13.2.10 RA SWP For Installation of Heat Tracing at DCL

C&P ENGINEERING SERVICES LTD
INSTRUMENTATION & ELECTRICAL ENGINEERS

Gorseinon Road, Gorseinon, Swansea, SA4 9GE
Telephone: 01792 897002 Fax: 01792 895193 Email: info@cpengineering.co.uk
www.cpengineering.co.uk
Hazard Identification, Risk Assessment & Safe Working

Procedure for Heat Tracing
Project Title:
Site Address: Cardiff Road, Barry, South Glamorgan, CF63 2YL
Client: Dow Corning Ltd
PO Number:
Work Location:
Assessed By:
Assessment
Print Name Signature Date Assessed
Review Date
Richard Jenkins 18/02/2014 17/02/2015
Steve Tossell 18/02/2014 17/02/2015
Approved By:
Print Name Signature Date Approved
Paul Bunyan
C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 1 of 15

Hazard Identification
Physical Hazards Y Physical Hazards (Continued) Y Fire Hazards Y

Airborne Dust / Fumes Explosive Materials
Access / Egress Flammable / Combustible Materials
Adverse Weather Conditions Flammable Atmospheres
Aggression/Violence Pyrophoric Material
Bullying Sources of Ignition
Collapse of Equipment / Materials Static Electricity
Confined Space Entry
Crane Movements / Lifting
Display Screen Equipment
Drowning
Electricity - Electric Shock / Burns
Entanglement
Equipment / Materials Other Hazards Specify Below Vulnerable Groups
Falling Objects / Materials from Height Environment - Waste Disposal
Falls from Height (Working at Height) Process Pipework Expectant and Nursing Mothers
Gas Cylinders Impulse Lines / Tubing Lone Workers
Gasses Young Persons
High Pressures
High Ambient Temperature
Hot Surfaces
Housekeeping / Slips, Trips& Falls
Low Ambient Temperature
Manual Handling / Ergonomic Biological Hazards
Moving Equipment/Machinery Blood Borne Pathogens / Body Fluids
Noise Hygiene/Welfare
Operating / Driving MEWPs Legionella
Oxygen Depletion / Enrichment Leptospirosis (Weils Disease)
Pneumatics / Hydraulics
Poor Lighting
Radiation
Sharp Objects Chemical Hazards
Stress Asbestos
Struck By / Against Corrosive Chemicals
Trapping Points Harmful Chemicals
Underground Services Irritant Chemicals
Uneven Work Surfaces Odorous/Noxious Chemicals
Use of Hand Tools / Power Tools Toxic Chemicals
Vehicles/Transport
Vibration

Installation of Heat Tracing
Risk Assessment
Task: - Heat Tracing
The following risk assessment has been completed to ensure adequate controls are in place to eliminate or reduce the risk to as low as is reasonably practicable.
In considering who may be harmed we have included C&P Calibration Technicians, but for each task, depending on where it takes place, then further
consideration should be given to others who may be affected by our activities e.g. other contractors.
L = Likelihood HR = Hazard Rating (with NO controls in place).

C = Consequence RR = Risk Rating (with controls in Place).
HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

BE HARMED AS LOW AS IS REASONABLY PRACTICABLE
1. Airborne Dust - Some plants may expose 5 3 15 C&P Safety glasses or goggles to be worn (depending on 1 3 3
technicians to windborne dust. Employees site).
2.Access and Egress on site 5 5 25 C&P Site Induction prior to job commencement. 1 5 5
Employees Authorisation to Work (permit) from client. Access and
egress to each calibration instrument will be by
roadways, fixed walkways and platforms at each
process plant area. Access to some instruments may
require working at height.
For working at height hazard controls please refer to
C&P document reference 2.14.1 Working at Height
Policy.


3.Adverse Weather Conditions. Extremes of 5 3 15 C&P PPE in the form of warm clothing, good quality safety 1 3 3
weather such as ice, snow, heavy rain, lightning Employees boots, water proof exterior clothing. Ability to postpone
storm etc. This is particularly important when working jobs in extreme weather conditions i.e. high winds,
at height, using ladders, accessing/egressing steps torrential rain when working at height
and plant, driving on site.
4.Working in Confined Spaces 5 5 25 C&P Site Induction. Site Authorisation to Work Permit. 2 5 10
Employees Confined Spaces permit. C&P watchman. Emergency
rescue plan in place. RPE available and to be worn
depending on confined space. Resuscitation
equipment on standby. Specific tools required (discuss
with Plant personnel).
Only trained and certified C&P operatives to enter
confined spaces.
5.Overhead Crane Movements causing struck by 4 5 20 C&P Where overhead cranes move overhead, either isolate 1 5 5
injuries. (Linked with working at height) Employees cranes (plant to isolate or with their permission) or
bellman required to alert Calibration technicians to stop
work and move away from area.
6.Electricity - Contact with live electrical 5 5 25 C&P Only qualified and competent persons to work on 1 5 5
components causing electrical shock, burns or Employees electrical equipment.
electrocution.
All work on electrical equipment only to be carried out
following isolation.
C&P Calibration Technicians are competent to
undertake the isolations. This must either be done at
the local sub-station or at the fuse board.
For safe isolation please refer to C&P document


reference 13.1.3 Safe Isolation Procedure for DEAD
working on LV and ELV.
7.Objects falling from Height 5 5 25 C&P Permanent metal toe boards on process plant working 2 5 10
Employees platforms and on MEWPs. Good housekeeping across
whole plant. When working at height area below to be
cordoned off by use of bunting and signage to at least
10 metres. Items secured when being transported in a
MEWP basket.
Discussion to take place at Induction to prevent other
workers/contractors working immediately above
Calibration Technicians.
Where overhead cranes move overhead, either isolate
cranes (plant to isolate or with their permission) or
bellman required to alert Calibration technicians to stop
work and move away from area.
8.Falling from Height (Working at Height) 5 5 25 C&P Where access to Instrumentation only requires a step 2 5 10
Employees up of a few centimetres then this can be achieved on
most levels. Where the need to work at height exposes
the individual to a fall to danger then additional controls
will need to be in place. These will involve scaffolding
platforms. MEWP to be supplied and maintained to a
high standard. Trained and certificated C&P operatives
to operate the MEWP.
Where Instruments are at height and close to platform
edges then scaffold extensions should be requested.
The scaffold extensions should be erected by
recognised Scaffolding Company.


Stepladders with handrails and Fibre glass ladders can
be used in many locations where the work is of short
duration and the height to work at is relatively low,
ladders can be secured or footed and supported.
When working from stepladders near to platform edges
and there has been NO scaffolding extensions attached
to the handrail then full body fall arrest harnesses
should be worn. Full body fall arrest harnesses are a
last resort and should be worn in conjunction with other
controls for working at height.
9.Gas / oxygen Depletion 5 5 25 C&P Individual gas monitors and procedures for evacuation 1 5 5
Employees from Process Areas. Regular Operational checks for
gas leaks by trained and competent operators. Regular
Planned Maintenance checks and repairs by client.
Site Inductions.
10.Hot Surfaces 5 3 15 C&P Hot pipe work lagged/insulated. Signage. 1 3 2

Employees
If working on high temperature instrumentation, allow
cooling if possible and wear protective gloves.
11.Slips, Trips and Falls due to poor housekeeping 5 5 25 C&P Good housekeeping practices across site by the client 1 5 5
Employees provides for a safe place of work. Clear concrete
pathways, roadways and signage. Painted walkways.
Good safety footwear. Audits by Plant personnel.
C&P standards in housekeeping, safety contacts
provided and more specific training. Removal of all
waste.


12.Manual Handling carrying of equipment 3 3 9 C&P Calibration instruments and hand tools are relatively 1 3 3
ladders, tools etc. Employees lightweight (tools to be carried in single tool box).
Removal of some Control Valves may be heavy.
Individuals trained in Manual Handling techniques. Help
required from Plant personnel or second C&P
Calibration technician. Avoid Manual Handling where
possible.
13.Moving Machinery / Entanglement / Trapping 5 5 25 C&P Variety of operating machinery could be present in 1 5 5
points - controlled by Client Employees process areas. All moving parts to be guarded. No
access beyond any guard or barrier protecting
machinery. Permit to work in all plants.
14.Noise 5 3 15 C&P Certain areas of plant will require mandatory Hearing 1 3 3

Employees Protection in the form of Ear Defenders.
Ear defenders to be worn prior to and during time spent
in these areas.
Signage.
15.Operating/driving MEWPS on site 5 5 25 C&P Trained and competent operators holding certificate for 1 5 5
Employees Driving and operating MEWPS.
Equipment to be fully maintained and inspected.
Driver to use harness at all times when driving on site
or when working from MEWP basket at height.
When stationary prior to work commencing outriggers
must be fully deployed on solid, level ground. If ground
is soft or uneven, boards are to be placed under
outrigger legs.


Whilst working at height, operator is to control
movement of basket from the basket and not the floor.
Operators working from basket not to over-reach or
lean out of basket.
Under no circumstance are operators to exit the MEWP
basket as a means of access to a place above ground
level (except in an emergency). All loose equipment
placed in the basket for use will be secured to ensure
they cannot fall. The area around the base of a MEWP
will be bunted and have cones to prevent collision from
other vehicles and road users and also to prevent
persons working or walking underneath.
16.Lighting 5 5 25 C&P Good plant lighting. Where plant lighting is poor, obtain 1 5 5
Employees temporary lighting, torch or head lamp may be used in
non hazardousareas (non explosive atmosphere check
with client personnel).
If working in potentially explosive atmosphere, torch or
headlamp may be used providing they are certified to
be used in explosive atmospheres. Permission to be
granted by Client personnel and hot work permit may
also be required.
17.Use of hand tools and power tools/ 3 5 15 C&P Drills and other power tools will be battery operated. 1 5 5
Entanglement / Trapping points most calibration Employees Where this is not reasonably practicable then low
tools are not powered but there may be a voltage mains will be required (110v). See electrical
requirement to use powered tools in the workshop or controls above. PAT testing of mains operated tools.
laboratory. Secure cables. Non-Adjustable Spanners required in
some plants (check at Induction).


No loose clothing or jewellery near to rotating chuck.
All hand tools to be clean and in good working order.
18. Vehicles and Transport travel to site and use 5 5 25 C&P Use of company vehicles. Fully maintained vehicles 2 5 10
on site internal roads Employees, with current MOT and insurance. Competent drivers
other road holding appropriate licence for the vehicle. Vehicle pre-
users flight checks. All calibration equipment and tools stored
safely in vehicle.
Restricted access to site only authorised vehicles.
Road signs, road traffic standards, high way code.
Pedestrian crossings.
Park in designated parking areas only.
19. Legionella 2 5 10 C&P Depending on site location of instruments to be 1 5 5

Employees calibrated. Client to provide information on potential
Legionella presence by providing COSHH risk
assessments. Wearing of RPE.
20.Contact with Chemicals on site - Different 5 4 15 C&P Comprehensive Permit to work form required for all jobs 1 4 4
Process areas manufacture and use different types Employees undertaken on chemical sites. Client to provide details
of chemicals i.e. toxic, corrosive, harmful etc. of hazards and precautions necessary for each process
area including COSHH risk assessments.PPE in the
form of chemical gloves to be worn on some sites.
21.Fire- flammable atmospheres, sources of ignition 3 5 15 C&P No sources of ignition to be used or taken on to plant 1 5 5
Employees areas without a valid Work Permit for the task
Some situations may require minor hot work but it is
very unlikely. Agree any hot work necessary with client
agree permit required for hot work.


Fire extinguishers and fire watchmen at area of hot
work. Trained competent operators.
Familiarisation with Plant specific Emergency
Procedures and assembly points.
22.Lone Workers - Many of the Routine Operational 5 5 25 C&P Trained and competent operators. Personal radio or 1 5 5
checks are required to be completed by one person. Employees mobile phone (if working in potentially explosive
Lone Workers, if injured, are more likely to go atmosphere equipment MUST be certified). Personal
undetected and could exacerbate the seriousness of gas monitor in some plants. Plant alarms. Call stations.
the injury due to delays in rescue and treatment.
C&P lone worker policy and established protocol to call
in to supervisor at regular intervals.
23. Environment - waste disposal 3 4 12 Environment Responsibly dispose of all generated waste by using 1 3 3
clients on site recycling facilities.

Risk Matrix
First Aid Injury Minor Injury Suffering Major injury Fatal

no disruption (preventing (preventing
of activity activity for one activity for 3
day) days or longer
Certain 5 10 15 20 25
Probable 4 8 12 16 20
Likely 3 6 9 12 15
Possible 2 4 6 8 10
Unlikely 1 2 3 4 5
Acceptable (1-5) No further action but ensure controls are maintained
Adequate (6-15) Look to improve at next review
Unacceptable (16-25) Stop activity and make immediate improvements
Safe Working Procedure

Final Risk Rating
The risk rating for the activity of the Heat Tracing has a final risk rating of 10 if all the controls are applied
at all times. Failure to implement the controls will lead to a higher risk of injury. The level of 10 is adequate
(yellow section 6-15) but improvements should be made to reduce the overall risk down to acceptable (green
section 1 - 5). This Risk assessment needs to be reviewed in the next 12 months (see review date).
Persons and Competency
All the C&P Engineering employees who work on this contractmust have been taken through this SWP and
must sign the register (on the last page of this document) to demonstrate that they understand the controls
and how they are to be applied. They must be competent and have the relevant certification for the
equipment they are working on and for operation of the MEWP.
PPE Requirements
The individuals on this contract are required to wear at all times:-

Safety Footwear with minimum 200Joules toe cap. The ankles must be protected.
General Proban treated overalls or Proban treated trousers & jacket.
General purpose gloves or Kevlar gloves over surgical nitrile gloves (depending on the task).
Safety helmet centurion or equivalent. No requirement for safety helmet in office buildings.
Safety glasses to be worn or safety over-glasses to be worn if wearing your own prescription glasses. No
requirement for safety glasses or safety over-glasses in office buildings.
High visibility waistcoat.No requirement for high visibility waistcoat in office buildings.
Ear defenders when working in areas which require mandatory hearing protection.

In addition to the above goggles may be required in plant areas instead of safety glasses and Kevlar gloves
used when using open blade knives, harnesses will be used when working from a MEWP basket. Some
process areas may require chemical suits and this will be stipulated on the permit to work.
NOTE:When working from stepladders near to platform edges and there has been NO scaffolding
extensions attached to the handrail then full body fall arrest harnesses should be worn. Full body fall
arrest harnesses are a last resort and should be worn in conjunction with other controls for working at height.
A clip off point must be checked or tested to ensure it is suitable to attach to. A hand rail is not suitable or
designed to be used as a point to attach the harness.
Plant Status
In almost all cases electrical isolation will be required for the equipment that is to be worked on.
When carrying out Inspection & Testing of circuits someLIVE tests are required. This live working is to be
carried out as per C&P document reference 13.1.4 Live Working Procedure on Low Voltages (up to
1000V).
Permits, Certificates or Registers
A general permit to work is required for all work locations and access onto process plant. Isolations will be
recorded on this permit. A separate hot work permit is required for battery operated equipment or any
specific hot work.
Access and Egress
Before accessing any part of a plant then an authorisation to work permit will be obtained from the permit
issuing office for that particular area. Access and egress will be by recognised walkways, pavements, road
crossings, working and process platforms. Access to areas where there is a risk of falling to danger will be
by additional access equipment such as scaffolding, MEWP, fixed or secured and supported ladders.
Procedure
1. Contact the site area in advance and agree that access to the specific area is acceptable.
2. Wear the PPE that is required for the particular process area that you will be working in. N.B. There
is minimum requirement as highlighted in the PPE section above for all areas. Ensure that the PPE
is in good condition and affords adequate protection.
3. Report to the permit office before accessing site. Obtain a permit to work form and comply with all
requirements stated and explained verbally by the issuer. Additional PPE stated must be worn.
Agree access and egress routes. Any Isolation of electrical circuits, need to be agreed with the
permit issuing office.
4. Where the inspection revealed working at height is a risk, then the appropriate control(s) must be
adopted. We must follow the hierarchy of working at height and aim to prevent the fall in the first
place i.e. permanent platform, scaffold, MEWP, stepladder with handrails on top step, harnesses
5. Scaffolding requirements must be agreed with permit issuing office and their approved scaffolding
sub contractor. If a MEWP is required then this must be pre-booked in advance.
6. Where electrical installations are at height and close to platform edges i.e. Process areas, then
consideration, as a first option, should be given to erecting scaffolding extensions to the handrails to
prevent falls from height, or where this is impracticable, then full body fall arrest harnesses should be
worn if working from stepladders near to the platform edge (this does not prevent the fall but

prevents a person falling to danger and therefore limits the consequences of the injury) bearing in
mind any structures that may be below the working platform and interfere with the fall. Fall arrest
harnesses should be regarded as the last resort but can and should be worn in conjunction with
certain controls for working at height. Lightweight detachable stepladders with handrails and gate all
around the top working platform should be used if available. Approved/certified clip off points should
be used to attach the harness. Handrails are not designed for attaching a harness.
7. Park vehicle in recognised parking areas for equipment off loading. Manually handle equipment to
the location using the kinetic manual handling techniques supplied in safety contact and training
course. Where heavy or awkward items need to be carried then a separate manual handling risk
assessment is required for the particular location.
8. Collect MEWP if required for access from MEWP parking location. Full Body Harnesses will be worn
and attached by all operatives as soon as they enter the MEWP basket. This applies to driving the
MEWP to the location of work. One operative is to drive MEWP on roadways to the location. Use
the C&P vehicle where possible as an escort using hazard warning lights to warn other road users. A
fall restraint lanyard must be used and not fall arrest.
9. Create appropriate road control if MEWP is needed to be parked on the road way road control will
be appropriate to the risk and extent of use of the road. As a minimum the MEWP will be coned off
and bunting placed between cones. This could be increased if necessary to traffic light controls or
road closure if agreed with site.
10. Place bunting at ground level to demarcate exclusion zone below location of work when working at
height. This will be a minimum of 10m diameter but will be greater in most circumstances using the
structures in the area.
11. Equipment transported in the MEWP basket will be secured in the basket until it is to be fitted. This
will include tools and fittings.
12. Install power supply cable as per specification.
13. Install heat tracing cables on identified pipe work as per specification, taking into consideration the
control measures listed above.
14. Gland cable both ends, conduct insulation resistance test using equipment with valid calibration
certificate. Check cable and terminate at both ends.
15. Dead tests on electrical circuits to be carried out by competent person using valid calibrated test
equipment and results recorded.
16. The electrical isolations will be removed and power restored to the electrical section that had
previously been isolated.
17. Live tests on electrical circuits to be carried out by competent person using valid calibrated test
equipment and recorded.
18. Once the work is completed all tools, equipment, waste fittings and cut offs from cable must be
removed from the site or disposed of in identified on site recycling services.
19. The MEWP will be returned to the MEWP parking area and off hire arranged.
20. The permit to workwill be cancelled.
21. Electricaltest certificate is to be completed if required. The top copy of the certificate is to be given to
the customer and the yellow copy is to be returned to Paul Bunyan at Gorseinon Head Office.

Emergency Procedures Telephone 3333 Internally
In the event of an emergency and depending on the site and access to such, the emergency services should
be called using the internal emergency number. Raising the alarm is our first priority. All C&P employees
must report to their appropriate place of safety, if the alarms aresounded. You must stay at this location and
report to the Client representative. Follow the directions of the Client personnel in charge at the muster point.
Lifting an eye wash station or stepping on a safety shower will raise alarm to DC Control, who will send
assistance to the areaaccordingly.
Dow Corning Alarm Signals

Klaxon 3 seconds on 3 seconds off Major Incident
All personnel to report to their nearest muster point indoors immediately. Swipe badge on Muster Reader.
Fire Alarm Bells
All personnel to report to their nearest fire assembly point outside immediately.
Blue Flashing Light -Outside a Building
No personnel to enter the building until advised by a DCL member.
Audible Alarm and Red Flashing Light on Process Plant
All personnel to make their work area safe and leave the area. No return until advised by a DCL Member.
Note: If the last page of this document is not attached do not worry as it does not contain any
relevant information regarding the SWP. The last page is a register of signatories and is intended to
be detached and returned to Gorseinon head office for filing.

Hazard Identification, Risk Assessment & Safe Working Procedure for Instrument
Calibration on Clients Site in Situ (and at Clients Workshop).
The above document has been read and explained to me by my supervisor.

I the undersigned understand the controls and how they are to be applied.
Print Name Signature Date
The following comments/queries were raised and discussed with my supervisor (Please
insert below any concerns, comments or views which may identify additional problems):
** THIS PAGE IS TO BE SIGNED, DATED, DETACHED AND RETURNED TO GORSEINON HEAD

OFFICE A.S.A.P. (VIA FAX, EMAIL, POST OR HAND) **

13.2.10 RA SWP For Installation of Heat Tracing at DCL

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C&P ENGINEERING SERVICES LTD

INSTRUMENTATION & ELECTRICAL ENGINEERS

Hazard Identification, Risk Assessment & Safe Working

Richard Jenkins 18/02/2014 17/02/2015

Steve Tossell 18/02/2014 17/02/2015

Print Name Signature Date Approved

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 1 of 15

Physical Hazards Y Physical Hazards (Continued) Y Fire Hazards Y

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 2 of 15

Installation of Heat Tracing

L = Likelihood HR = Hazard Rating (with NO controls in place).

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 3 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 4 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 5 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

10.Hot Surfaces 5 3 15 C&P Hot pipe work lagged/insulated. Signage. 1 3 2

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 6 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

14.Noise 5 3 15 C&P Certain areas of plant will require mandatory Hearing 1 3 3

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 7 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 8 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

19. Legionella 2 5 10 C&P Depending on site location of instruments to be 1 5 5

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 9 of 15

HAZARDS L C HR WHO MAY CONTROL MEASURES TO REDUCE THE RISK TO L C RR

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 10 of 15

First Aid Injury Minor Injury Suffering Major injury Fatal

Acceptable (1-5) No further action but ensure controls are maintained

Adequate (6-15) Look to improve at next review

Unacceptable (16-25) Stop activity and make immediate improvements

Safe Working Procedure

Persons and Competency

The individuals on this contract are required to wear at all times:-

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 11 of 15

Permits, Certificates or Registers

Access and Egress

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 12 of 15

12. Install power supply cable as per specification.

20. The permit to workwill be cancelled.

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 13 of 15

Emergency Procedures Telephone 3333 Internally

Dow Corning Alarm Signals

Fire Alarm Bells

Blue Flashing Light -Outside a Building

No personnel to enter the building until advised by a DCL member.

Audible Alarm and Red Flashing Light on Process Plant

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 14 of 15

The above document has been read and explained to me by my supervisor.

Print Name Signature Date

** THIS PAGE IS TO BE SIGNED, DATED, DETACHED AND RETURNED TO GORSEINON HEAD

C&P Engineering Services Ltd Ref. 13.2.10 Rev. 1 31.07.12 Page 15 of 15

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