copy is displayed at the work site and
the workers briefed on the PTW including any
potential hazards and the precautions taken or to be
taken;
(6) The precautions shall be complied throughout the

work activity;
(7) The workers shall be made to understand that if

circumstances change, work shall stop and advice
sought;
(8) Ensure that the scope of work in each PTW is limited

to a single job;
(9) Ensure that the workers stay within the work

limitations as defined in the PTW; and
(10) On completion or suspension of the work, the site is

kept in a safe condition and the AS and/or AA shall be
duly informed.
An Applicant/Receiving Authority may be Company or

Contractor personnel.
He/she shall have completed a three days PETRONAS

Carigali PTW Certification Training including passing the
required PTW assessment. The Applicant/Receiving
Authority shall be formally appointed through issuance of
appointment letter or approved list of Applicant/Receiving
Authority signed by Contract Holder or OIM.
Note: To prevent an RA from applying too many work

permits, either for himself or on behalf of other work teams,
the RA should discuss the number of permit allowed to be
applied with the Approving Authority.
Work Leader (WL)
The Work Leader (WL) is responsible for planning and

supervising the safe execution of the work. The Work
Leader may also be the Applicant/Receiving Authority (RA).
The WL shall:-
(1) Confirm the site conditions is safe for work execution

as required by the PTW and certificates and agree by
signing;
(2) Brief the workers on JHA and PTW requirements;
(3) Supervise the work and remain at the work site at all

Page 3
times;
(4) Ensure that the scope of work in each PTW is limited

to a single job;
(5) Conduct joint site inspection at the work site with the
AAR prior to approval of the PTW;
(6) Ensure there is no deviation from any condition as

defined in the PTW. The WL may take on the
additional responsibilities as an RA when deemed
necessary; and
(7) Return the PTW to RA upon completion of work.
A Work Leader (WL) shall have completed a three days

PETRONAS Carigali PTW Certification Training including
passing the required PTW assessment. The Work Leader
shall be formally appointed through issuance of
appointment letter or approved list of Work Leader signed
by Contract Holder or OIM.
Note 1: Preferably WL is the RA for the work. But in the

absence of WL, anybody who is involve with the work and
has completed the PTW Certification Training should be the
RA.
Note 2: To prevent ineffective work supervision, the WL

should discuss the number of work to be supervised with
the Approving Authority.
Approving Authority Representative (AAR)
The Approving Authority Representative (AAR), who will be

appointed among the authorised AAR by the Authorised
Supervisor (AS), is responsible for the roles and
responsibilities assigned by AA which may include one or
more of the followings:
(1) All hazards associated with the job are identified and
risks have been reduced to as low as reasonably
practicable;
(2) The authorized work does not endanger other

ongoing operations in the facility;
(3) Physically mark/barricade and place tag on the

items/equipment to be worked onsite;
(4) Other permits/work activities that may interact are

cross-referenced;

Page 4
(5) Verify implementation of all control stated in all

supporting certificates and ensure that the
certificates as well as relevant documents are
attached and made known to all concerned parties;
(6) All the required equipment and PPE are adequate for
completion of work safely;
(7) Effective communication to ensure that the work

site is inspected before work begins, suspended
and on completion;
(8) Effective handover for outstanding work after each

shift/crew change; and
(9) The list of authorised PTW signatories is regularly

updated.
AAR shall have completed a three days PETRONAS

Carigali PTW Certification Training including passing the
required PTW assessment. The Approving Authority
Representative (AAR) shall be formally appointed through
issuance of appointment letter or approved list of AAR
signed by the OIM.
Authorised Supervisor (AS)
The person assigned as Authorised Supervisor (to be

appointed by AA e.g. Production Supervisor, Maintenance
Supervisor, CSR, etc.) shall ensure all precautions are
specified, controls in place, and work is performed in a
safe and efficient manner. The AS may also be the AA
upon approval from respective management.
Before endorsing the PTW, the AS shall verify and ensure

the following:-
practicable;

(3) Verify that all work preparation such as energy

isolation/ lockout-tagout have been completed and the
applicable certificates have been approved;

cross-referenced;

Page 5
(5) Endorse all supporting certificates and ensure that

the certificates as well as relevant documents are
attached and made known to all concerned parties;
(7) Appoint AAR from among the Authorised AAR for the
work to be responsible in physically verifying the
worksite preparations;
(8) Effective communication to ensure that the work

site is inspected before work begins, suspended
and on completion;


updated.
AS shall have completed a three days PETRONAS Carigali

PTW Certification Training including passing the required
PTW assessment. The AS shall be formally appointed
through issuance of appointment letter signed by the
PETRONAS Carigali Management e.g. Head of
Country/Region.
Approving Authority (AA)
The person responsible for approving the work permit,

shall ensure all precautions are specified, controls in
place, and work is performed in a safe and efficient
manner.
Before approving the Permit to Work, this person shall

verify and ensure the following:-
practicable;

(3) The Approving Authority Representative (AAR),

delegated by AA, is competent and aware of the
conditions as stated in the Permit/Certificate and to
implement precautions prior to start of work;

cross-referenced;

Page 6
(5) Approve all supporting certificates and documents

are attached and made known to all concerned
parties;
(7) Communicate personally with the Applicant/RA on the

contents and requirements of the PTW prior to hand-
over of the permit and work execution;
(8) Effective communication to ensure that the work site

is inspected before work begins, suspended and on
completion;


updated.
AA shall have completed a three days PETRONAS Carigali

PTW Certification Training including passing the required
PTW assessment. The AA shall be formally appointed
through issuance of appointment letter signed by the
PETRONAS Carigali Management e.g. Head of
Country/Region.
Refer to Appendix 1 for sample of the appointment letter.
1.2 Contractors Management
Contractor’s Management shall ensure all their employees:
(1) Have undergone PETRONAS Carigali PTW

awareness training and/or PETRONAS Carigai
Certification Training (for signatories only);
(2) Understands PETRONAS Carigali PTW system; and
(3) Are qualified and competent to execute the respective

duties as per contract requirement.
1.3 Individuals Working Under the Permit/Certificates
Individuals working under the permit/certificate, including

contractors shall ensure that:
(1) They have received PTW awareness

training/instruction and have a good understanding of

Page 7
the PTW system;
(2) They do not start any work requiring a

permit/certificate until it has been properly authorised
and issued;
(3) They have received a briefing from the Work Leader

(WL) on the particular task and understand the
hazards and the precautions including those
stipulated on Job Hazard Analysis (JHA) to ensure
safe execution of the activities;
(4) Full compliance to the instructions/conditions specified

in the permit/certificate;
(5) If in doubt, or if circumstances change, they shall stop

work and consult their Work Leader (WL);
(6) When the work is stopped, make safe the site and the
equipment; and
(7) The worksite is restored to its normal condition upon

completion of work.
1.4 Roles and Responsibilities at Remote Facilities
When on a remote facility, the Approving Authority may

delegate his roles and responsibilities to an Authorised
Supervisor/AAR.
The Authorised Supervisor may also delegate his roles and

responsibilities to an AAR.
The Applicant/Receiving Authority and the Approving

Authority/Authorised Supervisor/Approving Authority
Representative shall not be the same person.

Page 8
Permit to Work Application Rev. 4, July 2013
SECTION 3
PERMIT TO WORK APPLICATION
Content
Paragraph Page No.

1 PERMIT TO WORK APPLICATION PROCESS 2
1.1 PTW Application And Site Preparation 2
1.2 PTW Application and Site Preparation for Cold Work 5
1.3 Work Execution 7
1.4 Work Completion 8
1.5 Permit to Work Validity 13

Page 1
1 PERMIT TO WORK APPLICATION
(1) Application of permit via PTW system is required for

all hazardous activities which may have the potential
to cause harm to personnel, environment, asset or
reputation.
(2) PETRONAS Carigali PTW System utilises two permit

forms (A3) for both cold work and hot work.
(3) During permit application, the mandatory sections to

be filled for both cold and hot work are Section 1-7 of
the permit. Additionally, it is also mandatory to fill in
Handback Section of the permit upon completion of
work.
(4) For hot work, the additional sections that are

mandatory to be filled are Type of Hot Work Allowed
and Hot Work Precautions in Section 1 and Section 3
of Hot Work Permit.
(5) The extension of cold work, Section 9 of the cold work

permit shall be filled in where it requires authorisation
and approval from WL, AAR, AS and AA.
(6) For extension of wireline operations activities, Section

8 of the cold work permit shall be filled in where it
requires daily endorsement from WL, AS and AA.
Template for permit form is shown in Appendix 2 and

detail steps-by-steps instruction to fill in the permit is
mentioned in Appendix 3.
1.1 PTW Application and Site Preparation for Hot Work
(1) The Applicant/RA fills in Section 1 to 4 of the PTW

with the details of the hot work to be done, specifying
the exact location and the tools to be used.
Additionally, the Applicant/RA shall identify type of hot
work and additional precautions for the hot work
activities in Section 1 and 3 respectively.
(2) The Applicant/RA shall also attach together with the

PTW the required certificates, JHA and other
documents related to the work. In addition, it is also
expected for the Applicant/RA to identify the hazards,
precautions and Personal Protective Equipment
(PPE) with respect to the work.

Page 2
(3) The Applicant/RA shall then discuss on the work with

the Work Leader (WL) and Authorised Supervisor
(AS) to ensure the correct work scope as well as
determination of hazards, precautions and PPE. In
addition, the hazardous area classification shall also
be confirmed by the AS to ensure the correct
precautions are in place.
Note: For work that is conducted by Contractors

where the Company Site Representative (CSR) is at
site (e.g. drilling, diving, construction, etc.), the
Applicant/RA shall discuss the work scope, hazards
and control/recovery barriers required for the work
with the CSR prior meeting the AS.
(4) The AS shall also verify that the JHA is communicated

to all personnel involved in the work during the
toolbox meeting. The AS shall then approve the JHA.
(5) Additionally, where required, the AS shall propose

additional precautions in minimizing the risk
associated with the work to ALARP. If the nature of
the work requires gas testing, i.e. hot work on
hydrocarbon facilities, AS shall organise the gas tests
to be carried out by an Authorized Gas Tester (AGT).
(6) For hot work and work in confined space, the AS shall
determine the frequency of gas testing in the
designated column of the Hot Work Precautions,
Confined Space Certificate and Gas Test Form.
(7) The AS will verify the submission of certificates and

identify the need for other certificates. The certificates
number shall be recorded in Section 5 of the PTW
form.
(8) After site preparation is completed, joint site visit shall

be carried out before commencement of work by the
AAR, together with Applicant/RA and/or WL. Upon
agreement by the AAR on the site preparation, the
AAR and RA/WL shall indicate confirmation by signing
in Section 6 of the PTW form and submit the Hot
Work Permit to the Approving Authority (AA).

Page 3
(9) For work that needs to be communicated to other

parties, the AA shall identify the relevant parties in
Section 7 of the Hot Work Permit. The Applicant/RA
shall then obtain the initial from the parties identified
by Approving Authority (AA).
(10) For work that is conducted by Contractors where the

Company Site Representative (CSR) is at site (e.g.
drilling, construction, etc.), the CSR shall be one of
the mandatory parties to be informed of the work.
He/she shall indicate acknowledgement by signing in
Section 7 of the Hot Work Permit.
(11) After all the actions are completed, Section 7 of the

Hot Work Permit shall be signed by RA to indicate
acceptance of the PTW requirement. The form shall
then signed by AS for endorsement prior approval
from AA.
(12) For work conducted on remote facilities, the

AAR/AS/AA may be the same person as the roles and
responsibilities may be delegated to the most senior
person on the facility.
Note: The Permit Applicant and the Approving

(13) For unplanned hot work on remote facilities, the

endorsement and approval for the work shall be given
by the AAR who assumed the functions of AS and AA.
However, the work shall first be communicated to the
AS and AA at main installations prior AAR endorsing
and approving the permit.
(14) Among the information that needs to be communicated

are:
(a) Details of the hot work that needs to be carried

out, including any special work instructions;
(b) Required precautions and PPE for the work; and
(c) Additional certificates or documents required for

the work

Page 4
1.2 PTW Application and Site Preparation for Cold Work
(1) The Applicant/RA fills in Section 1 to 4 of the Cold

Work Permit with the details of the work to be done,
specifying the exact location and the tools to be used.
The Applicant/RA shall also attach together with the
PTW the required certificates, JHA and other
documents related to the work. In addition, it is also
expected for the Applicant/RA to identify the hazards,
precautions and Personal Protective Equipment
(PPE) with respect to the work.
(2) The Applicant/RA shall then discuss on the work with

the Work Leader (WL) and Authorised Supervisor
(AS) to ensure the correct work scope as well as
determination of hazards, precautions and PPE. In
addition, the hazardous area classification shall also
be confirmed by the AS to ensure the correct
precautions are in place.
Note: For work that is conducted by Contractors

where the Company Site Representative (CSR) is at
site (e.g. drilling, diving, construction, etc.), the
Applicant/RA shall discuss the work scope, hazards
and control/recovery barriers required for the work
with the CSR prior meeting the AS.
(3) The AS shall also verify that the JHA is communicated

to all personnel involved in the work during the
toolbox meeting. The AS shall then approve the JHA.
(4) Additionally, where required, the AS shall propose

additional precautions in minimizing the risk
associated with the work to ALARP.
(5) For cold work in confined space, the AS shall

determine the frequency of gas testing in the
designated column of the required precautions (of the
Cold Work Permit), Confined Space Certificate and
Gas Test Form.
(6) The AS will verify the submission of certificates and

identify the need for other certificates. The certificates
number shall be recorded in Section 5 of the Cold
Work Permit.
(7) After site preparation is completed, joint site visit shall

be carried out before commencement of work by the
AAR, together with Applicant/RA and/or WL. Upon
agreement by the AAR on the site preparation, the
AAR and RA/WL shall indicate confirmation by signing

Page 5
in Section 6 of the PTW form and submit the Cold

Work Permit to the Approving Authority (AA).
(8) For work that needs to be communicated to other

parties, the AA shall identify the relevant parties in
Section 7 of the Cold Work Permit. The Applicant/RA
shall then obtain the initial from the parties identified
by Approving Authority (AA).
(9) For work that is conducted by Contractors where the

Company Site Representative (CSR) is at site (e.g.
drilling, construction, etc.), the CSR shall be one of
the mandatory parties to be informed of the work.
He/she shall indicate acknowledgement by signing in
Section 7 of the Cold Work Permit.
(10) After all the actions are completed, Section 7 of the

Cold Work Permit shall be signed by RA to indicate
acceptance of the PTW requirement. The form shall
then be signed by AS for endorsement prior approval
from AA.
(11) For work conducted on remote facilities, the

AAR/AS/AA may be the same person as the roles and
responsibilities may be delegated to the most senior
person on the facility.
Note: The Permit Applicant and the Approving

(12) For unplanned cold work on remote facilities, the

endorsement and approval for the work shall be given
by the AAR who assumed the functions of AS and AA.
However, the work shall first be communicated to the
AS and AA at main installations prior AAR endorsing
and approving the permit.
(13) Among the information that needs to be communicated

are:
(a) Details of the cold work that needs to be carried

out, including any special work instructions;
(b) Required precautions and PPE for the work; and
(c) Additional certificates or documents required for

the work.
1.3 Work Execution
(1) The Applicant/RA and/or WL shall brief all workers on

the hazards and conditions of PTW before work

Page 6
commences. He shall also verify that the precautions

are continuously implemented by those involved with
the work and shall regularly check the work site to
identify and correct any deviation to the PTW
requirements.
(2) The top copy and any attached certificates are

displayed at the work site by the WL and shall be
available for inspection at any time. The second copy
will be retained in the control room of the facility and
the third copy is retained by the Applicant/RA.
(3) Process or operational conditions may change, so it is

essential that the AS and/or AAR shall regularly check
the work site to ensure that all precautions are
maintained. In cases where additional gas test is
required, the AS and/or AAR shall instruct for the gas
test to be conducted and recorded in the Gas Test
Form.
(4) The AA or AS or AAR shall stop the work at any time

if the conditions or work is deemed as unsafe. The
PTW shall be suspended until the conditions are
made safe. However, in the event where the
conditions remain unsafe, the PTW shall be closed.
(5) For extension of wireline operation, Section 8 of the

Cold Work permit shall be filled. Thereafter, the WL,
AS and AA shall sign daily to indicate agreement of the
work extension. The conditions of work extension shall
comply with the requirements specified in sub-section
1.5.
(6) For extension of cold work, Section 9 of the Cold Work

permit shall be filled. The duration of the required
extension shall be specified in this section. Thereafter,
the WL, AAR, AS and AA shall sign to indicate
agreement of the work extension. The conditions of
work extension shall comply with the requirements
specified in sub-section 1.5.

Page 7
1.4 Work Completion
(1) Upon work completion, the WL shall sign in Section 8

of the Hot Work Permit and Section 10 of the Cold
Work Permit to indicate that work has completed and
the site has been restored to its normal condition.
(2) The AAR shall then verify the worksite and sign-off
the permit if the condition is satisfactory.
(3) The Applicant/RA, AS and AA shall then sign-off the

permit to indicate agreement on the work completion
and permit handback (closure).

Page 8
Start
Need to conduct work that requires PTW.
Applicant fills in Section 1-4 of PTW form
Attach the relevant certificate to the PTW
Applicant/RA shall discuss with WL and AS on the workscope, hazards, precautions and
PPE required for the work
Note: For work requiring gas test, AS shall determine the gas test
frequency
AS will verity the submission of certificates and record the certificates number in Section 5
of PTW
No
Need other certificates?
Yes
Applicant to raise the required certificate and get it endorsed by the appropriate parties
AAR and Applicant/RA/WL conduct joint site visit
AAR and WL shall indicate confirmation in Section 6 of PTW form
AA to identify other parties where PTW needs to be communicated in Section 7 of PTW

form
Applicant/RA to obtain initials from the identified parties

Page 9
* Work Execution
Brief all workers on the hazards and conditions
RA / WL to ensure continuous implementation of precautions at site
WL to ensure respective copies shall resides at respective location
AS and/or AAR to check the worksite regularly Work Completion
Note: Refer to **
Yes
Safe work
condition?
No
Stop Work and suspend PTW
Implement additional control to make safe the work condition
Re-evaluate work condition
Yes
Resume Work Safe work condition?
No
End Work
** Work Completion
WL to sign Section 8 upon work completion
AAR verify the worksite
Applicant/RA to No
restore the
Worksite restored to normal condition?
worksite to
satisfactory
Yes
Applicant/RA, AS and AA signed off at Section 8 to close PTW
End
Figure 3: PTW Process Flow for Hot Work Permit

Page 10
Start
Need to conduct work that requires PTW.
Applicant fills in Section 1-4 of PTW form
Attach the relevant certificate to the PTW
Applicant/RA shall discuss with WL and AS on the workscope, hazards, precautions and
PPE required for the work
Note: For work requiring gas test, AS shall determine the gas test
frequency
AS will verity the submission of certificates and record the certificates number in Section 5
of PTW
No
Need other certificates?
Yes
Applicant to raise the required certificate and get it endorsed by the appropriate
parties
AAR and Applicant/RA/WL conduct joint site visit
AAR and WL shall indicate confirmation in section 6 in PTW form
AA to identify other parties where PTW needs to be communicated in Section 7 of PTW

form
Applicant/RA to obtain initials from the identified parties
Work Execution
Note: Refer to *

Page 11
* Work Execution
Note: Refer
to **
**Work Completion Brief all workers on the hazards and conditions
For work requires

extension: RA / WL to ensure continuous implementation of precautions at site
 Fill in Section 8
(for cold work)
or section 9 (for
Non-Rig Coil
WL to ensure respective copies shall resides at respective location
Tubing &
wireline
Operation.
AS and/or AAR to check the worksite regularly
Yes
No
Work Safe work
Completed? condition?
Yes
No
Stop Work and suspend PTW
Implement additional control to make safe the work condition
Re-evaluate work condition
Yes
Resume Work Safe work condition?
No
End Work
** Work Completion
WL to sign Section 10 upon work completion
AAR verify the worksite
Applicant/RA to No
restore the
Worksite restored to normal condition?
worksite to
satisfactory
Yes
Applicant/RA, AS and AA signed off at Section 10 to close PTW
End
Figure 4: PTW Process Flow for Cold Work Permit

Page 12
1.5 Permit to Work Validity
(1) The PTW is valid when:-
(a) Work is conducted during the period for which it

is issued or a maximum of one shift (i.e.) 8 - 12
hours;
(b) Equipment remains the same;
(c) Work activity remains the same;
(d) Crew/workers remain the same;
(e) Work site conditions remain the same; and
(f) Required signatures are in place.
(2) However, exceptions of the PTW validity may be

allowed for two conditions stated below:
(a) Extension of PTW of a cold work (in Section 8 of

Cold Work Permit) should be allowed provided
that work is conducted by the same crew (shift
extension). It shall be revalidated to verify the
conditions of the worksite remains the same and
all the controls are still in place. The allowable
extension of the cold work shall not exceed 4
hours; and
(b) Extension for wireline operations may be

allowed for up to seven (7) days, provided that
requirement below are satisfied:
(i) On suspension of work on daily basis, the

well shall be made safe by making the
SCSSV and SSV in operation mode;
(ii) Single control panel shall be switched to

Wellhead Control Panel (WHCP);
(iii) Tools shall be retrieved from the well; and
(iv) The operation is performed by the same

crew on the same well.
Daily endorsement shall be recorded in Section

8 of the Cold Work Permit.

Page 14
Note: A PTW may require several certificates

before it may be validated.
(3) In the event where there is change in AAR or AS or

AA during the work extension, the new AAR or AS or
AA shall indicate their agreement for the work
extension in Section 9 (for cold work) or Section 8 (for
wireline operations).
(4) Should an Emergency Shutdown (ESD) or General

Platform Alarm (GPA) activated, all work shall stop
immediately and the PTW shall be suspended. The
work sites shall be secured and made safe and all
personnel shall proceed to their designated muster
stations.
(5) In the case of false alarm or emergency drill, the work

may resume after revalidation of PTW and the
condition remains the same.
(6) However, in the event of confirmed emergency, all

PTW and associated certificates shall be cancelled
and re-applied prior to resume work as worksite
condition has changed.
(7) During equipment test run, all PTW for cold work and
wireline operations shall be suspended until
completion of test run/troubleshooting. Meanwhile, all
PTW for hot work shall be closed and re-apply to
resume the work.

Page 15
Certificates Rev. 4, July 2013
SECTION 4
CERTIFICATES
Content
Paragraph Page No.

1 CERTIFICATES 2
1.1 General Certificate Application Process 4
1.2 Gas Test Form 6
1.3 Confined Space Entry Certificate 7
1.4 Electrical Isolation Certificate 7
1.5 Limit of Electrical Access Certificate 7
1.6 Physical Isolation Certificate 8
1.7 Lifting Certificate 8
1.8 Safety System Bypass/Override Certificate 9
1.9 Excavation Certificate 10
1.10 Radiation Certificate 10
1.11 Road Obstruction/Closure Certificate 11
1.12 Vehicle Entry Certificate 11
1.13 Diving Certificate 11

Page 1
1 CERTIFICATES
(1) Certificates shall be required to be attached together

with PTW as part of PTW approval in providing the
assurance to the AA that the work is safe to be
conducted.
(2) The required certificates shall be completed and

endorsed by the Subject Matter Expert (SME) of the
activities in confirming that all precautions are in place
prior PTW application.
(3) PETRONAS Carigali PTW system has twelve (12)

certificates. Each is intended for a specific purpose,
as the name implies, and each has a coloured border
of diagonal stripes.
(4) The twelve certificates are:-
(a) Gas Test Form;
(b) Confined Space Entry Certificate;
(c) Electrical Isolation Certificate (EIC);
(d) Limit of Electrical Access Certificate (LoEA);
(e) Physical Isolation Certificate (PIC);
(f) Lifting Certificate;
(g) Safety System Bypass/Override Certificate

(SSBOC);
(h) Excavation Certificate;
(i) Radiation Certificate;
(j) Road Obstruction/Closure Certificate;
(k) Vehicle Entry Certificate; and
(l) Diving Certificate.

Page 2
(5) In most cases, the certificates are normally

associated with the work and dependent to the PTW.
However, there are certificates that may be
standalone due to some reasons as elaborated
below:
Certificate Reason for Standalone

Safety System The certificate may remains active
Bypass/Override after the completion of work e.g.
Certificate (SSBOC) may be due to spare parts
unavailability, which requires the
bypass of SCE equipment to be
extended.
Physical Isolation The certificate may remains active

Certificate if work is yet to complete and the
energy needs to remain isolated.
Electrical Isolation However, the PTW needs to be
Certificate closed as the PTW validity shall not
exceed 16 hours.
Radiation Certificate
Excavation The certificate may remains active
Certificate if work is yet to complete and the
work area may remains excavated,
barricaded and warning signs
posted to prevent inadvertent
access to the area. If the
excavation area requires road
closure, the road shall remains
closed. However, the PTW needs
to be closed as the PTW validity
shall not exceed 16 hours.
Road Obstruction The certificate may remains active

Certificate if the work which involved road
closure e.g. excavation,
radiography test, etc., is yet to
complete. However, the PTW
needs to be closed as the PTW
validity shall not exceed 16 hours.
(6) In cases where the work needs the application of

more than one certificates, all the required certificates
shall be filled up and attached together with the PTW.
Refer to Appendix 2 for all templates of certificates.
Where requirement to have competent personnel in

the conduct of the work by Contractor, the
requirement shall be specified in the contract.

Page 3
1.1 Certificate Application Process
(1) In general, the process for certificate shall be

following the steps below:
(a) Applicant/RA to fill in general information and

work description;
(b) SME for the activity (e.g. Entry Supervisor for

CSE, Diving Supervisor for diving, Crane
Operator for lifting, etc.) will assure on the
precautions required and the implementation of
all the precautions. For non-specialised work
that does not require specific SME, the WL will
provide the assurance;
(c) The SME will then declare that the checks have
been conducted and sign the certificate;
(d) The AAR will then conduct site verification and

declare that the precautions have been
implemented;
(e) The AS will endorse that the activity is safe to

proceed;
(f) The AA will approve and provide certificate

validation; and
(g) Upon completion of work, the SME will confirm

that the work is completed and the AA will
provide confirmation that he is aware that the
work is complete and worksite maybe returned
to normal operations.
(2) The certificate applications is summarised in the

process flow below:

Page 4
Start
Applicant / RA fills in information and work description in the relevant

certificate.
No
Specialised WL will verify implementation of all

work? precaution and sign the certificate.
Yes
SME for the activity will verify implementation of all precautions, and
sign the certificate.
AAR conduct site verification and provide confirmation by signing the

certificate.
AS will endorse that the activity is safe by signing the certificate.
AA will provide approval and indicate certificate validation.
Figure 1: General Process Flow for Certificate Application

Page 5
1.2 Gas Test Form
(1) Gas Test Form shall be filled and attached to

respective PTW which requires gas testing i.e. hot
work and work in confined space.
(2) The Authorized Gas Tester (AGT) shall be the person

responsible to carry out gas testing as well as filling in
the Gas Test Form. He/she shall be certified,
competent and authorized to conduct the gas testing.
The training and competency requirement is
deliberated in Section 6 of this document.
(3) The gas testing shall be conducted as part of site

preparation to qualify that the work place is safe and
the PTW may be approved for work to commence.
(4) Additionally, the gas testing shall be carried out on

regular basis as per interval stated in the PTW. All
gas test results shall be recorded in the Gas Test
Form.
(5) During work execution, should the AGT found that the
gas level is beyond the acceptable level during the
periodic gas testing, the AGT shall decide to either
suspend or stop the work.
(6) The acceptable parameters for gas testing are

tabulated as below:
No. Gas type Acceptable

parameters
1 Oxygen (without BA) 20% to 20.9%
2 LEL Less than 10%
3 H2S Less than or equal
H to 5 ppm
However, for work in confined space, the gas test
requirement shall meet the confined space entry
conditions as stated in WW ALL S 05 004
PETRONAS Carigali Confined Space Procedure.

Page 6
1.3 Confined Space Entry (CSE) Certificate
(1) Confined Space Entry (CSE) Certificate shall be filled

and attached to the PTW for all work in confined
space.
(2) The Entry Supervisor shall be the person to declare

that all precautions required for the work in confined
space has been implemented.
(3) Where the host country/ legal required certified,

competent and authorized AGT, those requirement
shall be complied with. For example, in Malaysia, any
work in confined space requires the AGT to attend
training for authorised gas tester and entry supervisor
where the AGT shall be certified based on the test
conducted after the training.
(4) The detail requirements of work in confined space is

defined in WW ALL S 05 004 PETRONAS Carigali
Confined Space Procedure.
1.4 Electrical Isolation Certificate
(1) The Electrical Isolation Certificate shall be filled for

work on electrical equipment, and confirms that an
appointed and authorized competent person has
electrically isolated the equipment to be worked on
and has taken suitable precautions to prevent
accidental reconnection.
(2) The detail requirements of the Electrical Isolation

Certificate are defined in the WW ALL S 04 018
PETRONAS Carigali Energy Isolation Guideline.
1.5 Limit of Electrical Access Certificate
(1) The Limit of Electrical Access Certificate shall be

filled for Testing of Live Voltage conductors or work in
close proximity to live conductors/equipment/
apparatus.
(2) The ACP/AP shall be the person to declare that all

precautions required for the work near the live
conductors/equipment/apparatus have been
implemented.

Page 7
1.6 Physical Isolation Certificate
(1) The Physical Isolation Certificate shall be filled for

work on process lines and equipment to confirm that
the energy is positively isolated and free from liquid,
gas and other hazardous material. In addition, the
certificate confirms that the precautions are
implemented to ensure the energy remains isolated.
(2) The detail requirements of the Physical Isolation

Certificate are defined in the WW ALL S 04 018
PETRONAS Carigali Energy Isolation Guideline.
1.7 Lifting Certificate
(1) The Lifting Certificate shall be filled and attached to

the PTW whenever any of the following conditions
exist but not limited to:-
(a) Lifting over unprotected process equipment or

wellheads;
(b) Lifting dangerous goods;
(c) Lifting exceeding 8 tonnes;
(d) Lifting inside confined spaces;
(e) Lifting with sling not made of wire rope;
(f) Lifting with greater than four leg;
(g) Multiple crane lifts;
(h) Failure to fully illuminate load;
(i) Failure to fully illuminate path of load;
(j) When removing or installing well head hatch

cover/grating; and
(k) When a safety device is bypassed.

Page 8
(2) The lifting checklist shall be filled by the Crane

Operator for critical lifting which meets below criteria:
(a) The percent of capacity between 86% - 100% of

the load chart; or,
(b) Multiple cranes are used for lifting; or,
(c) Any other criteria classified as critical lifting as

per PTS 18.5206: Lifting (previous PTS no.
60.2103).
(3) For lifting activities, the AAR should be the person

who has attended Rigging and Slinging Training e.g.
deck foremen, area operator etc.
(4) Besides Lifting Certificate, the additional

documentation to supplement the PTW are:
(a) Lifting Plan (for critical lifting); and
(b) JHA.
1.8 Safety System Bypass/Override Certificate
(1) The Safety System Bypass/Override Certificate shall

be filled for any bypass/override/isolation/defeating of
SCE equipment. The act of disabling any of the SCE
equipment may increase the risk to people,
environment, asset and reputation due to inability of
the affected system to function automatically in the
event of an emergency during continued operations.
(2) The bypass/override/isolation/defeating of SCE

equpment shall be managed via two certificates i.e.:
(a) Bypass/override/isolation/defeating of SCE

equipment due to Planned Preventive
Maintenance; and
(b) Bypass/override/isolation/defeating of SCE

equipment due to faulty/prolong bypass.
(3) The permission for bypass/override/isolation/

defeating SCE equipment shall be based on the
Safety Integrity Level (SIL) of the SCE equipment or
the level of risk posed due to bypassing of the SCE
equipment.

Page 9
(4) The detail requirements of the Safety System

Bypass/Override Certificate are defined in the WW
ALL S 04 019 PETRONAS Carigali Bypass of SCE
Equipment Guideline.
1.9 Excavation Certificate
(1) The Excavation Certificate shall be filled for all

excavation work deeper than 150mm.This certificate
confirms that a competent person has checked the
worksite of a planned excavation and studied layout
drawings to ensure that the proposed excavation can
be made without damage to existing buried facilities
such as pipelines, drains and electric cables.
(2) The information and validity of the Excavation

Certificate shall be in line with the excavation plan.
(3) Besides Excavation Certificate, the additional

documentation to supplement the PTW are listed as
below, depending on the depth of the excavation:
(a) Excavation Plan;
(b) JHA; and
(c) Work site layout drawings.
(4) The detail requirements for excavation work is

defined in the WW ALL S 04 035 PETRONAS
Carigali Excavation Safety Guideline.
1.10 Radiation Certificate
(1) The Radiation Certificate shall be filled for handling

and isolating of equipment containing ionising
radiation source.
(2) For handling of radiation source, the certificate shall

be attached to the PTW as part of its application and
approval.
(3) For isolating of equipment containing ionising

radiation source, the certificate may be standalone.
(4) The RPO/RPS shall be the person to declare that all

precautions required for the work involving ionising
radiation source have been implemented.

Page 10
(5) The detail requirements for isolating the equipment

containing ionising radiation source are defined in the
WW ALL S 04 018 PETRONAS Carigali Energy
Isolation Guideline.
1.11 Road Obstruction/Closure Certificate
(1) The Road Obstruction/Closure Certificate shall be

filled whenever the closure of any road may affect or
obstruct the emergency/escape route.
(2) The plot plan to indicate the road closure as well as

the alternative route shall be attached to the
certificate.
1.12 Vehicle Entry Certificate
(1) The Vehicle Entry Certificate shall be filled for control

of entry of non-company vehicle into the process
areas.
(2) One permit is valid for more than one certificate and
each certificate is valid for one vehicle.
1.13 Diving Certificate
(1) The Diving Certificate shall be filled for any work

requiring diving activities e.g. pipeline inspection and
maintenance, installation of subsurface structures,
decommissioning, etc.
(2) The Diving Supervisor shall be the person to declare

that all precautions required for the diving work have
been implemented.
(3) Besides Diving Certificate, the additional

documentation to supplement the PTW are:
(a) Diving Plan; and
(b) JHA
(4) For diving work within 500m radius of the platform, the
relevant OIM shall be the AA of the PTW. However,
for diving work outside 500m radius of the platform,
the CSR should be the AA of the PTW.

Page 11
Work and Activities Management Rev. 4, July 2013
SECTION 5
WORK AND ACTIVITIES MANAGEMENT
Content
Paragraph Page No.

1 WORK AND ACTIVITIES MANAGEMENT 2
1.1 Preparation 2
1.2 Co-ordination 2
1.3 Planning 2
1.4 Isolation 2
1.5 Communication 3
1.6 Display Board 3
1.7 Cross Referencing 3
1.8 PTW/Certificates Site Log Book 3
1.9 Tracking 4
1.10 Distribution 4
1.11 Toolbox Meetings 5

Page 1
1 WORK AND ACTIVITIES MANAGEMENT
1.1 Preparation
It is important to ensure that work activities, requiring a

PTW, are planned and coordinated in order to avoid risks
that may occur in simultaneous activities.
1.2 Co-ordination
This co-ordination is best achieved by having one person,

usually the AA, to control the issue and return of all PTW.
1.3 Planning
Proper planning of work, requiring a PTW, shall take place

to ensure the following:
(1) Approval for the work is obtained;
(2) All personnel are aware of the safety precautions and

ensure no interaction with other work activities; and
(3) Sufficient time is available to identify all potential

hazards, implement precautions and worksite
preparation.
It is therefore important that no work permit shall be issued

unless adequate time is given for the identification of
hazards and effects, precautions and control measures.
1.4 Isolation
An essential component of any safe system of work is the

method and integrity of the isolation procedure.
The isolation principle shall be adopted, prior to carrying out

maintenance or repair, shall be determined by a number of
factors, such as potential for pressure, dangerous
substances, moving machinery and other hazards.
Reference shall be made to WW ALL S 04 018

PETRONAS Carigali Energy Isolation Procedure.

Page 2
1.5 PTW Communication
PTW communication shall be carried out using the most

understandable language. Effective communication shall
include:
(1) A clear description and the scope of the work to be

carried out;
(2) Those affected by the work activity, whether directly

or indirectly, are well informed on the potential
hazards, precautions and controls; and
(3) All affected are well informed on the proactive

actions in the event of an emergency.
1.6 Display Board
Each installation shall use a display board for the permit in

managing daily activities onboard the facilities which may
cause additional hazards if those activities are carried out
simultaneously. It is usually located in the main operations
control room or at a central location on a remote facility.
1.7 Cross Referencing
In managing simultaneous activities, besides referring to

the display board, the AS & AA shall also make a reference
to the related permits and its associated documents to
ensure that each activity does not introduce additional
hazards to each other.
1.8 PTW/Certificates Site Log Book
(1) After the PTW and its associated certificates are

approved, the details shall be recorded in a log book.
A dedicated log book for a facility shall be maintained.
(2) The required information to be recorded include,

amongst others:
(a) PTW number;
(b) Certificates number;
(c) Date of PTW application;
(d) Summary of work description;

Page 3
Work and Activities Management Rev. 4a, July 2013
(e) Name of Applicant/RA (including the name of

his/her department/company);
(f) Location of work;
(g) Equipment name and tag number;
(h) Date and time of PTW closure;
(i) Status of certificates; and
(j) Date of certificate closure.
(3) The retention period of expired permit, certificate and

all other relevant documents is at least one (1) year.
(4) The permit, certificate and all relevant documents

related to any incident shall be kept throughout the
duration of the plants/facilities lifecycle.
(5) In cases where the local authority imposed a more

stringent requirement on record keeping, this
requirement shall be fully complied with.
Refer to Appendix 4 for template PTW logbook.
1.9 Tracking
(1) All PTW, including the associated certificates shall be

tracked to closure.
(2) For standalone certificates, the certificates shall be

tracked to closure via the PTW logbook to ensure
requirements for revalidation is fully complied with.
1.10 Distribution
Copies of the permit and certificates shall be distributed as

follows:
(1) The Top Copy, which has all the required signatures,
to be displayed at the work site whenever work is
underway;
(2) The 2nd. Copy, to be displayed on the display board

at the Permit Issue Point when work is in progress;
and
(3) The 3rd Copy to be held by the Applicant/RA.

Page 4
1.11 Toolbox Meetings
Toolbox meetings or short briefings shall be given by either

the Applicant/RA or the WL to all personnel who are
involved in the work. It shall be conducted whenever PTW
is applied and approved.
For the same work that will continue for a few days where
the crew may change, a new PTW shall be applied and
therefore toolbox meeting shall be carried out.
During the toolbox meeting, the plan for the activity is

explained, individual responsibilities identified, procedures
reviewed and hazards discussed.

Page 5
Training Rev. 4, July 2013
SECTION 6
TRAINING
Content
Paragraph Page No.

1 TRAINING 2
1.1 Training and Competence 2
1.2 Training Criteria 2

Page 1
1 TRAINING
1.1 Training and Competence
(1) PTW Awareness training is mandatory for all

PETRONAS Carigali and Contractors personnel
working under the permit. The awareness training
may be carried out by personnel who are familiar and
have full understanding on PCSB PTW system i.e.
PTW Trainer, PTW signatory parties, HSE personnel,
etc.
(2) For PTW signatory parties, the PTW Certification

training is mandatory to be attended. In addition, the
written examination shall be carried out after the
training to assess the competency level of the
personnel to authorised as signatories in the PTW
system. The certification training shall be carried out
by a certified trainer that met the criteria as mentioned
in sub-section 1.2 of this section.
(3) For competency assessment, the PTW signatory

parties shall passed 85% of the PTW certification
assessment.
(4) The validity of the training shall be three (3) years.
(5) For work requiring certificates, the responsible

Subject Matter Experts (SME) may not be required to
attend the certification training. However, if the SME
are part of the PTW signatories, the SME shall attend
the PTW Certification training.
(6) The minimum training requirements for different

parties in PTW system are:
PTW Certification
PTW Awareness Training (including
Refresher
Training JHA and Confined
Training (3 days)
(1 day) Space)
(3 days)
Permit Applicant √ √
Approving Authority (AA) √ √
Authorised Supervisor (AS) √ √
Approving Authority
√ √
Representative (AAR)

Page 2
Receiving Authority (RA) √ √
Work Leader (WL) √ √
Authorised Gas Tester (AGT) √ √
Relevant Staff and Contractor √

√
Workers (1 day)
(7) For competency assessment, the PTW signatory

parties shall passed 85% of the PTW assessment.
Refer to Appendix 5 for sample of assessment questions.
1.2 Trainer Criteria
The criteria for PTW Certification trainer are as follows:
(1) Has attended PTW Certification training and passed

the assessment;
(2) Has attended Train-of-Trainer training; and
(3) Has minimum 5-years of experience in either HSE

and/or operations

Page 2
Inspection and Auditing Rev. 4, July 2013
SECTION 7
INSPECTION AND AUDITING
Content
Paragraph Page No.
1 INSPECTION & AUDITING OF PTW SYSTEM 2

1.1 System Audit and Monitoring 2

Page 1
1 INSPECTION & AUDITING OF PTW SYSTEM
The PTW system is the formal and final check prior

to commencement of work activities. This critical system
must function effectively every time.
1.1 System Audit and Monitoring
The extent and frequency of monitoring shall be

determined by the size of the facility, the number of permits
in use and the extent of discrepancies found on previous
checks.
As a minimum, the following schedule and frequency for

auditing shall apply:
LEVEL 1 6-MONTHLY
AUDIT REGIONAL
HSE DEPT.
LEVEL 2 QUARTERLY PTW

AUDIT BY
HEAD OF DEPARTMENT
LEVEL 3 WEEKLY PTW AUDIT BY

OIM/PS/MS
LEVEL 4 DAILY MONITORING OF PTW SYSTEM BY SAFETY

AND HEALTH OFFICER (SHO) AND AAR
Figure 1: Level of System Assurance and Monitoring

Page 2
Level 4- Daily Monitoring of PTW System
The SHO and AAR shall carryout daily monitoring. It is

suggested that each site develop its own criteria for audit
compliances which shall include but not limited to:
(1) Display of permit at work site;
(2) Completeness of the PTW;
(3) Completeness of the PTW Site Log Book;
(4) Specified safety equipment in place;
(5) Precautions are adequate and implemented; and
(6) Work party briefed on conditions in the PTW and work

scope.
Refer to Appendix 6 for daily audit checklist.
Level 3 - Weekly PTW Audit
The OIM/PS/MS shall carry out weekly audit as detailed out

in Appendix 7 and documented.
Level 2 – Quarterly PTW Audit
The Head of Department shall carry out Quarterly audit

using the same weekly audit checklist as detailed in
Appendix 7 and documented.
Level 1 – 6-monthly PTW Audit
The Regional HSE Department shall carry out 6-monthly

review of the PTW system. This shall include the Permits,
associated Certificates, Job Hazard Analysis and follow up
on previous audit findings.
Refer to Appendix 8 for annual audit checklist.

Page 3
Appendices Rev. 4, July 2013
APPENDICES
Contents
Paragraph Page No.
1 Sample of Appointment A1-1
2 PTW and Certificates A2-1
3 Steps of Filling-up PTW and Certificates A3-1
4 Template for PTW Logbook A4-1
5 PTW Sample Assessment Questions A5-1
6 PTW Daily Audit Checklist A6-1
7 PTW Weekly/Monthly Audit Checklist A7-1
8 PTW Annual Audit Checklist A8-1

APPENDICES
Page 23
APPENDIX 1
Sample of Appointment Letter
PETRONAS CARIGALI SDN BHD (39275-U)
Ref. no.: HSE-250-03/2012/0261
13 July 2012
To all Distribution List
APPOINTMENT AS PERMIT TO WORK (PTW) APPROVING AUTHORITY (AA) FOR

I am pleased to inform you that you are hereby appointed as PETRONAS Carigali PTW
Approving Authority (AA), in line with the recommendation made by PCSB HSE Management.
In that role, you are expected to ensure that jobs are carried out safely by confirming:
(1) All hazards associated with the job are identified and risks have been reduced to as low as
reasonably practicable;
(2) The authorized work does not endanger other on-going operations in the facility;
(3) The Approving Authority Representative (AAR), delegated by AA, is competent and aware of
the conditions as stated in the Permit/Certificate and to implement precautions prior to start
of work;
(4) Other permits/work activities that may interact are cross-referenced;
(5) All supporting certificates and documents are attached and made known to all concerned
parties;
(6) All the required equipment and PPE are adequate for completion of work safely;
(7) Effective communication to the Receiving Authority (RA) on the requirements of PTW prior
handover of the Permit for job execution;
(8) Effective communication to ensure that the work site is inspected before work begins,
suspended and on completion;
(8) Effective handover for outstanding work after each shift/crew change; and
(9) The list of authorised PTW signatories is regularly updated.

APPENDIX 1
Page A1-1
I believe you will be able to carry out the responsibilities entrusted to you diligently and ultimately
contribute to a safer working environment within PETRONAS Carigali operations.
I appreciate your contribution to the Company.
Thank you.
For PETRONAS Carigali Sdn. Bhd.
Joseph Podtung
Head of Operations,
Sabah Operations,
PETRONAS Carigali Sdn. Bhd.
PTW AA Distribution List:

1.

APPENDIX 1
Page A1-3
Ref. no.: HSE-250-03/2012/0261
13 July 2012
APPOINTMENT AS PERMIT TO WORK (PTW) APPROVING AUTHORITY

REPRESENTATIVE (AAR) FOR PETRONAS CARIGALI SDN BHD
Approving Authority Representative (AAR), in line with the recommendation made by PCSB
HSE Management.
(1) All hazards associated with the job are identified and risks have been reduced to as low
as reasonably practicable;
(2) Verify that all work preparations such as energy isolations are carried out in accordance
to the procedure, the marking/tagging have been applied at locations and applicable
certificates have been approved;
(2) The authorized work does not endanger other ongoing operations in the facility;
(3) Other permits/work activities that may interact are cross-referenced;
(4) All supporting certificates and documents are attached and made known to all
concerned parties;
(5) All the required equipment and PPE are adequate for completion of work safely;
suspended and on completion;
(7) Effective handover for outstanding work after each shift/crew change; and

APPENDIX 1
Page A1-3
Thank you.
Joseph Podtung
Head of Operations,
Sabah Operations,
PTW AAR Distribution List:

1.

APPENDIX 1
Page A1-4
Ref. no.: HSE-250-03/2012/0261
13 July 2012
APPROVED LIST OF PERMIT TO WORK (PTW) APPROVING AUTHORITY

REPRESENTATIVE (AAR) FOR PETRONAS CARIGALI SDN BHD
Below are the list of appointed personnel as PTW AAR who has been trained and competent to
carry the expected roles and responsibilities of AAR.
No Name Staff No. Designation Date of

Training
Approved By,
Abdullah Webb
Head of Production,
Sarawak Operations,
PTW AAR Distribution List:

1.

APPENDIX 1
Page A1-5
Ref. no.: HSE-250-03/2012/0261
13 July 2012
APPOINTMENT AS PERMIT TO WORK (PTW) AUTHORISED SUPERVISOR (AS) FOR

Authorised Supervisor (AS), in line with the recommendation made by PCSB HSE
Management.
(1) All hazards associated with the job are identified and risks have been reduced to as low as
reasonably practicable,
(2) The authorized work does not endanger other on-going operations in the facility,
(3) Other permits/work activities that may interact are cross-referenced,
(4) All supporting certificates and documents are attached and made known to all concerned
parties,
(5) All the required equipment and PPE are adequate for completion of work safely,
suspended and on completion,
(7) Effective handover for outstanding work after each shift/crew change.

APPENDIX 1
Page A1-7
Thank you.
Joseph Podtung
Head of Operations,
Sabah Operations,
PTW AS Distribution List:

1.

APPENDIX 1
Page A1-7
APPENDIX 2
PTW and Certificate
PETRONAS CARIGALI SDN BHD APPENDIX 2

Page A2-1

APPENDIX 2
Page A2-4

APPENDIX 2
Page A2-4

APPENDIX 2
Page A2-4

Page A2-5

Page A2-6

Page A2-7

Page A2-8

Page A2-12

Page A2-12

Page A2-12

Page A2-12

Page A2-13

Page A2-14

Page A2-16

Page A2-16
APPENDIX 3
STEP TO FILL-UP PTW AND CERTIFICATES
PERMIT TO WORK APPLICATION FOR HOT WORK
PERMIT APPLICATION ON A MAIN INSTALLATION
The following outlines the steps to be followed when applying for a PTW on a main
installation.
Note: 1) The Applicant/RA may also be the WL.

2) The certificate & PTW number shall be determined using the facility’s
certificate issuance running number.
Step 1: The Applicant/RA initiates the permit by filling out Sections1, 2, 3 & 4.
Applicant/RA shall:-
In Section 1: Enter the following details:-
(1) Own name and identity number;
(2) Date of the application;
(3) Own department/company’s name;
(4) Facility where the work will be performed

(Platform/Terminal/Building);
(5) Equipment tag number;
(6) Location of the worksite (Name of

Platform/Terminal/Building);
(7) Any associated work order number;
(8) Specific Worksite; and
(9) Work Description - Specific details of the

work to be done
(10) Type of hot work allowed
(11) Identify with a cross the area classification

Page A3-1
for the hot work activities.
(12) Any special work instruction, if applicable.
In Section 2: Identify with a cross any potential hazards

associated with the work.
In Section 3: Identify with a cross relevant precautions required

for the work, including specific hot work
precautions.
In Section 4: Identify with across the relevant PPE required for

the job.
The Applicant /RA passes the three copies of the work permit to the
Authorised Supervisor (AS) attached with c e r t i f i c a t e s a n d
specific JHA. T h e Applicant /RA shall then discuss the work
activity with the AS.
Step 2: The AS verify nformation specified by Applicant/RA and amend where

necessary Sections 1, 2, 3 & 4 of the Hot Work Permit. The AS shall
also fill in Section 5 of the PTW. The AS shall:-
In Section 1: Verify the requisition information e.g. the

equipment number, location, work description,
type of hot work, etc. In addition, the AS shall
verify and confirm the hazardous area
classification for the hot work.
In Section2: Verify the hazards and hazardous activities

In Section 3: Verify all the precautions required before and

during the job. For hot work on hydrocarbon
facilities, the AS shall determine the frequency of
the gas testing required for the hot work. The AS
shall also add any additional precautions if
necessary.
In Section4: Verify the PPE required for the work.
In Section 5: Verify the certificates, JHA and related drawing

numbers submitted for the work and record the
documents number. Identify with a cross for any
additional certificates required.
In Section 6: Nominate an Approving Authority Representative

(AAR) and explain the precautions.
Page A3-2
Step 3: The AAR, Applicant/RA and the WL will then make a joint visit to the
worksite. The AAR shall:
 Bring the permit during joint site visit and check all the
specified precautions in Section 3 of the permit;
 Confirm all the precautions have been implemented/checked

by signing in Section 6 of the permit;
 Request WL, who has witnessed all precautions

implemented/checked to accept the responsibility for the job
by signing in Section 6 of the permit; and
Step 4: The Approving Authority may suggest relevant personnel to be

informed so that they are aware of the work activity in Section 7 of
the Hot Work Permit prior approval of the permit.
Note: For work that is conducted by Contractors where the

Company Site Representative (CSR) is at site (e.g. drilling, diving,
construction, etc.), the CSR shall be one of the mandatory parties to
be informed of the work. He/she shall indicate acknowledgement by
signing in Section 7 of the PTW form.
Step 5: The Applicant/RA/WL shall then obtain the initials of the identified
personnel for acknowledgement prior approval of the Hot Work
Permit. Thereafter, the Applicant/RA shall then sign the permit to
indicate understanding and acceptance of all the conditions
specified in the permit.
Step 6: The AS agrees with PTW and worksite preparations by signing in

Section 7 of the Hot Work Permit.
Step 7: The Approving Authority (AA) shall:
 Approve the permit when all the requirements are met; and
 Return the permit to AAR after approval.
Step 8: The AAR will then distribute the permit as follows:-
 Top and 3rd. copies to the Applicant/RA; and
 2nd.copy to be placed on the display board.
Step 9: Applicant/RA, upon receiving the Top and 3rd copy of the PTW shall:

Page A3-3
 Check the permit for completeness and the appropriate

signatures;
 Conduct toolbox meeting to brief all workers on the hazards

associated with the work and conditions in the permit and
JHA;
 Issue Top copy of the Permit to WL; and
 Retain 3rd copy for reference.
Step 10: The WL shall display the Top copy of the Permit at the worksite.
Work may now commence.

Page A3-4
PERMIT TO WORK APPLICATION FOR COLD WORK
PERMIT APPLICATION ON A MAIN INSTALLATION
The following outlines the steps to be followed when applying for a PTW on a main
installation.
Note : 1) The Applicant/RA may also be the WL.

2) The certificate & PTW number shall be determined using the facility’s
certificate issuance running number.
Step 1: The Applicant/RA initiates the permit by filling out Sections1, 2, 3 &
4. Applicant/RA shall:-
In Section 1 Enter the following details:-
(1) Own name and identity number;
(2) Date of the application;
(3) Own department/company’s name;
(4) Facility where the work will be performed

(Platform/Terminal/Building);
(5) Equipment tag number;
(6) Location of the worksite (Name of

Platform/Terminal/Building);
(7) Any associated work order number;
(8) Specific Worksite; and
(9) Work Description - Specific details of the

work to be done
(10) Identify with a cross the area classification for

the cold work activities.
(11) Any special work instruction, if applicable.
In Section 2: Identify with a cross any potential hazards

In Section 3: Identify with a cross relevant precautions required

Page A3-5
for the work.
In Section 4: Identify with across the relevant PPE required for

the job.
The Applicant /RA passes the three copies of the work permit to the
Authorised Supervisor (AS) attached with c e r t i f i c a t e s a n d
specific JHA. T h e Applicant /RA shall then discusses the work
activity with the AS.
Step 2: The AS verify information specified by Applicant/RA and amend

where necessary Sections 1, 2, 3 & 4 of the Cold Work Permit. The AS
shall also fill in Section 5 of the PTW. The AS shall:-
In Section 1: Verify the requisition information e.g. the

equipment number, location, work description,
etc. In addition, the AS shall verify and confirm
the hazardous area classification for the cold
work.
In Section 2: Verify the hazards and hazardous activities

In Section 3: Verify all the precautions required before and

during the job. For cold work in confined space,
the AS shall determine the frequency of the gas
testing required for the work.
In Section4: Verify the PPE required for the work.
In Section 5: Verify the certificates, JHA and related drawing

numbers submitted for the work and record the
documents number. Identify with a cross for any
additional certificates required.
In Section 6: Nominate an Approving Authority Representative

(AAR) and explain the precautions.
Step 3: The AAR, Applicant/RA and the WL will then make a joint visit to the
worksite. The AAR shall:
 Bring a copy of permit during joint site visit and check all the
specified precautions in Section 3 of the permit;
 Confirm all the precautions have been implemented/checked

by signing in Section 6 of the permit;

Page A3-6
 Request WL, who has witnessed all precautions

implemented/checked to accept the responsibility for the job
by signing in Section 6 of the permit; and

the Cold Work Permit prior approval of the permit.

construction, etc.), the CSR shall be one of the mandatory parties
to be informed of the work. He/she shall indicate acknowledgement
by signing in Section 7 of the PTW form.
Step 5: The Applicant/RA/WL shall then obtain the initials of the identified
personnel for acknowledgement prior approval of the Cold Work
Permit. Thereafter, the Applicant/RA shall then sign the permit to
indicate understanding and acceptance of all the conditions
specified in the permit.
Step 6: The AS agrees with PTW and worksite preparations by signing in

Section 7 of the Cold Work Permit.
Step 7: The Approving Authority (AA) shall:
 Approve the permit 14when all the requirements are met; and
 Return the permit to AAR after approval.
Step 8: The AAR will then distribute the permit as follows:-
 Top and 3rd. copies tothe Applicant/RA; and
 2nd.copy to be placed on the display board.
Step 9: Applicant/RA, upon receiving the Top and 3rd copy of the PTW shall:

signatures;

associated with the work and conditions in the permit and JHA;

Page A3-7
Step 10: The WL shall display the Top copy of the Permit at the worksite.
Work may now commence.
Work Execution for Hot and Cold Work
Step 11: The AAR/WL shall regularly inspect the work site to verify that the
precautions stated on the permit are implemented throughout the
work duration.
Step 12: The AAR/WL shall stop the work if:
 Process or operational conditions changes; and
 Any non-compliance to conditions that were specified in the

permit and other related documents.
Step 13: For work require gas testing, the AGT shall record the gas testing
results in Gas Test Form. The testing frequency shall comply with
the requirements determined by AS.
Work Extension for Cold Work
Step 1: For wireline operation that require extension, the WL shall formally
request the work extension by signing in Section 8 of the Cold
Work Permit. The WL shall then obtain endorsement and approval
from AS and AA, where they will need to sign in the same section
of the Cold Work Permit.
Note: The extension of wireline operation shall not exceed 7 days,

where daily endorsement and approval shall be required.
Step 2: For other cold work that require extension, the WL shall formally
request the work extension by signing in Section 9 of the Cold
Work Permit. Upon site confirmation by AAR, the WL shall then
obtain endorsement and approval from AS and AA, where each of
them will need to sign in the same section of the Cold Work
Permit.
Note: The extension of cold work activities shall not exceed 4 hours
after the shift ends.

Page A3-8
Work Completion for Hot and Cold Work
Step 1: The Applicant/RA will restore the worksite to its normal condition
upon work completion. Applicant/RA shall sign in Section 8 of the
Hot Work Permit or Section 10 of the Cold Work Permit.
.
Step 2: The WL, shall confirm t he wo rksit e co n d it io n by signing in
Section 8 of the Hot Work Permit or Section 10 of the Cold Work
Permit for ALL copies of the permit.
Step 3: The AAR shall then inspect the worksite and shall:
 Confirm that the site is restored to its normal condition

satisfactorily;
Note: In cases where the worksite restoration is not satifactory,

the AAR shall instruct the Applicant/RA/WL to further restore
the worksite. AAR shall carry out the re-inspection.
 Sign in Section 8 of the Hot Work Permit or Section 10 of the

Cold Work Permit;
 Return all the copies to the AS.
Step 4: The AS shall sign all copies of the permit in Section 8 of the Hot
Work Permit or Section 10 of the Cold Work Permit, thus
acknowledging that the work has been completed and that the
worksite is restored to its normal conditions.
Step 5: AA shall then sign in Section 8 of the Hot Work Permit or Section 10
of the Cold Work Permit to confirm that the work is completed. PTW
is closed and worksite is restored to its normal conditions.
Step 6: The AS shall then enter the closure details in the Work Permit Site
Log Book and retain all PTW copies for record.
Note: The handback process shall be carried out face-to-face between the
Applicant/RA/WL, AAR, AS and AA.

Page A3-9
PERMIT APPLICATION ON A REMOTE INSTALLATION (PLANNED HOT OR

COLD WORK)
At the Main Installation
Step 1: For work on remote facilities, the application of the PTW shall be
carried out at main installation. The Step 1 & 2 for permit application
mentioned above shall be followed.
Note: The functions of the AA & AS shall then be delegated to the

AAR. The AAR will assume the functions and later will sign the
respective columns for AA & AS in the permit.

the Hot Work Permit or Cold Work Permit prior approval of the
permit.

construction, etc.), the CSR shall be one of the mandatory parties to
be informed of the work. He/she shall indicate acknowledgement by
signing in Section 7 of the PTW form.
At the Remote Installation
Step 3: The AAR, together with the WL and the Applicant/RA, shall bring
the three copies of the permit to the remote installation. At the
remote installation:
 The AAR and the Applicant/RA/WL shall make a joint visit to the
worksite;
 At the worksite the AAR shall check the implementations of all

the p reca ut ion s specified in the permit;
 When all the precautions have been implemented the AAR

a n d W L confirms this by signing in Section 6;
 The WL will then sign as the RA (if the WL is the

Applicant/RA),thereby accepting the permit conditions
 AAR who is also act as the AS will endorse the permit in

Section 7; and
 AAR who also acts as the AA will approve in Section 7 of the

Page A3-10
permit to indicate agreement with all the requirements and that

work may commence.
Step 4: The AAR shall distribute the three copies of the PTW as follows:-
 Top and 3rd. copies to the WL (who is also the RA); and
 2nd copy to be placed on the display board.
Step 5: Upon receiving the Top and 3rd copies of the permit, the WL or
Applicant/RA shall:

signatures;

associated with the work and conditions in the permit and
JHA;
Step 7: The WL or Applicant/RA will display the Top copy of the Permit at
the worksite.
Work Execution for Hot and Cold Work on Remote Installation
Step 8: The steps for work execution shall be similar to Step 9, 10& 11
mentioned for work execution on main installation.
Work Completion for Hot and Cold Work on Remote Installation
Step 9: The steps for work completion shall be similar to Step 14 to

18mentioned for work execution on main installation.
Upon arrival at the Main Installation
Step 10: Upon arrival back at the main installation, the AAR shall inform the
AS and AA that the work has been completed. The AS shall then
enter the closure details in the Work Permit Site Log Book and
retain all PTW copies for record.

Page A3-11
CERTIFICATES APPLICATION
Details to fill in few certificates are addressed in their respective procedures as

follows:
Certificate Procedure/Guideline
Physical Isolation Certificate WW ALL S 04 018 PETRONAS Carigali
Electrical Isolation Certificate Energy Isolation Guideline
Safety System Bypass/Override WW ALL S 04 019 PETRONAS Carigali
Certificate Bypass of Safety Critical Equipment
Guideline
The detail step-by-step instructions to fill in other certificates are elaborated below:
GAS TEST FORM APPLICATION
The Gas Test Form shall be completed and approved prior applying of PTW.
In filling up the form, the Applicant/RA should discuss the information with the
Work Leader and the Entry Supervisor.
The Gas Test Form shall be duly filled up as follows:
Step1: The Authorized Gas Tester (AGT) shall specify the general
information in Section 1 of the certificate i.e. PTW number, date of
work, facility, location, equipment, tag number and equipment
service.
Step2: The AGT shall fill in his/her details e.g. name, personal ID, company,
certification number along with the issue date and expiry date in
Section 2.
Step3: The AGT shall record the gas test result in Section 3 of the
certificate. Among the parameters that shall be recorded are date,
time, oxygen level, percent LEL and percent H2S. The AGT shall
then sign at the dedicated column for each gas test. The acceptable
parameters indicated in the Gas Test Form shall be made reference
during the gas testing.
Note: The frequency for gas testing shall follow the interval
determined by the AS.

Page A3-12
CONFINED SPACE ENTRY CERTIFICATE APPLICATION
The Confined Space Entry Certificate shall be completed and approved prior applying
of PTW.
Work Leader and the Entry Supervisor.
The Confined Space Entry Certificate shall be duly filled up as follows:
Step 1: The Applicant/RA shall specify the general information in Section 1 of

the certificate i.e. PTW number, date of work, facility, location,
equipment, tag number and equipment service. In addition, the
information of the key personnel involved in the activities i.e.
Applicant/RA, Work Leader and Standby Person, shall be filled in this
section.
Step 2: The Applicant/RA shall specify the purpose of entry and type of entry
allowed in Section 2 of the certificate.
Step 3: The Applicant/RA shall identify the precautions required for the work
in Section 3 of the certificate to ensure that the work will be
conducted safely.
Note: The frequency for gas testing shall be determined upon

consultation with the AS.
Step 4: The Entry Supervisor shall carry out checks to ensure that the
required precautions are in place and indicate confirmation in Section
4 of this certificate by writing ‘Y’ (Yes), ‘N’ (No) or ‘NA’ (Not
applicable).
Note: For any ‘N”, the Entry Supervisor shall not allow the entry into
confined space to proceed until the issue is rectified.
Step 5: For any additional precautions required, the Entry Supervisor shall
specify in Section 5 of the certificate.
Step 6: The Entry Supervisor shall sign in Section 6 of the certificate to

declare that he/she has done the checks and that the precautions are
in place for the work to be carried out safely.
Step 7: The AAR shall sign in Section 7 of the certificate to confirm that the
precautions have been implemented and the work can be carried out
safely.
Step 8: The AS sign in Section 8 of the certificate to acknowledge that the

Page A3-13
precautions are implemented and the work is safe to proceed.
Step 9: The AA shall indicate the certificate validation and approve the work
in Section 9 of the certificate.
Step 10: Upon completion of work, the Entry Supervisor shall sign Section 10
of the certificate to indicate that the work has completed and the
worksite is safe and ready to resume its normal operations.
Step 11: The AA shall then close the certificate by signing in Section 11 of the
certificate to acknowledge the work completion and agree that the
worksite may return to its normal operations.
Note: The closure of the certificate may be done in parallel with the closure of the
PTW.
EXCAVATION CERTIFICATE APPLICATION
The Excavation Certificate shall be completed and approved prior applying of PTW.
Work Leader.
The Excavation Certificate shall be duly filled up as follows:

the certificate i.e. excavation certificate number, PTW number,
facility, excavation equipment and tag number (if applicable). In
addition, the Applicant/RA’s and Work Leader’s name and ID number
shall also be specified.
Step 2: The Applicant/RA shall specify the details of the excavation work,
including the methods of excavation in Section 2 of the certificate.
conducted safely.
Note: If the excavation work involved road obstruction, the Road Obstruction
Certificate shall be filled up and attached together with the PTW application.
Step 4: The Work Leader (WL) shall verify the precautions identified by the
Applicant/RA. For any additional precautions required, the WL shall
Step 5: The WL shall sign in Section 5 of the certificate to declare that the
precautions are in place for the work to be carried out safely.
Step 6: Prior commencement of the excavation work, relevant parties shall be

Page A3-14
acknowledged to ensure that the worksite is safe to be excavated e.g.

to identify location of any underground utilities piping, electrical cables
etc. The Applicant/RA shall obtain the acknowledgement from relevant
personnel which has been identified during formulation of the
Excavation Plan in Section 6.
safely.

Step 10: Upon completion of work, the WL shall sign Section 10 of the
certificate to indicate that the work has completed and the worksite
has been restored to its normal condition
certificate to acknowledge the work completion and agree with the
worksite restoration.
LIFTING CERTIFICATE APPLICATION
The Lifting Certificate shall be completed and approved prior applying of PTW.
Crane Operator.
The Lifting Certificate shall be duly filled up as follows:

the certificate i.e. lifting certificate number, PTW number, facility,
lifting equipment and tag number (if applicable). In addition, the
Applicant/RA’s name and ID number shall also be specified.
Step 2: The Applicant/RA shall specify the details of the lifting work in
Section 2 of the certificate.
Step 3: The Crane Operator shall fill up the lifting information in Section 3 to
determine:
- Total lifting weight vs. The safe working load
- Compliance to load chart capacity
- Type of lifting i.e. critical or non-critical; to identify whether the lifting
checklist is required to be filled.
- Availibility of Lifting Plan (if required)
Page A3-15
Step 4: The Crane Operator shall identify the precautions required for the
work in Section 4 of the certificate to ensure that the work will be
conducted safely.
Step 5: The Crane Operator shall declare that he understands the scope of
work, the required lifting equipment and precautions in Section 5 of
the certificate.
safely.

Step 9: Upon completion of work, the Crane Operator shall sign Section 9 of
the certificate to indicate that the work has completed and the
worksite has been restored to its normal condition.
Note: The closure of the certificate may be done in parallel with the
closure of the PTW.
ROAD OBSTRUCTION CERTIFICATE APPLICATION
The Road Obstruction Certificate shall be completed and approved prior applying of
PTW.
Work Leader.
The Road Obstruction Certificate shall be duly filled up as follows:

the certificate i.e. road obstruction certificate number, PTW number,
facility, location and road name/number. In addition, the
Applicant/RA’s name and ID number shall also be specified.
Step 2: The Applicant/RA shall specify the description of work, including the
reason of road obstruction in Section 2 of the certificate.
Page A3-16
conducted safely.
Step 4: The Work Leader (WL) shall verify the precautions identified by the
Applicant/RA. For any additional precautions required, the WL shall
Step 5: The WL shall sign in Section 5 of the certificate to declare that the
precautions are in place for the work to be carried out safely.
safely.

Step 9: Upon completion of work, the WL shall sign Section 9 of the

certificate to indicate that the work has completed and the worksite
has been restored to its normal condition.
VEHICLE ENTRY CERTIFICATE APPLICATION
The Vehicle Entry Certificate shall be completed and approved prior applying of PTW.
Work Leader.
The Vehicle Entry Certificate shall be duly filled up as follows:

the certificate i.e. plant/facility and location of vehicle entry. In
addition, the Applicant/RA’s name and ID number shall also be
specified.
Step 2: The Applicant/RA shall specify the description of work in Section 2 of

the certificate.

Page A3-17
Step 3: The Applicant/RA shall fill up the details of vehicle operator e.g.
name, ID number, license number and expiry in Section 3 of the
certificate.
Step 4: The Applicant/RA shall fill up the details of vehicle e.g. vehicle model,
registration number, fuel type, vehicle height, etc., in Section 4 of the
certificate.
Step 5: The Vehicle Operator shall conduct visual inspection on the vehicles
and state the status in Section 5 of the certificate. For any special
precautions required, the Vehicle Operator shall specify in this
section.
Step 6: The Vehicle Operator shall sign in Section 6 of the certificate to

declare that the precautions are in place for the work to be carried
out safely.
safely.

Step 10: Upon completion of work, the Vehicle Operator shall sign Section 10
worksite safe and ready to resume its normal operations.
PTW.

Page A3-18
DIVING CERTIFICATE APPLICATION
The Diving Certificate shall be completed and approved prior applying of PTW.
Diving Supervisor and the Client Site Representative (CSR).
The Diving Certificate shall be duly filled up as follows:

the certificate i.e. facility, location, equipment and tag number. In
addition, the Applicant/RA’s name and ID number shall also be
specified.

the certificate.
Step 3: The Applicant/RA shall identify the type of diving operation in Section
3 of the certificate. The diving operation shall be specified based on
the diving plan. If there are more than one diving operation involved,
the Applicant/RA shall cross all diving operations involved in the
relevant boxes in this section.
Step 4: The Diving Supervisor shall carry out checks to ensure that the
required precautions are in place and indicate confirmation in Section
4 of this certificate by writing ‘Y’ (Yes), ‘N’ (No) or ‘NA’ (Not
applicable).
Note: For any ‘N”, the Diving Supervisor shall not allow the diving
operation to proceed until the issue is rectified.
Step5 : For any additional precautions required, the Diving Supervisor shall
Step 6: The Diving Supervisor shall sign in Section 6 of the certificate to

declare that he/she has done the checks and that the precautions are
in place for the work to be carried out safely.
Step 7: The Diving Supervisor’s Superior on-Board shall sign in Section 7 of

the certificate to provide endorsement that all the required
precautions have been implemented to make safe the diving
operation.
Step 8: The CSR shall sign in Section 8 of the certificate to acknowledge that
the precautions are implemented and the work is safe to proceed.
Step 9: The AS/AA/CSR shall indicate the certificate validation and approve
the work in Section 9 of the certificate.
Page A3-19
Step 10: Upon completion of work, the Diving Supervisor shall sign Section 10
PTW.
LIMITOF ELECTRICALACCESS CERTIFICATE APPLICATION
The Limit of Electrical Access Certificate shall be completed and approved prior
applying of PTW.
Work Leader.
The Limit of Electrical Access Certificate shall be duly filled up as follows:

the certificate i.e. PTW number, facility, location, equipment and tag
number. In addition, the Applicant/RA’s and Work Leader’s name and
ID number shall also be specified.

the certificate.
Step 3: The Authorised Competent Person/Competent Person (ACP/AP)

shall fill the information of live equipment in the adjacent vicinity as
well as the precautions required in Section 3 of the certificate. The
information required are:
- Identification of live equipment
- Location of warning sign posted
- Precautions required to make safe the activities
- Name of person(s) accompanying the ACP who have been briefed on
the risks and precautions required.
Step 4: The ACP/AP (different ACP/AP from Step 3) shall indicate

confirmation that the work can be carried out safely in Section 4 of
this certificate.
Step 5: The Applicant/RA/WL shall then indicate confirmation in Section 5 of

this certificate that he has been briefed on the risk and precautions
Page A3-20
for the work and understand the obligations to implement the

precautions to make safe the activities.
Step 6: The AAR shall sign in Section 6 of the certificate to confirm that that
the precautions have been implemented and the work can be carried
out safely.

Step 9: Upon completion of work, the Work Leader shall sign Section 9 of the
certificate to indicate that the work has completed and the worksite is
safe and ready to resume its normal operations.
PTW.
RADIATION CERTIFICATE APPLICATION
The Radiation Certificate shall be completed and approved prior applying of PTW.
Work Leader.
The Radiation Certificate shall be duly filled up as follows:

the certificate i.e. PTW number, Positive Isolation Certificate (PIC),
Energy Isolation Certificate (EIC), if applicable, facility, location,
equipment and tag number. In addition, the Applicant/RA’s and Work
Leader’s name and ID number shall also be specified.

the certificate including the purpose of the radiation work.
Step 3: The Radiation Protection Officer (RPO), Radiation Protection

Supervisor (RPS) and Radiographer shall fill the information on the
radiation work in Section 3. The information required are:
- Type of personnel radiation monitoring
- Type of radioactive source
Page A3-21
- Type of radiation
The RPO, RPS and Radiographer shall then indicate the name of the
person authorised to carry out the radiation work including his/her
exposure badge number and license number. The authorised person
shall then indicate his agreement by signing at the same section.
Step 4: The RPO/RPS and Radiographer shall identify the precautions

required for the work in Section 4 of the certificate to ensure that the
work will be conducted safely.
Step 5: The RPO/RPS and Radiographer shall indicate confirmation that the
work can be carried out safely and the radiation source is positively
isolated in Section 5 of this certificate.
Step 6: The Applicant/RA/WL shall then indicate confirmation in Section 6 of

this certificate that he has been briefed on the risk and precautions
for the work and understand the obligations to implement the
precautions to make safe the activities.
Step 7: The AAR shall sign in Section 7 of the certificate to confirm that that
the precautions have been implemented and the work can be carried
out safely.

Step10: Upon completion of work, the Work Leader shall sign Section 10 of
the certificate to indicate that the work has completed and the
PTW.

Page A3-22
Appendix 4
TEMPLATE FOR PTW LOGBOOK
Summary of Name of Equipment Date and Time
Date of PTW Location of Status of Certificate Certificate
PTW No. Certificate No. Work Applicant/RA Name and Tag of PTW
Application Work (Close/Open) Closure Date
Description and Department No. Closure

Page A4-1
APPENDIX 5
Sample of Assessment
HUMAN RESOURCE MANAGEMENT SAFETY TRAINING
CONFINED SPACE ENTRY POST COURSE

ASSESSMENT
CANDIDATE‟S
NAME
STAFF No. / I.C No.
COMPANY
DEPARTMENT
WORK LOCATION
DATE
INSTRUCTOR‟S
NAME
ASSESSOR‟S NAME
ASSESSMENT REQUIREMENT
CANDIDATE MUST ATTAIN 85% AND ABOVE
Please read the question carefully and give comprehensive answers. The mark for each
correct answer is indicated on the right side of the page.
EVALUATION

Page A5-1
1. Workers are not allowed to enter a confined space at all if the combustible gas content
exceeds:
A. 5%
B. 10%
C. 20% 2
D. 30%
2. A person is deemed to have entered a confined space if:

A. His upper body passes the vertical plane of the manhole.
B. His lower body passes the vertical plane of the manhole 2
C. His face passes the vertical plane of the manhole
3. An authorized Gas Tester carries out three (3) mandatory test. What are they?
(Circle the answer)
A. Hydrogen test
B. Nitrogen test
C. Oxygen test
D. Toxic gas test
E. Halon test
F. Carbon dioxide gas test 3
G. Flammable gas test
4. Whenever practicable, Double Block and Bleed can be used as a form of isolation
prior to confined space entry?
(Circle the answer)
A. True
B. False 2
Page 9
Total

Page A5-2
5. Entry into a confined is not allowed if the oxygen content is greater than:-
A. 20%
B. 21% 2
C. 22%
6. Where should spades and blanks be preferably installed?

A. Before the first isolation valve in a pipeline
B. After the first isolation valve in a pipeline
C. At the nozzle of the vessel 2
D. A minimum of 20 meters from the vessel
7. A. A minimum of how many persons should “snap” a lock at each isolation point?
A. One
B. Two 2
C. Three
B. Based on your answer in (a), who would these person/s be?
A. Approving Authority
B. Authorised Gas tester
C. Approving Authority Representative 2
D. Discipline Work Leader
8. No rescue from a confined space may be attempted without three (3) vital items of
equipment. What are these items?
1)
2) 3
3)
Page
Total
11

Page A5-3
9. What course of action should a standby person stationed outside a confined space
take, if there are indications that the person in the confined space are being adversely
affected by the atmosphere?
A. He must immediately raise the alarm and attempt to
rescue the persons himself
B. He must immediately raise the alarm and inform the
2
Entry Supervisor
C. He must immediately raise the alarm and after gathering
together the Fellow workmates, commence the rescue of
the persons.
10. A. Locks should be installed at each isolation point. How locks identifiable?
Answer:
B. As well as locks being installed at each isolation point, what else need to be
attached?
Answer:
Page
Total 5
TOTAL
MARK 25

Page A5-4
HUMAN RESOURCE MANAGEMENT SAFETY

TRAINING
JOB HAZARD ANALYSIS POST

COURSE ASSESSMENT
CANDIDATE‟S
NAME
STAFF No. /I.C No.
COMPANY
DEPARTMENT
WORK LOCATION
DATE
INSTRUCTOR‟S
NAME
ASSESSOR‟S NAME
CANDIDATE MUST ATTAIN 85% AND ABOVE
Please read the question carefully and give comprehensive answers. The mark for each correct
answer is indicated on the right side of the page.
EVALUATION

Page A5-5
QUESTIONS TO CHECK UNDERPINNING KNOWLEDGE

1. The definition of a hazard is:-
A. An event which could harm equipment.
B. A circumstance which could harm personnel.
C. A condition which could harm the environment. 1
D. Both A & B.
E. Both B & C.
F. A,B & C.
2. The purpose of JHA is:-

A. To ensure a PTW is obtained prior to start work.
B. To ensure personnel have attended a toolbox
1
meeting.
C. To identify all potential hazards involved in a work
activity.
D. To ensure personnel are familiar with a work activity.
3. Which work activities are recommended to undergo a JHA?

A. Only hot work.
B. Only Confined Space Entry.
C. Both A & B. 1
D. All work activities.
4. JHA is a team effort. Who normally makes up the team?

A. The Production/Maintenance Supervisor.
B. The Discipline Supervisor.
C. Technician familiar with the work activity.
D. Expert / Specialist. 1
E. All of the above.
Page total 4

Page A5-6
5. What are the three (3) principle methods of conducting JHA?
A. Discuss the work activity with other regions.

B. Direct observation of the work activity being
performed.
C. Group discussion with personnel familiar with the 3
work.
D. Recalling previous observation
6. JHA is a three (3) stage process. What are these stages?
A. Recording the personnel involved with the work

activity.
B. Defining how to eliminate hazards.
C. Identifying potential hazards.
D. Recording how long a work activity takes to
3
complete.
E. Breaking the work activity into steps.
7. Explain the following terms which describe how chemicals can enter Blood stream?
A. Inhalation -
B. Ingestion - 3
C. Absorption -
8. Which of the following are “ergonomic hazards”?
A. High noise levels.

B. Lack of training.
C. Exposure to extreme temperatures
D. Work repetitiveness 3
E. Excessive vibration
Page total 12

Page A5-7
9. Identify with a cross (X), which of the following are control measures and which are
recovery measures?
Control Recovery
Measures Measures
A. Enclosing a Hazard
B. Additional supervision
C. Detection and alarm devices
D. Rescue equipment
E. Emergency procedures
5
10. List four (4) benefits of using JHA:
1)
2)
3)
4)
Page
total 9
Total
Mark
25

Page A5-8

PERMIT TO WORK CERTIFICATION
POST ASSESSMENT
CANDIDATE
NAME
COMPANY
DEPARTMENT
WORK LOCATION
DATE
INSTRUCTOR
NAME
ASSESSOR NAME
EVALUATION
CANDIDATE MUST ATTAIN AT 85% MINIMUM.
Please read the question carefully and giving comprehensive answers. The value of each question
is indicated in the box on the right hand side of the page.

Page A5-9
PART A
1. A non- hazardous area is classified as:
A. An area where flammable atmospheres are or expected to be present
B. An area where flammable atmospheres are not expected to be present
C. An area where flammable atmospheres are intermittently present
D. An area where flammable atmospheres are constantly present 2
2. Hazardous areas are categorized into three zones. These zones are:
A. Zone 1, Zone 2 and Zone 3
B. Zone A, Zone B and Zone C
C. Zone 0, Zone 1 and Zone 2
D. Zone N, Zone L and Zone H 2
3. How many Permits and Certificates are used in PETRONAS Carigali‟s facilities
A. 2 Permits and 8 Certificates
B. 3 Permits and 9 Certificates
C. 2 Permit and 12 Certificates
D. 7 Permit and 9 Certificates 2
4. Which permit is applicable if there is any „cold work‟ requiring a certificate?

A. A3 Permit
B. Hot Work Permit
C. Cold Work Permit
D. A or B 2
5. Who implements and initials the precautions, identified in Section 3 of the permits?
A. Work Leader
B. Approving Authority Representative
C. Applicant/RA & AS
D. Approving Authority 2
6. A joint site visit in Section 6 of PTW is carried out by

A. AAR & AA
B. RA & WL
C. AAR & RA/WL
D. AA & RA 2
Total Marks
12

Page A5-10
7. The hazards in section 2 and PPE in section 4 of the permit are identified with a
A. Tick
B. Signature
C. Initial
D. Cross or X 2
8. Which statement is correct on the display of PTW/Certificates

A. Top Copy on Display Board, 2nd Copy at Worksite, 3rd Copy with RA
B. Top Copy at worksite, 2nd Copy with WL, 3rd Copy on Display Board
C. Top Copy on Display Board, 2nd Copy with RA, 3rd Copy at Worksite
D. Top Copy at Worksite, 2nd Copy Display Board, 3rd Copy to RA 2
9. The main signatories on a PTW are

A. AA, AS, AAR, RA & WL
B. AA, AAR, RA & WL
C. AA & AAR
D. AA, RA & WL 2
10. The following Safety Critical Equipment (SCE) shall not be bypassed:
A. Pressure relieve devices
B. Thermal relieve devices
C. Electrical overload relay
D. All the above 2
Total Marks
12

Page A5-11
11. If a Vehicle Entry Certificate is required, who visually inspects the vehicle?
A. Security personnel
B. PUSPAKOM
C. Approving Authority
D. Work Leader
E. Fire Warden 2
12. The activities below require a Radiation Certificate except:

A. Corrosion inspection
B. Welding
C. Weld survey
D. Commissioning of radiation source
E. Handling of TENORM 2
13. Identify the three (3) mandatory gas test:

A. Hydrogen Test
B. Nitrogen Test
C. Oxygen Test
D. Toxic gas Test
E. Flammable gas Test
F. Carbon dioxide 6
Total Marks 6

Page A5-12
PART B
14. Match the appropriate personnel(s) in the Matrix Table below:
Signatories Personnel
Approving Authority (AA) Competent PCSB/Contractors‟ Personnel
Authorised Supervisor (AS) Competent PCSB/Contractors‟ Personnel
Approving Authority Representative Competent PCSB/Contractors‟ Personnel
Receiving Authority Operation Supervisor/ Maintenance
Supervisor/ Senior Technician/ Technician
Work Leader Offshore/Onshore Installation Manager

(OIM)
Permit Applicant Senior Technician/Technician
12
15. Write the main responsibility of the Approving Authority?
16. Write the main responsibility of the Authorised Supervisor?
Total Marks
18

Page A5-13
17. For work on a remote installation the AAR can be delegated as

……………………………. and …………………………………
18. A PTW is initiated by ……………………………………….. who is called the

………………………………………..
19. The ……………………………………………. Supervises and remain at the work site at

site at all times while work is in progress.
20. When is the Hot Work permit applicable?
21. Short briefings by either the Receiving Authority or the Work Leader to the work crew is
called ……………………………………………………………………..
22. What are the six (6) conditions required for a PTW to be valid?
1)
2)
3)
4)
5)
6)
Total Marks
21

Page A5-14
23. Name 3 certificates which can have an extended isolation period:

1)
2)
3)
24. With regards to PTW and certificates, what are the procedures if there is Emergency
Shutdown (ESD), General Platform Alarm (GPA), False Alarm or Emergency Drill
activated?
25. Bypass of SCE Equipment may be allowed for certain reasons:

1)
2)
26. Identify five (5) conditions where lifting certificate is required:

1)
2)
3)
4)
5)
27. Daily monitoring and auditing of PTW is conducted by

……………………………………………. and
…………………………………………………
17

Page A5-15
28. For work in a confined space, the document required are PTW, Confined Space
………………………………………………. And Confined Space
………………………………………………..
29. An ……………………………………………………… certificate is required for digging

deeper than 150mm.
30. The
………………………………………………………………………………………………
…………. Certificate is used when the closure of any road in the facility may affect the
passage of emergency response vehicles.
31. An area in which a flammable atmosphere is expected to be present is defined as

……………………………………………………………………………………….Area.
32. Flammable gases and vapours are intermittently present. This area is classified as Zone
………………………………………………………………………………….
Total Marks 6

Page A5-16
33. What is the retention period of completed PTW, certificates and all other relevant
document?
34. What is the retention period should there be any incident related to the particular PTW?
35. The Permit Applicant and the Approving Authority/Approving Authority Representative
shall not be the same person.
A. True
B. False 1
Total Marks
100

Page A5-17

PERMIT TO WORK CERTIFICATION
ENERGY ISOLATION
POST ASSESSMENT 1
CANDIDATE
NAME
COMPANY
DEPARTMENT
WORK LOCATION
DATE
INSTRUCTOR
NAME
ASSESSOR NAME
EVALUATION
CANDIDATE MUST ATTAIN AT 85% MINIMUM.
Please read the question carefully and giving comprehensive answers. The value of each question
is indicated in the box on the right hand side of the page.

Page A5-18
1. What is level of tagging and locking must the maintenance discipline working on the
equipment apply to the isolation points?
A. Apply locks and tags to isolation points and the Lockout Box.
B. Apply only tags to the isolation points indicated by operations.
C. Apply locks only to isolation points. 1
D. Lock and tag only the Lockout Box.
2. In the Group Lock Out Tag Out system, who is responsible for placing locks and tags on
all of the isolation devices and Lock Out Box?
A. The Receiving Authority and Approving Representative.
B. All workers working on the equipment.
C. The Approving Authority Representative under the guidance of the
Approving Authority.
D. The work leader 1
3. Which of the following situations requires energy isolation

A. When performing grass cutting operations.
B. When driving a petrol powered vehicle into the process unit.
C. Overhaul of a pump in medium pressure service. 1
4. Which of the following tags may be used for isolating a system in PETRONAS Carigali?
A. The red electrical isolation tag.
B. The blue Operations tag.
C. The yellow Radiation Tag.
D. All of the above. 1
5. Under the Group LOTO system which of the following statements is correct.
A. Each set of group locks has a common master key.
B. Each lock has an individual key. 1

Page A5-19
6. In the Lock Tag Clear & Try process which of the following is the correct sequence?
A. Ensure the equipment is not running, isolate, lock & tag the power
source (breaker), ensure no one is near the equipment then try to
activate the local switch (switch on) ?
B. Isolate the power source, try to activate the local switch, then lock
and tag the power source?
C. Have another AAR isolate the power source while you stand by the
equipment and attempt to start it?
D. Ensure no one is near the equipment then attempt to start it, and then
do the isolation of the breaker and lock and tag? 2
7. Which key (s) is/are placed inside the Lockout Box?

A. The keys from maintenance isolation locks.
B. The operation Group lock key along with the keys from any electrical
or radiation equipment isolation
C. Only operation group lock master key.
D. Only electrical and radiation isolation keys. 1
8. Who is responsible to do the isolation of ionizing radiation sources?

A. The operations department where the equipment is located.
B. The instrument technician responsible for that area.
C. The ACP / AP
D. The RPO / RPS 1
9. Who must be present when the Clear & Try process is carried out after energy isolation is
completed in the Sub- station?
A. The AAR & WL
B. The ACP/AP & AAR
C. RA & WL
D. AA & ACP 1

Page A5-20
10. When equipment Test Run is required which of the following is the correct process?
A. The RA responsible for the test run contacts the AA and the AA
informs the ACP to normalize the electrical isolation.
B. The RA responsible for the test run contacts the ACP who together
with the AAR normalizes the electrical isolation.
C. The RA responsible for the test run contacts the AA. The AA informs
all other RA for PTW issued on the PIC and withdraws their PTW.
The AA then requests the ACP to normalize the electrical isolation
using the EIC. The ACP and AAR perform the deisolation.
D. The AA initiates the process contacting the ACP and RA requesting
2
normalization.
11. Which is an Energy Source?

A. Electrical
B. Hydraulic
C. Chemical
D. All of the above 1
12. For Non-Electrical LOTO process, who installs their locks/tags FIRST?
A. Contractor
B. Operations
C. Safety Officer
D. None of the above 1
13. LOTO Tags are required for isolating energy sources?

A. True
B. False 1
14. Lockout and Tag-out procedure is only for work performed by Contractors?
A. True
B. False 1
15. Field/site On/Off Switch must be prior to performing work?

A. Shutdown
B. Isolated and Tagged
C. Tested
D. Both B and C 1

Page A5-21
16. When removing lockout devices/tags, removes LAST.

A. Contractor
B. Operations
C. Maintenance
D. HSE 1
17. Tag color identifies the owner of the tag?

A. True
B. False 1
18. Which of the following methods can the Area Owner/Operator use to establish Zero
Energy for Equipment?
A. Close Valves
B. Turn Control to “Off” or “Neutral” position
C. Block, purge, vent or drain lines connected to the system
D. Discharge all stored pressure
E. All of the above 1
19. Method used to Isolate an electrical energy source is by a

A. Lock and red tag
B. Lock and blue tag
C. Lock and yellow tag
D. Lock and green tag 1
20. Method used to Isolate a radiation energy source is by

A. Lock and red tag
B. Lock and blue tag
C. Lock and yellow tag
D. Lock and green tag 1
21. Red tags have serial numbers.

A. True
B. False 1
22. Locks shall be numbered.

A. True
B. False 1
TOTAL 25
MARKS

Page A5-22
APPENDIX 6
PTW Daily Audit Checklist
DAILY INSPECTION CHECKLIST
NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO
IT SAFELY
a) Time and Location c) Name of Auditors

Date Lead Auditor
Facility Auditor #1
Location Auditor #2
Audit Start Date/Time: Auditor #3
End Date/Time:
b) Documents
Type of Documents
Document No
Date of Issue
Work Description
Time of hrs Valid until hrs
Approval/Endorsement
No Checklist Yes No N/A Remark

1 REQUISITION
Is the PTW adequately specify;
 Details of applicants name, department, staff
no. etc
 Location, Facility and area classification
 Work description
2 HAZARD IDENTIFICATION
Are hazards clearly identified?
- site verification
3 WORKSITE PREPARATION/PRECAUTIONS
Does correct precaution identified by AA?
Does Worksite Preparation taken - site verification
4 PERSONAL PROTECTIVE EQUIPMENT
Does Correct PPE identified by AA?
Does workers comply to PPE identify - site
verification
5 CROSS REFERENCE
Does Certification Cross Reference Identify (if any)
Does any JSA required (if any)
Does JSA signed and made available at site
- site verification
Does worker understand the precaution as stated in
JSA?

Page A6-1
DAILY INSPECTION CHECKLIST

IT SAFELY

6 JOINT SITE VISIT
Does AAR checked the area and equipment
together with RA/WL on site
Does signature and sate information are properly
written by;
 RA - joint site visit
 AAR - joint site visit
 RA/WL - permit acceptance
 AA - permit approval
7 ACKNOWLEDGEMENT
Is acknowledgement required?
If acknowledgment by other party is required, was it
clearly stated and signed?
8 WIRELINE DAILY ENDORSEMENT (FOR
COLD WORK PERMIT ONLY)
Is the PTW validation being signed and dated
correctly?
Are revalidation not exceeding 7 consecutive days?
Are joint-site visit conducted before each
validation?
9 SHIFT EXTENSION (FOR COLD WORK
PERMIT ONLY)
Is the duration of extension clearly stated?
Is site verification carried out prior to approval of
extension?
10 HAND BACK
Does hand being signed and dated correctly by;
 Receiving Authority
 Approving authority
11 GAS TESTS – for Hot Work/Confined Space Work only (if any)
Have gas test taken?
Are frequency of gas test specify?
Are appropriate gas monitors fully operable and
calibrated at site?
Are Authority Gas Tester trained?
Has periodic testing been carried out as
appropriate?
OVERALL SUMMARY OF AUDIT
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
Lead Auditor‟s Signature:
Name:

Page A6-2
APPENDIX 7
PTW Weekly/Quarterly Audit Checklist

WEEKLY/QUARTERLY INSPECTION
CHECKLIST
IT SAFELY

Date Lead Auditor
Facility Auditor #1
Location Auditor #2
End Date/Time:
b) Documents
Type of Documents
Document No
Date of Issue
Work Description

1 DISTRIBUTION AND DISPLAY
Are the copies of the permit properly distributed?
Are the copies prominently displayed?
2 WORK DESCRIPTION
Is the work description on the permit adequate, (i.e.)
does it adequately describe the work location, the
equipment to be worked on, and the exact nature
and scope of the work?
If not, explain efficiency:
3 VALIDITY
Does the permit clearly state the date and time
which it is valid.
Does the permit have all the necessary signatures?
Has the permit shift revalidation been signed and
dated by all relevant personnel?
4 HAZARDS
Have all hazards been identified?
Are they clearly identified?
Are they directly applicable to job being
undertaken?
5 PRECAUTIONS
Are appropriate precautions identified and specific
enough?
Have all boxes been addressed?
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM
Distribution - Original: Display at Worksite Copy No. 1: Control Room

Page A7-1
WEEKLY/ QUARTERLY INSPECTION

CHECKLIST
IT SAFELY

Have other affected personnel outside the permit
area been notified of the permit work?
Have all precautions been implemented at the work
site?
If not, explain deficiency:
6 SUPPORTING DOCUMENTS
Have all the supporting documents been identified
on permit?
Are the appropriate supporting documents attached
to the permit?
Are the supporting documents still valid?
7 GAS TESTS
Have gas tests been carried out?
Are tests valid for this period?
Are portable gas monitors fully functional at work
site and calibrated?
Are on-site personnel knowledgeable on how to
operate the equipment?
Have they been properly trained in its use?
appropriate?
8 PRECAUTIONS TAKEN BY RECEIVING AUTHORITY
Has Receiving Authority briefed everyone in the
work party?
Have all the persons in the work party read the
permit?
Do all persons fully understand the safety
requirements and the precautions stated on the
permit
Are they in compliance (i.e.) using PPE as specified
and observing the precautions etc.
appropriate?
If not, explain deficiency:
9 ISOLATION
Are isolation certificates attached to the
Are they cross-referenced?
Do certificates or attachments detail specific
isolation points?
Are all physical isolations chained and locked?
If more than one task on same isolation, has

Page A7-2
WEEKLY/ QUARTERLY INSPECTION

CHECKLIST
IT SAFELY

10 PRECAUTIONS BY APPROVING AUTHORITY
Has task been fully discussed with person carrying
out any isolation?
Has task been discussed with Receiving Authority?
If more than one permits on equipment/system,
have all appropriate cross-references been made and
all necessary personnel been made aware ?
Does the tasks interfere with other person‟s
area of responsibility?
11 CHANGE OF SIGNATORY
Has handover of permit responsibilities been
discussed between relevant personnel?
Has handover been recorded?
Is Approving Authority aware of handover?
12 WORK SUSPENDED/ON HOLD/COMPLETED
Has site been left in a safe and tidy condition?
If work is not complete, are any isolation still
secure?
Is Approving Authority aware of status?
Is Control Room aware of status?
13 TRAINING AND COMPETENCY
Have personnel who are currently associated with
the permit received training in the company‟s PTW
system?
Is the type and frequency of training in accordance
with company policy?
Is evidence of their training and appointment
readily available?

......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
Name:

Page A7-3
APPENDIX 8
PTW 6-Monthly Audit Checklist
PTW SYSTEM 6-MONTHLY AUDIT REPORT
IT SAFELY

Date Lead Auditor
Facility Auditor #1
Location Auditor #2
End Date/Time:
b) Documents
Type of Documents
Document No
Date of Issue
Work Description

1 THE PERMIT TO WORK SYSTEM
Is the PTW system still suitable for its intended
purpose?
Is there a predetermined review period for the PTW
System
Is the PTW System in compliance to the regulatory
requirements of a plant or site?
Is this PTW system recognized throughout the site
or plant as an important part of all types of work?
Are the requirements of the PTW System
clearly defined and known to all concerned.
Is the PTW system extended to all Contractors and
their Employees?
Is there a control to ensure a person does not issue
and approve a permit?
Is a copy of the permit displayed at worksite and at
the point of issue so that all those concerned can
readily see and check work status.
Is there a set of documented isolation procedures
for working on Electrical and other with stored
energy hazards?
2 TRAINING AND COMPETENCY
Is there a record of all those trained and competent
including its validity, available in the worksite or in
the custody of the Area Authority?

Page A8-1

IT SAFELY

Are the records of those trained updated in a timely
manner?
Do personnel who have special responsibilities
under the PTW System are properly authorized and
trained to undertake the duties required of them?
Do these people have sufficient time to carry out
these duties properly?
Do all those concerned attend refresher Training in
the PTW system to revalidate their certificates prior
expiry.
Is the training and assessments maintained?
Are contractors included in training and
competence requirements?
Are individuals trained and competent in this PTW
systems have been issued with either the
“Awareness Certificate” or “Competency
Certificate” upon completion of the relevant
training?
3 THE PERMIT
Have the Area/Approving Authority advised all
those concerned that any work activity must stop
if there are any hazards have occurred/ recurred?
Does the permit contain clear rules about how
a job should be controlled or abandoned in the
event of an emergency?
Are the jobs to be done clearly specified in the
Permit?
Are potential hazards at the work site clearly
identified and recorded in the Permit?
Are the precautions to be taken by the issuing and
performing authorities clearly identified in the
Permit?
Does the permit specify the geographical area of
work limitation in a plant?
Does the permit have all the required signatures to
indicate a person has read the permit and
understood the conditions in it?
Does the permit specify time limit for expiry or
renewal?

Page A8-2

NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT
SAFELY

Does the permit include a hand over mechanism for
work which extends beyond a shift or other work
period including work which has been suspended?
Is a hand back signature required when the job is
complete?
Is there a procedure to, “inform the Area
Authority” of any task which require a safety
system bypass and the contingency plans and
precautions in place?
4 CO-ORDINATION
Are copies of permits for different work activities
for the same equipment/area kept and displayed
together?
Are there procedures to ensure of all work activities
are coordinated so that one work activity does not
interfere or cause a safety hazard to another.
Is there provision in the PTW form to cross-
reference other relevant certificates and permits?
Is there a procedure to ensure that the agreement of
others who could be affected by the proposed work
is obtained before starting the work or preparations
for it?
Where there are isolations common to more than
one permit, is there a procedure to prevent the
isolation being removed before all the permits have
been signed off?
5 MONITORING
Is there a system of spot checks to ensure that
compliance to the PTW system?
Is there a process for reporting any incident that has
occurred during an approved work activity and
subsequent review of the work procedures?
Are audits carried out on the PTW system at least
once a year, preferably by external auditors from
the company?
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM

Distribution - Original: Display at Worksite Copy No. 1: Control Room

Page A8-3
PTW SYSTEM ANNUAL AUDIT REPORT

NO WORK IS SO URGENT THAT WE CANNOT TAKE TIME TO DO IT
SAFELY

......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
Name:

Page A8-4

Permit To Work Procedure Summary

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WW ALL S 05 002

Rev. 4, July 2013

PETRONAS CARIGALI SDN BHD

PERMIT TO WORK PROCEDURE

Appendices Appendix 1 Sample of Appointment Letter

PETRONAS CARIGALI SDN BHD MAIN TABLE OF CONTENTS

Authority for Rev. 4 issue

Name Haslina Bt Abdullah

Reference Indicator Head

Position Head, Operations Integrity

PETRONAS CARIGALI SDN BHD PRELIMINARY

Copy No. Title Location

01 President, PCSB and CEO PDP MD – KL

02 Vice President PETRONAS and CEO PEX PEX – KL

PETRONAS CARIGALI SDN BHD PRELIMINARY

33 INO (HSE) INO

38 IRQ (HSE) IRQ

PETRONAS CARIGALI SDN BHD PRELIMINARY

PETRONAS CARIGALI SDN BHD PRELIMINARY

Note to All Copy Holders:

PETRONAS CARIGALI SDN BHD PRELIMINARY

Rev Description Date Approver Title Signature

PETRONAS CARIGALI SDN BHD PRELIMINARY

PETRONAS CARIGALI SDN BHD PRELIMINARY

ABBREVIATIONS AND ACRONYMS

Areas of the facilities assigned to the Approving Authority

The Approving Authority can be an Offshore/Onshore

Approving Authority The person authorised by the Approving Authority (AA) to

PETRONAS CARIGALI SDN BHD PRELIMINARY

Authorised Competent The person registered with Energy Commission or equivalent

Authorised Supervisor (AS) Supervisor authorised by PETRONAS Carigali Management

For countries that impose legal requirements on AGT, such

Certificate Written and signed statement that specified checks or tests

PETRONAS CARIGALI SDN BHD PRELIMINARY

Confined Space An enclosed or partially enclosed space that is at

Display Board A board which displays all active work permits at an

Gas Testing Gas testing is done to check a workplace, prior to the

Hazard An evaluation of the potential hazards, their severity and

Isolation A physical barrier between a source of energy and a place

Override/Bypass The temporary bypass of a safety device, to allow certain

Personal Protective Equipment, clothing or devices used to protect employees

Potential Hazard An event, circumstances or condition, if not controlled, has

Precautionary Measures Preventative and contingency steps taken to ensure a work

PETRONAS CARIGALI SDN BHD PRELIMINARY

Radiation Protection The Radiation Protection Supervisor/Radiation Protection

Validity The period of time (as defined) during which an approved

PTW Written and signed statement by an authorized person for

PETRONAS CARIGALI SDN BHD PRELIMINARY

Doc. No. Title

JKKP DP(S) 127/379/3-1 Industry Code of Practice for Safe Working in a

PETRONAS CARIGALI SDN BHD PRELIMINARY

Paragraph Page No.

PETRONAS CARIGALI SDN BHD SECTION 1

This Procedure defines PETRONAS Carigali Permit to

The requirements defined in this procedure shall be

Hazardous are activities that have been identified by the

Examples of hazardous activities are pigging, production

1.3 Permit to Work Requirement

(1) The purpose of PTW system is to ensure that risks

(2) Listed below is the criteria for the application of PTW

(a) For work carried out on PETRONAS Carigali

(b) For work carried out on Contractor’s facilities,