Record Keeping

13.1 After the work is completed, all work permits and hazard assessment forms and associated documents are signed off in accordance with the permit and retained in the field office for a period 13 months.

14.0 Scope of References

14.1 Alberta General Safety Regulation AR 448/83 as amended

14.2 B.C. Occupational Health and Safety Regulations and Guidelines 296/97 as amended

14.3 gHSSEr MS820 - Confined Space Practice

14.4 gHSSEr MS840 - Ground Disturbance Practice

14.5 gHSSEr MS 312 - Indoctrinations, Orientations and Monitoring

14.6 NAG SPU Control of Work (COW) Policy http://docs.bpweb.bp.com/NAG:/content/hse/on shore/documents/K0000002586

Permit to Work

15.0 Forms

15.1 gHSSEr MF 88001 - Permit to Work and Hazard Assessment Form

15.2 gHSSEr MF84001 - Ground Disturbance Permit 15.3 gHSSEr MF84001 - Confined Space Entry Permit 15.4 NAG JSEA Form NA Gas JSEA Process

Appendix 1 –

Details on the Intent of Work Permit and Hazard Assess-ment Questions

Part 2 of the work permit and hazard assessment form contains 28 questions. The questions were chosen because they represent the majority of the hazards in our various worksites and they build on learning’s identified during incident investigations.

Questions 1-16 are simple questions that can be answered yes, no, or not applicable to the job. In some cases, a line has been added so brief details for that question can be identified. Questions 17-28 require a yes, no, or not applicable to the job answer and for all questions answered yes, the control measures required to mitigate the hazard must be identified.

The following lists each question on the form, and provides some interpretation on how to answer it.

1. Safety Stand by required? Name

• For jobs that require a designated safety stand-by, this question should be checked yes. This might include entry into a class 2 or 3 confined space, work at heights or use of mobile equipment in an area with heavy foot traffic. If the question is answered as yes, the name of the safety stand-by

Permit to Work should be written on the document. The roles

and responsibilities for that worker need to be reviewed prior to work starting.

2. Have conflicting activities/simultaneous operations been identified? List:

• If there are other activities in the area that this work will be taking place or simultaneous opera-tions in the same area, the question should be answered yes and those other activities listed in the space provided. Part 3 should identify the controls required for ensuring adequate commu-nication between different activities. A separate SIMOPS plan may need to be developed.

3. Is additional PPE required? Face/eyes Chemical Protection Respiratory Fall Protection

Hands/Gloves

• The minimum required PPE is listed near the top of the form. This question addresses other PPE that may be required. If any boxes are checked, a space is provided to specifically identify the item or items of PPE that are required. It should be clear to all workers if additional PPE is required at all times during the job or only during specific times.

4. Area safe for personnel/vehicle entry? Record test below.

• This question is focused on air quality. Oxygen, LEL and H2S (if applicable) should be checked prior to work commencing and documented on Part 4 of the form.

5. Will workers be getting down from equipment or climbing off of equipment? 3-point contact, step off don’t jump off.

• A significant number of recordable injuries are related to workers getting down from equipment at various heights. If workers need to access work areas or equipment at heights, this question reinforces the need to descend using caution and maintaining a 3-point contact.

6. Have all locations that pertain to the job been reviewed? (Secondary locations-dump sites, assembly points, permit area)

• Some jobs require work in multiple locations.

If materials are being transferred from one area to another or if there is a second muster point close to where the work will be taking place, this location should be noted on the form.

7. MSDS for WHMIS Controlled products affecting job is available and understood? List WHMIS controlled products.

• The MSDS for all WHMIS Controlled products must be reviewed before handling these materials so adequate controls may be put in place such as ventilation or PPE. The MSDS does not need to be at the work site but the information must be available to workers by phone or radio.

8. Do workers need job specific certifications?

• Documented training is required for some jobs in addition to what is asked at the Level 1 indoctrination (H2S and WHMIS). If specific certifications are required (i.e. crane operator, first aid, confined space) answer the question yes and list the training required on the space in the form. Tickets demonstrating training must be verified.

Permit to Work

9. Have all tools and equipment that pertain to the job been identified and checked to be in good condition?

Certifications checked if appropriate.

• All tools and equipment required for the job should be identified prior to the job starting.

The condition of tools and equipment should be checked by the person that will be using them.

If a tool or piece of equipment is not suitable for use, it should be either repaired or destroyed. In some cases, certifications are required such as crane inspections, and the document should be reviewed prior to issuing the permit and hazard assessment.

10. Have all job-related cathodic protection and/or overhead/underground power lines been located and identified?

• All power lines near the work area need to be identified prior to work starting and controls put in place to ensure that power lines will not be contacted during the work.

11. Have all underground piping/obstructions been identified?

• Underground piping, tanks and lines need to be identified for all jobs involving ground distur-bance, all jobs requiring the use of heavy equip-ment (i.e. a crane and outriggers) and for all jobs using mobile equipment as striking or driving over an underground obstruction can lead to significant injury and/or property damage.

12. Fire eyes/gas detectors bypassed?

• Fire eyes and/or gas detectors may need to be by-passed for certain jobs involving hot work inside a building. Additional procedures may need to be followed to by-pass these safety devices.

Permit to Work

13. Protection of all sewer catch basins and floor drains?

• This question must be answered yes when doing welding inside a building or near any outdoor sewer catch basins that could contain hydrocar-bon.

14. Housekeeping - cords, cables, hoses, tools, material or debris controlled and out of the path of workers.

• Rules around housekeeping specific to the job and the materials, tools and equipment should be reviewed so areas where people need to walk are kept free of hazards.

15. Are additional permits required? Ground disturbance Confined space Critical lift

• This question is a double check of the Golden Rules identified in Part 1 of the form. If the answer is yes, identify using a check box which additional permit is required. The document should be completed prior to starting the job and attached to this form.

16. Are all personnel involved with the job participating in the pre-job meeting? If no, who is responsible to update these workers?

• If some workers will be joining the work site at a later time, one person needs to be designated to review the contents of this form with those workers so they understand the hazards of the jobs, the controls for those hazards and their role in promoting a safe and environmentally friendly work atmosphere.

17. Have the risks of working alone been assessed?

• If a worker will be working alone, this question must be answered yes and the control measures

Permit to Work

for ensuring that worker’s safety documented in the column to the right. Controls might include reviewing the local working alone procedures or establishing a communication plan with defined check-in intervals.

18. Is heavy manual lifting involved? Potential of injury due to over exertion or strain by lifting, pulling, pushing or twisting.

• This question links too many of the recordable injuries that have occurred as a result of manual lifting, pulling, pushing or twisting. If this type of work is required, consider if mechani-cal devices can be used to reduce the chance of strain. Determine how heavy a load will be and the number of people required to lift it. Review proper lifting techniques.

19. Are personnel at risk of slip, trip, or fall to the same level or to the area below?

• This question links too many of the recordable injuries that have occurred as a result of slips, trips and falls. The work area including any sea-sonal influences should be reviewed and controls put in place to maximize traction.

20. Are there driving hazards associated with the job?

• This will be yes for almost all jobs to cover the drive to the work site or the drive home. Review any specific hazards and rules of the road for that day.

21. Can personnel be placed in line of fire? (struck by protruding, moving objects, sharp edges, objects falling, caught in or between)

• There are many considerations for this question.

It should first consider permanent hazards of

Permit to Work

the site equipment and then must consider the hazards of the job. If the job creates potential line of fire hazards, they need to be identified during the hazard assessment and controls put in place to reduce or eliminate the hazard.

22. Can personnel come in contact with an energy source or be exposed to hazardous material?

• Consider energy sources and hazardous materials in and around the work area. Controls might include energy isolation, using a spotter or using additional PPE.

23. Are personnel working in the vicinity of mobile equipment?

• If the answer to this question is yes, controls should include verifying that back-up alarms are fully functioning and a spotter is designated for the job. Hand signals between the spotter and driver must be reviewed.

24. Are there fire hazards associated with the task?

Equipment needed? Identify.

• If the job could result in a fire, this question should be answered as yes. Steps should be taken to execute the job to minimize the chance of a fire starting. Appropriately sized extinguishers and other fire fighting equipment needs to be available and readily accessible for workers to en-sure a safe exit from the area should a fire occur.

25. Have environmental controls/procedures necessary for spills/atmospheric release/waste been identified due to loss of containment, failure of equipment or other form of release?

• If the job could result in a spill, atmospheric re-lease or will generate waste, identify if additional

Permit to Work

site-specific procedures need to be reviewed. In some cases, a brief overview of waste storage areas and segregation practices or material handling techniques needs to take place.

26. Is materials/equipment required to be lifted by mechanical means? I.e. bobcat, hoist, crane.

• If materials will be lifted by mechanical means, document the controls required to ensure a safe lift. The lift plan should consider equipment capabilities, tag lines, the need for spotters, etc.

27. Is a rescue or environmental response plan required?

List team and verify training.

• This is in addition to the local ERP and would be required for jobs involving confined space en-try, some jobs requiring work at heights and jobs that involve handling large volumes of liquids that can have a negative impact on the environ-ment if released. Identify what is needed at the job site to immediately address the emergency situation and ensure that equipment is available before starting the job.

28. Energy isolation complete? Equipment de-pressured purged blinded lock-out tag out stored energy

• If energy isolation is required for the job, the type of energy isolation applied should be noted using the check boxes. The control column should be used to identify how energy was isolated and reference site-specific practices and procedures for energy isolation.

Permit to Work

VEHICLE STANDARD AND ROAD SAFETY PRACTICE