hazard observation card (hoc)_2013 rev.xls

39
file:///home/website/convert/temp/convert_html/55cf9c4e550346d033a95e82/document.xls Page 1 of 39 Revised Date: 06/12/2022 June-14 1-Jun-14 SITE AREA CATEGORIES CONTRACTOR STATUS SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Riggi 0 A-HAK 0 0 DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0A 0 ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0B 0 0 0 C 0 GT 2 0 equip. & Portable Too 0C 0 0 0 D 0 GT 3 0 Excavation 0D 0 0 0 E 0 GT 4 0 Housekeeping 0E 0 0 0F 0 WORKSHOP 0 Lack of supervision 0F 0 0 0G 0A 0 Material Stocking 0G 0 0 0 BBGG 0 AA 0 First aid / medical a 0 HJKG 0 0 0H 0 BBB 0 Permit to work 0H 0 0 0I 0C 0 PPE 0J 0 0 0J 0D 0 Scaffolding 0K 0 0 0K 0E 0 Signage & Barricades 0L 0 0 0L 0F 0 Unsafe Act 0M 0 0 0M 0G 0 Unsafe Condition 0N 0 0 0N 0H 0 Vehicle & Transport. 0O 0 0 0O 0I 0 Work at Height 0P 0 0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 WORK PACKAGE N. OF OBSERV. N. OF OBSERV. N. OF OBSERV. RISK LEVEL LEVEL N.: N. OF OBSERV. N. OF OBSERV. WORK PACKAGE

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Page 1: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 1 of 29 Revised Date: 04/17/2023

June-14 1-Jun-14 30-Jun-14

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 2: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 2 of 29 Revised Date: 04/17/2023

May-14 1-May-14 31-May-14

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 3: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 3 of 29 Revised Date: 04/17/2023

April-14 1-Apr-14 30-Apr-14

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 4: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 4 of 29 Revised Date: 04/17/2023

March-14 1-Mar-14 31-Mar-14

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 5: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 5 of 29 Revised Date: 04/17/2023

February-14 1-Feb-14 28-Feb-14

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 6: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 6 of 29 Revised Date: 04/17/2023

January-14 1-Jan-14 31-Jan-14

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 7: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 7 of 29 Revised Date: 04/17/2023

December-13 1-Dec-13 31-Dec-13

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAG

E

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAG

E

Page 8: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 8 of 29 Revised Date: 04/17/2023

November-13 1-Nov-13 ###

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAG

E

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAG

E

Page 9: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 9 of 29 Revised Date: 04/17/2023

October-13 1-Oct-13 10/31/2013

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 10: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 10 of 29 Revised Date: 04/17/2023

September-13 1-Sep-13 ###

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 0 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 0 N 0 H 0 Vehicle & Transport. 0 O 0

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

Page 11: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 11 of 29 Revised Date: 04/17/2023

August-13 1-Aug-13 ###

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 0 CRUDE OIL TK 0 LOW 0 Access & Egress 0 WTF 0 OPEN 0

IPF 0 ZUBAIR 0 OFF SPEC TK 0 MEDIUM 0 Confined Space 0 SICIM 0 CLOSED 0

PLI 0 RAFIDJA 0 PW TK 0 HIGH 0 Crane Lifting & Rigging 0 A-HAK 0 0 0

DGS 0 ALL SITE 0 PW TREAT 0 Electrical 0 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 0 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 0 C 0

0 0 D 0 GT 3 0 Excavation 0 D 0

0 0 E 0 GT 4 0 Housekeeping 0 E 0

0 F WORKSHOP 0 Lack of supervision 0 F

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA 0 First aid / medical assist. 0 HJKG 0

0 0 H 0 BBB 0 Permit to work 0 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 0 L 0

0 0 L 0 F 0 Unsafe Act 0 M 0

0 0 M 0 G 0 Unsafe Condition 0 N 0

0 N H Vehicle & Transport. 0 O

0 0 O 0 I 0 Work at Height 0 P 0

0 SITE 0 AREA 0 0 CATEGORIES 0 CONTRACTOR 0 STATUS 0

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

RISK LEVEL

Page 12: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 12 of 29 Revised Date: 04/17/2023

July-13 1-Jul-13 31-Jul-13

SITE AREA CATEGORIES CONTRACTOR STATUS CHECK

SB/ LSCE 0 HAMMAR 20 CRUDE OIL TK 0 LOW 2 Access & Egress 0 WTF 45 OPEN 27

IPF 45 ZUBAIR 9 OFF SPEC TK 0 MEDIUM 17 Confined Space 0 SICIM 0 CLOSED 18

PLI 0 RAFIDJA 12 PW TK 0 HIGH 26 Crane Lifting & Rigging 1 A-HAK 0 0 0

DGS 0 ALL SITE 4 PW TREAT 0 Electrical 4 A 0

ZFOD 0 B 0 GT 1 0 Environ.& Hygiene 3 B 0

0 0 C 0 GT 2 0 equip. & Portable Tools 3 C 0

0 0 D 0 GT 3 0 Excavation 3 D 0

0 0 E 0 GT 4 0 Housekeeping 1 E 0

0 0 F 0 WORKSHOP 0 Lack of supervision 1 F 0

0 0 G 0 A 0 Material Stocking 0 G 0

0 0 BBGG 0 AA First aid / medical assist. 3 HJKG 0

0 0 H 0 BBB 0 Permit to work 3 H 0

0 0 I 0 C 0 PPE 0 J 0

0 0 J 0 D 0 Scaffolding 0 K 0

0 0 K 0 E 0 Signage & Barricades 4 L 0

0 0 L 0 F 0 Unsafe Act 4 M 0

0 0 M 0 G 0 Unsafe Condition 8 N 0

0 0 N 0 H 0 Vehicle & Transport. 6 O 0

0 0 O 0 I 0 Work at Height 1 P 0

45 SITE 45 AREA 0 45 CATEGORIES 45 CONTRACTOR 45 STATUS 45

WORK PACKAGE

N. OF OBSERV.

N. OF OBSERV.

N. OF OBSERV.

RISK LEVEL

LEVEL N.:

N. OF OBSERV.

N. OF OBSERV.

WORK PACKAGE

RISK LEVEL

Page 13: Hazard Observation Card (HOC)_2013 rev.xls

file:///tt/file_convert/55cf9c4e550346d033a95e82/document.xls Page 13 of 29 Revised Date: 04/17/2023

HAZARD OBSERVATION CARD TRACKING SYSTEM

SITE DATE HOC No. DESCRIPTION / FINDING CATEGORY

1 IPF RAFIDJA 2-Jul-13 HIGH Work at Height

2 IPF RAFIDJA 2-Jul-13 MEDIUM

3 IPF ALL SITE 2-Jul-13 HIGH

4 IPF ALL SITE 2-Jul-13 HIGH Housekeeping

5 IPF HAMMAR 2-Jul-13 Presence of medical waste near office LOW

6 IPF HAMMAR 3-Jul-13 First aid kit and eye wash station inefficient or absent MEDIUM

7 IPF HAMMAR 3-Jul-13 Ambulance or medical service not present on site HIGH

8 IPF HAMMAR 3-Jul-13 Toilet and sewer system in unacceptable condition HIGH

9 IPF HAMMAR 3-Jul-13 Poor waste segregation MEDIUM

10 IPF HAMMAR 3-Jul-13 Unsafe installation of Generator and diesel tank HIGH Unsafe Condition

11 IPF HAMMAR 3-Jul-13 Rest room erection HIGH Unsafe Condition

12 IPF HAMMAR 3-Jul-13 Safety signs missing MEDIUM

13 IPF HAMMAR 3-Jul-13 LOW

14 IPF HAMMAR 3-Jul-13 various Fire extinguisher out of use MEDIUM Unsafe Condition

15 IPF ALL SITE 4-Jul-13 HIGH Permit to work

16 IPF ZUBAIR 4-Jul-13 The speed limit signs small size in some MEDIUM

17 IPF RAFIDJA 4-Jul-13 The speed limit signs small size in some MEDIUM

18 IPF RAFIDJA 4-Jul-13 In the exit and entry gates no warning signs MEDIUM

19 IPF ZUBAIR 4-Jul-13 In the exit and entry gates no warning signs MEDIUM

20 IPF RAFIDJA 4-Jul-13 The excavation areas and side parties without barricade HIGH

ITEM NO.

WORK PACKAGE

RISK LEVEL

Working on high tower with using only one Safety belt without any additional protection on the communication tower in new camp.

There were workers working without presence of the contractor safety Site supervisor on site.

Lack of supervision

Welfare to the workers are inadequate according to the international standards

Environ.& Hygiene

Many of the wood shingles and beams which used has not been removed nails are located in many places at work sits and its is unsafe that could lead to injury for the workers

First aid / medical assist.

First aid / medical assist.

First aid / medical assist.

Environ.& Hygiene

Environ.& Hygiene

Signage & Barricades

Emergency flow chart and emergency phone number not posted,

Signage & Barricades

New Wetherford permit to work system on place but the site copy not seen, the relevant employees how dealing with WPS not received training.

Vehicle & Transport.

Vehicle & Transport.

Vehicle & Transport.

Vehicle & Transport.

Signage & Barricades

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21 IPF ZUBAIR 4-Jul-13 The excavation areas and side parties without barricade HIGH

22 IPF ALL SITE 6-Jul-13 Is work permit system procedure approved accordantly? HIGH Permit to work

23 IPF ZUBAIR 6-Jul-13 HIGH

24 IPF ZUBAIR 6-Jul-13 HIGH

25 IPF RAFIDJA 6-Jul-13 MEDIUM Electrical

26 IPF ZUBAIR 8-Jul-13 HIGH Unsafe Condition

27 IPF RAFIDJA 8-Jul-13 HIGH Unsafe Condition

28 IPF HAMMAR 8-Jul-13 Spilling oil from diesel tank HIGH Unsafe Act

29 IPF ZUBAIR 9-Jul-13 HIGH Electrical

30 IPF RAFIDJA 9-Jul-13 HIGH Electrical

31 IPF ZUBAIR 9-Jul-13 HIGH Electrical

32 IPF RAFIDJA 14-Jul-13 MEDIUM Permit to work

33 IPF RAFIDJA 14-Jul-13 Working in side Excavation area. HIGH Excavation

34 IPF RAFIDJA 14-Jul-13 MEDIUM Unsafe Condition

35 IPF HAMMAR 15-Jul-13 001/FT Power tools without disc protection MEDIUM

36 IPF HAMMAR 15-Jul-13 001/FT Safety latch missing on hook of truck mounted crane HIGH

37 IPF HAMMAR 15-Jul-13 001/FT Rotating part of water pump exposed MEDIUM

38 IPF HAMMAR 15-Jul-13 001/FT Whip check not used on comressor hose MEDIUM

39 IPF HAMMAR 16-Jul-13 002/FT Fire extinguishers w/out pressure HIGH Unsafe Condition

40 IPF HAMMAR 16-Jul-13 002/FT Hook welded on bottom plate and used for lifting HIGH Unsafe Act

Signage & Barricades

Many earthmoving equipment ( Tippers, Excavator chain and other heavy movement vehicles) with presence of only one flagman

Vehicle & Transport.

all sides high- paved road around working area inside the IPF with out worning signs or barricaded.

Vehicle & Transport.

The diesel tank installed at new camp of Rafydia installed at the back of electricity boards which is not safe.

Flash lights fixed on the iron pipes and installed in packer drums by sand, could fall by wind or any external factors and Some of these drums already sloped.

Flash lights fixed on the iron pipes and installed in packer drums by sand, could fall by wind or any external factors and Some of these drums already sloped.

The electrical wiring connected to the flash lights lying on the ground without protection and mark signs .

The electrical wiring connected to the flash lights lying on the ground without protection and mark signs .

The electrical wiring connected to the flash lights lying on the ground without protection and mark signs .

Excavation activity carried out by subcontract CALETHON Co. for maintenance building, without work permit , and without supervision on site.

Salient reinforcing bars from the ground could cause accident to workers

equip. & Portable Tools

Crane Lifting & Rigging

equip. & Portable Tools

equip. & Portable Tools

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41 IPF HAMMAR 16-Jul-13 002/FT Crane tyres in contact with soilduring lifting MEDIUM Unsafe Act

42 IPF HAMMAR 16-Jul-13 002/FT MSDS of chemicals not available on site MEDIUM Unsafe Condition

43 IPF HAMMAR 16-Jul-13 002/FT Load not secured during transportation HIGH Unsafe Act

44 IPF ZUBAIR 17-Jul-13 003/FT HIGH Excavation

45 IPF RAFIDJA 18-Jul-13 004/FT HIGH Excavation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

Workers worked inside excavation area Without any procedure required to this situation to protect workers from any hazards.

Workers worked inside excavation area Without any procedure required to this situation to protect workers from any hazards.

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62

63

64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

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84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

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HAZARD OBSERVATION CARD TRACKING SYSTEM

RECCOMMENDATION / ACTION CONTRACTOR RESPONSIBLE DEAD LINE M/D/Y

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE 9-Jul-13

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

Every incident, accident or near miss must be reported WTF HLG WTF HSE 9-Jul-13

WTF HLG WTF HSE 10-Jul-13

Implement MEDEVAC WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

Implemet waste management plan WTF HLG WTF HSE 10-Jul-13

Repositioning of generator and tank WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

Install safety sign on the road , near generator, assembly point WTF HLG WTF HSE 10-Jul-13

Post emergency flow chart and phone number > Perform TBT WTF HLG WTF HSE 10-Jul-13

Replace with efficient device WTF HLG WTF HSE 10-Jul-13

all relevnt employees muat received a proper WP training. WTF HLG WTF HSE Immediate

Needs to enlarge the size of signs to be clearly visible. WTF HLG WTF HSE 11-Jul-13

Needs to enlarge the size of signs to be clearly visible. WTF HLG WTF HSE 11-Jul-13

WTF HLG WTF HSE 11-Jul-13

WTF HLG WTF HSE 11-Jul-13

WTF HLG WTF HSE Immediate

ACCOUNTABLE

Working on high tower required to be followed and implemented according to the international procedure and need prepare risk assessment & JSA working on high tower

The workers need monitoring by contractor safety site during the working activities continual.

example but not limited to:- Number of umbrellas (shelters) for protection from the sun’s rays inadequate, insufficient numbers of bathrooms (WC) and the existing are unclean, which negatively affect the workers especially from health point of view etc.

it is important to remove the nails before store and to be stored in designated area.

Refill existing first aid box, apply visible sign outside the office where FAB is located , install a washing station near workshop

Cleaning activities must be scheduled. Sewer system and collector pit must be restored to hygienic condition

Hazardous structure erected without any authorization and violating all safety rules

to fix warning signs (caution should be taken Heavy Vehicles) Arabic and English languages.

to fix warning signs (caution should be taken Heavy Vehicles) Arabic and English languages.

all excavation and lower area must be barricaded and warning signs to be posted.

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WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE 13-Jul-13

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

control access to tank, remove or lock valve on pipe, TBT , WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE 21-Jul-13

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE 21-Jul-13

Repair immediately or remove from site. WTF HLG WTF HSE 22-Jul-13

Repair immediately or remove from site. WTF HLG WTF HSE Immediate

WTF HLG WTF HSE 22-Jul-13

WTF HLG WTF HSE 22-Jul-13

Replace with efficient device WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

all excavation and lower area must be barricaded and warning signs to be posted.

it is important to review the new work permit system which issued by Weatherord and to be approved if it is not .

Needs to increase the number of flag men to cover the activities on sites and to receive training before start the work.

required Immediately to be barricaded and labeled with alert to be posted along to the paved road

Required to add additional protection between the diesel tank and electricity boards and the electricity boards must be Isolated from the external atmosphere.

It is important to be fixed tightly to the ground to prevent any possibility of falling.

It is important to be fixed tightly to the ground to prevent any possibility of falling.

The electrical wires Must be protected from any potential for exposure tear or damaged, all wire lying in the site should pass through tubes and be mark with warning signs

The electrical wires Must be protected from any potential for exposure tear or damaged, all wire lying in the site should pass through tubes and be mark with warning signs

The electrical wires Must be protected from any potential for exposure tear or damaged, all wire lying in the site should pass through tubes and be mark with warning signs

Work permit shall be on sites and all other assosiated during the work.

Any activities maybe be carried out by workers in side excavation points needs method statement and JSA to be in place with work permit and to be implemented accordingly and consider this areas as confined space. There are some excavate area depth about 7m and 3,5 m

Need to be identified and covered by cap especially the work carried out in night shift.

Water pump mounted on truck for curing. Restore carter protection

Whip check must be used to avoid unwanted release of the hose

All lifting , accessories and anchor point included, must be certified. No handcraft tools are allowable on site

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WTF HLG WTF HSE 23-Jul-13

WTF HLG WTF HSE 23-Jul-13

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

WTF HLG WTF HSE Immediate

tyres must be off the ground to prevent any unwanted movement in the event of malfunction of the crane's PTO (Power take off)

need to know how to handle, use and store substances and to know the danger of the product

Load must be firmly secured to the truck to avoid fall of part or entire load during movement

Re-evaluation is required for this situation and all activities to prevent such practices, safety requirements shall be applied to any excavation area before entering. We need to provide us with a copy of the method statement and JSA.

Re-evaluation is required for this situation and all activities to prevent such practices, safety requirements shall be applied to any excavation area before entering. We need to provide us with a copy of the method statement and JSA.

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Location Area Date Description Risk Level

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Recommendation \ Action Responsible StatusAccountable

Accountable

Deadlinem/d/y

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Evidence Planned Date

Target Completion

(Date)

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Initial Production Facilities (IPF) ProjectHealth, Safety and Environmental Department

Hazard Observation Card N.

DATE TIME WP / SITE AREA CATEGORY CONTRACTOR

DESCRIPTION / FINDING

INVESTIGATION/FOLLOW-UP

RECOMMENDATION

RISK LEVEL

DESCRIBE THE EVENT (include personnel involved job titles where known, badge numbers. Also include the sequence of events, number and extent of injuries, extent of property damage, actions taken, causes, recommendations, etc.,.)

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Observed by Signature Date

Initial Production Facilities (IPF) ProjectHealth, Safety and Environmental Department

Hazard Observation Card N. Attach photos ( if any)

CONTRACTOR CORRECTIVE ACTION

Date Sign

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CORRECTIVE ACTION APPROVED

Date Sign

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Initial Production Facilities (IPF) ProjectHealth, Safety and Environmental Department

Hazard Observation Summary as July 2013 to June 2014

Categories Month

Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14

Access & Egress 0 0 0 0 0 0 0 0 0 0 0 0 0Confined Space 0 0 0 0 0 0 0 0 0 0 0 0 0

Crane Lifting & Rigging 1 0 0 0 0 0 0 0 0 0 0 0 1

Electrical 4 0 0 0 0 0 0 0 0 0 0 0 4Environ.& Hygiene 3 0 0 0 0 0 0 0 0 0 0 0 3equip. & Portable Tools 3 0 0 0 0 0 0 0 0 0 0 0 3Excavation 3 0 0 0 0 0 0 0 0 0 0 0 3Housekeeping 1 0 0 0 0 0 0 0 0 0 0 0 1Lack of supervision 1 0 0 0 0 0 0 0 0 0 0 0 1Material Stocking 0 0 0 0 0 0 0 0 0 0 0 0 0First aid / medical assist. 3 0 0 0 0 0 0 0 0 0 0 0 3Permit to work 3 0 0 0 0 0 0 0 0 0 0 0 3PPE 0 0 0 0 0 0 0 0 0 0 0 0 0Scaffolding 0 0 0 0 0 0 0 0 0 0 0 0 0Signage & Barricades 4 0 0 0 0 0 0 0 0 0 0 0 4Unsafe Act 4 0 0 0 0 0 0 0 0 0 0 0 4Unsafe Condition 8 0 0 0 0 0 0 0 0 0 0 0 8Vehicle & Transport. 6 0 0 0 0 0 0 0 0 0 0 0 6Work at Height 1 0 0 0 0 0 0 0 0 0 0 0 1

Total 45 0 0 0 0 0 0 0 0 0 0 0 45

Grand total

Access & Egress

Confined Space

Crane Lifting & Rigging

Electrical

Environ.& Hygiene

equip. & Portable Tools

Excavation

Housekeeping

Lack of supervision

Material Stocking

First aid / medical assist.

Permit to work

PPE

Scaffolding

Signage & Barricades

Unsafe Act

Unsafe Condition

Vehicle & Transport.

Work at Height

0.0% 100.0%

0.0%

0.0%

2.2%

8.9%

6.7%

6.7%

6.7%

2.2%

2.2%

0.0%

6.7%

6.7%

0.0%

0.0%

8.9%

8.9%

17.8%

13.3%

2.2%