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Military reference books and manuals (2009-2023, Volume 5) - page 33

 

 

Procedure for Excavations
Page 30 of 32
APPENDIX D - Feedback & Improvement Suggestions
Procedure Feedback & Improvement Suggestions
Project Name: ______________________________
Date: ______________________________________
Name:_____________________________________
Badge Number: _____________________________
Procedure Reference: ________________________
Procedure Title: _____________________________
Improvement Suggestions (Write below your improvement suggestions)
Forward your Improvement Suggestion to the HSSE Manager
Signature: _____________
at the Central HSSE Office, Hyatt Tower 2, 6th Floor
Control Tier:
<<2>>
Revision Date: 14 Sept 2007
Document Number: << AZSPU-HSSE-DOC-00050-2>>
Print Date: 7/24/2010
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Procedure for Excavations
Page 31 of 32
Revision/Review Log
Revision Date
Authority
Custodian
Revision Details
22 October 2004
CHSSE Manager
CHSSE Team
Initial Issue as controlled document
Leader
07 Sept 2007
Alan McNulty
Esmira
General:
(CHSSE Manager)
Akhundova
Throughout the procedure the document
(CHSSE Team
numbering for referred procedures has been
Leader)
changed from UNIF to AzSPU.
Section 1. Introduction:
1.2 Scope; Wording changes. Following
inclusion to Section 1 are; 1.3 Legislation &
Standards, 1.4 Ground Disturbance Golden
Rules of Safety, 1.5 Company Requirements,
1.6 Stopping Unsafe Work, 1.7 Deviations, 1.8
Document Review, 1.9 SSOW Specific Cross
References (new doc control numbers). 1.10
Language Facilitation, 1.11 Procedure
Summary.
Section 2. Responsibilities:
Is now “Definitions & Abbreviations”. New
section.
Section 3. Access Routes:
Is now “Roles and Responsibilities”. Changes
made to the responsibilities of SM, SC, Area
Authority, Machinery Operator.
Section 4. Route Identification and
Preparation:
Is now “Trenches and Excavations”. New
section.
Section 5. Site Safety:
Is now “Access Routes”.
Section 6. Pre-excavation Requirements and
Procedure:
Is now “Route Identification and Preparation”.
Section 7. Excavation Procedures:
Is now “Site Safety”. Under 7.3 Excavator
Operators; Word „certified‟ included into line.
Section 8. Backfilling Procedures:
Is now “Pre-excavation Requirements and
Procedure”. Under 8.4 Excavation Boundaries;
Additional paragraph added. Under 8.7 Risk
Assessment, PTW and Supplementary
Certificates; Bullet point - Cold Work Special
Task Permit changed to - Permit to Work
Certificate.
Section 9. Site Reinstatement:
Is now “Excavation Procedures”. Under 9.1
Excavation Inspections; Second bullet point
changed from - „after rainstorms‟ to „After
severe weather conditions or seismic activity.
Section 10. Documentation:
Is now “Backfilling Procedure”.
Section 11. Is now “Site Reinstatement”.
Control Tier:
<<2>>
Revision Date: 14 Sept 2007
Document Number: << AZSPU-HSSE-DOC-00050-2>>
Print Date: 7/24/2010
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Procedure for Excavations
Page 32 of 32
Section 12. Is now “Documentation”.
Appendices.
Appendix: A, List of Abbreviations and
Definitions moved to section 2 of the main
document. Appendix A is now Emergency
Procedure in the Event of Pipeline Damage.
3 new appendices included to the document as
follows:
Appendix B: Excavation Inspection Checklist
Appendix C: Procedure Summary
Appendix D: Feedback & Improvement
suggestions
Control Tier:
<<2>>
Revision Date: 14 Sept 2007
Document Number: << AZSPU-HSSE-DOC-00050-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 1 of 15
Procedure for Fire Protection
AZSPU-HSSE-DOC-00051-2
This number supersedes UNIF-HSE-PRO-159-C1
Authority:
<< AzSPU Central HSE
Custodian:
<< Safety TL >>
Manager >>
Scope:
<< AzSPU >>
Document
Administrator:
<< Document Asset Technician Name >>
Issue Date:
<< 05 October 2004 >>
Issuing Dept:
<< CHSE >>
Revision Date:
<< 05 October 2004 >>
Control Tier:
<< 2 >>
Next Review
<< 05 October 2005 >>
Date:
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 2 of 15
TABLE OF CONTENTS
1
INTRODUCTION
3
1.1
DOCUMENT PURPOSE
3
1.2
DOCUMENT SCOPE
3
2
2 RESPONSIBILITIES
3
2.1
SITE MANAGER / OFFSHORE INSTALLATION MANAGER
3
2.2
AREA AUTHORITY
4
2.3
ALL PERSONNEL
4
3
FIRE PREVENTION
4
3.1
HOUSEKEEPING AND PROCEDURES
4
3.2
RISK ASSESSMENTS
6
3.3
HAZARDOUS AREAS
6
3.4
HANDLING AND STORAGE OF FLAMMABLE SUBSTANCES
7
3.5
FIRE PROTECTION OF BUILDINGS AND PLANT
8
4
FIRE DETECTION
8
4.1
FIXED FIRE DETECTION SYSTEMS
8
4.2
MANUAL FIRE DETECTION
9
4.3
PERSONNEL RESPONSE TO FIRE ALARM
10
5
FIRE PROTECTION
11
5.1
FIXED FIRE FIGHTING EQUIPMENT
11
5.2
PORTABLE FIRE FIGHTING EQUIPMENT
11
6
TRAINING AND DRILLS
13
6.1
TRAINING PROGRAMME
13
6.2
TRAINING RECORDS
13
6.3
PRACTICE DRILLS
13
APPENDIX A - DEFINITIONS
14
APPENDIX B - CHECKLIST FOR FIRE SAFETY MANAGEMENT
15
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 3 of 15
1
INTRODUCTION
1.1 DOCUMENT PURPOSE
This Safe System of Work provides the information necessary for ensuring the safety
of personnel, buildings, installations, and plant with regard to fire prevention,
detection and protection.
1.2 DOCUMENT SCOPE
The contents of this Safe System of Work apply to all BP owned or managed sites in
Azerbaijan and Georgia and all personnel employed on those sites.
This Safe System of Work does not remove the responsibility for compliance with
local legislation and statutory requirements, which shall be complied with at all times.
2 RESPONSIBILITIES
2.1 SITE MANAGER / OFFSHORE INSTALLATION MANAGER
Site Managers and Offshore Installation Managers shall develop appropriate
instructions for fire protection and prevention and associated emergency procedures
using the contents of this document as a guideline and where necessary by
consulting with relevant expert authorities.
In particular, Site Managers and Offshore Installation Managers are responsible for:
 on-site compliance with this safe System of Work
 the formulation, implementation and continual review of fire protection,
prevention and emergency procedures on their site or installation
 the development of a contingency plan to fight fires in the event of the non-
availability of fire protection or fire fighting personnel
 ensuring all personnel undergo regular training and drills in fire protection and
that all personnel employed on the site are in possession of relevant and up-
to-date fire fighting training certificates
Note: In some cases, the requirement for individual certification may be
waived at the Site Manager’s or Offshore Installation Manager’s
discretion (for example, for manufacturer’s representatives or
service hands who may be on site on a one-off basis and for only a
short period of time)
 ensuring an inspection and maintenance schedule is in place for:
o fixed and portable fire fighting systems and equipment
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 4 of 15
o fire detection systems.
2.2 AREA AUTHORITY
Within their particular areas, Area Authorities are responsible for ensuring:
 compliance with this safe System of Work
 that fire prevention and housekeeping standards are maintained at all times
 that all fire fighting equipment is in date and fully functional
 that all activities are carried out in a safe and responsible manner with regard
to fire risks, and that Risk Assessments are carried out wherever necessary.
2.3 ALL PERSONNEL
All personnel, including contractors, are responsible for the prevention and detection
of fire. In particular, all personnel are responsible for:
 immediately informing their supervisor of any situation that they consider to
be a potential fire risk
 conducting themselves and their work in a fire-safe manner
 ensuring that they are aware of and fully understand the actions they must
take in the event of a fire alarm
 ensuring that they are fully aware of the actions they must take on
discovering a fire.
3 FIRE PREVENTION
Prevention is the first line of defence against fire. All reasonably practicable
measures shall be taken to reduce the fire risks to as low as reasonably practicable.
3.1 HOUSEKEEPING AND PROCEDURES
Properly established and applied housekeeping procedures are required in order to
reduce both the risk of fire and the ultimate consequences should a fire occur.
3.1.1 Work Areas and Walkways
No materials, flammable or otherwise, should be allowed to accumulate in the
workplace or in walkways, where they can present direct fire hazards or obstruct
attempts to deal with a fire.
 Work areas and walkways should be kept free of any unnecessary flammable
materials, including:
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 5 of 15
o flammable materials or agents no longer required for the activity
o combustible waste (for example, wood shavings, flammable dust)
o packaging materials, particularly plastics and polyester foam waste
which, when ignited, can give off large amounts of dense, black
smoke and toxic fumes.
All spills involving flammable liquids shall be cleaned up immediately. Where
necessary, suitable cleaning materials should be provided and used.
Flammable liquids should be dispensed over a drip tray, the contents of which
should be disposed of at frequent regular intervals
(for example, on
completion of dispensing activities)
Where necessary, working areas should be kept free of flammable dust
accumulation by regular cleaning, and vacuuming spillages as they occur.
3.1.2
Waste Materials
Suitable containers must be provided for waste materials. These containers
must be clearly labelled with regard to their use and contents.
Oily or paint soaked rags, waste, or clothing shall be placed in closed, metal
containers that shall be emptied frequently, ensuring safe disposal of their
contents.
Contaminated waste materials should be disposed of safely in accordance
with the Environmental Management System. If necessary, waste disposal
experts should be used.
3.1.3
Working Practices
Keep containers closed when not in use. If possible, use safety containers
with self-closing lids.
Only dispense flammable liquids in a safe place where there is good
ventilation and no source of ignition.
Take extra care when dealing with, or working close to, engine fuels, solvents
and thinners. Nearly all refined liquid petroleum products will emit a flammable
vapour and may convert naturally to a gaseous state at or below
temperatures found in a normal working environment
Do not use flammable liquids for cleaning machinery or machine parts.
Suitable signs should be posted in areas where ignition sources or flammable
materials are likely to be in use
Identified fire risks should be dealt with immediately
Note: In accordance with BP’s Golden Rules, all personnel are obliged to
stop work if they consider that work to be unsafe. This includes the
risk of fire.
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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3.2 RISK ASSESSMENTS
3.2.1 All Activities
Risk Assessments shall assess the potential for a fire and its possible
consequences. In particular, Risk Assessments should address the:
 existence of planned and accidental ignition sources
 proximity of combustible materials to the work area or storage area
 possible consequences of fire and the possibility of the fire spreading to
adjacent areas
 provision of suitable and adequate fire fighting equipment and personnel
 requirement for contingency plans in the event of a fire or spillage
 competency of personnel involved in the work and of those who may be
required to deal with the initial outbreak of a fire.
3.2.2 Hot Work
Hot Work, spark potential or naked flame, shall only take place under the control of a
Permit to Work that is supported by a formal Risk Assessment.
See also 3.4 Hazardous Areas.
3.3 HAZARDOUS AREAS
3.3.1 Area Classification
Areas are classified as hazardous or non-hazardous using recognised standards.
The process of identification of hazardous areas is a multi-discipline task performed
by Process and Safety Engineers in the development of a hazardous area
classification.
The areas may be classified as:
Zone 0: in which a flammable atmosphere is continuously present or present for long
periods.
Zone 1: in which a flammable atmosphere is likely to occur in normal operation.
Zone 2: in which a flammable atmosphere is not likely to occur in normal operation,
and if it does it will exist for only a short time.
Non-Hazardous: in which an area is not one of Zone 0, 1 and 2.
3.3.2 Plant and Equipment in Hazardous Areas
Equipment and plant used in Zones 0, 1, and 2 must be explosion proof and
electrical devices must be intrinsically safe.
Any source of unplanned ignition, including mobile phones, matches and cigarette
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 7 of 15
lighters shall not be taken into these areas.
3.3.3 Motor Vehicles and Internal Combustion Engines
Special precautions are required for the use of motor vehicles and internal
combustion engines. In particular:
 motor vehicles and internal combustion engines shall not be allowed in Zones
0 and 1
 motor vehicles and internal combustion engines shall only be allowed into
Zone 2 under a Hot Work (Spark Potential) Permit.
3.3.4 Hot Work in Hazardous Areas
All hot work, in a hazardous area or otherwise, shall only be carried out under the
control of a Hot Work permit, either spark potential or naked flame. The issue of a
Hot Work permit is dependent upon the results of a formal Risk Assessment that
shall fully address the fire risks involved and the Hazardous Zone classification.
Note: It is BP policy to avoid hot work in hazardous areas wherever practicable. It
is the role of engineers planning the work to minimise the need for hot work
and provide cost effective alternatives by careful consideration during the
design and planning phase.
3.4 HANDLING AND STORAGE OF FLAMMABLE SUBSTANCES
3.4.1 Handling
 Site Managers and Area Supervisors shall be aware of hazardous and
flammable materials that are used or stored within their areas of responsibility
and shall have contingency plans in place for dealing with spills and fires
involving these materials
 Personnel handling flammable materials shall be suitably qualified and trained
in the use and properties associated with those materials
 Personnel handling or dealing with flammable substances shall be equipped
with suitable personal protective equipment, including but not necessarily
limited to face protection, hand protection and fire-proof overalls
 Suitable fire fighting equipment shall be made available in areas where
flammable substances are handled.
3.4.2 Storage
 Site Managers and Area Authorities shall be aware of all flammable materials
stored within their areas of authority
 Flammable substances shall not be stored near to sources (potential or real)
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 8 of 15
of flame, high heat or near other combustible materials
 Flammable substances shall be stored in secure storage areas or facilities
 Storage areas for flammable liquids and gases shall be well ventilated in
order to promote rapid dispersal of vapours given off from leaks, spills or
unplanned releases
 Storage areas for flammable substances shall have signs and notices clearly
posted warning personnel that flammable substances are present
 Where necessary, storage areas shall be equipped with adequate
containment facilities, for example trays or bunding, to prevent spills from
spreading to other areas
 Containers used for flammable materials shall be clearly and accurately
labelled with regard to their contents
 Glass containers shall not be used for storing flammable liquids.
3.5 FIRE PROTECTION OF BUILDINGS AND PLANT
As a minimum, building work shall comply with local authority requirements.
New and altered buildings / installations and work sites shall be formally assessed
and adequate provision made for:
 fire detection
 fire fighting equipment (fixed and portable)
 personnel escape routes.
Note: Any buildings, installations, or sites undergoing structural alterations or a
change of use must be reassessed for the above points.
4 FIRE DETECTION
4.1 FIXED FIRE DETECTION SYSTEMS
4.1.1 Description and Types
The most types of fire detection system used on BP sites and installations in
Azerbaijan and Georgia are:
Heat detectors (electro-pneumatic; electronic; heat sensing wire; quartzoid bulbs)
Smoke detectors (photo-electric cell, ionisation detectors, continuous air sampling)
Flame detectors (infra-red detectors, ultra violet detectors)
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 9 of 15
4.1.2 Location and Use
As a minimum, fixed fire detection systems shall be located and used in accordance
with the manufacturer’s recommendations and in accordance with local legislation.
Detection systems shall not be modified in any way without undergoing a thorough
Risk Assessment. Any modification must only be carried out in accordance with
UNIF-HSE-PRO-312 Management of Change.
All modifications shall be recorded and held on site.
4.1.3 Operation
Fire detection systems shall include an automatic alarm system that:
 alerts personnel to an outbreak of fire
 provides indication of where the fire is.
 activates a fire suppression system (for example, sprinkler system).
If for any reason these facilities must be overridden:
 personnel must be informed (for example by public announcement)
 smoking shall not take place in the affected area
 any hot work in the affected area shall only be allowed under the control of a
Permit to Work and only when alternative arrangements for fire detection and
protection have been arranged (for example, the use of fire watchers).
4.1.4 Inspection and Maintenance
Fire detection systems should be inspected and maintained by a competent person
and in accordance with the manufacturer’s instructions and recommendations. The
Site Manager / Offshore Installation Manager shall ensure that a suitable inspection
and maintenance programme is in place for fixed detection systems.
Inspection results and any repairs carried out to a fixed fire detection system must be
recorded and held on site for future reference.
4.2 MANUAL FIRE DETECTION
4.2.1 Site Specific Procedures
Note: The procedures to be adopted upon discovering a fire, or hearing the fire
alarm, are site specific and will vary between locations. For example, on an
offshore installation, some personnel might not evacuate immediately but
are required to remain at their place of work in order to make plant and
equipment safe or to form part of the fire fighting team. For this reason the
information given here is of a generic nature only.
Personnel shall be made aware of site-specific fire and emergency procedures
during their initial safety induction. The induction should cover:
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
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 action to take in the event of a fire
 escape routes and muster points
 manual alarm point locations
 extinguisher locations
In addition, fire and muster instructions shall be posted at strategic locations around
the site.
Note: At all times, personnel are responsible for making themselves aware of the
fire and emergency procedures relevant to their location.
4.2.2 Person Discovering Fire
Personnel discovering a fire should:
1. Raise the alarm the alarm by shouting “FIRE FIRE FIRE”.
2. If the fire is small and easily extinguishable and a suitable extinguisher is
available, attempt to put out the fire without endangering themselves or
others
or…
if the fire is not easily extinguishable or the initial attempt to extinguish the fire
fails, evacuate the area closing any doors en route.
3. Follow the fire and emergency procedures specific to the site / installation.
4.3 PERSONNEL RESPONSE TO FIRE ALARM
Note: The procedures to be adopted upon discovering a fire, or hearing the fire
alarm, are site specific and will vary between locations. For example, on an
offshore installation, some personnel might not evacuate immediately but
are required to remain at their place of work in order to make plant and
equipment safe or to form part of the fire fighting team. For this reason the
information given here is of a generic nature only.
Upon hearing the fire alarm, personnel should:
1. Switch off / make safe the equipment they are using and leave the area /
building by the nearest safe exit, closing doors and windows behind them
2. Proceed in accordance with local fire and emergency procedures.
Note: Personnel should not delay from evacuating to collect their personal belongings.
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 11 of 15
5 FIRE PROTECTION
5.1 FIXED FIRE FIGHTING EQUIPMENT
5.1.1 Description and Types
The most common types of fixed fire fighting systems are:
 Sprinklers
 High Velocity Water Spray (Automatic and Manual)
 Medium Velocity Water Spray (Automatic and Manual)
 High Expansion Foam Flooding Systems (Fixed and Portable)
 CO2 Fire Suppression Systems (may be used in unmanned areas).
5.1.2 Location and Operation
As a minimum, fixed fire fighting systems shall be located and used in accordance
with the manufacturer’s recommendations and in accordance with local legislation.
Fixed fire fighting systems shall not be modified in any way without undergoing a
thorough Risk Assessment. Any modification must only be carried out in accordance
with UNIF-HSE-PRO-312 Management of Change.
All modifications shall be recorded and held on site.
5.1.3 Inspection and Maintenance
As a minimum, fixed fire fighting systems should be inspected and maintained by a
competent person and in accordance with the manufacturer’s instructions and
recommendations and local legislation. The Site Manager / Offshore Installation
Manager shall ensure that a suitable inspection and maintenance programme is in
place for fixed fire fighting systems.
Inspection results and any repairs carried out to a fixed fire fighting system must be
recorded and held on site for future reference.
5.2 PORTABLE FIRE FIGHTING EQUIPMENT
5.2.1 Description and Types
Water: Water filled extinguishes are suitable for use on fires involving paper,
wood, and rubbish.
Warning: Water extinguishers must not be used on electrical fires where
there is a possibility of the water coming into contact with
electrical sources.
Foam: Foam filed fire extinguishers may be used successfully on fires
involving paper, wood and general rubbish. However, foam fire extinguishers
are primarily designed for use on oil fires.
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Warning: Foam extinguishers must not be used on electrical fires where
there is a possibility of the foam coming into contact with electrical
sources.
Dry Powder: Dry powder filled extinguishers may be used on fires involving
rubbish and oil and may also be used on electrical fires. However, the use of
dry powder on electrical equipment usually makes that equipment unusable.
Carbon Dioxide (CO2): CO2 extinguishers are intended for use on electrical
fires only. If used on fires involving rubbish and debris, the pressure from the
extinguisher is likely to disturb the seat of the fire and spread burning material.
For the same reason they are not suitable for oil based fires.
5.2.2 Location
Portable fire fighting equipment must be placed in accordance with local fire
regulations, national fire protection guidelines and any other requirements.
The location of all portable fire fighting equipment should be shown on safety plans
placed at strategic locations around the site / installation.
5.2.3 Operation and Use - Recharging
All extinguishers must be recharged immediately after each use. Chemicals must
never be mixed, as the resulting chemical reactions may damage the extinguisher.
Recharging must only be done by trained personnel.
5.2.4 Inspection and Maintenance
All maintenance of portable fire fighting equipment must be carried out by a
competent person and in accordance with the manufacturer’s recommendations and
local legislation.
The following inspections represent the minimum requirements of any inspection
programme:
 All extinguisher units must be in the designated location and clearly visible.
Signs or painted red backg2rounds may be used to identify extinguisher
locations.
 All extinguishers must be visually checked every month to ensure operational
reliability (for example, seals are in place, nozzles and hoses are free from
damage and the units can be accessed easily).
 Annual inspections must be performed as per manufacturer’s specifications
and applicable regulations.
 Inspection results shall be documented for each extinguisher unit and
retained on file at the local site.
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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6 TRAINING AND DRILLS
6.1 TRAINING PROGRAMME
All personnel are required to be knowledgeable on the common causes and types of
fire and must be familiar with the use of fire fighting equipment. This is achieved by
the use of a comprehensive training programme that includes:
 established training courses for all personnel joining a BP installation,
including a schedule of planned and regular refresher courses
 regular on-site drills and practices.
6.2 TRAINING RECORDS
Training records for all personnel shall be held on site. In particular, for offshore
installations, all personnel shall have completed their training before being allowed
offshore unless the Offshore Installation Manager grants dispensation (for example,
for contractor personnel who shall only be offshore on a one-off basis and only for a
limited period).
6.3 PRACTICE DRILLS
Practice drills shall be held at regular intervals according to an established
programme. The drills shall be used to practice and improve personnel skills and
knowledge in fire fighting techniques and also to highlight any shortcomings in
established fire fighting procedures.
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
Document Number: << AZSPU-HSSE-DOC-00051-2>>
Print Date: 7/24/2010
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Procedure for Fire Protection
Page 14 of 15
APPENDIX A - DEFINITIONS
Fire Protection:
All measures used to minimise injury and loss through fire,
including procedures, design, selection, installation and
maintenance.
Fire Prevention:
Procedures used to minimise or prevent fire.
Fire Detection
Equipment designed to detect fire and raise the alarm.
Systems:
Fire
Systems designed to suppress or extinguish fires through
Suppression
automatic or manual activation.
Systems:
Emergency
Planned measures designed to minimise the risk of injury in an
Procedures:
emergency situation.
Combustible:
The property of any material or substance that will readily burn.
Flammable:
The property of a substance that ignites easily, burns intensely
and has a rapid flame-spread.
Flash Point:
The lowest temperature at which a flammable or combustible
liquid gives off vapours to form an ignitable mixture with air.
Ignition
The lowest temperature at which a mixture of vapour and air will
Temperature:
ignite without a spark or flame. The term also applies to the
temperature of a hot surface that can ignite flammable vapours.
Flammable or
The range between the smallest and largest amounts of vapour
Explosive
in a given quantity of air that will explode or burn. The amount is
Range:
usually given in percentages and are based on normal
atmospheric temperatures and pressures.
Water
The capability of a flammable or combustible liquid to be soluble
Solubility:
in water.
Spontaneous
Ignition due to the rapid oxidation of a substance that generates
Combustion:
enough heat for ignition to occur.
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APPENDIX B - CHECKLIST FOR FIRE SAFETY MANAGEMENT
Note: This checklist in this appendix is provided as an aide memoir only, and is not
intended for use as an approved test certificate or an official document:
CHECKLIST FOR FIRE SAFETY MANAGEMENT
Ensure that written fire safety and emergency evacuation instructions are
provided, properly displayed and regularly updated.
Ensure that all means of escape from buildings, installations and work areas
are properly indicated and readily accessible.
Ensure that adequate fire fighting equipment is provided, correctly located
and indicated.
Make all personnel aware of the location of escape routes, fire alarms and fire
fighting equipment.
Arrange training in the use of fire fighting equipment.
Keep readily combustible materials and flammable liquids to a minimum
consistent with reasonable requirements and ensure that relevant statutory
requirements, codes and client standards are observed, particularly during
cutting and welding operations.
Ensure that good housekeeping is practised, for example, the removal of
unwanted rubbish and packing materials from the work area.
Ensure that an annual fire safety audit of all premises is carried out.
Refer to the HSE Adviser in the event of queries.
Revision/Review Log
Revision Date
Authority
Custodian
Revision Details
<<05 october
<< Alan McNulty
<<Esmira
<< Initial Issue>>
2004>>
>>
Akhundova >>
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Procedure for Gas Detection Equipment
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Procedure for Gas Detection Equipment
AZSPU-HSSE-DOC-00052-2
This number supersedes UNIF-HSE-PRO-201-C1
Authority:
<< AzSPU Central HSE
Custodian:
<< Safety TL >>
Manager >>
Scope:
<< AzSPU >>
Document
Administrator:
<< Document Asset Technician Name >>
Issue Date:
<< 05 October 2004 >>
Issuing Dept:
<< CHSE >>
Revision Date:
<<05 October 2004>>
Control Tier:
<< 2 >>
Next Review
<< 05 October 2005>>
Date:
Control Tier:
<<2>>
Revision Date: <<05 October 2004>>
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Procedure for Gas Detection Equipment
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TABLE OF CONTENTS
1
INTRODUCTION
3
1.1
DOCUMENT PURPOSE
3
1.2
DOCUMENT SCOPE
3
2
RESPONSIBILITIES
3
2.1
SITE MANAGER
3
2.2
AREA AUTHORITY
3
2.3
GAS TESTERS
3
3
GAS DETECTORS (TYPE AND USE)
4
3.1
ALL GAS DETECTORS
4
3.2
FIXED GAS DETECTORS
4
3.3
PORTABLE GAS DETECTORS
4
4
FIXED GAS DETECTION SYSTEMS
4
4.1
LOCATION AND USE
4
4.2
SYSTEM FAILURE
4
4.3
LOWER EXPLOSIVE LIMITS (ALARM AND SHUTDOWN LEVELS)
5
4.4
CALIBRATION
5
4.4.1
Frequency
5
4.4.2
Calibration Records
6
5
PORTABLE GAS DETECTORS
6
5.1
ISSUE AND USE
6
5.1.1
Issue
6
5.1.2
Use
6
5.2
GAS TESTERS
7
5.2.1
Gas Tester Level 1
7
5.2.2
Gas Tester Level 2
7
5.3
OPERATION
7
5.3.1
Personal Protective Equipment
7
5.3.2
Test Criteria
7
5.3.3
Test Location
9
5.3.4
Reading Interpretation
9
5.3.5
Handling Portable Gas Detectors
9
5.4
CALIBRATION
10
5.4.1
Before Use
10
5.4.2
Additional Calibration
10
5.4.3
Calibration Method
10
5.4.4
Calibration Records
10
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Procedure for Gas Detection Equipment
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1 INTRODUCTION
1.1 DOCUMENT PURPOSE
This Safe System of Work provides the guidelines and procedures necessary to
ensure a safe working environment through the:
 controlled and systematic monitoring for combustible gas using:
- fixed gas detection systems
- portable gas detection equipment
 regular maintenance of gas monitoring equipment
 use of suitably trained and authorised Gas Testers.
1.2 DOCUMENT SCOPE
The contents of this Safe System of Work are applicable on all BP owned and
managed sites and installations in Azerbaijan and Georgia and to all personnel
employed on those sites and installations.
2 RESPONSIBILITIES
2.1 SITE MANAGER
The Site Manager / OIM is responsible for:
 formally appointing suitably qualified and experienced persons to carry out:
 gas testing
 gas testing instrument calibration and testing
 ensuring that fixed gas detection systems on the site
/ installation are
maintained in an operational state
 ensuring that procedures are in place that ensure gas testing is carried out
wherever necessary.
2.2 AREA AUTHORITY
Area Authorities are responsible for ensuring that gas tests are carried out within their
area of responsibility wherever there is any possibility that combustible gas might be
present.
2.3 GAS TESTERS
Authorised Gas Testers are responsible for carrying out gas tests to the level to
which they are authorised.
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3 GAS DETECTORS (TYPE AND USE)
3.1 ALL GAS DETECTORS
Gas detectors shall:
 be used wherever there may be a risk to people or property caused by the
presence of flammable gas
 be designed to issue suitable audible or visual warnings that alert personnel
to the presence of flammable gas.
3.2 FIXED GAS DETECTORS
Fixed gas detectors are detectors that are permanently placed at strategic locations,
and where deemed appropriate by local management, to monitor conditions on a
continuous basis. In particular they are placed wherever it is thought that combustible
gas could collect following an uncontrolled and unplanned release.
Note: Fixed gas detection systems may initiate specific safety actions automatically.
3.3 PORTABLE GAS DETECTORS
Portable gas detectors are often used during activities that take place where
flammable gas could exist, for example, in confined spaces. In most cases, the use
of portable gas detection equipment will be called for by the work procedure /
instruction.
4 FIXED GAS DETECTION SYSTEMS
4.1 LOCATION AND USE
Fixed or automatic combustible gas detectors/systems may be used to initiate a
number of automatic safety actions, including:
 visual and audible warnings
 plant / equipment shutdown
 operation of fire extinguishing systems
 installation evacuation alarm.
4.2 SYSTEM FAILURE
Any malfunction, abnormal condition, or failure of the fixed gas detection system that
prevents the safe operation of plant and machinery, shall initiate an automatic shut
down of that facility.
Note: When the facility operates on purchased electrical power, shutdown features
must incorporate adjustable time delays to prevent plant shutdown from short
duration power outages. Automatic restart systems shall be overridden by the
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shutdown system.
Partially attended sites / facilities (those which are not manned 24 hours a day)
must have suitable provisions incorporated so that affected plant / equipment can be
automatically shutdown for 24 hours without causing damage to the facility.
In partially attended facilities, any malfunction, abnormal condition, or failure of the
fixed gas detection system that actuates a plant or machinery shutdown must also
actuate a visual enunciator. A remote signalling device must be actuated during
unattended periods.
In fully attended facilities, each any malfunction, abnormal condition, or failure of
the fixed gas detection system that actuates a plant or machinery shutdown must
actuate a visual and audible alarm prior to the shutdown. These alarms must actuate
sufficiently ahead of each shutdown point to give time for corrective measures to
prevent a shutdown.
4.3 LOWER EXPLOSIVE LIMITS (ALARM AND SHUTDOWN LEVELS)
Concentrations of combustible gases that will trigger alarms and shutdowns shall be
as follows. These are maximum set values. Set points may be lower.
10% Lower Explosive Limit - Low alarm, actuate alarms/enunciator
50% Lower Explosive Limit - High alarm, may or may not actuate
shutdowns, depending upon the capability of the facility.
4.4 CALIBRATION
4.4.1 Frequency
Combustible gas detection systems shall be calibrated in accordance with the
manufacturer’s recommended procedures or at least every 3 months, whichever is
more frequent.
Calibration Gas Tanks
Gas detectors are usually calibrated using gas from a calibration gas tank. It is a
good safety practice to install a tube from floor level to detectors placed at high levels
and ceilings. This permits introduction of the calibration gas through the tubes at
ground level.
The contents of the calibration gas tank are under pressure. Therefore the following
precautions should be observed at all times:
 Do not allow oil, grease or flammable solvents to contact the flow control of
the calibration gas tank.
 Do not store calibration gas tanks near heat or fire, or in room used for
habitation.
 When the tank is exhausted, discard in a safe place such as burial in the
earth or in sanitary landfill.
 Do not throw in fire or incinerate.
 Do not puncture.
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 Keep out of the reach of children.
 It is not permitted and it is hazardous to refill these gas tanks.
 Do not attach the calibration gas tank to any other apparatus other than
described above.
4.4.2 Calibration Records
Records must be maintained on the calibration of these instruments at the site /
installation. Records should include the:
 detector location
 detector make/mode
 detector type
 date of calibration
 calibration results
 name of the person who completed the calibration.
5 PORTABLE GAS DETECTORS
5.1 ISSUE AND USE
5.1.1 Issue
Portable gas detectors must only be used:
 in accordance with the manufacturer’s instructions for determining the lower
explosive limit of combustible gas in the air
 by personnel trained in their use.
Note: On BP sites and installations in Azerbaijan and Georgia this means that
portable gas detectors may only be used by authorised Gas Testers.
5.1.2 Use
Portable gas detectors, or explosimeters, use a set of batteries to measure the
oxidation rate of the combustible gas. This measurement is then read from a meter
showing the gas combustibility.
Portable combustible gas detectors shall be used when:
 introducing flame into an area which may contain a flammable atmosphere.
 lighting fired heater vessels.
 issuing hot work permits.
 doing all confined space entry work
 leak seeking
 verifying gas-free conditions.
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5.2 GAS TESTERS
Personnel required to operate portable gas detectors shall have completed the
training programme for Authorised Gas Tester Level 1 or Level 2 and shall be
formally appointed by the Site Manager for carrying out gas test (see Safe System of
Work UNIF-HSE-PRO-104 Authorisation).
All training will be conducted by qualified personnel only and will be documented and
kept on file.
5.2.1 Gas Tester Level 1
An Authorised Gas Tester Level 1 is authorised to test for the presence of flammable
gas or vapour, toxic gas and oxygen, and in particular to test atmospheres in
‘Confined Spaces’ as defined in UNIF-HSE-PRO-108 - Confined Space Entry
5.2.2 Gas Tester Level 2
An Authorised Gas Tester Level 2 is authorised to test for the presence of flammable
gas or vapour.
5.3 OPERATION
5.3.1 Personal Protective Equipment
Warning: It must be understood that testing an area because there is a possibility of
a hazardous condition, the person conducting the test must be protected
from the potential hazard and be properly equipped with the necessary
safety equipment.
Fire resistant clothing is advisable where it is available.
5.3.2 Test Criteria
Testing procedures must conform to the following criteria.
 The test must be valid and accurate which means that the correct instrument
of known accuracy was used in such a manner as to give the true picture.
 The person using the instrument must make sure that the instrument is giving
reliable information and that it is interpreted correctly.
 The goal of the test is not to show vapours within certain limits but to show the
actual picture of the entire contents of the space. If the presence of a vapour
is indicated, the space or area must be re-evaluated to determine why, and
corrective measures must be taken before work proceeds.
 Field calibration records must be documented by the tester. This
documentation should include the serial number of the unit, the date and
results of the calibration and the name of the person performing the
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calibration/gas testing.
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5.3.3 Test Location
Location is important because the hazard may be restricted to a small portion of the
entire volume. Therefore, it is important to test the whole volume. If the vapour or
gas has a specific gravity which is different from that of air, there may be lighter
gases collecting at the top of the space while the heavier ones will hug the floor and
collect in pits and sumps.
Note: Most flammable gases are heavier than air and will settle in low-lying areas.
5.3.4 Reading Interpretation
The operator must always watch the meter while testing. The needle can quickly rise
and fall in a high concentration and come to rest on that part of the scale that would
indicate a safe reading, yet in actual fact, an extremely dangerous concentration
could exist. This is particularly evident when strong concentrations of explosive
vapour are in an oxygen deficient atmosphere.
Some instruments cannot be used in oxygen deficient atmospheres. In these cases
detector tubes will be used to give accurate readings.
5.3.5 Handling Portable Gas Detectors
Sampling Hoses:
Select the correct sampling hose for the specific application and always use the
shortest length of sampling hose
(this will minimize the possibility of vapours
condensing in the hose).
Before Use:
Before use, check the:
 calibration of the instrument to be sure it is reading accurately.
 battery voltage and/or zero adjustment periodically.
 instruments for tightness.
Purging:
Whenever a reading is obtained, purge the instrument in fresh air, and take a second
test to be certain of an accurate reading.
Purge the indicator by drawing in fresh air, even if another sample is not to be taken
right away, as this removes any possibility of contamination by corrosive gases in the
combustion chamber.
Restrictions in Use:
Warning: Do not remove the flashback arrestors from the instrument. They
prevent the explosion that occurs in the combustion chamber from
passing back to the mixture being sampled.
 Do not sample high temperatures with a cold instrument. Condensation may
occur and give a false reading. Whenever possible, the instrument must be at
the same temperature as the vapour being sampled.
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 Do not use the indicator for sampling gasoline vapours containing TEL
(tetrathylead, liquefied lead additive) unless the indicator has been approved
for this specific application.
 Do not let the sampling hose or probe reach into a liquid.
 Do not adjust the voltage when a sample is in combustion chamber.
5.4 CALIBRATION
5.4.1 Before Use
Portable combustible gas indicators shall be inspected and field calibrated, in
accordance with the manufacturers instruction, prior to use.
All field calibration tests will be done upwind, in a clean fresh air environment, away
from the area to be tested. The reasons for testing in this area are to ensure:
 the instrument is not contaminated and therefore may give false readings.
 that personnel are in a safe working environment.
5.4.2 Additional Calibration
If the instrument is to be used numerous times during a shift, it may only be
necessary to calibrate prior to the initial use unless the instrument:
 has been dropped
 used in a highly contaminated environment
 has been subjected to fluid entry
 has been subjected to extreme temperature change.
5.4.3 Calibration Method
There are two steps to thorough calibration:
 Set the Zero in air and the span using a certified known gas /air calibration
gas.
 Perform a function test in the field (a solvent marker will be enough to activate
the alarm on a combustible gas sensor).
Note: Function tests do not replace calibration. Function tests are only used to
confirm operation of the sensor and alarms.
Warning: Using a butane lighter to activate the alarm during function testing is
dangerous
5.4.4 Calibration Records
Field calibration and maintenance records must be documented by operating
personnel and maintained on file at the local field office.
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Records must be maintained on the calibration of these instruments at the installation
/ local field office. Records should include the:
 detector make/mode
 detector type
 date of calibration
 calibration results
 name of the person who completed the calibration.
Revision/Review Log
Revision Date
Authority
Custodian
Revision Details
<<05 October
<< Alan
<< Esmira
Initial Issue
2004>>
McNulty>>
Akhundova >>
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Hot Work Policy
Page 1 of 17
Procedure for Hot Work
AZSPU-HSSE-DOC-00053-2
This number supersedes UNIF-HSE-POL-101-C1
Authority:
AzSPU CH&S Manager
Custodian:
AzSPU Central Safety TL
Scope:
AzSPU
Document
Administrator:
Document Asset Technician
Issue Date:
09 Sept 2004
Issuing Dept:
CHSSE
Revision Date:
15 March 2008
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Next Review
15 March 2009
Date:
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Hot Work Policy
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TABLE OF CONTENTS
1.
INTRODUCTION
3
1.1. Purpose
3
1.2. Scope
3
1.3. Legislation & Standards
3
1.4. Company Requirements
3
1.5. Stopping Unsafe Work
4
1.6. Deviations
4
1.7. Document Review
4
1.8. SSOW Cross References
4
1.9. Language Facilitation
4
1.10.
Procedure Summary
4
2.
DEFINITIONS
5
3.
ROLES & RESPONSIBILITIES
5
3.1. Site Manager (SM) / Site Controller (SC) / Offshore Installation Manager
(OIM)
5
3.2. Area Authority (AA)
5
3.3. Performing Authority (PA)
6
3.4. Employees
6
4.
POLICY & CLARITY
6
4.1. Policy
6
4.2. Clarity
7
5.
RISK ASSESSMENT
7
5.1. Key Risk Issues
7
5.2. Background
8
6.
WORKPLACE PRECAUTIONS
8
6.1. Insulated Flanges
9
6.2. Open Drains
9
Appendix A: Checklists
10
Appendix B: Habitats
11
APPENDIX C: Procedure Summary
14
APPENDIX D: Feedback & Improvement Suggestions
16
Revision/Review Log
17
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Hot Work Policy
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1.
INTRODUCTION
1.1.
Purpose
This document sets out the precautions and conditions considered necessary for the
safety of all Hot Works carried out on BP owned or managed sites in Azerbaijan and
Georgia. It has been produced so that all involved parties can make a uniform
approach hot work activities.
1.2.
Scope
The contents of this procedure are applicable to all BP owned and managed sites /
installations in Azerbaijan and Georgia. Contractors working on BP owned or
managed sites / installations are also responsible for alignment with this procedure.
This document does not replace the procedures prepared and adopted by specialist
contractors. Neither does it supersede any national and local regulatory
requirements. However contractors will not be permitted to perform works on BP
AzSPU sites without proper work control certification.
This procedure contributes to compliance with the “HSE expectations” contained in
“getting HSE right”, the „Golden Rules of Safety‟ and the Control of Work (CoW)
standard that the Hazards associated with BP activities are identified and that the
risks are assessed and managed.
All guidelines contained shall be regarded as the minimum requirements for BP
owned or managed sites / installations in Azerbaijan and Georgia.
The scope covers defined activities of BP and Contractors at all BP AzSPU sites and
installations.
1.3.
Legislation & Standards
The aim of this Safe System of Work is to achieve “no accidents”, “no harm to
people” and “no damage to the environment”. To achieve this aim, this SSOW
complies with National Legislation, the terms of the Production Sharing Agreement
(PSA) and mandatory BP Standards.
The best International Oil Industry practice has been adopted to reduce the level of
risk to ALARP.
In the absence of local regulations, BP Group Standards will apply. In addition,
appropriate UK and US regulations and industry best practice have been considered
in setting suitable goals and targets.
1.4.
Company Requirements
It is a company requirement that all tasks are subjected to an assessment of risk to
demonstrate that risks have been reduced to as low a level as reasonably practicable
(ALARP). This can be achieved by complying with the Company‟s existing standards.
Where compliance with Company standards cannot reasonably be achieved, a
formal level 2 Risk Assessment will be undertaken to identify any additional controls
and demonstrate that risks remain as low as reasonably practicable. Whether by
compliance with Company Standards or through level 2 Risk Assessment, the
Company‟s Golden Rules of Safety must be complied with. Golden Rules are non-
negotiable.
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1.5.
Stopping Unsafe Work
To stop the continuation of potentially unsafe work at the earliest possible stage, the
Control of Work (CoW) Policy and this procedure for Hot Work make it very clear that
all personnel are obliged and have the authority to
“STOP” the work that they
consider to be unsafe.
1.6.
Deviations
This procedure is written in sufficient detail that it should be able to be applied
consistently at all sites / installations. There may still be the requirement for some
local rules covering site / installation specific logistical/administrative arrangements
and local variations in responsibilities to reflect differences in organisational
arrangements. These local rules should not deviate from the core processes within
this document. Any form of deviation from this procedure, including but not limited to
local rules, shall be requested and authorised in accordance with SSOW, Deviations
from Regulations and Procedures (Doc. No: AZSPU-HSSE-DOC-00011-2).
1.7.
Document Review
This document will be reviewed on an annual basis when users from the sites /
installations will have an opportunity to propose changes to the existing processes
and procedures. The document Technical Authority will be responsible for
coordinating this review.
1.8.
SSOW Cross References
In carrying out any such Hot Work Naked Flame activity, compliance to AZSPU
SSOW management system shall apply. As a minimum, reference shall be made to
the following:
SSOW
Document Number
Title of Procedure
AZSPU-HSSE-DOC-00060-2
Permit to Work
AZSPU-HSSE-DOC-00063-2
Task Risk Assessment
AZSPU-HSSE-DOC-00048-2
Energy Isolations-Electrical
AZSPU-HSSE-DOC-00049-2
Energy Isolations-Process
AZSPU-HSSE-DOC-00013-2
Confined Space Entry
AZSPU-HSSE-DOC-00002-2
BP Control of Work Standards
1.9.
Language Facilitation
Due to the various languages spoken at sites / installations, there is a necessity to
assist all with “an ease of understanding”. Therefore, the development and use of
information tools are available.
1.10. Procedure Summary
A Procedure Summary has been developed in a form of a leaflet, which can be
carried by the Line Supervisors while conducting their day-to-day work tasks. The
Leaflet summarizes the contents of this Procedure for Hot Work. The Procedure
Summary can also be used as a guideline for Line Supervisors to deliver their daily
toolbox talk. (See Appendix C)
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2.
DEFINITIONS
Hazardous Area
Plant areas processing highly flammable
materials, e.g. gas and condensate
ALARP
As Low As is Reasonably Practical
Hot Work
Covers the use of any device, tool or
equipment that produces flame, sparks,
arcs, heat or hot particles having enough
energy to ignite flammable or
combustible materials
A combustible material
Any material that will burn, while a
flammable material is a gas or liquid that
is easily ignited by most low-energy heat
sources.
HWNF
Hot Work Naked Flame
HWSP
Hot Work Spark Potential
SSOW
Safe System of Work
SM
Site Manager
SC
Site Controller
OIM
Offshore Installation Manager
AA
Area Authority
PA
Performing authority
PTW
Permit to Work
TRA
Task Risk Assessment
3.
ROLES & RESPONSIBILITIES
3.1.
Site Manager (SM) / Site Controller (SC) / Offshore Installation Manager
(OIM)
The Site Manager
/ Site Controller
/ Offshore Installation Manager shall be
responsible and accountable for the application of this procedure in his area of
responsibility, He shall ensure:
 That adequate numbers of Competent responsible persons are appointed to
manage and maintain the requirements of this procedure
 That this procedure is strictly adhered to for all occasions when it is identified
that hot work is to take place.
 That formal records of all SimOps risk assessments are maintained in
accordance with this procedure
3.2.
Area Authority (AA)
The Area Authority shall be responsible for ensuring that the requirements of this
procedure are adhered to within his area of responsibility. He shall be responsible for
ensuring:
 That hot work activities have been risk assessed and planned
 That all persons involved in hot work activities are instructed on the
requirements of risk assessment, permit to work conditions, and any risks or
hazards associated with the work activity
 That regular inspection is performed on all hot work activities to confirm that
conditions are suitable and sufficient and, that all personnel are in compliance
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with this procedure, and that good housekeeping practices are being
implemented to limit or eliminate the potential for fire.
 That the Performing Authority performs Risk Assessments, and conducts
Toolbox Talks associated with hot work activities.
3.3.
Performing Authority (PA)
The Performing authority shall ensure;
 The compliance of all personnel under their supervision with this procedure
when involved in hot work activities
 That a risk assessment has been performed and a toolbox talk conducted
 That all personnel are informed of, and understand, the risks associated with
the task they are performing, and any associated works that may affect their
work activity
 That the activity is executed in accordance with this procedure
 That hot work activities are halted if an unsafe situation occurs.
 That good housekeeping practices are implemented at all work areas
 That work activities have been reviewed and pertinent information exchanged
with all other affected parties.
3.4.
Employees
All employees shall be responsible for:
 Compliance with this procedure when involved in hot work activities
 Implementing good housekeeping practices
 Informing their immediate Supervisor should any unsafe situation occurs
 Awareness of other personnel and ongoing works in their area
4.
POLICY & CLARITY
4.1.
Policy
The Azerbaijan Strategic Performance Unit (AZSPU) policy relating to hot work
naked flame activities in hazardous areas is that:
 Engineering shall minimize the need for hot work and provide cost effective
alternatives by careful consideration during the design phase.
 It is not permitted unless all other alternatives have been totally exhausted.
 Appropriate level of authorization has been obtained - PUL & EA (ref. 5.1)
When such work is unavoidable it is necessary to ensure that the activity is planned
and activities recorded and approved demonstrating that ALARP requirements have
been met. In meeting ALARP the following shall be considered:
 Record Management justification for considering naked flame work, including
consideration of alternatives.
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 Identify and classify the potential sources of release.
 Determine the extent of the probable risk areas.
 Carry out a formal risk assessment.
Only when these steps have been completed and with the approval of the Asset
Manager may the Area Authority consider the issue of a Hot Work (Naked Flame)
Permit.
If Naked Flame work is considered to be justifiable under these requirements, the
guidance in this document provides a logical and safe application methodology.
4.2.
Clarity
Permit for Hot Work could involve any of the following activities:
 Naked flames (welding, flame cutting)
 Electrical welding
 Electrical induction pre-heating, stress relieving or use of high temperature
thermal calibrators (above 200°C), except in authorised workshops
 Use of portable grinders (air or electrically powered)
 Abrasive wheels
 Use of flare guns
 Use of heat shrink blowers in hazardous zones
 Use of equipment or work on pipe work or vessels contaminated or
potentially contaminated with pyrophoric scale
Note 1: A Hot Work (Naked Flame) Permit is not required for operations and/or
maintenance activities involving ignited gas flares or permanently mounted plant
using an enclosed flame (boilers, inert gas generators, etc).
5.
RISK ASSESSMENT
5.1.
Key Risk Issues
It is BP policy that hot work (naked flame) should not be carried out in hazardous
areas (Zones 0, 1 and 2) whilst the plant is online and/or under the pressure.
Alternative engineering solutions should always be sought for activities that require
hot work.
Normally work of this nature should be carried out during planned turnarounds when
the plant can be depressurized, drained and made hydrocarbon free.
In circumstances where the OIM/Site Controller/Asset Manager consider that hot
work could be safely carried out in a hazardous area and where there is no other
practicable alternative, the following precautions are required:
 A level 2 Risk Assessment outlining rigorous control measures must be
conducted
 Before the work commences approval must be obtained from the PUL and
Engineering Authority
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The Key Risk Issues associated with hot work in hazardous areas are the ignition
potential to any local hydrocarbon residues or a leak, which could lead to a localised
fire impact on personnel and potential escalation. Hot work would also require that
local fire detection systems would need to be inhibited.
Any hot work within a zone which is not designated a hazardous shall be carried out
under Hot Work PTW system following appropriate RA and approval process.
5.2.
Background
These requirements are loosely based on hazardous area classification for selection
of electrical equipment. They are not identical and care should be taken not to
confuse the results, which may differ significantly
(The electrical techniques
examines plant in normal operation while these guidelines are concerned with
abnormal operation)
The requirements are based on the:
Identification of any item from which flammable material may be released and
then,
The assessment of the extent of the risk area likely to be affected if
flammable material is released
Hot work sites must be prepared in such a manner that fires or explosions cannot
result from the work. To do this, it is essential to take all of the steps necessary to
keep flammable and combustible materials away from hot work ignition sources.
However, a combustible liquid that is confined at a temperature near its flash point
becomes highly flammable when it escapes from confinement.
Preparing for safe hot work requires knowing sources of flammable and combustible
materials and operating conditions, which could adversely affect conditions at the
work site. The people who prepare the hot work sites also have an obligation to help
protect the people who do the work against other hazards. Such hazards include hot,
corrosive or toxic materials, hot atmospheres, harmful chemicals and unsafe access.
For extent of Designated Zones and their detailed use in different kind of plants (on-
shore / off-shore) refer to API RP 505 and ETP 44-60.
6.
WORKPLACE PRECAUTIONS
Standard precautions are detailed in SSOW.
Additional measures may be taken to reduce risks where this is considered to be
reasonably practicable. Such measures may include the provision of barriers, (such
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as fire-blankets or tarpaulins), a habitat around the workplace, or forced ventilation.
These precautions may reduce the extent of the risk area.
6.1.
Insulated Flanges
Where flanges are covered by insulation consideration shall be given to removing the
insulation to enable a satisfactory gas test.
6.2.
Open Drains
Where it is possible for flammable materials to drain in to open drains, the drains
shall be considered to be high risk unless the drain lines are isolated and the drains
flushed though to remove flammable materials. After a satisfactory gas test such
flushed drains may then be considered to be low risk.
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Appendix A: Checklists
These checklists are to assist the Area Authority of the precautions, which may be
required in completing a Hot Work permit for naked flame work in a hazardous area.
A completed copy of the appropriate checklist is to be attached to the top (performing
authority) copy of the permit and filed with the permit on completion. A new checklist
is required for each permit; it is not permitted to use the same checklist for
continuation permits when the work lasts more than one day.
In view of the importance of monitoring flammable materials when performing naked
flame hot works in hazardous areas the Area Authority may require to specify the
location of any portable gas detectors. It may even be necessary to mark the
required position of the detectors on site to prevent inadvertent misplacement.
Title: Checklist prior to and During Hot Work
Prior to work starting (by area authority)
9
When Noted on Permit
Required
Precaution
(Delete as necessary)
8
If not required
Consult HSE Advisor over Emergency
Yes
No
Response Plan
Habitat for Hot Work (complete
Yes
No
additional checklist)
Yes
No
Provide Forced Ventilation
Yes
No
Provide fire blankets
Mandatory
Barrier off area
Mandatory
Warning notices around worksite
Yes
No
Check calibration of fixed gas heads
Work squad familiarisation with fire
Yes
No
equipment
Yes
No
Test deluge prior to start
Yes
No
Inform CCR
Mandatory
PA prior to start of work
During Work (by performing authority)
9
When Noted on Permit
Required
Precaution
(Delete as necessary)
8
If not required
Specified location for portable gas
Yes
No
monitors
Mandatory
Permanent Firewatcher
Yes
No
Radio contact with control room
Production operator to monitor plant
Yes
No
pressure
Yes
No
Ground monitor linked to fire hydrant
All fire doors to/from area to be kept
Yes
No
shut
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Appendix B: Habitats
A temporary habitat is a temporary construction used to protect personnel and/or a
work site from weather and interference from surrounding processes. Temporary
habitats are made from scaffold and tarpaulins, purpose made rigid boarding or
similar materials and shall be of the following types:
Type 1 Personnel/Equipment Habitat
This type of habitat is solely for the use of protecting personnel or equipment from
the weather. These can be further defined as equipment storage areas or weather
shelters where no work activities are being performed.
Type 2 Work Habitat
This type of habitat is sheeted out to protect a worksite from surrounding plant
conditions and weather to allow cold work activities to be carried out in a hazardous
area. Hot work (naked flame) may be carried out in these habitats during full area
shutdowns (turnarounds) providing that the area ahs been proved to be hydrocarbon
free and deemed unclassified under the hazardous area zone classification.
Type 3 Positive Pressure Habitat
This type of habitat allows hot (naked flame) to be carried out in, or within 15 m of
hazardous area.
Habitats shall:
 Be built so that an Entry Attendant can be posted outside and ensure
communication with personnel inside the habitat
 Have the exit clearly marked, both inside and out. The exit shall be capable of
being opened from either side. If the habitat obstructs a walkway, then
suitable barriers shall be erected together with warning signs
 Have radio communication made available to the Entry Attendant whilst the
habitat is in use to raise the alarm in the event of a gas detector activating or
emergency situations
 The minimum number of personnel allowed in the habitat is two with one of
the inhabitants acting as Firewatcher
 Have all gas cylinders located outside the habitat, and any hoses and torches
used removed from the habitat at work breaks and at completion of the task
 Have a foam fire extinguisher available inside the habitat and a dry powder
extinguisher externally
 Have a pressure set firewater hose with spraying nozzle laid out to the habitat
from the nearest hydrant or drum and placed so that it can easily be operated
by the Firewatcher from outside the habitat
 Only fire retardant material shall be used in the construction
Positive Pressure Habitats used for hot work (naked flame) shall:
 Have an entrance that maintains positive pressure
 Have the exit clearly marked, both inside and out. The exit shall be capable of
being opened from either side. If the habitat obstructs a walkway, then
suitable barriers shall be erected together with warning signs
 Have radio communication made available to the Entry Attendant whilst the
habitat is in use to raise the alarm in the event of a gas detector activating or
emergency situations
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 Have an overpressure of 5 to 20mm water gauge (can be monitored by the
aid of slanting pipe fluid manometer)
 Have an exterior manometer for read-off of overpressure in the habitat
 Be built so as to minimise possible hydrocarbon leakage points in the habitat
 Pressurisation shall be by air circulation drawn from a safe zone well away
from any noxious fumes taking account of wind direction and release sources.
The source of air for the inlet duct shall be at least 2m inside a designated
safe zone that has been declared gas free. The exhaust vent shall be ducted,
from a point opposite to the inlet, to a safe, open air zone. Inlet and outlet
ducts shall be protected and either marked with signs or guarded so that
obstruction is prevented. The ducts shall be clearly marked at both ends „For
Habitat Use - Do Not Remove‟
 Radio communication shall be made available to the Entry Attendant whilst
the habitat is in use to raise the alarm in the event of a gas detector activating
or emergency situations
Precautions
Habitats that are constructed for hot work require special precautions to be
considered to mitigate against risk of fire to the habitat itself. Habitats in this case will
be constructed from fire retardant sheeting and additional protection will be required
in the form of fire blankets in the direct vicinity of the hot work area to include floor,
and in some cases walls and ceilings.
Note: It must be remembered that although fire retardant material should be used
throughout, this material in certain circumstances can still support a fire.
It is difficult to specify exactly what specific precaution should be taken as each job
will be different. The following checksheet must be used to identify what precautions
have been put in place; this must be completed for each habitat.
Checklist Prior To Habitat for Hot Work
FACILITY:
APPROVAL TO PROCEED WITH THE WORKSCOPE
Area Authorities Signature:
Date:
To be completed /signed/approved prior to the commencement of Naked Flame Work
Yes
No
1
Is the housing secure, safe, made of fire retardant material and sturdy enough to hold
men and equipment?
2
Are the entrance and exit satisfactory and are they identified?
3
Is the inside of habitat and any combustible fabric lined with fire blankets and is the fire
blanket secured to ensure that it stays in place within the habitat.
4
Will any welding debris etc. be contained within the habitat and neither come into
contact with the habitat structure nor fall out of the habitat into the external
environment?
5
Is the habitat of sufficient size for at least 2 men to carry out the job within minimum
restriction?
6
Is the inside of the habitat free from combustible material?
7
Is the pressurising air supplied from at least 2 meters within a safe area and is the
ducting properly secured?
8.
Is the duct marked „FOR HABITAT USE - DO NOT REMOVE‟?
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9
Is the air supply to air movers marked „FOR HABITAT USE - DO NOT REMOVE‟?
10
Is the exhaust ducting vented out of the module
11
Can the pressure within the habitat be maintained at a pressure above atmospheric
pressure? State test pressure achieved:
_______________________
12
Is the exit from the habitat of sufficient size to allow easy escape in an emergency and
is there a suitable viewing port?
13
Is the area at the pressurising duct inlet, gas free?
14
Have all open ended pipes, not subject to work scope been blanked?
(Not applicable means yes)
NOTE:
The answers to all the above questions must be „YES‟ . Any conditions which do not meet the
procedure requirements must be rectified before the habitat can be put into service.
APPROVAL OF THE HABITAT
Habitat Build Responsible Person
Signature:…………………………….…………………………… Date: …………………………………………….
Area Authority
Signature: ………………………………………………………… Date: ……………………………………………..
2nd Auditor
Signature: …………………………………………………………. Date: ……………………………………………
APPROVAL TO PROCEED WITH THE WORKSCOPE
OIM Signature: ……………………………………………….
Date: …………………………………………..
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APPENDIX C: Procedure Summary
HOT WORK
The Area Authority shall be responsible for ensuring:
hydrocarbon residues or a leak, which could lead to a localised
¾ That Hot Work activities have been risk assessed
fire impact on personnel and potential escalation. Hot work
Policy
and planned
would also require that local fire detection systems would need
The AzSPU policy relating to hot work naked flame activities in
¾ That all persons involved in Hot Work activities are
to be inhibited.
hazardous areas is that, It shall not be permitted unless all other
instructed on the requirements of Risk assessment,
alternatives have been totally exhausted. When such work is
PTW conditions and any hazards associated with the
These requirements are loosely based on hazardous area
unavoidable it is necessary to ensure that the following is
work activity
classification for selection of electrical equipment. They are not
considered:
¾ That regular inspection is performed on all Hot Work
identical and care should be taken not to confuse the results,
¾ Record management justification for considering naked flame
activities to confirm that conditions are suitable and
which may differ significantly
(The electrical techniques
work, including consideration of alternatives
sufficient and, that all personnel are in compliance
examines plant in normal operation while these guidelines are
¾ Identify and classify the potential sources of release
with this procedure, and that good housekeeping
concerned with abnormal operation)
¾ Determine the extent of the probable risk areas
practices are being implemented
¾ Carry out formal Risk assessment
¾ That the Performing Authority performs Risk
The requirements are based on the:
assessments and conducts Toolbox Talks associated
¾ Identification of any item from which flammable material
Only when these steps have been completed and with the approval
with Hot Works
may be released (the "source of release"), and then,
of the Asset Manager may the Area Authority consider the issue of
¾ The assessment of the extent of the area (the "risk area")
a Hot work (naked flame) Permit.
The Performing Authority shall ensure:
likely to be affected if flammable material is released
¾ The compliance of all personnel under their
For Clarity
supervision when involved in Hot Work activities
Hot work sites must be prepared in such a manner that fires or
A Permit for Hot work could involve any of the following activities:
¾ That a risk assessment has been performed and a
explosions cannot result from the work. To do this, it is
¾ Naked flames (welding, flame cutting)
toolbox talk conducted
essential to take all of the steps necessary to keep flammable
¾ Electrical welding
¾ That all personnel are informed of, and understand,
and combustible materials away from hot work ignition sources.
¾ Electrical induction pre-heating, stress relieving or use of high
the risks associated with the task they are
However, a combustible liquid that is confined at a temperature
temperature thermal calibrators
(above200°C), except in
performing, and any associated works that may
near its flash point becomes highly flammable when it escapes
authorised workshops
affect their work activity
from confinement.
¾ Use of portable grinders (air or electrical powered)
¾ That the activity is executed in accordance with this
¾ Abrasive wheels
procedure
Preparing for safe hot work requires knowing sources of
¾ Use of flare guns
¾ That hot work activities are halted if an unsafe
flammable and combustible materials and operating conditions,
¾ Use of heat shrink blowers in hazardous zones
situation occurs.
which could adversely affect conditions at the work site. The
¾ Use of equipment or work on pipe work or vessels
¾ That good housekeeping practices are implemented
people who prepare the hot work sites also have an obligation
contaminated or potentially contaminated with pyrophoric scale
at all work areas
to help protect the people who do the work against other
¾ That work activities have been reviewed and
hazards. Such hazards include hot, corrosive or toxic materials,
NOTE: A Hot work (naked flame) Permit is not required for
pertinent information exchanged with all other
hot atmospheres, harmful chemicals and unsafe access.
operations and/or maintenance activities involving ignited gas flares
affected parties
or permanently mounted plant using an enclosed flame (boilers,
inert gas generators, etc)
All employees shall be responsible for:
Workplace Precautions
¾ Compliance with this procedure when involved in hot
Additional measures may be taken to reduce risks where
Responsibilities
work activities
this is considered to be reasonably practicable. Such
The SM/SC/OIM is responsible and accountable, he shall ensure:
¾ Implementing good housekeeping practices
measures may include the provision of barriers, (such as
¾ That adequate numbers of competent responsible persons are
¾ Informing their immediate Supervisor should any
fire-blankets or tarpaulins), a habitat around the
appointed to manage and maintain the requirements of this
unsafe situation occurs
workplace, or forced ventilation. These precautions may
procedure
¾ Awareness of other personnel and ongoing works in
reduce the extent of the risk area.
¾ That this procedure is strictly adhered to for all occasions when
their area
Insulated Flanges
it is identified that Hot Works are to take place
Where flanges are covered by insulation consideration
¾ That formal records of all SimOps risk assessments are
Risk Assessment
shall be given to removing the insulation to enable a
maintained in accordance with this procedure
The Key Risk Issues associated with hot work in
satisfactory gas test.
hazardous areas are the ignition potential to any local
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Open Drains
Where it is possible for flammable materials to drain in to open
drains, the drains shall be considered to be high risk unless the
drain lines are isolated and the drains flushed though to
remove flammable materials. After a satisfactory gas test such
flushed drains may then be considered to be low risk.
Non-Process Flammable Materials
In general, liquid fuels commonly used offshore are not
considered to be volatile provided that hot work is carried out
so that such fuels are not heated. A level 2 risk assessment
shall be carried out to define the control measures required to
ensure that work is carried out to avoid heating of such fuels
and in particular the precautions to be taken around the vents
on aviation fuel systems.
Habitats
Habitats shall:
¾ Be built so that an Entry Attendant can be posted outside
and ensure communication with personnel inside the
habitat
¾ Have the exit clearly marked, both inside and out. The exit
shall be capable of being opened from either side. If the
habitat obstructs a walkway, then suitable barriers shall be
erected together with warning signs
¾ Have radio communication made available to the Entry
Attendant whilst the habitat is in use to raise the alarm in
the event of a gas detector activating or emergency
situations
¾ The minimum number of personnel allowed in the habitat
is two with one of the inhabitants acting as Firewatcher
¾ Have all gas cylinders located outside the habitat, and any
hoses and torches used removed from the habitat at work
breaks and at completion of the task
¾ Have a foam fire extinguisher available inside the habitat
and a dry powder extinguisher externally
¾ Have a pressure set firewater hose with spraying nozzle
laid out to the habitat from the nearest hydrant or drum
and placed so that it can easily be operated by the
Firewatcher from outside the habitat
¾ Only fire retardant material shall be used in the
construction
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APPENDIX D: Feedback & Improvement Suggestions
Procedure Feedback & Improvement Suggestions
Project Name: ______________________________
Date: ______________________________________
Name:_____________________________________
Badge Number: _____________________________
Procedure Reference: ________________________
Procedure Title: _____________________________
Improvement Suggestions (Write below your improvement suggestions)
Forward your Improvement Suggestion to the HSSE Manager
at the Central HSSE Office, Hyatt Tower 2, 6th Floor
Signature: _____________
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Revision/Review Log
Revision Date
Authority
Custodian
Revision Details
09 September
Alan McNulty
Esmira
Initial Issue
2004
Akhundova
15 March 2008
Alan McNulty
Abbas Islamov
Table of Contents changed as follows:
(AzSPU CH&S
(Central Safety
Section 3 is now Responsibilities; Section 4 is
Manager)
TL)
now Policy and Clarity.
General.
Section 1. Introduction. The Section now
consists of 10 new paragraphs substituting 2
replaced ones - Policy and Clarity, they are:
1.1 - Purpose; 1.2 - Scope; 1.3 - Legislation;
1.4 - Company Requirements; 1.5 - Stopping
Unsafe Work; 1.6 - Deviations; 1.7 - Document
Review; 1.8 - SSOW Cross References; 1.9 -
Language Facilitation; 1.10 - Procedure
Summary.
Section 2. Definitions. The previous title
„Definitions and Abbreviations‟ was altered to
„Definitions‟. 10 new definitions were added.
Section 3. Responsibilities. New section
consisting of 4 paragraphs defining the roles
and responsibilities of key personnel.
Section 7. Non-Process Flammable
Meterials. It is deleted as making the
Procedure inconsistent with its toughening as to
permissibilities and deviations.
Appendix B Describes now the use of Habitats.
Control Tier:
<<2>>
Revision Date: 15 March 2008
Document Number: << AZSPU-HSSE-DOC-00053-2>>
Print Date: 7/24/2010
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED VERSION OF
AZSPU
Incident Investigation and Reporting
AZSPU-HSSE-DOC-00054-2
This number supersedes:
UNIF-HSE-PRO-102-C2
incorporates AZSPU-HSSE-DOC-00010-3
Authority:
Alan McNulty, CHSSE,
Custodian:
Rufat Mamedov, CHSSE,
S&CMER Manager.
Incident Investigation and
Learning Specialist
Scope:
AzSPU
Document
AzSPU HSSE MS Doc
Administrator:
Coordinator
Issue Date:
16 November 2007
Issuing Dept:
Central HSE - Safety
Revision Date:
30 April 2008
Control Tier:
2
Next Review Date:
30 April 2009
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
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AzSPU-HSSE-DOC-00054-2
Page 2 of 43
Incident Investigation and Reporting
CONTENTS
1
INTRODUCTION
4
1.1
PURPOSE
4
1.2
SCOPE
4
1.3
CONTRACTOR INVESTIGATIONS
4
2
RESPONSIBILITIES
4
2.1
ALL PERSONNEL
4
2.2
SPU LEADER (SPUL)
5
2.3
VICE PRESIDENT (VP) OR NOMINATED PERFORMANCE UNIT LEADER (PUL)
5
2.4
SITE MANAGER
5
2.5
INCIDENT OWNER
5
2.6
INVESTIGATOR / INVESTIGATION TEAM
6
2.7
APPROVER
76
2.8
INCIDENT REPORT ORIGINATOR
7
2.9
RESPONSIBLE PARTY
8
2.10
CENTRAL HS&ER MANAGER
98
3
CORPORATE REPORTING & NOTIFICATION REQUIREMENTS
9
3.1
SPECIFIC RESPONSIBILITIES
9
3.1.1
Site Manager/OIM
Error! Bookmark not defined.10
3.1.2
Operations/Asset Manager
Error! Bookmark not defined.10
3.1.3
Performance Unit Leader (PUL)
Error! Bookmark not defined.10
3.1.4
Vice President (VP)
Error! Bookmark not defined.10
3.1.5
Strategic Performance Unit Leader (SPUL)
Error! Bookmark not
defined.10
3.2
INFORMATION REQUIRED
10
3.3
INCIDENT NOTIFICATION FLOW
1110
4
THE INVESTIGATION PROCESS
13
4.1
DETERMINING INCIDENT SEVERITY
13
4.1.1
Major Incident (Definition)
14
4.1.2
High Potential Incident (HiPo) Determination
14
4.2
TRACTION
15
4.3
ESTABLISH INVESTIGATION TEAM
15
4.4
TERMS OF REFERENCE
15
4.5
TEAM SELECTION
15
4.6
TEAM MOBILISATION
16
4.7
CONDUCT INVESTIGATION
16
4.7.1
Scope and Objectives
16
4.8
FACT FINDING
16
4.9
ESTABLISH THE SEQUENCE OF EVENTS
16
4.10
ESTABLISH AND ANALYZE FINDINGS
17
4.10.1 Identify Critical Factors and Causes and Make Recommendations ... 17
4.10.2 System Cause Analysis
17
4.10.3 Antecedent Behaviour Consequence Analysis (ABC Analysis)
17
4.10.4 System Cause Analysis - Example
18
4.11
COMPILE REPORT
18
4.11.1 Records
19
4.11.2 Report Outline
19
4.12
NON-CONTRIBUTORY FACTORS
20
Control Tier:
2
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Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Page 3 of 43
Incident Investigation and Reporting
4.13
REVIEW WITH MANAGEMENT
20
4.13.1 BP Management
20
4.13.2 Contractors
20
4.13.3 Agree with Owner
2120
4.14
ACTIONS
21
4.14.1 Prioritization
21
4.14.2 Owner
21
4.14.3 Responsible Party
21
4.14.4 Close-Out of Actions and use of Traction system
21
4.15
INCIDENT REPORT ORIGINATOR
22
5
REPORT DISTRIBUTION
ERROR! BOOKMARK NOT DEFINED.22
6
DISTRIBUTION OF LESSONS LEARNED
22
7
STORAGE OF RECORDS
23
7.1
MAJOR INCIDENTS
23
7.2
MINOR INCIDENTS
23
8
APPENDIX A - MAJOR INCIDENT NOTIFICATION PRO-FORMA
24
9
APPENDIX B - HIGH POTENTIAL INCIDENT NOTIFICATION PRO-FORMA25
10 APPENDIX C - MODEL TERMS OF REFERENCE TEMPLATE
26
11 APPENDIX D - COMPREHENSIVE LIST OF CAUSES CHART
27
12 APPENDIX E - DEFINITIONS
28
13 APPENDIX F - INJURY AND ILLNESS REPORTING DECISION TREE
34
14 APPENDIX G. SEVERITY MATRIX - HSE IMPACT LEVELS
35
15 APPENDIX H. SEVERITY MATRIX - BUSINESS IMPACT LEVELS
36
16 APPENDIX I. SEVERITY CLASSIFICATION - LOPC OF FLAMMABLE GASES,
LIQUIDS AND OTHERS
37
17 APPENDIX J. SEVERITY CLASSIFICATION -
LOPC
OF TOXIC SUBSTANCES………………………………………………………...38
18 APPENDIX K. Exports PU Internal Incident Notification
Requirements for Illegal taps incidents …………………………….………….39
19 APPENDIX L. Onshore Operations External Notification Requirements….40
20 APPENDIX M. LESSONS LEARNED DOCUMENT FORMAT………………….41
REVISION/REVIEW LOG…………………………………………………………..……
42
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Page 4 of 43
Incident Investigation and Reporting
1 INTRODUCTION
1.1 PURPOSE
This document describes the procedures employed for investigating incidents related to
BP activities in the Azerbaijan Strategic Performance Unit (AzSPU) and in the preparation
of associated reports.
Note: The prime objectives of such an investigation are to establish the causes, analyze
them and make recommendations to prevent recurrence of a similar incident. It is
not to attribute blame.
1.2 SCOPE
This process is to be used for all types of incidents, including:
Fatalities
Workplace injuries and illness
Security breaches
Spills and leaks
Vehicle accidents
Near misses with G+ potential severity (refer to Severity Matrices in Appendices
G-J)
Process safety incidents e.g. overpressure of design plant, excursion from
design temperature, formation of hydrate plugs, misdirection of process fluids,
ESD or pressure safety valves lifting (whether to flare or vent)
Plant/technical integrity incidents i.e any incident where the root cause would be
addressed by the IM Standard and there is actual or potential harm to people or
the environment, including loss of primary containment or failure of an
engineered system.
All events resulting in workplace injure, industrial illness, damage to assets and
environmental harm (together with near miss events in these categories) are to be
reported immediately to the supervisor and / or the BP representative.
1.3 CONTRACTOR INVESTIGATIONS
Contractor management may wish to conduct a separate internal incident investigation for
serious incidents involving contractor employees. BP policy is to respect the wishes of
contractors, and to encourage completion of a joint investigation in a cooperative manner
with representatives of both BP and affected contractors.
For incidents that occur at BP controlled sites or activities the investigation shall should be
led by BP representative.
2 RESPONSIBILITIES
2.1 ALL PERSONNEL
Any person involved in or observing an accident or near miss must immediately report it to
his / her supervisor or BP Representative.
Control Tier:
2
Revision Date: 30 April 2008
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Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
2.2 SPU LEADER (SPUL)
SPU Leader is responsible and accountable for ensuring that this procedure is
implemented in the Business Unit and for reporting major incidents and HiPos to the
corporation.
SPU Leader is responsible for
 Notification of a Major Incident to the appropriate Group Vice President through
personal conversation within 8 hours
 Issue of MIA/HiPo notification
 Is the “owner” of all major incidents in AzSPU
2.3 VICE PRESIDENT (VP) OR NOMINATED PERFORMANCE UNIT LEADER (PUL)
Vice President (VP) or nominated PUL is responsible and accountable for:
Ensuring that this procedure is implemented in their performance units
Reporting MIA/HiPo/DAFWC incidents to SPU leader
Owner of DAFWC and HiPo severity incidents in their respective PUs
2.4 SITE MANAGER
Site Manager is responsible to estimate the worst probable (not imaginable) outcome of
the particular incident and make an initial assessment of the severity of an incident and
determine the level of management that should own the investigation process.
(Refer to
Section 4.1)
Site Managers are responsible for:
Initial Reporting of the Iincident
Preservation of the incident scene
(Preserve physical data and prevent
destruction/alteration) and early collection of material evidence, making
photographs etc.
Making an initial assessment of the severity of an incident
Requesting Drugs and Alcohol testing whenever potential probability for
substance abuse is under question
Obtaining initial witness statements (eyewitnesses) while incident details are still
fresh
Instigating the appropriate investigation process
Assuming ownership of minor incidents on his site
Accepting the Incident Report and allocating the resultant actions.
Ensuring that all equipment is verified to be “fit for purpose” after a significant
incident or event prior to returning to service
2.5 INCIDENT OWNER
The Owner is the individual who requested the Incident Investigation to be performed and
has the responsibility for the investigation through to closeout of the remedial actions. The
level of the Owner must commensurate with the severity or potential severity of the
incident and should be:
Control Tier:
2
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Incident Investigation and Reporting
 SPU Leader (SPUL) for major incidents in AzSPU - Traction actual severity A-E
 Vice President (VP) or nominated PUL is Owner for DAFWC‟s or HiPo (potential
severity A-E).
 Site/Facility/Installation Manager Traction actual or potential incident severity
Levels F-H.
The Owner shall:
Appoint the Investigation Team
Draw up the terms of reference for the investigation
Ensure investigation team is provided with all resources required for
investigation
Provide a business overview on actions prior to entry into the tracking system
and shall review each action item for confidentiality
Review the selection of the Responsible Party for handling the action items
Ensure that all new or reassigned action items are entered in to the Accident
and Incident database (Traction) under the appropriate category
Review progress reports to ensure that all outstanding action items are being
completed within specified deadlines
Take appropriate action with the Responsible Party if action items are not being
completed within the required deadline.
2.6 INVESTIGATOR / INVESTIGATION TEAM
The Investigator/Investigation Team will be appointed by the Investigation Owner (Site
Management, VP, PUL or SPUL) depending on severity of incident and is responsible for:
 Investigating the circumstances leading to the event
 Making recommendations to prevent recurrence
 Ensuring that the written report is completed.
 Ensuring the MIA‟s, HiPo‟s and DAFWC‟s report is handed over to the “owner”
The Investigation Team shall:
 Establish the situation before the incident
 Determine what happen during the incident
 Determine the critical factors
 Determine the immediate and system causes
 Determine actions to prevent recurrence of a similar incident
 Produce the incident report
Incident report should contain information described in section 4.11.2
In order to achieve these objectives the Investigation Team is required to seek any expert
advice that might enable it to provide the most informed opinion.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
2.7 APPROVER
The Approver of the Incident report is the
“Owner” of the incident and he/she is
responsible for agreeing actions with the Investigation Team who then enter actions into
Traction. If the Owner is not satisfied that the actions recommended fully address the
immediate and system causes of the incident, he should instruct the Investigation Team to
seek further advice and formulate further actions before he approves the incident report
and actions in Traction.
The Approver is responsible for assuring the quality of the investigation report and the
data entered into the Accident and Incident Reporting database (Traction).
Note: The”Owner” will normally undertake the role of Approver. MIAs will be approved by
the SPUL. HiPos and DAFWCs will be approved by the VP or nominated PUL
The Approver shall:
Review the Incident Report to ensure an accurate document with proper root
cause analysis
Ensure that:
o appropriate causes have been identified
o action items will effectively mitigate the hazards
o action items are clear and provide the Responsible Party with adequate
details to implement the action item
Review the selection of the Responsible Party for handling the action item in
order to ensure that the action item has been assigned to an individual or job
position with sufficient authority and expertise to complete the action
Approve the report in the Accident and Incident database (Traction)
2.8 INCIDENT REPORT ORIGINATOR
The Incident Report Originator is responsible for entering the Incident Report into the
Accident and Incident database.
Note: This will normally be a nominated Traction operator at the site of the incident. This
needs to be done following Traction requirements as below:
MIA/HiPo notifications should be placed into MIA/HiPo database.
MIA/HiPo database is located at: http://miahipo.bpweb.bp.com
Type of Incident
Recording
Recording System
Timescale
Major Incidents (MIAs)
<24 hours
MIA/HiPo database
Levels A-D
<5 days
Traction
Major Incidents (MIAs)
<24 hours
MIA/HiPo database
Level E - Health and Safety
<5 days
Traction
Major Incidents (MIAs)
<24 hours
MIA/HiPo database
Level E - Other
<5 days
Traction
High Potential Incidents (HiPos)
<24 hours or on
MIA/HiPo database
identification
Control Tier:
2
Revision Date: 30 April 2008
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Print Date: 24 July 201013 May 2008
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Page 8 of 43
Incident Investigation and Reporting
<5 days
Traction
Any BP Employee Fatality in the BP Work
<24 hours
MIA/HiPo database
Environment
<5 days
Traction
Any BP Contractor Fatality in the BP Work
<24 hours
MIA/HiPo database
Environment
<5 days
Traction
Any Third Party Fatality in the BP Work
<24 hours
MIA/HiPo database
Environment
<5 days
Traction
Any non work-related Fatality in the BP Work
<24 hours
MIA/HiPo database
Environment
<5 days
Traction
Loss of Primary Containment
<5 days
Traction
(LOPC)/uncontrolled release
Day Away from Work Case-Employee
<5 days
Traction
Day Away from Work Case-Contractor
<5 days
Traction
Restricted Work/Job Transfer-Employee
<5 days
Traction
Restricted Work/Job Transfer-Contractor
<5 days
Traction
Medical Treatment-Employee
<5 days
Traction
Medical Treatment-Contractor
<5 days
Traction
Vehicle Accidents-Employee
<5 days
Traction
Vehicle Accidents-Contractor
<5 days
Traction
Spills >1 bbl
<5 days
Traction
Fires
<5 days
Traction
Explosions
<5 days
Traction
Note: The requirement of Group Security Standard is that Fraud incidents are not
reported through Traction, but should be reported in line with BP‟s Fraud Reporting
Instruction, which can be found at:
HTTP://FCANDA.BPWEB.BP.COM/DEFAULT.ASP?P=2062&MI=4719
All other type of security incidents should be recorded in Traction system.
2.9 RESPONSIBLE PARTY
The Responsible Party is the individual who has been assigned an action item arising from
an Owner‟s Incident Investigation. The Responsible Party must have sufficient authority
and expertise to carry out the action.
The Responsible Party shall:
Review validity of assignments of an action item with the Owner, if and when
they consider the assignment inappropriate
Take accountability for ensuring that all of his/her action items are completed by
the target date
Take appropriate action with the Owner if the action items are not being
completed within the desired deadline
Ensure that all comments against their action items, updates of the status of
their action items and closure of their action items when completed are entered
into the Traction database.
Ensure actions are approved by the Owner and are closed in Traction.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Page 9 of 43
Incident Investigation and Reporting
2.10 CENTRAL HS&ER MANAGER
Central HS&ER Manager is responsible for:
Maintaining this procedure
Providing support to the respective Manager in setting up the Investigation
Team.
3 CORPORATE REPORTING & NOTIFICATION REQUIREMENTS
The following paragraphs describe incident notification requirements. See also section 3.3
and Table 3.1 Incident Notification Flowchart.
3.1 SPECIFIC RESPONSIBILITIES
All incidents shall be reported immediately to the appropriate supervisor or line manager
and through the line management to the Site Manager/OIM. The Site Manager/OIM shall
ensure that the scene of the incident is made safe and then protected from disturbance.
3.1.1 Site Manager/OIM
The Site Manager/OIM shall immediately verbally notify the Operations/Asset Manager of
any MIA, HiPo or DAFWC (Level F - Health and Safety) incidents.
The Site Manager/OIM shall verbally notify the Operations/Asset Manager of all Level F
(other than Level F - H&S) and Level G at the earliest opportunity, but within 8 hours.
The Site Manager/OIM shall verbally notify the Operations/Asset Manager of all Level H
incidents at the earliest opportunity, but within 24 hours.
3.1.2 Operations/Asset Manager
Operations/Asset Manager shall notify the PUL immediately of MIA or HiPo incidents.
The Operations/Asset Manager shall notify the PUL of DAFWC and all Level F incidents at
the earliest opportunity, but within 8 hours.
The Operations/Asset Manager shall notify the PUL of Level G - H&S incidents at the
earliest opportunity, but within 24 hours.
The Operations/Asset Manager should exercise their best judgment whether further
notification is required for all other incidents.
3.1.3 Performance Unit Leader (PUL)
The PUL shall immediately notify the line Vice President of MIA and HiPo incidents.
Control Tier:
2
Revision Date: 30 April 2008
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Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
The PUL or nominee shall at the earliest opportunity, but within 8 hours send an AzSPU
email notification of MIA and HiPo incidents to
“G EUBAK MIA/HiPo Notification”
distribution list.
The PUL shall notify line Vice President of DAFWC and all Level F incidents at the earliest
opportunity, but within 24 hours.
The PUL should exercise their best judgment whether further notification is required for
Level G - H&S incidents.
3.1.4 Vice President (VP)
The VP shall immediately notify the Strategic Performance Unit Leader (SPUL) of MIA and
HiPo incidents.
The VP shall notify SPUL of Level G - H&S incidents (including DAFWC) at the earliest
opportunity, but within 24 hours.
The VP should exercise their best judgment whether further notification is required for
Level F (other than Level F - H&S) incidents.
3.1.5 Strategic Performance Unit Leader (SPUL)
The SPUL shall verbally notify the Group Vice President of an MIA and HiPo incidents at
the earliest opportunity but within 8 hours.
The initial verbal MIA and HiPo notification shall be confirmed with global email notification
within 8 hours for Level A-D and Level E - H&S incidents and within 24 hours for HiPo and
all Level E (other than H&S) by using the pro-forma reports in Appendix A for MIA and
Appendix B for HiPo.
The SPUL should exercise their best judgment whether further notification is required for
Level F - H&S incidents.
Information Required
The notifications should provide the following information:
 Type of occurrence (fire, explosion, injury, spill, etc)
 Site / location
 Date and time of incident
 Brief description of the event
 Actual severity (Level A-H)
 Injury details
 Damage
Control Tier:
2
Revision Date: 30 April 2008
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Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
 Oil or chemical spilled
 Immediate corrective action taken to prevent further loss
 Contact name (person supplying information) and telephone number.
3.2 Incident Notification Flow
Figure 3.1 describes the AzSPU incident notification flowchart.
Figure 3-1 Incident Notification Flowchart
Immediately
Within 8 hours
Within 24 hours
Note 1: Figure 3-1 specifies the minimum incident notification requirements which must be
followed at all times, however more stringent notification requirements may be exercised if
deemed necessary.
Note 2: Details on the description of the actual and potential severities of accidents can be
found in Severity Matrices in Appendices G-J.
Note 3: All Major incidents (A-E levels), HiPos and certain security sensitive incidents (e.g
illegal taps) shall initially be sent to “G EUBAK MIA/HiPo Notification”, and shall not be
distributed any further without prior SPUL agreement. AzSPU outside distribution of
Lessons Learned One-Pagers, HiPlus and similar documents should not go from
individual assets but from SPUL office.
Control Tier:
2
Revision Date: 30 April 2008
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Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
Note 4: All F-H severity incidents (excluding HiPos and security sensitive incidents) should
be distributed to “G EUBAK AzSPU Incident”.
Note 5: More details on Illegal Tap Incidents Notification requirements for Exports PU are
described in Appendix K
Note 6: Details on external notification requirements for Onshore Operations can be found
in Appendix L
Note 7: For external notification of material release to the environment shall follow the
“Azerbaijan SPU Internal & External Material Release Reporting & Notification Procedure
AZSPU-HSSE-DOC-00075-2” shall be followed.
Note 8: If for any reason any line position is unavailable (e.g vacation, unreachable) the
delegatee shall assume full responsibility to continue the line notification process.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
4 THE INVESTIGATION PROCESS
4.1 DETERMINING INCIDENT SEVERITY
The processes used to investigate an incident always follow the same principles.
However, the make up of the Investigation Team, and the investigation process followed,
is determined by the potential severity of the incident.
The first stage of the process is therefore to make an estimate of the most serious
probable outcome of the incident in order to determine the process to be followed. This
will be done by the Site Manager/OIM.
Note: Potential Incident severity is based upon the most serious probable outcome. For
example:
If a man cuts his finger with a knife, the most likely outcome of the incident is a cut
finger and the potential severity of the incident should be judged on that basis
but...
If a man cuts his finger on a power saw, the most serious probable outcome could
easily have been an amputation and the potential severity of the incident is
therefore judged to be much greater.
Additionally the Figure 4.1 below can assist in assessment of the potential severity of
incident. Refer to Appendices G-J for Actual Severity matrices.
Figure 4.1 Guidelines to Assess Potential Severity
Assessment of Potential Severity
Intent: That the potential Severity classification of an incident or unsafe/unhealthy condition is
based on the most serious probable outcome.
Ask: Under different circumstances, could the consequence of the Incident or Unsafe/Unhealthy
Condition have been more serious for the Health and Safety of People, the Environment, Business
Impact, or Privilege to Operate?
Different circumstances include but are not limited to: 
-
Time of day 
-
Weather (e.g. wind direction or strength)
-
Presence or absence of people going about their normal routine/business 
-
Exceptional intervention of people 
-
Similar activity with similar controls carried out by the same operation elsewhere
It shall ALWAYS be assumed that:
-
A source of ignition could have been present, even if the likelihood is low.
-
If someone or something was struck with enough energy to injure them or break the equipment, then this outcome
could have happened, even if there is no actual injury.
Be cautious: Initially consider the most serious probable outcome/consequence that might have
happened.
-
Consult your HSSE team for advice if the probable serious probable outcome/ consequence seem extremely
unlikely. (e.g., a wasp sting can occasionally be fatal for someone allergic to wasp stings, but a first aid case is a
much more foreseeable consequence).
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
PAPER COPIES ARE UNCONTROLLED. THIS COPY VALID ONLY AT THE TIME OF PRINTING. THE CONTROLLED
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Incident Investigation and Reporting
4.1.1 Major Incident (Definition)
Major incident is an incident, including a security incident, involving any one of the
following:
1 or more fatalities associated with BP operations
10 or more injuries or health effects to BP workforce, either permanent or
requiring hospital treatment for more than 24 hours.
 Significant adverse reaction from authorities, media, NGOs or the general
public
 Costs from accidental equipment and property damage, and/or loss of
business value equal to or exceeding US $ 5 Million
 Environmental Impact with A-E severity level (refer to Appendix G)
 Loss of Primary Containment with A-E severity level (refer to Appendix I-J)
4.1.2 High Potential Incident (HiPo) Determination
A High Potential Incident (HiPo) is an Incident or Unsafe/Unhealthy Condition or near miss,
including a security incident, where the most serious probable outcome is a Major Incident.
Figure 4-2 below provided to facilitate the process of decision making while determining
the HiPo relevance of the incident. Many HiPos are not identified at the time of the incident
and it is only after investigation that true the severity of the probable outcome becomes
clear. If, after investigation, an incident is found to fit these definitions, it should be
reported as a HiPo, even if it is outside the nominated reporting timeframe, or does not
explicitly meet these definitions. This requires a HiPo to be posted in the MIA/HiPo
Database system and the severity in the Traction Potential Risk Matrix to be increased to
level A-E. (Refer to severity matrices in Appendices G -J)
Figure 4-2 - HiPo Incident Determination Flowchart
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
4.2 TRACTION
Traction is a software tool designed to provide a single data entry system for all Health,
Safety, Environmental, Property Damage, Reputation and Business Interruption/Unit
Outage incidents. Traction also offers an actual and potential severity matrix that allows
the user to assess the incident severity on a consistent basis.
4.3 ESTABLISH INVESTIGATION TEAM
The responsibility to establish the Investigation Team is with the initiating PUL VP and
SPUL. An Owner for the investigation will be designated.
The Owner shall initiate the investigation by issuing
“Terms of Reference” to the
Investigation Team Leader.
4.4 TERMS OF REFERENCE
Terms of Reference detail the requirements of the investigation and give official status to
the investigation. In particular they will:
Identify references
Define the scope of work
List the team members
Provide objectives/guidance
Indicate any requirements for intermediate reporting.
Note: The investigation shall remain strictly within the Terms of Reference and deviate
from them only after discussion with the Owner. A model Terms of Reference
template is provided in Appendix C
Copies of the Terms of Reference shall be provided to the Investigation Team and the Site
Manager.
The Team Leader of the Investigating Team shall discuss the Terms of Reference with the
Owner to ensure that he is fully briefed.
4.5 TEAM SELECTION
Incident investigation teams are determined according to the type of incident. Generally,
the team will consist of the following:
A member designated as the Investigation Team Leader with seniority
dependent on severity of the incident
At least one person knowledgeable in the process involved, e.g. operations or
technical engineer
A contract employee, contractor management representative, and / or HSE
representative if the incident involved the work of a contractor
A person knowledgeable in incident investigation techniques and system cause
analysis - Root Cause Specialist
Other persons, as needed, with appropriate knowledge and experience to
thoroughly investigate and analyze the incident, i.e., may include persons from
other assets or within the industry as a third party representative in major
investigations.
Control Tier:
2
Revision Date: 30 April 2008
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Incident Investigation and Reporting
Note: Major Incident investigations require the Team Leader and at least one other
member to be from a different Performance Unit (e.g. Offshore or Onshore
Operations BUs) and be of sufficient seniority in the organization, e.g. ALT Direct
Report or above. Additionally the Root Cause Specialist should a person trained in
the BP Group Master Root Cause Specialist (MRCS).
Incidents with fatalities initiate the Group Fatal Accident investigation which
requires an external BUL/SPUL and MRCS from another SPU to lead the process.
DAFWC and HiPo investigations require the Team Leader and at least one other
member from a different Performance Unit (e.g. external to “Exports” or “Azeri”)
and be of sufficient seniority in the organization e.g. ALT Direct Report or above.
4.6 TEAM MOBILIZATION
All team members shall be mobilized within 48 hours of the incident.
4.7 CONDUCT INVESTIGATION
The Team Leader is responsible for completing the investigation.
4.7.1 Scope and Objectives
The investigation shall:
Establish the facts surrounding the incident
Review the application of management systems and management practices
and their impact
Identify critical factors, immediate and system causes and make
recommendations to prevent recurrence.
4.8 FACT FINDING
Information on the incident can be obtained by collecting information from people,
positions, parts and papers - PPPP technique.
Interviews with witnesses shall be carried out as soon as possible after the incident; while
the incident is fresh in their minds and before too much discussion has taken place with
their colleagues.
Witnesses should be interviewed individually, so that they are not interrupted or
questioned by others involved. One member of the team shall interview the witness and a
second record the interview. The interviewee must sign interview transcripts.
Checklists are useful in the early stages to keep the full range of inquiry in mind, but they
cannot cover all possible aspects of an investigation, nor can they follow all individual
leads back to system causal factors. To ensure that all facts are uncovered, ask the broad
“who, what, where, when, why and how” open-ended questions.
4.9 ESTABLISH THE SEQUENCE OF EVENTS
As the investigation progresses, the investigators should begin to identify the sequence of
events and concentrate efforts on increasing their knowledge in areas of uncertainty.
As the extent of physical factors involved in an incident becomes clear, the investigators
should shift the emphasis of their investigation and questioning to the system causes and
the reasons for people‟s actions.
Control Tier:
2
Revision Date: 30 April 2008
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Incident Investigation and Reporting
Establish a chronology of events by date, time and place. The construction of a diagram
showing the connections between the various events and conditions leading up to the
incident, called Sequence of Events or timeline, is a useful technique in the investigation
process, especially for more complex incidents.
4.10 ESTABLISH AND ANALYZE FINDINGS
The findings of the investigation should establish the immediate and system causes of the
incident so that corrective measures can be taken to prevent future incidents.
4.10.1 Identify Critical Factors and Causes and Make Recommendations
The investigation process shall identify actions to prevent recurrence. This is achieved by
addressing the substandard acts and conditions and by identifying and correcting the
latent failures.
Not all causes can be completely eliminated and some may be eliminated only at
prohibitive cost. Some recommendations will, therefore, be focused on reducing the risk
to a tolerable level, while others will be focused on improving protective systems (the
defenses) to limit the consequences.
At least one recommendation should be made for each finding.
Actions shall be ranked for order or priority as follows.
1. Requires immediate action before activity at the site resumes.
2. Must be completed to an agreed plan.
3. Should be considered but not a priority.
4.10.2 System Cause Analysis
All incident findings should be reviewed to determine the critical factors, immediate causes
and system causes of the incident.
Identification of system causes of an incident may often reveal underlying management
system failures that resulted in the incident occurring.
System Cause Analysis is a process for analyzing incidents to:
 Provide consistent and repeatable results
 Provide objective and not punitive results
 Provide final results from which system causes can be identified.
 Identify actions which can be taken to correct the cause and prevent a similar
type incident
After examining all the critical factors involved in an incident and arriving at the system
causes, a good check to use is to ask, “If these system causes were corrected, would this
prevent the incident from happening again?” If the answer is no, further evaluation is
needed.
4.10.3 Antecedent Behaviour Consequence Analysis (ABC Analysis)
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Incident Investigation and Reporting
ABC Analysis is a technique for understanding why people intentionally behaved as they
did and identifying how to change this type of behaviour for another desired behaviour.
It is not suggested that ABC analysis is used in all investigations - rather it should be
invoked as required by investigation teams whenever they need a deeper understanding
intentional behavioural factors.
ABC analysis should be performed once evidence gathering has been completed and
critical factors have been identified and written. It is performed at the beginning of the
analysis phase of the investigation and allows the investigator to reach a deeper
understanding around why a person acted or behaved the way they did, so that
investigator is in the best possible position to recommend appropriate corrective actions.
4.10.4 System Cause Analysis - Example
It is very easy to mistake an immediate cause for a system cause of an incident. As stated
above, the system causes of an incident will often be a management system failure. The
following example illustrates this point:
A spill occurred when an employee overflowed a fuel truck while loading it at the
bulk fuel loading facility.
The initial investigation revealed that the operator of the truck overestimated the
amount of fuel required to fill the truck. By the time he realized he was running out
of tank capacity, he couldn’t reach the shutoff switch before the truck overflowed.
The initial finding was that the operator of the fuel truck was inattentive. However
further questioning of the driver and a survey of the scene revealed that the truck
was being loaded from the top and the emergency shutoff switch for top loading
was not functioning properly. This required the operator to climb down off of the
truck and to enter the pump room to shut off the flow of fuel. The malfunctioning
switch had been reported several weeks prior to the incident but had not yet been
repaired.
Note: One system cause of the incident was subsequently found to be a management
system that allowed a critical component of an emergency shutdown system to
remain in service while not functioning properly.
After arriving at one of the most obvious causes of the incident, it is important to ask,
“Why?” In the case above, asking why the employee overflowed the tank resulted in the
identification of the malfunctioning switch, and the need for a system to prioritize work
requests so critical safety components are repaired as soon as possible.
The BP Comprehensive List of Causes Chart in Appendix D shall be used to determine
system causes for all incident investigations.
Critical Factor: An event, action or condition contributing to the incident that, if eliminated
would have either prevent the incident from happening or reduce its severity.
4.11 COMPILE REPORT
Note: Minor Incidents (severity level F to H) need only be reported through the Traction
reporting system. Major and High Potential Incident Reports must follow the layout
described. Incident Investigation Report should be completed in 30 days (GHSER
Control Tier:
2
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Incident Investigation and Reporting
requirement
- Key Process
6 and Recommendation of BP Group Defined
Operating Practice for Incident Investigation).
4.11.1 Records
A copy of all BP Major Investigation Reports shall be kept in the SPU files and in
Corporate HSE files. The incident shall also be entered into the Accident and Incident
Database (Traction). The original of the report will be kept in the files of the site or area in
which the incident occurred for the life of the facility.
4.11.2 Report Outline
The report contents should adhere to the following outline:
Title Page: Includes title, location and date of the incident and date of the report.
Executive Summary: “High-level” summarized description of the incident, highlighting
significant
findings/
conclusions and referencing the investigating team‟s
recommendations. The executive summary should be restricted to one page.
Table of Contents: A listing of the report contents and page numbers.
Terms of Reference: An example is attached in the Appendix C
Core report: Critical factors identified during investigation should be addressed clearly
and specifically. Critical factors are those events which if eliminated would prevent the
incident from occurring or significantly reduce the severity of the incident.
Incident Description: Describe the situation before the incident, what happened during
the incident and actions taken after the incident. The questions who, what, where and
when must be answered.
Incident Timeline: various events and conditions (including date and time) leading up to
the incident. The timeline may extend to events and conditions after the incident to
demonstrate the emergency response.
Discussion of the Evidence & Losses: This section should take the Leader through the
logical discussion of the evidence that leads to the conclusion of immediate causes.
Immediate Causes: These are “symptoms” of the system causes and may be identified
by utilizing the CLC Chart (Appendix D)
System Causes: Categorized as “System Causes” on the Comprehensive List of Causes
Chart (Appendix D), they are the “whys” of the immediate causes.
Recommendations to Prevent Recurrence: Review each of the immediate and system
causes to develop recommended actions to address all identified risks. If causes and
recommendations are related to other Controlled Documents and/or regulations, i.e.,
Traffic Regulations of Azerbaijan / Georgia, those documents should be referenced.
Signatories: After the report has been reviewed and agreed by the Owner, the
Investigation Team Leader will sign the report as representative of the Investigation Team
and the Owner will sign the report to signify acceptance of the findings and recommended
actions on behalf of the Business Unit.
Note: At the initial stage all incident investigations must be marked "draft" and after
completion of reviews and compilation of the final version marked "final". Upon receipt of
comments and approval on draft incident investigations and issue of the final report draft
versions will be destroyed.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Page 20 of 43
Incident Investigation and Reporting
Appendices:
Appendix A - Initial Incident Report - This initial report will be completed
by the Incident Investigation Team. It is the primary information required to
document the incident on Accident and Incident Reporting database
(Traction).
Appendix B - Diagrams and Photographs - To correlated and illustrate
locations and/or progressive locations of people, equipment, etc. that were
influential in incident cause and/or prevention.
Appendix C - Documentation - This information is generally the most
difficult to find, but the most objective. It is the primary reason why at least
one team member must be knowledgeable of the process (operations /
maintenance).
Supporting documentation of relevance to the overall report should be
contained in this section. This should include statements from witnesses,
photographs or drawings, copies of Work Permits, or other documents of
importance. If equipment was damaged the details could be recorded in this
section.
Appendix D - Interviews - Most information during investigation is obtained
from people. They must be interviewed separately and as quickly as
practical. The longer the interval between incident and interview, the more
distorted the information becomes.
Interview statements should not be a verbatim record of each interview, but
should summarize the information gained at each interview. The detailed
interview notes may be appended to the report or archived as considered
appropriate.
Note: At least one team member must be trained and competent in
interviewing.
4.12 NON-CONTRIBUTORY FACTORS
The Team may find deficiencies when investigating an incident, which have no bearing on
the incident or outcome. If recorded these must be clearly stated as such in the report.
4.13 REVIEW WITH MANAGEMENT
4.13.1 BP Management
HiPo/DAFWC Investigation reports shall be reviewed with management including the
event owner to confirm that the technical aspects are correct and the Terms of Reference
have been met.
4.13.2 Contractors
Investigations involving contractor owned / operated worksites or equipment, located on
BP operated areas, will be reviewed by BP and contractor management to obtain
agreement on the report
However the essential element is that the report is agreed internally within BP and that
management accepts the findings. Preferably these findings will not contradict any
contractor investigation however if this does occur then the reasons for the discrepancy
should be investigated.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
4.13.3 Agree with Owner
The basic causes and actions of all Incident Reports must be agreed with the Owner
before the final
„approved‟ or signed off report is produced. Each action in the
recommendations must have been assigned to a person accountable for the action, a
target date for completion and a risk rating (low / medium/ high).
The Owner is responsible for making the actions, required completion date, and risk rating,
known to the person accountable for the action and assuring timely completion).
4.14 ACTIONS
Recommended actions must state explicitly what is to be done, when and by whom.
Before assigning actions Responsible Party must be consulted to agree a reasonable
timescale for completion to avoid actions going unnecessarily overdue.
Traction contains three possible choice of priority when entering actions - these are listed
below with their criteria:
4.14.1 Prioritization
The investigation process shall identify actions to prevent recurrence.
At least one recommendation should be made for each finding. The Investigation Team
must consult whatever technical experts it feels may be necessary to determine possible
actions.
Actions shall be ranked for order or priority as follows:
 H - Requires immediate action before activity at the site resumes
 M - Must be completed to an agreed plan
 L - Should be considered by the Owner but is not a priority
Note: the decision about the establishment of the target dates for the completion of the
actions should be made and agreed by the Investigation Team and the Owner (e.g. PUL,
Site/Installation Management) based on the levels of the priority prior to insertion into
Traction system.
4.14.2 Owner
The Owner (as per section 2.5) shall allocate actions to a Responsible Party. The Owner
and Responsible Party shall reach an understanding on the scope of the action and the
time by which it is to be completed.
4.14.3 Responsible Party
The Responsible Party shall ensure that the action is closed out in the Action and Incident
Data Base. An action will not be considered finalized until the database has been updated.
4.14.4 Close-Out of Actions and use of Traction system
Traction is the system BP uses globally to report all safety related incidents as well as
Audits and Other events. Traction is a web based tool that enables BP to fulfill their
commitment to openly report, investigate, analyze and document all health, safety,
security and environmental incidents. It is expected that all BP reportable incidents that
occur during the course of working activities will be entered into Traction.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
Each Performance Unit shall establish a process for tracking the close out of actions. The
Managers directly accountable to the Performance Unit Leader shall do this on a monthly
basis. The Performance Unit Leader shall be notified of the number of overdue actions
each month. Actions resulting from Major Incidents, High Potential Incidents, Day Away
From Work Cases and significant audits will be tracked to resolution at the SPU level in
Traction. Actions resulting from minor incidents will be tracked by means of action tracking
system operated at PU level.
All corrective actions from the final incident investigation report will be included into
Traction system for further follow-up and completion.
4.15 INCIDENT REPORT ORIGINATOR
Each Performance Unit shall formally appoint Incident Report Originators who will be
responsible for entering Incident Reports into the database and closing actions in the
database when advised to do so by Responsible Parties.
5 REPORT DISTRIBUTION
All incident reports shall as minimum be copied to:
The Owner
PUL, VP and SPUL depending on severity of the incident
The Site Manager (if he is not the Owner)
Responsible Parties (i.e. those allocated remedial actions)
The senior HSSE personnel of the BU or service unit
Central HS&ER Manager (Major Incident and HiPo Reports as defined above only).
All Major incidents (A-E levels), HiPos and certain security sensitive incidents (e.g illegal
taps) shall initially be sent to “G EUBAK MIA/HiPo Notification”, and shall not be distributed
any further without prior SPUL agreement.
All F-H severity incidents (excluding HiPos and security sensitive incidents) should be
distributed to “G EUBAK AzSPU Incident”.
6 DISTRIBUTION OF LESSONS LEARNED
The main objective of carrying out an incident investigation is to identify the causes of
incidents and to prevent recurrence. In order to achieve the biggest benefit from the
investigation, the lessons learned need to be distributed to other sites where a similar
incident might occur
Two types of documents currently utilised in AzSPU can be used for distributing of lessons
learned from accidents and incidents:
 AzSPU Lessons Learned One-Pager (example proforma LL One Pager can be
found in Appendix M)
 Safety Flash document
Note: AzSPU Outside Distribution of Lessons Learned One-Pagers, HiPlus and similar
documents should not go from individual assets but from SPUL office.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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Incident Investigation and Reporting
7 STORAGE OF RECORDS
7.1 MAJOR INCIDENTS
The master copy of the investigation report must be retained on file by the Performance
Unit and the copy sent to the Central HS&ER Manager and must be retained in the SPU
HSE Department files.
7.2 MINOR INCIDENTS
When a site has access to the Traction, the report in the database is sufficient record of
the incident.
When a site does not have access to the Traction a copy of the report signed by the
Originator and Owner must be retained on the site and forwarded to the BU HSE
Department.
Refer to AzSPU Record Control Procedure (AZSPU-HSSE-DOC-00041-2) for additional
guidance.
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
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Incident Investigation and Reporting
8 APPENDIX A - MAJOR INCIDENT NOTIFICATION PRO-FORMA
BP Major Incident Announcement
URGENT
BP CONFIDENTIAL: contains BP confidential business information - do not forward
Send by e-mail to the relevant distribution list. Add other addressees as necessary to meet BU or Regional requirements, e.g.
Local Management Team or Joint Venture partner.
SPU/Business Unit:
Country:
Location of Incident:
Date of Incident:
Time of Incident:
Contact:
Brief account of Incident: (Report as fact only what you are clear is fact. Specify the status of anything
else which you report, e.g., a belief or an estimate):
Fatalities:
Control
Control
Influence
Influence
Work-related
Not work-related
Work-related
Not work-related
Employee
Contractor
Third party
Business impact/damage/loss:
External agencies involved:
News media coverage seen:
What assistance has been requested:
BP person in charge of
Business Unit Leader:
response/Investigation:
Office telephone:
Office telephone:
Mobile telephone:
Mobile telephone:
Home telephone:
Home telephone:
Control Tier:
2
Revision Date: 30 April 2008
Document Number: AZSPU-HSSE-DOC-00054-2
Print Date: 24 July 201013 May 2008
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