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    Complete With DocuSign Copy of ELECO Extende

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    santoshreddyramapatruni
    The document is a request form for overtime work for a subcontractor during extended hours and holidays. It provides information on the nature of work, location, supervision details, and incident reporting contacts for welding and NDT activities involving 16 workers over a night shift.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Complete With DocuSign Copy of ELECO Extende

    Uploaded by

    santoshreddyramapatruni
    34 views1 page
    The document is a request form for overtime work for a subcontractor during extended hours and holidays. It provides information on the nature of work, location, supervision details, and incident reporting contacts for welding and NDT activities involving 16 workers over a night shift.

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    Complete_with_DocuSign_Copy_of_ELECO_Extende (2)

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    The document is a request form for overtime work for a subcontractor during extended hours and holidays. It provides information on the nature of work, location, supervision details, and incident reporting contacts for welding and NDT activities involving 16 workers over a night shift.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views1 page

    Complete With DocuSign Copy of ELECO Extende

    Uploaded by

    santoshreddyramapatruni
    The document is a request form for overtime work for a subcontractor during extended hours and holidays. It provides information on the nature of work, location, supervision details, and incident reporting contacts for welding and NDT activities involving 16 workers over a night shift.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    DocuSign Envelope ID: 270C2D41-E3E0-43FF-9026-8FF86A3AB2E0

    Qatargas EPC-3 NFXP Onshore


    Extended Hours (FRIDAY & HOLIDAYS / NIGHTSHIFT) OVER TIME WORK REQUEST
    Details to be checked by TR Discipline Lead / Manager prior to submission for approval
    DATE: 08/02/2024-07/03/2024
    REQUESTED BY (Print Name): Krishna Kumar Nallu samy TELEPHONE No.: 66705490 Rev.1

    Verified at Site
    1. SUBCONTRACTOR NAME: Mandatory Requirements In Place Not in place
    Signature or N/A
    China Eleventh Chemical Construction Company (ELECO) Valid Permit YES

    Adequate Lighting (night time / hours of darkness) YES


    2. LOCATION:
    Lean Gas Non-Crossing non crossing area(T2 ) Flashing lights (night time/ hours of darkness) YES
    Lighting torch (night time/ hours of darkness) YES
    Suitable & Sufficient PPE YES
    SHES Training YES
    3. NATURE OF WORK: Scaffold / MEWP N/A

    SHIFT (DAY / NIGHT) TIME (24 HRS. FORMAT) Suitable and sufficient access & egress YES
    NIGHT 18:00 Hrs to 006:00 Hrs. Access for emergency vehicles YES

    PERMIT NUMBER (additional sheet if TOTAL NOS. OF Signs/ barricades specific to work YES
    S.N. NATURE OF WORK:
    required) WORKERS Road diversion - signs/ notifications YES
    1 WELDING 123911 16 Supervisor & SHES with contact numbers YES

    2 NDT Activity 122262 5 Supervision at all times YES


    Fire Equipment/ Fire Watch YES

    Housekeeping YES

    Method Statement & JSA YES

    Lifting Plan YES


    Task Instruction, TBT, LMRA YES
    TOTAL 21 Standby Electrician YES
    Others: specify
    4. SUBCONTRACTOR SUPERVISION
    S.N. LINE SUPERVISOR (1:20) AREA/ACTIVITY TELEPHONE NO.
    1 Juno Lean Gas Non-Crossing area(T2 ) 70766101
    2 GOPALA KRISHNAN (NDT) Lean Gas Non-Crossing area(T2 ) 7124 6917
    3
    S.N. FOREMAN/CHARGEHAND (1:10) AREA/ACTIVITY TELEPHONE NO.
    1 ADDITIONAL INFORMATION IF NEED:

    S.N. SHES SUPERVISOR (1:200) AREA/ACTIVITY TELEPHONE NO.


    1 TONY CHACKO Lean Gas Non-Crossing area(T2 ) 77969659
    2 SELVIN Lean Gas Non-Crossing area(T2 ) 7716 0733
    3 ADNAN ILAHI Lean Gas Non-Crossing area(T2 ) 7129 5651
    S.N. SHES OFFICER (1:50) AREA/ACTIVITY TELEPHONE NO.
    1
    2
    3

    5. TR SUPERVISION
    S.N. LINE SUPERVISOR AREA/ACTIVITY TELEPHONE NO.
    1 KHALID FODIL Lean Gas Non-Crossing area(T2 ) 3368 9196
    2 PIUS SHERMI Lean Gas Non-Crossing area(T2 ) 5113 1566
    3 Sanjay Lean Gas Non-Crossing area(T2 ) 20726250
    S.N. SHES SUPERVISOR AREA/ACTIVITY TELEPHONE NO.
    1 Sreejith Narayana Thottathil Sivan Lean Gas Non-Crossing area(T2 ) 33680652
    2 Leandro JR Panopio Marquez Lean Gas Non-Crossing area(T2 ) 66806183

    6. INCIDENT REPORTING
    S.N. Name AREA/ACTIVITY TELEPHONE NO.
    1 JOC Lean Gas Non-Crossing area(T2 ) 44745888
    2 JOC operator Anjum Nawaz Lean Gas Non-Crossing area(T2 ) 8008808
    3 JOC operator Muhamed haroon jan Lean Gas Non-Crossing area(T2 ) 8008808
    4 Security Patroling Sup Slimane Bin Ahmeed Abid Lean Gas Non-Crossing area(T2 ) 33467573

    7. PROVISION FOR EMERGENCY TRANSPORTATION


    S.N. Name AREA/ACTIVITY TELEPHONE NO.

    Approved by:

    Gousuddin Mohammed Paul Meihon


    CONTRACTOR Site SHES Manager COMPANY SHES Division Manager
    (Print Name and Signature) (Print Name & Signature)

    Krishnakumar Nallusamy Christopher Lawrence Calvert


    CONTRACTOR construction Manager COMPANY Construction Division Manager
    (Print Name & Signature) (Print Name & Signature)

    ALL ENTRIES MUST BE CLEAR AND LEGIBLE

    $a1e3d2983e0a$9A527D598CEE450A87F5E63CA50F30F4.xlsx

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