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

: TECHNIP K T INDIA LIMITED

:
: CCRU HEATER REVAMP
: ERECTION SITE / FABRICATION YARD
:
:
:

Hazards / Risks:

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.

Description

Observation

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

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?

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

Remarks &
Suggestions

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.

Description

Observation

1
2
3
4
5
6
7
8
9
10
11

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?

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

Remarks &
Suggestions

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.

Description

Observation

1
2
3
4
5
6
7
8
9
10
11

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?

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

Remarks &
Suggestions

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.

Description

Observation

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)

Yes / No

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

Safety Engineer
TPKTI

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
PMC

Remarks &
Suggestions

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.

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

Safety Engineer
Sub Con

Execution Engineer
Sub Con

Safety Engineer
TPKTI

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.

Description

Object / Material

Approximate weight: Position of CG determined

WORKING AREA

Observation

Yes / No

3.a

Is sditablesling / D-shackles selected.

Yes / No

3.b

Are bull dgo grips being provided in correct manner for

wire ropes / slings.
Are required nos. of U-clamps fastened.

Yes / No

Yes / No

3.e

Are the signal provided with whistle / suitable

communication device.
Do the workmen use safety belts.

3.f

Tag lines provided.

Yes / No

3.g

Yes / No

3.h

If suspension method is involved, whether the condition

of the suspension method is checked.
Inspection by DP Test.

3.i

Any standby tools & tackles required and arranged.

Yes / No

3.j

Any safety required.

Yes / No

3.k

Adequate illumination is arranged.

Yes / No

3.l

Availability of guy ropes.

Yes / No

3.m

Protection against sharp edge to avoid sling damage.

Yes / No

3.n

Area clearance taken care of.

Yes / No

3.c
3.d

Safety Engineer
TPKTI

Yes / No

Yes / No

Yes / No

Safety Engineer
PMC

Remarks &
Suggestions

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.

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.

2
3

YES / NO

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.

10

The shackles, pins worn out more than 10% of the original dia are to be replaced.

11

Crane should not be allowed to work near by over head lines.

12
13

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.

14

Over loading & impact loading should be totally avoided.

15

Crossing, twisting, kinking or knoting of chains & wire ropes should be avoided.

16

Alteration, welding etc. should be avoided in the lifting Hooks, Shackles,Pins, etc.

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.

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

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

Good

Condition
Rejected Not Applicable

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

Safety Engineer
TPKTI

Safety Engineer
PMC

Remarks

Page 10 of 30
ANNEXURE - XIV

TECHNIP KT INDIA LTD.

IOCL-PANIPAT
FOR MONTH:

MONTHLY CHECKLIST CUM COMPLIANCE REPORT

CONTRACT NO.

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

OWNER

: M/s INDIAN OIL CORPOARTION LIMITED

CONSULTANT

: M/s ENGINEERS INDIA LIMITED

NAME OF CONTRACTOR
PROJECT
LOCATION
INSPECTED BY
(Write 'NA' where not applicable)

:TECHNIP KT INDIA LTD.

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.

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

:CCRU HEATER REVAMP

:FABRICATION / ERECTION SITE

:
YES

NO

REMARKS

ACTION

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.

Top of landing
Properly secured
o

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

YES

NO

REMARKS

ACTION

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

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:

NO

REMARKS

Page 12 of 30
ANNEXURE - XIV
ACTION

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

CUMULATIVE

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
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
WORK DESCRIPTION:

: TECHNIP KTI LTD.

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

TO:

SAFETY SUPERVISOR (TPKTI)

FROM ;

SAFETY SUPERVISOR (SUB-CONTRACTOR)

CONTRACT NO.

COPY TO:
DATE & TIME OF INCIDENT:

NAME OF INJURED PERSON (MALE / FEMALE):

PLACE OF INCIDENT:
FIRST REPORT:

NAME & ID No.:

DEPT. OR COMPANY:
ON:
DATE & TIME:

DESCRIPTION OF INCIDENT:

PROPERTY & PERSONAL INVOLVED:

COUNTER MEASURES TAKEN OR SUGGESTED:

FIRST AID TREATMENT:

BY:

Page 15 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

ESTIMATED LOSS TIME DUE TO INJURIES:

DATE REPORTED:

REPORTED BY:

NAME & SIGNATURE:

CONTACT WITH

TYPE OF CONTACT

STRUCK AGAINST
STRUCK BY

ELECTRICITY

CAUGHT IN

HEAT

COUGHT ON

COLD

CAUGHT BETWEEN

RADIATION

SLIP

CAUSTCS

FALL ON SAME LEVEL

NOISE

FALL ON LOWER LEVEL

TOXIC OR NOXIOUS SUSTANCES

OVER EXERTION
CODING OF BASIC CAUSES

PERSONAL FACTOR

JOB FACTORS

INADEQUATE CAPABILITY

INADEQUATE LEADERSHIP

LACK OF KNOWLEDGE

INADEQUATE SUPERVISON

LACH OF SKILL

INADEQUATE PURCHASING

STRESS

INADEQUATE ENGINEERING

IMPORPER MOTIVATION

INADEQUATE SUBCONTRACTING
INADEQUATE MAINTENANCE
INADEQUATE CONST. EQUIPMENTS
WEAR & TEAR
ABUSE & MISUSE

REVIEW:
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)

Valid From

For PMC Use:

Permit No.

To:

Name Of The Contractor:

CONTRACT NO.

Date

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

Job Description
Job Location

Regiastered By:

: CCRU HEATER REVAMP

(Name & Designation):

: CCRU

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

Yes No S.No.

j.

Item

Safety Harness secured to a fixed

structure / strong anchoring point
safety net used

k.

d.

Steel Scaffolding / platform / rightly

erected / used

m. SAP made

e.

Safe access to work place working pltf. with

handrail & toe guard provided

n.

Adequate illumination arranged

f.

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

o.

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.

b.
c.

g.
h.
i.

l.

p.
q.

Yes No

Rescue equipment and trained rescue

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

r.

Additional precaution to be taken during execution of the work

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

Signature of Principal Contractor

Signature of PMC

(RCM or Authorised Person)

Name & Designation

(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.

WORK DESCRIPTION
WORK LOCATION

S.No.

: TECHNIP K T INDIA LIMITED

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

DESCRIPTION

Training Hours - Month wise

6
7
8
9 10 11

12

13

14

REMARKS

15

1 Induction

Daily

2 Tool Box Meeting

Daily

3 Fire Fighting

Four Times over Project

Period

4 First Aid

Two Times

5 Emergency Response

Every Quarters

6 Risk Analysis

For every new activity

7 Safe Plan Of Action

For all activities

8
9
10

ANNEXURE - IX

TECHNIP KT INDIA LTD.

IOCL - PANIPAT
LIST OF TOPICS FOR INDUCTION / TOOL BOX MEETINGS
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
: CCRU HEATER REVAMP
: CCRU UNIT

1)

HSE POLICES OF CLIENT / CONSULTANT & CONTRACTOR

2)

SAFE USE OF TOOLS AND TACKLES

3)

SAEFTY & SECURITY

4)

HOUSEKEEPING

5)

MEDICAL & FIRST AID FACILITIES AT SITE

6)

WORKING AT HEIGHT / FALL PREVENTION

7)

IMPORTANCE OF VARIOUS PERMITS

8)

ESCAPE ROUTE / ASSEMBLY POINT

9)

RESPONSIBILITIES OF ALL STAFF / WORKMEN

10)

RULES & REGULATIONS INSIDE THE REFINERY

11)

PPE'S REQUIREMENTS & USE

12)

FIRE PREVENTION & PROTECTION

13)

ERECTION WORK & HEAVY LIFTS

14)

ELECTRICAL HAZARDS

ANNEXURE - VIII
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
SAFETY CHECKLIST - SCAFFOLD
NAME OF CONTRACTOR
CONTRACT NO.

WORK DESCRIPTION
WORK LOCATION

S.No.

: TECHNIP K T INDIA LIMITED

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

Description

6)

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?

7)

Whether safe / unsafe tags are displayed at site for information?

8)

Proper access to the scaffold platform available or not ?

9)

10)

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?

11)

Have any upright, ledger, braces or struts been removed?

12)

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?

1)
2)
3)
4)
5)

13)
14)

YES

Are the boards adequately secured to prevent accidental

displacement in the exposed location?

Signature of Supervisor

Signature of Supervisor

TPKTI
(Subcontractor)
Sign. Of Safety Officer

Sign. Of Safety Officer

(Subcontractor)

(TPKTI)

NO

ANNEXURE - VII
TECHNIP KT INDIA LTD.
IOCL - PANIPAT
CCRU HEATER REVAMP
DAILY SAFETY CHECKLIST
NAME OF CONTRACTOR
CONTRACT NO.

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

DESCRIPTION

1)
a)
b)

JOB SITE INFORMATION

Adequate First-Aid Equipment
Safety Meeting Material Available

2)
a)
b)
c)
d)
e)

HOUSEKEEPING & SANITATION

General Neatness of working area
Passageways & walkways clear
Sanitary Facilities adequate and clean
Adequate Lighting
Material property stored

3)
a)
b)

HAND TOOLS
Proper Tools for each job
Neat & Secure storage area

4)
a)
b)
c)
d)
e)
f)

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.

5)
a)
b)

POWER TOOLS
All tools operated is a safe manner
All tools have required guards

6)
a)
b)
c)

LADDERS
Ladders inspected and in good condition
Metal ladders not used around electrial hazards.
Ladders are used in safe manner

7)
a)
b)
c)
d)
e)

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

8)
a)
b)
c)
d)
e)
f)
g)

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

9)
a)
b)
c)

FIRE PROTECTION
Fire Extinguishers identified & checked
Proper No. of Fire extinguisher
Fire Plan For site

10)
a)
b)
c)

ADEQUATE
YES
NO

IMMEDIATELY
YES
NO

OTHER'S, IF ANY
Excavations
Welding & gas cylinder storage
Flammable substances storage

Sign. Of Site Engineer

(Subcontractor)

Sign. Of Site Engineer

(TPKTI)

Sign. Of Safety Engineer

(Subcontractor)

Sign. Of Safety Engineer

(TPKTI)

REMARKS

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

1
2

: TECHNIP K T INDIA LIMITED

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

Description

INSTALLATION NO.:

Status Of Compliance
YES

NO

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:

COMMITMENT FOR
COMPLIANCE

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

Level of Risk
(Tick as appropriate)

Low

Med

Possible remedial action

High

The Task - do they involve:

* 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.

WORK DESCRIPTION:

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

: CCRU HEATER REVAMP

NAME OF RADIOGRAPHY AGENCY

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

CONTROLLED SL.NO.

:
:
:
:

SIGN.
VALID UPTO

:
:

ACTUAL

I / WE HAVE CHECKED THE FOLLOWING POINTS BEFORE / DURING THE RADIOGRAPHY:

S.NO.
ITEM
1
Equipmnt / Work Area inspected

DONE

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

NOT REQUIRED

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

Operating

Checking

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

LEGENDS:

Safety Engineer
TPKTI

DC0
DTC
RS
RAN
NB
NA

:
:
:
:
:
:

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

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

Safety Officer
(PMC)

Client

Remarks

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

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

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

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

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

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