ANNEXURE - XXIII TECHNIP KT INDIA LTD.

IOCL - PANIPAT
Date: Report No:

TOOL BOX MEETING

NAME OF CONTRACTOR NAME OF SUB-CONTRACTOR PROJECT WORK LOCATION

No. of Persons Present

Topic Description Trained By Hazards / Risks:

: TECHNIP K T INDIA LIMITED : : CCRU HEATER REVAMP : ERECTION SITE / FABRICATION YARD : : :

Precautions:

Sign. Of Safety Engineer (Subcontractor)

Sign. of Safety Engineer

TPKTI

ANNEXURE - XXII

CHECKLIST FOR INSPECTING HANDLING AND STORING OF GAS CYLINDERS

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 :CCRU HEATER REVAMP WORK DESCRIPTION:

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13

Description Are the workmen have been informed about the hazards? Are the valve protection caps provided? Is the ramp used for unloading cylinders from truck? Are the cylinders rolled instead of taking in handcart? Are acetylene / LPG cylinders maintained in upright Are the cylinders secured to avoid falling from upright If the oxygen cylinders are staged horizontally, are they If the store room well ventillated? Are the cylinders stored in hot sun? Is there any sponteneous cumbustive material present Are heat source like electric heater, oven, open flames Are "No smoking" boards displpayed inside store room? Is color codes for cylinder followed?

Observation Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

Remarks & Suggestions

Safety Engineer TPKTI

Safety Engineer PMC

ANNEXURE - XXI

CHECKLIST FOR INSPECTING GAS CUTTING WORKS

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 :CCRU HEATER REVAMP WORK DESCRIPTION:

Sr. No. 1 2 3 4 5 6 7 8 9 10 11

Description Is handcart used to keep cylinders upright while moving / Are color codes followed on both cylinders / hose pipes? Is the condition of the pressure gauges on the cylinder Are the hose joints proper? Are the regulator assembly & the hose joints leaky? Is the regulator on the oxygen cylinder lubricated? Are the cylinder kept away from hot works? Is the gas cutting slag prevented from spreading? Is the gas cutter informed, how to avoid flash back & back Are fire extinguishers kept nearby? Does the gas cutter use PPE's?

Observation Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

Remarks & Suggestions

Safety Engineer TPKTI

Safety Engineer PMC

ANNEXURE - XX

CHECKLIST FOR INSPECTING WELDING WORKS

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 :CCRU HEATER REVAMP WORK DESCRIPTION:

Sr. No. 1 2 3 4 5 6 7 8 9 10 11

Description Is the welding machine earthed properly? Is rod / angle / channel used as return lead? Are the output terminals of the machine maintained tight Is the spacing between terminals adequate? Are the cable joints made with ferrules, maintained, Is the condition of welding cable proper? Is the condition of electrode holder proper? Are welding sparks contained to avoid spreading? Are combustive / inflammable materials present nearby? Are fire extinguishers kept nearby? Does the welder use PPE's?

Observation Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

Remarks & Suggestions

Safety Engineer TPKTI

Safety Engineer PMC

ANNEXURE - XIX

CHECKLIST FOR HYDROTESTING.

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 :CCRU HEATER REVAMP WORK DESCRIPTION:

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

Description Are all the personnel informed about the hazards invloved. What is design pressure? What is test pressure? Is the barricaded? Is the area is evacuated prior to test? Is the pump provided with safety valve? Are all the rotating & moving parts of the pump guarded? Is the capacity of the pump adequate? Are the hose connection in the pump proper? Is the equipment cleared for the test? Are the parts that are not to be tested, isolated? Are all the studs and nuts provided in the flange joints? Are all the flange joints provided with suitable gaskets? Are the blind flanges machined properly? Are the blind / end plates having adequate thickness? If stiffners are provided on the blind / end plates, are they adequate? If the thickness of the weld joints between the equipments & the blind / end plates adequate? Are all the personnel informed about the test pressure? Are all the gauges calibrated & suitable for the test? Is every gauge provided with isolation valve? Are all the personnel informed not to losen gauges without isolating them, using the valve? Are vents provided at all the higher points? Are the vents kept open during water filling? Are all the personnel inform not to tighten the flange joints under pressure? Are all the personnel informed not to do any hot / mechanical work on the equipment during the test? Are all the personnel informed not to drain water on the electrical system? (Hose pipe may be used to avoid such incidents)

Observation Yes / No

Remarks & Suggestions

Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

Safety Engineer TPKTI

Safety Engineer PMC

ANNEXURE - XVIII

CRANE INSPECTION CHECKLIST

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : : WORK DESCRIPTION:

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

Description Hook & Hook Latch. Over hoist limit switch. Boom limit switch Boom angle indicator Boom limit cut-off switch Condition of boom Condition of wire rope No. of load lines. Size and condition of switch. Stability of the crane. Soil condition Swing break & lock Propel break & lock. Over hoist break & lock. Boom break & lock. Main Clutch. Leakage in hydaulic cylinder. Outrigger fully extended. Tyre pressure. Battery & lamps. Moving & rotating parts guarded. Load chart provided. Nos. & position of pendent rope. Reverse horn. Load test details. Operators fitness. Safety Engineer Sub Con Safety Engineer TPKTI

Observation OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK Adequate / Inadequate OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK Adequate / Inadequate OK / NOT OK Yes / No Yes / No OK / NOT OK OK / NOT OK Available / Not Available OK / NOT OK Execution Engineer Sub Con Execution Engineer TPKTI

Remarks & Suggestions

ANNEXURE - XVII

CHECKLIST FOR ERECTION WORK

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 :CCRU HEATER REVAMP WORK DESCRIPTION:

Sr. No. 1 2 3 3.a 3.b 3.c 3.d 3.e 3.f 3.g 3.h 3.i 3.j 3.k 3.l 3.m 3.n Object / Material

Description

Observation

Remarks & Suggestions

Approximate weight: Position of CG determined WORKING AREA Is sditablesling / D-shackles selected. Are bull dgo grips being provided in correct manner for wire ropes / slings. Are required nos. of U-clamps fastened. Are the signal provided with whistle / suitable communication device. Do the workmen use safety belts. Tag lines provided. If suspension method is involved, whether the condition of the suspension method is checked. Inspection by DP Test. Any standby tools & tackles required and arranged. Any safety required. Adequate illumination is arranged. Availability of guy ropes. Protection against sharp edge to avoid sling damage. Area clearance taken care of.

Yes / No

Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

Safety Engineer TPKTI

Safety Engineer PMC

ANNEXURE - XVI

CHECKLIST FOR LIFTING TACKLES.

NAME OF CONTRACTOR / SUBCONTRACTOR : CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 :CCRU HEATER REVAMP WORK DESCRIPTION:

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Items Checking of lifting & haulage tackles, wire ropes, slings, D-shackles, etc. are being done before use. Certified wire ropes, slings, etc. for SWL should be used & SWL capacity to be written on each equipments. Pully blocks should be properly checked and used. Centre of gravity and load transfer at slinging points should be properly ascertained before lifting. Crane capacity, boom reach & stable positioning are to be taken care. Tag line should be used for guiding while lifting the loads. Sharp edges can be avoided. From breakage of wire rope, etc. Approach for the working & moving area should be freee from men, material etc. If bent pins are there, it should be replace by same size of pins & not by bolts. The shackles, pins worn out more than 10% of the original dia are to be replaced. Crane should not be allowed to work near by over head lines. Only one signal man can give signal to the operator in his visibility & understandable by each other. The wire rope clamps should be sufficiently provided in the proper direction. Over loading & impact loading should be totally avoided. Crossing, twisting, kinking or knoting of chains & wire ropes should be avoided. Alteration, welding etc. should be avoided in the lifting Hooks, Shackles,Pins, etc.

YES / NO

Above checklist points and other related safety points for safe execution of this job are taken care and will be maintained till completion.

Safety Engineer TPKTI

Safety Engineer PMC

ANNEXURE - XV

VEHICLE INSPECTION VEHICLE IDENTIFICATION NUMBER

NAME OF CONTRACTOR / SUBCONTRACTOR CONTRACT NO.

: :
: FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Items Access & Egress Backup Alarm Body Both Side Mirror Brakes Bulhead Partition Clutch Data Nameplate Fire Extinguisher Frame Fuel System Glass Guardrails Guards Horns Hydraulic System Lights Lugs Muffler & Exhaust Pipes Muffler Guards Parking Brakes Plateform decking Seats Seat Belts Steering Mechanism Tracks, Tires & Wheels Turn Signals Wind Shield Wipers Driving License RC / FC Document Insurance Document Test Certificate
The Driver & helper is Safety trained

Good

Condition Rejected Not Applicable

Remarks

Safety Engineer TPKTI

Safety Engineer PMC

Page 10 of 30 ANNEXURE - XIV

TECHNIP KT INDIA LTD. IOCL-PANIPAT FOR MONTH:

MONTHLY CHECKLIST CUM COMPLIANCE REPORT

CONTRACT NO. OWNER CONSULTANT : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : M/s INDIAN OIL CORPOARTION LIMITED : M/s ENGINEERS INDIA LIMITED :TECHNIP KT INDIA LTD. :CCRU HEATER REVAMP

NAME OF CONTRACTOR PROJECT LOCATION INSPECTED BY (Write 'NA' where not applicable)
S.NO. ITEM 1 HOUSE KEEPING A. Waste container provided and used B. C. D. E. 2 A. B. C. D. E. F. G. H. I. 3 A. B. C. D. E. 4 A. B. C. D. E. F. 5 A. B. C. D. E. F.

:FABRICATION / ERECTION SITE :

YES NO REMARKS ACTION

Sanitary facilities adequate and clean Passage and walkways clear. General neatness of working areas. Others PERSONAL PROTECTIVE EQUIPMENT Goggles / Shields Face Protection Hearing Protection Safety Shoe Provided Hand Protection Respiratory mask etc. Safety Belts. Safety Helmets / Hard hat Others EXCAVATION / OPENINGS Opening properly covered / barricxated Excavation Shored Excavation barricaded Overnight lighting provided Others WELDING / CUTTING Gas Cylinders chained / upright Cables and Hoses not obstructing Screens or shields used Flammable Material Protected Fire extinguisher (s) accessible Others SCAFFOLDING Fully Decked Platforms Guard and intermediate rails in place. Toe Boards in place Adequate Shoring Adequate access Others

Page 11 of 30 ANNEXURE - XIV

S.NO. ITEM 6 LADDER A. Extension side rail 1 (one) M above B. C. D. E. 7 A. B. C. D. E. F. G. H. 8 A. B. C. D. E. 9 A. B. C. D. 10 A. B. C. D. E. F. G. 11 A. B. C. D. E. 12 A. B. C. D. E. F. G. H. I.

YES

NO

REMARKS

ACTION

Top of landing Properly secured Angle +/- 70 from horizontal. Others HOIST, CRANES AND DERRICK Condition of cables and sheaves OK Condition of slings, chains, hooksand eyes OK. Inspection and maintenance logs maintained. Outriggers used. Sign / barricades provided Signals observed and understood Qualified operators Others MACHINERY, TOOLS AND EQUIPMENTS Proper instructions. Safety devices Proper cords Inspection & Maintenance Others VEHICLE AND TRAFFIC Rules and regulations observed. Inspection & Maintenance Licensed Drivers Others TEMPORARY FACILITIES Emergecy instruction posted Fire extinguishers provided First aid equipment available General neatness In accordance with electrical requirement Secured against strom damage Others FIRE PREVENTION Personal instructed Fire Extinguisher checked No smocking at prohibited area Hydrant Clear Others ELECTRICAL Use of 3-core armoured cables Usage of all insulated or double-insulated electrical tools All electrical connection are routed through ELCB Natural Earthing at the source of power (Main ELCB) Continuity & tightness of earth conductor Covering of jnction boxes, panels and other energized wiring places Ground fault circuit interrupters provided Prevention of tripping hazards. Others
o

S.NO. ITEM 13 HANDLING AND STORAGE OF MATERIAL A. Properly Storage or stacked B. C. 14 A. B. C. D. 15 A. B. C. D. 16 A. B. C. D. E. F. G. 17 A. B. C. D. E. F. G. 18 A. B. C. D. E. F. 19 A. B. C. D. E. F. G.

YES

NO

REMARKS

Page 12 of 30 ANNEXURE - XIV ACTION

Passage ways clear Others FLAMMABLE GASES & LIQUIDS Containers clearly identified Proper Storage Fire Extinguishers nearby Others WORKING AT HEIGHT Erection Plan & work permit obtained Safety Nets (If required) Safety Belts & Full body harness & Lynards; chute lines Others CONFINED SPACE Work permit obtained Test for toxic gases & sufficient availability of oxygen conducted Atleast one person outside the confined space for monitoring, deputed Availability of sufficient means of entry, exit and venmtilation Fire extingisher & first aid facility ensured Lighting provision made by 24 V lamp Proper usage of PPE's ensred ENVIRONMENT Chemical & other Effluents properly disposed Cleaning liquid of pipe disposed off proper;ly Sea-water used for hydrotesting disposed as per agreed procedure Lubricant waste / Engine oil properly disposed Waste from canteen, office, sanitation etc. disposed properly Disposal of surpluseath, stripping materials oily rags & combustible material done properly Green belt protection RADIOGRAPHY Proper storage and handling of resource as per BARC guidelines Working permit obtained Cordning of area done Use of appropriate PPE's ensured Proper training to workers / supervisors imparted Minimum occupancy of workplace ensured HEALTH CHECKS Hygenic condition at labour camp O.K.? Availability of First Aid Material Proper sanitation at site, office & labour camp. Arrangement of medical facilities Measures for dealing with illness Availability of potable drinking water for workmen & staff Provision of creches for children.

NAME OF SAFETY ENGINEER: (TPKTI)

SIGN.: DATE:

ANNEXURE - XIII

TECHNIP KTI LTD. IOCL-PANIPAT MONTHLY HEALTH SAFETY & ENVIRONMENT (HSE) REPORT
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 NAME OF CONSULTANT : M/s ENGINEERS INDIA LIMITED NAME OF CONTRACTOR : TECHNIP KTI LTD. WORK DESCRIPTION : CCRU HEATER REVAMP REPORT FOR THE MONTH OF :

S.NO.

DESCRIPTION THIS MONTH 1 Total Strength (Staff + Workmen) in mandays 2 Number of HSE meeting organized at site 3 Whether workmen compensation policy taken 4 Whether workmen compensation policy is valid 5 whether workmen registered under ESI Act 6 Number of fatal accidents 7 Number of Lost Time Accident Other than Fatal 8 Other accidents (Non Lost Time) 9 Total No. Of Accidents CUMULATIVE

10 Total work hours worked in hours 11 Accident without injury (Dangerous occurrences) 12 Compensation cases raised with insurance 13 Compensation cases resolved and paid to workmen Remarks: Please mark Yes or No in item no. 3,4 & 5.

For Technip KT India Ltd.

Safety Officer

Resident Construction Manager

Page 14 of 30 ANNEXURE - XII TECHNIP KTI LTD. IOCL-PANIPAT

INCIDENT REPORT
NAME OF CONTRACTOR
CONTRACT NO.

WORK DESCRIPTION:

: TECHNIP KTI LTD. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : CCRU HEATER REVAMP

TO: FROM ; COPY TO: DATE & TIME OF INCIDENT: NAME OF INJURED PERSON (MALE / FEMALE): PLACE OF INCIDENT: FIRST REPORT:

SAFETY SUPERVISOR (TPKTI) SAFETY SUPERVISOR (SUB-CONTRACTOR)

BY:

NAME & ID No.: DEPT. OR COMPANY: ON: DATE & TIME:

DESCRIPTION OF INCIDENT:

PROPERTY & PERSONAL INVOLVED:

COUNTER MEASURES TAKEN OR SUGGESTED:

FIRST AID TREATMENT:

Page 15 of 30 ANNEXURE - XII TECHNIP KTI LTD. IOCL-PANIPAT

INCIDENT REPORT
NAME OF CONTRACTOR
CONTRACT NO.

WORK DESCRIPTION:
ESTIMATED LOSS TIME DUE TO INJURIES: DATE REPORTED: REPORTED BY: NAME & SIGNATURE:

: TECHNIP KTI LTD. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : CCRU HEATER REVAMP

: : :

TYPE OF CONTACT

CONTACT WITH ELECTRICITY HEAT COLD RADIATION CAUSTCS NOISE TOXIC OR NOXIOUS SUSTANCES

STRUCK AGAINST STRUCK BY CAUGHT IN COUGHT ON CAUGHT BETWEEN SLIP FALL ON SAME LEVEL FALL ON LOWER LEVEL OVER EXERTION
CODING OF BASIC CAUSES

PERSONAL FACTOR INADEQUATE CAPABILITY LACK OF KNOWLEDGE LACH OF SKILL STRESS IMPORPER MOTIVATION

JOB FACTORS
INADEQUATE LEADERSHIP INADEQUATE SUPERVISON INADEQUATE PURCHASING INADEQUATE ENGINEERING INADEQUATE SUBCONTRACTING INADEQUATE MAINTENANCE INADEQUATE CONST. EQUIPMENTS WEAR & TEAR ABUSE & MISUSE

REVIEW: REVIEWER'S COMMENT ON THE INVESTIGATION'S ANALYSIS OF THE BASIS CAUSES OF THIS ACCIDENT AND THE RENEDIAL ACTION DIRECTIED

SIGNATURE

TITLE

DATE

ANNEXURE - XI

HEIGHT WORK PERMIT

(For IOCL Panipat Refinery Project Construction Sites)
For PMC Use: Permit No. Date :

Valid From Name Of The Contractor:

CONTRACT NO.

To:

: FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 : CCRU HEATER REVAMP : CCRU

Regiastered By: (Name & Designation):

Job Description Job Location No Of Persons Required :

Permission is required for the above job. I (permittee), undertake that my site condition is completely safe for the height job and the persons are physically fit and properly trained for height job. I will also ensure the following as advised by PMC,

S.No. Item a. Safety Harness With Life line used b. c. d. e. f. g. h. i.

Safety Harness secured to a fixed structure / strong anchoring point safety net used Steel Scaffolding / platform / rightly erected / used
Safe access to work place working pltf. with handrail & toe guard provided

Yes No S.No.

Item

Yes No

j. k. l.

Rescue equipment and trained rescue team available Use of ladder (all straight / extension rope) to reach the work location. Wind indicator provided

m. SAP made n. o. p. q. r.
Adequate illumination arranged Activity are to be carried out in the presence of the supervisor Make shift arrangement is to be strictly avaoided in the erection activities. Checklist of scaffolding.

Helmet, shoe, hand gloves and other rfequired PPE's are used Good House Keeping is maintained in & around area. Ambulance / Emergency vehicle available First aid center with qualified personnel available

Additional precaution to be taken during execution of the work # work should be suspended during unfavourable weather condition (Heavy Rain, Thundering / lightening, high wind). # Tool Box to be conducted before starting new activity. # The permit automatically get cancelled in case of emergency. ** Write 'NA' where not applicable The work will be executed under the close supervision of : (Name of Supervisors)

Signature of Principal Contractor (RCM or Authorised Person) Name & Designation

Signature of PMC (RCM or Authorised Person) Name & Designation

Note: Permit to be made in triplicate, Original to be maintain at site 1) Copy to IOCL Project Safety Cell 2) PMC Safety Cell

Page 16 of 30

ANNEXURE - X

TECHNIP KT INDIA LTD. IOCL - PANIPAT HSE PLAN - TRAINING NAME OF CONTRACTOR
CONTRACT NO. : TECHNIP K T INDIA LIMITED : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 : CCRU HEATER REVAMP : CCRU

WORK DESCRIPTION WORK LOCATION

S.No. 1 Induction

DESCRIPTION

Training Hours - Month wise 6 7 8 9 10 11

12

13

14

15 Daily Daily

REMARKS

2 Tool Box Meeting 3 Fire Fighting 4 First Aid 5 Emergency Response 6 Risk Analysis 7 Safe Plan Of Action 8 9 10

Four Times over Project Period

Two Times Every Quarters

For every new activity

For all activities

ANNEXURE - IX

TECHNIP KT INDIA LTD. IOCL - PANIPAT LIST OF TOPICS FOR INDUCTION / TOOL BOX MEETINGS NAME OF CONTRACTOR
CONTRACT NO. : TECHNIP K T INDIA LIMITED : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 : CCRU HEATER REVAMP : CCRU UNIT

WORK DESCRIPTION WORK LOCATION

1) 2) 3) 4) 5) 6) 7) 8) 9) 10)
11) 12) 13) 14)

HSE POLICES OF CLIENT / CONSULTANT & CONTRACTOR SAFE USE OF TOOLS AND TACKLES SAEFTY & SECURITY HOUSEKEEPING MEDICAL & FIRST AID FACILITIES AT SITE WORKING AT HEIGHT / FALL PREVENTION IMPORTANCE OF VARIOUS PERMITS ESCAPE ROUTE / ASSEMBLY POINT RESPONSIBILITIES OF ALL STAFF / WORKMEN RULES & REGULATIONS INSIDE THE REFINERY PPE'S REQUIREMENTS & USE FIRE PREVENTION & PROTECTION ERECTION WORK & HEAVY LIFTS ELECTRICAL HAZARDS

ANNEXURE - VIII TECHNIP KT INDIA LTD. IOCL - PANIPAT SAFETY CHECKLIST - SCAFFOLD NAME OF CONTRACTOR
CONTRACT NO. : TECHNIP K T INDIA LIMITED : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 : CCRU HEATER REVAMP : CCRU UNIT

WORK DESCRIPTION WORK LOCATION

S.No.
1) 2) 3) 4) 5) 6) 7) 8) 9)

Description
Do all ladders and scaffold provide safe access for employees to reach their place of work? Are all walkways level and free from any obstructions such as stored material and wastes? Are there adequate barriers or other edge protection to stop fall from open edge of the building, gangways, etc.? Are holes and openings are securely fenced off or provided with fixed, clearly marked covers? Is there adequate artificial lightning when work is carried out on after dark hours or inside buildings? whether all scaffold material stored safely? Whether safe / unsafe tags are displayed at site for information? Proper access to the scaffold platform available or not ? Are all uprights provided with base plates (and, where necessary, timber sole plates or prevented in some other ways from slipping or sinking? Is the scaffold sufficient to carry the load imposed on it? Have any upright, ledger, braces or struts been removed? If any ties have been removed since the scaffold was erected, have additional ties been provided to replace them? Are the working platform fully boarded? Are the boards adequately secured to prevent accidental displacement in the exposed location?

YES

NO

10)
11) 12) 13) 14)

Signature of Supervisor

Signature of Supervisor

TPKTI (Subcontractor) Sign. Of Safety Officer (Subcontractor) Sign. Of Safety Officer (TPKTI)

ANNEXURE - VII TECHNIP KT INDIA LTD. IOCL - PANIPAT CCRU HEATER REVAMP DAILY SAFETY CHECKLIST NAME OF CONTRACTOR
CONTRACT NO. : TECHNIP K T INDIA LIMITED : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD.13-06-06 : CCRU HEATER REVAMP : FABRICATION YARD / ERECTION SITE : :

WORK DESCRIPTION WORK LOCATION DATE REPORT NO. S.No.

1) a) b) 2) a) b) c) d) e) 3) a) b) 4) a) b) c) d) e) f) 5) a) b) 6) a) b) c) 7) a) b) c) d) e) 8) a) b) c) d) e) f) g) 9) a) b) c) 10) a) b) c)

DESCRIPTION
JOB SITE INFORMATION Adequate First-Aid Equipment Safety Meeting Material Available HOUSEKEEPING & SANITATION General Neatness of working area Passageways & walkways clear Sanitary Facilities adequate and clean Adequate Lighting Material property stored HAND TOOLS Proper Tools for each job Neat & Secure storage area ELECTRICAL TOOLS Adequate wiring, well insulated and sfused properly All Equipment grounded / earthened. Electrical danger posted. Terminal Boxes equipped with cover. ELCBS fitted at D/BS Inspection by Field Engineer pre-use & record kept. POWER TOOLS All tools operated is a safe manner All tools have required guards LADDERS Ladders inspected and in good condition Metal ladders not used around electrial hazards. Ladders are used in safe manner SCAFFOLDING Scaffolding in good condition Scaffolding footing and anchorage. Guard and handrail where needed. Safety belts available where needed. Scaffold plumb and square with cross bracing PERSONNEL PROTECTIVE EQUIPMENT Equipment available and in use. Eye Protection, Safety Glasses, Face Shields Foot Protection, Safety Shoes Gloves, Apron, Sleeves Head Protection Ear Protection Safety Belt, Lines FIRE PROTECTION Fire Extinguishers identified & checked Proper No. of Fire extinguisher Fire Plan For site OTHER'S, IF ANY Excavations Welding & gas cylinder storage Flammable substances storage

ADEQUATE YES NO

IMMEDIATELY YES NO

REMARKS

Sign. Of Site Engineer (Subcontractor)

Sign. Of Site Engineer (TPKTI)

Sign. Of Safety Engineer (Subcontractor)

Sign. Of Safety Engineer (TPKTI)

ANNEXURE - VI TECHNIP KT INDIA LTD. IOCL - PANIPAT INSPECTION OF TEMPORARY ELECTRICAL INSTALLATION
NAME OF CONTRACTOR CONTRACT NO. WORK DESCRIPTION WORK LOCATION DATE OF INSPECTION: S.No. A. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 B 1 2 3 4 5 6 7 8 9 C 1 2 3 4 5 6 D Description : TECHNIP K T INDIA LIMITED : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : CCRU HEATER REVAMP : CCRU UNIT
: YES INSTALLATION NO.:

Status Of Compliance
NO

COMMITMENT FOR COMPLIANCE

1 2

INSTALLATION ELCB connected Proper switch-fuse used Installation earthed. FIRE BUCKETS INSTALLED. Dange Board installed Fire Extinguisher installed Authorised chart displayed Artificial respiration chart displayed. Isolation switches are accessible. Installation area illuminated. Canopy for macheniry provided. Spare holes for SWBD plugged. Wiring of installation is dressed. Installation maintained neat & clean. Installation checked and certified by licentiate supervisor. EARTHING Following equipments are earthed: Distribution Board. Main Switch Busbar chamber. Welding machines Drill machines Grinding machines Dewatering pumps. Any other equipment in use. CABLES / SOCKET / PLUGS Armount cables used for power distribution. Flexible cable laid with G.I.if used for power distribution Cable witre are notr running on ground but supported on wodden support. Cables runnig on ground are burried. Armoured cables and G.I.wires are earthed at both ends. Proper rates 3-pin socket/plug used for power extension to grinding / drill machines etc. SAFETY EQUIPMENTS Following safety equipments are provided toconcerned technicians: Hand Gloves Safety Shoe. NOTE;The items tick marked as 'No'are to be attended / complied urgently. Signature: Name: Designetion: Date:

ANNEXURE - V TECHNIP KT INDIA LTD. IOCL - PANIPAT ASSESSMENT OF RISK AT SITE

NAME OF CONTRACTOR CONTRACT NO. WORK DESCRIPTION WORK LOCATION : TECHNIP K T INDIA LIMITED : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : CCRU HEATER REVAMP : CCRU UNIT

Question to consider (If the anser to the question is 'Yes' place a tick against it and consider the level of risk) Yes
The Task - do they involve:

Level of Risk (Tick as appropriate)

Possible remedial action

Low

Med

High

* holding loads away from trunk? * twisting? * stooping? * reaching upwards? * large vertical movement? * long carrying distance? * Strenuous pushing or pulling? * unpredictable movements? * repetative handling? * insufficient rest or recovery? * a workrate imposed by a process?
The loads- they are:

* heavy? * bulky / unwieldy? * difficult to grasp? * unstable / unpredictable? * intrinsically harmfull (e.g. sharp / hot?)
The working environment -are they:

* constraints on posture? * poor floor? * variations in level? * hot/cold/humid condition? * strong air movement? * poor lighting condition?
Individual capability-does the job:

* required unusual capability? * hazard those with a health problem? * hazard those who are pregnant? * call for special information / training?
Other factors-

* Is movement or posture hindered by clothing or

personal protective equipmrnts?

Sign. Of Safety Engineer (Subcontractor)

Sign. of Safety Engineer

TPKTI

ANNEXURE - IV

TECHNIP KTI LTD. IOCL-PANIPAT PRE-LIFT CHECKLIST

NAME OF CONTRACTOR :TECHNIP KTI LTD. CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 WORK DESCRIPTION: :CCRU HEATER REVAMP

ITEM:

LIFT DATE REQUIREMENT

DATE COMPLETED

: SIGNED

1 Check Shackles / Link Pins Fit / Lifting Eyes 2 Check Access Available TO Vessel Foundations 3 Check Nuts On Holding Down Bolts Are Free Turning &
Lubricated

4 Check Holding Down Bolts Match Vessel Skirt 5 Provide & Fix Shims To Vessel Foundations 6 Remove Clean & Lubricate Vessel Trunnions 7 Check Orientation Marks on Vessels and Foundation 8 Check and Bring to Site all Hand Tools And Wrench's for
Tightening Holding Down Nuts.

9 Check High Temp. Lubricant Available

** If not applicable print N/A

10 Do Not Pre-lift Hazard / Risk Assessment.

Check Crane Relocation Routes And Ground Compaction And Slew Areas.

11 Assemble Lifting Gear 12 Check All Test Certificates For Cranes

Safety Officer (TPKTI)

Safety Officer (PMC)

ANNEXURE - III

TECHNIP KTI LTD. IOCL-PANIPAT

RADIOGRAPHY CHECKLIST
NAME OF CONTRACTOR: TECHNIP KTI LTD.
CONTRACT NO. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06

WORK DESCRIPTION:

: CCRU HEATER REVAMP

CONTROLLED SL.NO.

NAME OF RADIOGRAPHY AGENCY BARC REGISTRATION NO. SOURCE STRENGHT (in CU/in SV) CORDONING DISTANCE: COMPUTED

: : : :

SIGN. VALID UPTO ACTUAL

: : :

I / WE HAVE CHECKED THE FOLLOWING POINTS BEFORE / DURING THE RADIOGRAPHY: S.NO. ITEM 1 Equipmnt / Work Area inspected 2 3 4 5 6 7

DONE

NOT REQUIRED

House Keeping and accessbility checked and found in order Sourrounding ares cordoned off (as per BARC guideline) Adequate illuminastion at work site. Prence of toxic gas / oxygen content - gas test done (Concentration of toxic gas .) Stand by personnel provided during Radiography Radio isotopes kept within safe containers

THIS PERMIT REMAINS VALID TILL :..AM / PM, DATE:....

NAME OF SAFETY ENGINEER: (TPKTI)

SIGN.:

DATE:

ANNEXURE - II TECHNIP KTI LTD. IOCL-PANIPAT QUALITY PLAN - SAFETY

NAME OF CONTRACTOR CONTRACT NO. WORK DESCRIPTION : TECHNIP KTI LTD. : FOA / 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 : CCRU HEATER REVAMP

Frequency S.No.. 1 2 3 4 5 6 i ii iii iv v vi vii viii ix 7 8 9 10 11 12 13 14 15 16 17 18 Activity HSE Policy Safety Commitments Training (Induction & Periodic) Reporting Statics Statuary Requirements (Registration, Records of Payments, Licenses) Facilities First Aid Emergency care services( Ambulance / Doctor) Medical Examination (Pre & Periodical) Temporary accommodations Drinking water Tank Urinals & Latrines Saptic Tank / Disposal System Canteen Waste Disposal Fire Fighting System Traffic Rules Use Of PPE's Work Permit System Safety Publicity Cutout / openings Scaffolds Ladders Welding / cutting M/C Elec. Hand Tools & Distribution Boards Mechanical Equipments Load Test Operating Checking

Extent of checking by Contractors Safety EIL Area Safety Superviso Engineer Officer r

Client

Remarks

LEGENDS:

DC0 DTC RS RAN NB NA

: : : : : :

Deatil Checking Check in Detail For Critical items Random Sample Random Verification Need Based (Involving co-ordination with client) Not Applicable

Safety Engineer TPKTI

Safety Officer (PMC)

Page 26 of 30 ANNEXURE - I TECHNIP KT INDIA LTD. IOCL - PANIPAT PROJ: CCRU HEATER REVAMP DATE: REPORT No.:

INDUCTION CHECK LIST

HEALTH SAFETY AND HYGIENE FOR EMPLOYEES & CONTRACTOR'S EMPLOYEES 1 2 3 4 INDUCTEES : FOA / DETAILS 6509 / T-112 / 04-05 / AKC / 01 DTD 13-06-06 Surname...Forenames.. Gate Pass No EMPLOYER DETAILS Company Name CLIENT REQUIREMENT Induction Requirement YES / NO If yes - Date / Date set of / For Induction SITE RULES, CONDITIONS AND FACILITIES Tick Box when topic have been discussed :
Introduction General Safety Rules Safety Organisation (Chain of command) Site Attendance Procedure, Signing in, Clocking in, Showing of security cards Site Emergency Procedure, including clients requirements Protective clothing & equipments Hot weather / summer works. No removal of clothing Eye protection Working at Heights Portable / fixed ladders Work on roofs Noise Gas Cylinder Alcohol Policy / Drug Abuse Welfare arrangements, Penalty of abuse. Obligation to keep clean Smocking policy Work place / Food Consumption House keeping / denailing of Timbers Fire prevention and Protection / site procedure & Precautions Hand and portable power tools Electrical Abrasive Wheels Stationary Machines First / III Health Reporting Manual Lifting & Handling Transportation / Plant Cartridge Tools Entry into confined spaces COSHH (Control of substances Hazardous to health) Excavation / Overhead Services Permit to work Movement on site Security - lock it or lose it Liability to search vehicles and personnel Dangerous Occurrences / Near Miss Establish who is the site advisor or person responsible on site. You will be asked

1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0 13.0 14.0 15.0 16.0 17.0 18.0 19.0 20.0 21.0 22.0 23.0 24.0 25.0 26.0 27.0 28.0 29.0 30.0 31.0 32.0 33.0 34.0 35.0 36.0

Page 27 of 30 ANNEXURE - I TECHNIP KT INDIA LTD. IOCL - PANIPAT PROJ: CCRU HEATER REVAMP DATE: REPORT No.:

INDUCTION CHECK LIST

HEALTH SAFETY AND HYGIENE FOR EMPLOYEES & CONTRACTOR'S EMPLOYEES

Your Health - should the company and your work colleagues know about your health? Are you taking specially prescribed medication? Are you epileptic or diabetic, or do you have a heart condition? If we all know -we can help if you become ill. If we don't

. Your Company Safety Policy and Safety Plan for this contract and your Specific Job Task Have you seen any of these documents? Policy Yes/No Plan Yes/No

General I confirm I undertake my own personal responsibility for the health, safety and environment.
I also understand that I may be subject to discipline by the company or my own employer. Or both. And that I could face persecution by health and safety inspector if I do not co-operate with Health and Safety Rules and Policies.

I understand that I may be removed from site if I do not follow Health & Safety Policies, rules and procedures.

DO NOT PUT YOURSELF AND OTHERS AT RISK If you are in doubt about anything - seek help or guidance from your own and/or the company. Signed InducteeSignature Inductor.. Date...Print Inductor

If you have any particular Health or Safety ideas or suggestions - SHARE THEM Report your ideas to the company Construction Supervision, to visiting safety officer, through own supervisor, or when you or your representative attend site safety committee meetings.

TPKTI

EIL / IOCL
(REVIEWED BY)

Page 28 of 30 ANNEXURE - I

Page 29 of 30 ANNEXURE - I

INDEX
S. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A B C Description INDUCTION CHECK LIST QUALITY PLAN - SAFETY RADIOGRAPHY CHECKLIST PRE-LIFT CHECKLIST ASSESSMENT OF RISK AT SITE
INSPECTION OF TEMPORARY ELECTRICAL INSTALLATION

Annexure I II III IV V VI VII VIII IX X XI XII XIII XIV XV XVI XVII XVIII XIX XX XXI XXII XXIII A B C

DAILY SAFETY CHECKLIST SAFETY CHECKLIST - SCAFFOLD

LIST OF TOPICS FOR INDUCTION / TOOL BOX MEETINGS

HSE PLAN - TRAINING HEIGHT DECLARATION PERMIT INCIDENT REPORT

MONTHLY HEALTH SAFETY & ENVIRONMENT (HSE) REPORT

MONTHLY CHECKLIST CUM COMPLIANCE REPORT VEHICLE INSPECTION CHECKLIST FOR LIFTING TACKLES. CHECKLIST FOR ERECTION WORK CRANE INSPECTION CHECKLIST CHECKLIST FOR HYDROTESTING. CHECKLIST FOR WELDING WORKS CHECKLIST FOR GAS CUTTING WORKS. CHECKLIST FOR HANDLING & STORAGE OF GAS CYLINDERS TOOL BOX TALK CONFINED SPACE ENTRY PERMITS HSE ORGANISATION CHART SITE ORGANISATION CHART CONTINGENCY PLAN FOR HYDROGEN REFORMER