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High Risk Activities Authorization Request

This authorization form requests approval for high-risk demolition activities at the black powder filter station from September 7-12, 2024, during after-hours. The activities include the removal of structural steel and gas cutting, with necessary safety precautions and emergency plans in place. The form requires signatures from the Division Head and Department Head, and approved forms must be shared with the Loss Prevention office before work begins.

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45 views2 pages

High Risk Activities Authorization Request

This authorization form requests approval for high-risk demolition activities at the black powder filter station from September 7-12, 2024, during after-hours. The activities include the removal of structural steel and gas cutting, with necessary safety precautions and emergency plans in place. The form requires signatures from the Division Head and Department Head, and approved forms must be shared with the Loss Prevention office before work begins.

Uploaded by

naga74petrojet
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

AUTHORIZATION FORM

HIGH-RISK ACTIVITIES AFTER NORMAL WORKING HOURS

Location:

Start Date: September 7-12, 2024 Time: 7pm to 5pm_____________ Duration: ___1 Week_______________

Initiator:

DESCRIPTION OF THE JOB (Project, Activity)


The purpose of this form is to request an extension of previous approved requisition for issuing a work permit on
Thursdays & Saturdays to expedite in completing the remaining demolition scope inside black powder filter station in km-
0 Shedgum. This will also prevent and minimize potential standby of resources that will cause delay of project completion
schedule.

Activities Details:
1. Removal of structural steel beams & columns, scaffolding erection & dismantling.
2. Gas cutting of demolish black powder vessels outside facility fence.

Structural frame members will be disconnected by removing bolts & nuts, no risk of joint movement because lifting crane
will hold the beam/column prior to fully disengage each steel structure. No any form of cutting applied during work
execution at site.

HIGH-RISK ACTIVITIES TO BE PERFORMED Yes No


Does the activity involve opening of equipment that have the potential to contain hazardous materials,
X
and/or require isolating sources of energy?
Does the activity have the potential to develop sparks, flames or sufficient heat to cause ignition? X

Does the activity involve entry into process equipment or enclosures that has the potential to contain
X
hazardous materials?
Does the activity require excavation around known or suspected underground lines, working at heights or
X
crane lift?
Others [Please Specify]:

JUSTIFICATION POINTS FOR HIGH-RISK ACTIVITIES Yes No


Must the activity be performed after normal working hours? X

Have the necessary risk assessments, plans, and procedures been thoroughly reviewed and approved? X

Are the necessary resources available for conducting the activities? X

Will adequate supervision and oversight be provided during the execution? X

Will required controls be implemented during the execution? X


Is there a detailed Emergency Response Plan in place to address any potential incident during the
X
execution?
ADDITIONAL JUSTIFICATION AND BUSINESS NEED

I hereby authorize the execution of the above activities to be performed after normal working hours in accordance with
Saudi Aramco safety requirements and procedures.

Saudi Aramco: Company General Use


Recommended by: Division Head Approved by: Department Head

Signature: ________________ Signature: _______________

Date: ____________________ Date: ___________________

Approved forms must be shared with area Loss Prevention office prior to commencing the activities.

Saudi Aramco: Company General Use

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