Document type

No.: P07-A065
Construction & Commissioning Revision/Date: 4 2013-04-19
Procedures Manual
Issued by: Const. & Comm.
Title
Permit To Work

Handling: For Internal Use Only Page: 1 of 12 Appendices: 16

ISO-9001 ISO-14001 OHSAS-18001 PM@Siemens 400-600
4.2, 4.4.1

Table of Contents
Revision Sheet
1. Purpose
2. Scope / Applicability
3. Abbreviations and Definitions
4. Procedure
5. References
6. Appendices

Released by: A. Mould e-QMS e-QMS e-QMS

Reviewed by: B. Mitts e-QMS e-QMS e-QMS

Reviewed by: R. Mixon e-QMS e-QMS e-QMS

Reviewed by: B. Smith e-QMS e-QMS e-QMS

Prepared by: K. LaRue e-QMS e-QMS e-QMS

Name Org. Unit Signature Date
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Revision Sheet

Revision Reissue Section Description Of Change

Date
0 2/16/2001 All Original Issue
1 7/27/2004 Sig Page M. Hapeman, H. Simonds, W. Weatherford and R. Voorberg
added as reviewers and K. Steinbauer, C. Edwards, and B.
Snow deleted as reviewers.
3 Revised
2 2009-03-11 All Revised to reflect new company name and organizational
changes.
Total Rewrite
3 2010-03-04 3.2 Removed the statement that Hot Work Permits are only valid
for one day
3.2 Added statement that Confined Space Entry Category permits
are only valid for one shift
A03 Removed procedure reference numbers from the permit form
Various Changes made involving duties of the applicable personnel
4 2013-04-19 1 Removed references to CFR
Appendices Added numbers to Appendices 9-16

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1. Purpose

To establish a Permit To Work (PTW) Procedure for projects where Siemens has the
responsibility for construction and/or commissioning.

2. Scope/Applicability

This Siemens Energy ES procedure applies to the construction of new power plants (EPC),
and projects where Siemens has the responsibility for construction, commissioning and/or
safety. Modifications to this procedure may be made in response to different site conditions,
but must be approved by site management, E P ES EHS ORL, and E P ES EC ORL.

3. Abbreviations and Definitions

3.1 Abbreviations

AA Authorized Applicant
AP Authorized Person
ECC Erection Clearance Certificate
EHS Environmental Safety and Health
JSA Job Safety Analysis
KKS Power Plant Identification System
LO/TO Lock Out / Tag Out
OSHA Occupational Safety and Health Act
P&IDs Process & Instrumentation Diagram
PTW Permit To Work
RFFE Request For First Energization
SAP Senior Authorized Person
SSM Siemens Site Management
SPF Siemens Process Framework

3.2 Definitions

Authorized Applicant

Personnel authorized to apply for a Permit To Work. Authorized Applicant may be from
Siemens, another contractor, or the customer, however all Authorized Applicants must
be trained in the PTW Process by a qualified and approved (by Orlando EHS) Siemens
person. The names of all AAs are documented using the list of Authorized Applicant
to Request PTW, which will be maintained at the project site.

Authorized Person

A person approved or assigned by Siemens Site Management to perform a specific

type of duty or duties, or to be at a specific location or locations at the jobsite.

Job Safety Analysis

A Job Safety Analysis (JSA) is a tool used to identify, control, and communicate
workplace hazards, with the goal of preventing injury to personnel and/or preventing
damage to equipment.

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Lockout Device

Lock, chain, key block or other hardware provided by the Siemens PTW Coordinator
for isolating, securing or blocking of equipment. All shall be capable of: 1)
Withstanding the environment to which they are exposed. 2) Being substantial enough
to prevent removal without the use of excessive force. 3) Locks that cannot be opened
with a common key.

PTW Application

The PTW Application is a work request form initiated by the Authorized Applicant. This
document identifies the work location, the equipment to be worked on, the description
of the activity, and the approximate length of time it will take to complete the work.
Authorized Applicants are required to submit all needed supporting documents (e.g
JSA, MSRA, P&ID, line diagrams, etc.) with the PTW Application to the PTW Office for
approval. The request shall be submitted 24 hours prior to beginning the activity.

The PTW application must be reviewed, approved, and signed by the appropriate
Siemens Senior Authorized Person (SAP) and Construction/Commissioning/Site
Manager (this will be dependent on the project scope and stage of execution of the
project). Once the application is approved, and all signatures are on the document, the
PTW Application becomes the Permit To Work (PTW). The Authorized Applicant may
then return to the PTW Office, sign that he has received the PTW, and work may
begin.

The PTW will remain in the work area as long as work is being performed under that
PTW. The Authorized Applicant will be responsible for maintaining the PTW and
returning the PTW to the PTW Office when the work is complete. If using a single page
PTW Application, the PTW Officer will maintain the original document and issue a
stamped copy to the Authorized Applicant. If using a triplicate form, the PTW Officer
will issue the white copy to the Authorized Applicant, and maintain the green copy (and
a copy of any isolation lists) in the PTW Office.

PTW Categorys

A PTW is required for the following eight categories of work in all projects where
Siemens has the responsibility for construction and/or commissioning. The following
category definitions will provide greater clarification on what type of work requires a
PTW.

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Categories Category Title Definitions

An excavation is man made cut, cavity, or trench, in the ground

created by earth removal or driving an object into the ground.
Category Excavations Excavation includes digging of pits, ditches, boring/drilling, and the
driving of objects into the soil.

Operational areas are plant sections which have been declared

operational per project site instructions or site notes. These
Work In include but are not limited to: Areas with live underground cables,
Category II Operational fuel lines, chemical storage areas, live high-voltage lines, piping,
Areas water treatment systems and any operating plant sections.
**Includes, but is not limited to: Lube Oil Flushing, EHC system
flushing, Air Blows, High Velocity Flushing, etc.**

Restricted Areas Hot works are all activities in which

(Construction): welding, brazing, soldering, cutting,
grinding, asphalt work, etc. is performed
Work within 50 directly on systems and/or individual
feet of filter house plant sections containing combustible
once media materials such as timber, cables, coated
installed piping, paints, plastics, packaging
materials, etc. **After receiving Fuel Gas
Work within 50 and/or Fuel Oil on site, all Hot Work
feet of cooling requires PTW**
tower once media
installed
Category III Hot Work
Within 50 ft
compressed
gas/flammable
storage areas

Inside of
Confined Space

Above or near
installed electrical
cables that could
be damaged by
falling sparks

Radiographic examinations include any activity involving the use of

isotopes or x-ray tubes. Any such activities may only be performed by
approved contractors and qualified persons. The corresponding
Category IV Radiography
requirements are specified in site regulations and site instructions.
Radiographic examinations may not be performed during normal
working hours

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Non-Permit Confined Spaces (No PTW Required)

Non-permit confined space" confined space that does not contain,

or with respect to atmospheric hazards, does not have the
potential to contain any hazard capable of causing death or serious
physical harm.

Permit Required Confined Space confined space which

contains or has the potential to contain, additional
Confined Space hazard.Examples:
Category
Entry
1. Actual or potential hazardous atmosphere to include (oxygen
levels outside the range 19.5-23.5, flammables @10% LEL, toxic
chemicals above the PEL,)

2. engulfment/ entrapment,

3. Other recognized hazards (energized equipment, falls, etc).

Operating Systems are systems which have been declared

operational by the issuance of Site Instructions or Site Notes. The
Work on hand over of individual plant equipment, systems etc. from
Operational erection to commissioning is documented by the issuance of
Category VI
Systems After Erection Clearance Certificates (ECCs).
ECC

Upon the completion of platforms, and their release for subsequent

works, PTW Category VII comes into effect for all contractors who
Modifications of are required to remove, replace (in part or fully), or modify
Category VII Gratings and temporary coverings, gratings, handrails, steelwork, open ended
Hand Rails platforms etc. within any work area.

High Risk Activities include but are not limited to the following:

High Risk Heavy/Complex Cranes Lifts: (PTW plus Lift Plan)

Activities
o Multiple Crane Lifts

o Irregular or off center lifts

o Lifts above 80% of crane capacity

Category
VIII
o Lifts over 50 tons

o When lifting over critical equipment

Work at height where collective fall protection is not available

20ft.

o To include exiting platforms, manlifts, or scaffolds at

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height

Complex scaffolds, other scaffolds tanks, suspended scaffolds,

scaffolds over 20m above ground level)

Pressure Testing:

o Hydrostatic pressure testing or leak testing where the

test pressure or volume of the test medium (generally
water) represents significant risk to site personnel or
site installations, or;

o Pneumatic pressure testing 0.5 bar.

Steam Blows/Air Blows

CV testing.

Work in proximity of High Voltage overhead cables or other

live conductors.
TABLE AMINIMUM CLEARANCE DISTANCES
Voltage Minimum clearance distance
(nominal, kV, alternating (feet)
current)
up to 50 10
over 50 to 200 15
over 200 to 350 20
over 350 to 500 25
over 500 to 750 35
over 750 to 1,000 45
over 1,000 (as established by the utility
owner/operator or registered
professional engineer who is a
qualified person with respect to
electrical power transmission and
distribution).

High Pressure Cleaning, pigging, blasting, or hydro-demolition

where there is risk of projectiles and other flying matter
being produced.

Chemical handling: large volumes, high risk products, large

transports of chemical or other dangerous substances
(necessity of PTW decided on case by case basis).

Workplaces below of the meter level: To control possible gas

concentration in pits etc. (no confined spaces) gas
measurements have to be carried out.

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PTW Database

Database maintained by the Siemens PTW Officer and/or Siemens

Construction/Commissioning/Site Manager and/or designee. It identifies all PTW
Requests, along with the name of the Authorized Applicant (AA), name of the Senior
Authorized Person (SAP), category of work, scope of work, work area, and the dates
that the permit was issued, extended, and returned. Also identifies whether there were
isolations in place, the date that they were installed, removed and/or the date that the
equipment or system was returned to service. (Appendix 8)

Request For First Energization (RFFE)

Procedure to be followed for first energization of feeders/components/ systems on site

and the roles and responsibilities involved in this procedure. Energy sources included
electrical, hydraulic, pneumatic, fuel oil, etc.

Senior Authorized Person (SAP)

Siemens Construction or Commissioning Engineers who have been appointed by site

management to review, approve, and safely execute PTWs. These personnel are
responsible for identifying, de-energizing, and locking-out equipment and systems. The
SAP is responsible for completing the category forms detailing all applicable safety
requirements, and for verifying these requirements are met before signing the PTW.
The site PTW or EHS staff can assist the SAP in this capacity.

SAPs can assign an Authorized Person (AP) to perform isolations as needed. SAP
authorization form is contained in Appendix 4.

Siemens PTW Officer

Individual appointed by Siemens Management to administrate the PTW procedure.

The Siemens PTW Officer is responsible for training Authorized Applicants, training
Senior Authorized Persons, processing PTW applications, executing the PTWs,
controlling the lockboxes, performing field audits to ensure compliance with the PTW
procedure, and executing isolations where applicable. Siemens site EHS Engineer, or
other qualified Siemens Engineer, will be the Siemens PTW Officer.

Tagout Device

Tagout devices shall be used together with lockout devices. The Tagout device/tag
shall be: 1) Red & White in color Danger Do not operate. 2) Shall be made of such
material that exposure to the elements or wet locations will not cause the tag or
message on it to deteriorate or become illegible.

4. Procedure

4.1 General

On project sites where Siemens has the responsibility for construction, installation,
and/or commissioning, implementation of the Siemens PTW procedure is required.

The PTW procedure defines the work categories where a PTW is required. The PTW
procedure specifies the approvals, safety measures, training requirements, and
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periodic inspections needed for compliance with the PTW procedure. The attached
appendices contain the PTW Forms and Checklists.

4.2 PTW Procedure

4.2.1 Preparation of a PTW Authorized Applicant List

The Siemens Construction/Commissioning/Site Manager and the Siemens

PTW Officer shall prepare a list of personnel from Siemens, the contractor, and
the customer, if applicable, that will be authorized to request, prepare and sign
for Permits to Work.

The Authorized Applicants shall attend a site-specific training class conducted

by the Siemens PTW Officer or EHS Engineer to inform them of the procedure,
responsibilities, and requirements; and to ensure they possess the knowledge
and skills needed for the safe application of work under the Permit to Work
Procedure.

4.2.2 Setting up and Implementing the PTW Database

The Siemens PTW Officer shall set up and maintain a PTW Database
(computerized in Microsoft Excel or Access) which identifies all PTW Requests,
along with the name of the Authorized Applicant (AA), name of the Senior
Authorized Person (SAP), category of work, scope of work, work area, and the
dates that the permit was issued, extended, and returned. Also identifies
whether there were isolations in place, the date that they were installed,
removed and/or the date that the equipment or system was returned to service.
(Appendix 8)

4.2.3 Initiating a PTW Request

ALL PTWs shall be requested a minimum of 24 hours in advance of when the

work will be performed. Requests for a PTW can only be made by an
Authorized Applicant, using a Siemens PTW Application, identifying the location
or system to be worked on, scope of work to be performed, duration of the work
and any special provisions. If more than one scope of work is to be performed
on the same equipment/system, a separate PTW shall be issued for each
scope, along with separate locks and tags. Separate PTWs can work under the
same isolations as long as every Authorized Applicant has a lock on the
lockbox holding the keys for the isolations. This requires coordination between
all parties (SAP/AA/PTW Officer/SSM).

A PTW Application shall be completed as follows:

The Authorized Applicant (AA) shall enter his/her name, company,

contact information, a brief description of the type and scope of the work
to be performed, the name/KKS # of the equipment/system to be
worked on, and the date that the PTW is needed. The AA shall include
all relevant supporting documentation or drawings needed to fully
communicate the scope of the work. The AA shall also sign the PTW
application in the appropriate area. No PTW Application will be
processed without the signature of the AA. Once the PTW Application
has been submitted to the PTW coordinator, The Siemens review
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process will begin.

The signed PTW Application will be taken to the PTW Officer for the
following:

- PTW Officer will review the PTW Application to ensure that all
necessary information is provided, all necessary supporting
documents are included, and the PTW Application is signed in
the appropriate area by the AA. If all is correct, the PTW Officer
will sign the PTW in the area indicated and include the date and
time of receipt.

- PTW Officer will enter the PTW Application into the PTW
Database

- PTW Officer will confer with the

Construction/Commissioning/Site Manager for assignment of the
Senior Authorized Person for the PTW

- Identify the type of work using the checkboxes for the 8

categories of work. May have multiple categories but a separate
attachment must be completed for each category of work. Must
be done in conjunction with the SAP

The Siemens Senior Authorized Person or designee (authorized person)

will perform a walk down of the work to be performed. The SAP will
verify that all safety measures identified on the PTW application
(including category attachments) have been completed. If required, they
will identify the isolation points, install the lockout/tagout devices,
document this using the isolation list, and ensure all affected
components are adequately isolated, de-energized, and tested/verified
that the energy has been rendered safe The Siemens Senior Authorized
Person shall ensure the isolation tags are properly completed. After this
is confirmed, the SAP will sign the PTW and forward to the
Construction/Commissioning/Site Manager for final review and
signature.

o If isolations are required, the Siemens PTW Officer shall secure the
keys for the lockout devices in a Lock Box. The Lock Box will have
2 locks at a minimum; the AA in charge of the work and the PTW
Coordinator. Individual workers may attach their personal lock to the
Lock Box, but must inform the PTW Officer, have their lock clearly
identified, and sign onto the PTW. In some countries, it is required to
follow the one man/one lock system. In this case, the AA shall put
his/her lock on the lockbox in the PTW Office, place the key to that
lock in a separate lockbox, and have the crew performing the work
install their individual locks on that lockbox

The Construction/Commissioning/Site Manager will review the PTW

Application, the supporting documents, the category attachments, and if
all is satisfactory, sign the PTW and return to the PTW Officer.

The PTW Officer will contact the AA and inform him/her that the process
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is complete and the PTW is ready. The AA will return the PTW Office,
sign the PTW indicating that he/she has received the PTW, and the
PTW Officer will issue the PTW, with all supporting documentation and
attachments, in a clear plastic document holder.

The PTW, and all supporting documentation and attachments, must be

displayed at the work area while work is being performed under the
PTW.

The Siemens PTW Officer shall periodically inspect the work to ensure
compliance with all safety measures identified on the PTW.

Template for PTW Application is included in Appendix 3

4.2.4 Closing and Cancellation of a PTW

Upon completion of the work, a PTW shall be closed as follows:

The AA shall confirm that the work is completed, all personnel and
equipment have been removed from the area, and, if applicable, that it
is safe to remove the isolation devices and return the equipment to
service.

The AA shall return the PTW to the PTW Office. The PTW Officer will
include the green triplicate form in the PTW (if utilized on the project),
obtain the signature of the AA confirming that the work is complete, and
the AA will remove the lock(s) from the PTW lockbox at this time.

The PTW Coordinator will notify the SAP that the work is complete and
ready for restoration. If isolation was included with the PTW, the PTW
officer will remove his/her lock from the PTW lockbox only when the
SAP is ready to receive the keys. The SAP (or designee) will remove the
locks/tags/isolation devices from the system and return the material to
the PTW Office. The SAP (or designee) will then sign the isolation list
and the PTW to document that the devices have been removed and the
system is restored.

The Construction/Commissioning/Site Manager will then sign the PTW

indicating that the system is accepted and returned to service

If no isolations were required for the PTW, the PTW is closed when
signed by the AA and accepted by the PTW Officer.

Date of PTW closure will be recorded in the PTW database and the
PTW is officially closed.

4.3 Types of Locks/Tags

DANGER - DO NOT OPERATE (RED)

A Danger - Do Not Operate lock/tag shall be placed on all component(s) of a system

when the possibility of operation or energization of the component(s) exists and could
cause harm to personnel working on or near this component(s) or cause damage to
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that, or a related, component(s) of the system. A lock (or isolation device and lock)
shall render the component(s) inoperable. The Siemens SAP, and the
Construction/Commissioning/Site Manager shall be the only persons authorized to
approve and release clearances by signing the PTW (Appendix 3).

More than one contractor or work group may follow the procedure and place Danger -
Do Not Operate tags and lockout devices on a system or component at the same time.

In the case of panel boards with distribution breakers that cannot be rendered
inoperable with locks, tags will be issued for each required panel board breaker with
the tag number or numbers printed on this marker. The wires to the respective
breaker(s) will be determined (wires physically lifted from its terminal fastener) and
taped (isolated) during the entire tagging duration in order to render this circuit
inoperable.

The use of red locks and tags will follow the requirements of Siemens Procedure
P07.1-A127-R00 Lockout Tagout Procedure.

CAUTION (YELLOW)

A CAUTION tag is an informational tag that will be hung on components to provide

specific instructions. It will also be used to identify temporary modifications. Two
examples where yellow tags are used:

1. Should temporary start-up strainers or blinds be used in a piping system, a

yellow tag will accompany it so it will be visible to commissioning and
operations personnel.

2. During a lube oil flush, the commissioning group may allow construction
personnel to operate and monitor the use of permanent pumps after they have
been commissioned. A yellow tag will be hung on the motor starter stating
These lube oil pumps are to be operated by Joe X, Bob Y and Tom Z only as
required to perform the unit lube oil flush.

Caution tags will not be used in the place of Do Not Operate tags. For personnel or
equipment safety only, Do Not Operate tags are permitted.

COMMISSIONING (BLUE)

A Commissioning lock shall be placed on components of a system that have been

constructed, tested, are ready to operate and have been turned over and accepted by
the Commissioning Group for operation. The Commissioning lock designates that
the system or component(s) is under the control of Commissioning personnel and can
be placed in an operable condition at any time (i.e., energized or pressurized).
Operation of equipment after placement of these locks will be by Commissioning
and/or operations personnel only unless written permission is obtained from the
Commissioning Manager or his designee.

Note: Blue locks are to be used for equipment control only, NEVER for personnel
protection.

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4.3.1 Labeling Of Components

After a system has been constructed, tested, and is ready to operate, a PTW
Required sticker/tag/sign shall be placed on each major component of the
system to designate that this system and its components are under the control
of commissioning personnel, and that this system and its components can be in
an operable condition at any time (i.e. energized or pressurized). These
sticker/tag/signs will stay in place until final acceptance of the facility. The
sticker/tag/sign shall be affixed after the final system walkdown when the
system is accepted. It is not necessary to wait for the signed ECC to affix the
sticker/tag/sign, and the sticker/tag/sign shall be placed before any
commissioning work begins. Appendix XX contains the standard design for a
PTW Required sticker/tag/sign.

4.3.2 Work On Equipment During Commissioning

If a situation arises that requires work to be performed on equipment under the

control of Siemens Commissioning, the work must be done using the PTW
process.

4.3.3 Request For First Energization (RFFE)

After confirming a system is ready for energization the responsible

Commissioning Engineer prepares the RFFE (Appendix 15). The RFFE should
be applied for 24 hours before required energization time.

4.4 Training

The Siemens PTW Officer or EHS Engineer shall conduct training classes for all
personnel that will utilize, or be affected by, the PTW Process. Affected Employee
training can be included in the site-specific orientation. A separate training class will be
conducted for all Authorized Applicants.

The AA training shall include, but not be limited to the following: (Appendix 6)

The purpose of the PTW Procedure

.Permit to Work Category Definitions and when the PTW is required

The Safety Requirements of the (8) PTW Categories and the specific safety
measures referenced.

Application of locks and tags used for Commissioning/ and Personal Protection.
To include the installation and release of locks and tags as defined by the
Isolation list

The prohibition and the consequences of unauthorized removal of any lock

out/tag out device, or attempting to restart or re-energize equipment/systems
that are locked out / tagged out.

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Any site-specific requirements found applicable by the Siemens PTW Officer or

EHS Engineer.

After the training class all personnel in attendance shall sign off the Acknowledgement
Form (Appendix 5 or 7) confirming attendance and acknowledging that the PTW
procedure and disciplinary action is understood and will be followed.

The Acknowledgement Form becomes part of Siemens permanent Safety files.

Records should be kept and maintained in the project file for those in attendance.

Retraining classes shall be held for new site personnel, when site conditions change or
whenever a trained worker fails to understand or properly use the procedure.

A detailed description of Authorized Applicant training is included in Appendix 6. Sign

in sheets for Authorized Applicant training and affected personnel training are
contained in Appendix 5 and 7 respectively.

A separate training class covering roles and responsibilities for Senior Authorized
Persons (SAP) will be held and cover the same information as the AA training, but will
also include detailed safety training on the 8 categories of work, detailed instructions
on the PTW process, and detailed instruction on roles and responsibilities for isolating
equipment and/or systems. After completion of this training, the Site Manager will sign
the SAP Authorization Form (Appendix 4) detailing which categories of work the SAP is
qualified for to process and sign PTWs. The completed SAP Authorization Form will
be maintained on file in the EHS or PTW office.

4.5 Disciplinary Action

Any person who willfully operates a valve, switch, or device to which a Lockout/Tagout
device is attached, or willfully removes such a lock/tag without authorization will be
subject to immediate dismissal from the project.

Any contractor starting work without a valid PTW, or without a Siemens Authorized
Person supervising and assuring safe work authorization, will be subject to immediate
dismissal from the project.

Any unauthorized person who willfully places, removes, modifies, or otherwise alters a
safety tag, lock or marker will be subject to immediate dismissal from the project.

The above actions are all considered a violation of the Siemens Zero Tolerance
Behavior procedure. This procedure should be considered in effect for all work under
the PTW process.

4.6 Safety Inspections

The Siemens PTW Officer and/or EHS Engineer will conduct periodic site safety
inspections to ensure compliance with the PTW program and the associated Siemens
safety requirements. These inspections should be documented on the PTW in the
section for spot checks on the category attachment.

4.7 Removal of Locks

Locks shall only be removed by the person who applied the lock.
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In the event the person responsible for applying the lock is not on site, every effort
should be made to contact this person and have them return to site and remove their
lock.

If the lock holder cannot return to site to remove the lock, the Siemens
Construction/Commissioning/Site Manager may remove the lock under the following
conditions, provided the Siemens Lock Removal Form, found in Appendix 2 and/or
P07.1-A127-R00-A001 is utilized:

The equipment/ systems have been verified to be clear of personnel and equipment
and it is safe to remove the lock

A documented effort has been made to contact the person who applied the lock

The person who placed the lock is notified upon their return to the Site that their
lock has been removed. If the person has left site for an extended period of time an
email notification can be used.

A copy of the completed Siemens Lock Removal Form, located in Appendix 2

and/or P07.1-A127 R00-A001 is required to be submitted to EHS and EC
Management.

4.8 Purpose of Referenced Appendices

The eight appendixes that are included with the PTW program are intended to be used
as reference and documentation tools for proper program implementation.

5. References

P07-A012 Description of Commissioning Sequence

P07-A088 Project Health Safety & Environmental (HSE) Plan

P07.1-A127-R00 Lockout/Tagout Program

Siemens Zero Tolerance Behaviors

6. Appendices

Appendix 1: Isolation List

Appendix 2: Lock Removal Form
Appendix 3: PTW Application
Appendix 4: AA Authorization Form
Appendix 5: SAP Authorization Form
Appendix 6: AP Authorization Form
Appendix 7: PTW Training Sign-In Form
Appendix 8: Training SAP/AA
Appendix 9: PTW Database Example
Appendix 10: Category I Attachment: Excavations
Appendix 11: Category II Attachment: Work in Operational Areas
Appendix 12: Category III Attachment: Hot Work
Appendix 13: Category IV Attachment: Radiographic Examinations
Siemens Energy, Inc. Siemens Energy, Inc. 2013 All Rights Reserved. PTW REV 4 PROCEDURE.DOC
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 Procedure No.: P07-A065 Rev. 4
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Appendix 14: Category V Attachment: Confined Space

Appendix 15: Category VI Attachment: Work on Operating Systems
Appendix 16: Category VII Attachment: Modification/Removal of Handrail or Grating
Appendix 17: Category VIII Attachment: High Risk Activities
Appendix 18: RFFE Form
Appendix 19: RFFE Site Instruction SI-01-08
Appendix 20 : PTW Training PowerPoint

Siemens Energy, Inc. Siemens Energy, Inc. 2013 All Rights Reserved. PTW REV 4 PROCEDURE.DOC
Hard Copies of this procedure are uncontrolled.