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    Stolt Offshore Isolation Certificate: List of Systems Isolated

    Uploaded by

    Dale Wearpack
    This isolation certificate document contains sections to identify the ship or barge location where work will take place, the type of isolation needed (short or long term), a description of the work and systems that need to be isolated, spaces to sign off when isolations are put in place and removed, and authorizations from responsible persons for the isolations and completion of work. It provides a way to properly document isolations to safely perform work on equipment by identifying involved systems and getting proper approvals.

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    Stolt Offshore Isolation Certificate: List of Systems Isolated

    Uploaded by

    Dale Wearpack
    53 views1 page
    This isolation certificate document contains sections to identify the ship or barge location where work will take place, the type of isolation needed (short or long term), a description of the work and systems that need to be isolated, spaces to sign off when isolations are put in place and removed, and authorizations from responsible persons for the isolations and completion of work. It provides a way to properly document isolations to safely perform work on equipment by identifying involved systems and getting proper approvals.

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    Isolation Checklist.doc

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    This isolation certificate document contains sections to identify the ship or barge location where work will take place, the type of isolation needed (short or long term), a description of the work and systems that need to be isolated, spaces to sign off when isolations are put in place and removed, and authorizations from responsible persons for the isolations and completion of work. It provides a way to properly document isolations to safely perform work on equipment by identifying involved systems and getting proper approvals.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    53 views1 page

    Stolt Offshore Isolation Certificate: List of Systems Isolated

    Uploaded by

    Dale Wearpack
    This isolation certificate document contains sections to identify the ship or barge location where work will take place, the type of isolation needed (short or long term), a description of the work and systems that need to be isolated, spaces to sign off when isolations are put in place and removed, and authorizations from responsible persons for the isolations and completion of work. It provides a way to properly document isolations to safely perform work on equipment by identifying involved systems and getting proper approvals.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Stolt Offshore Isolation Certificate

    Ship/Barge WorkSite Isolation Reference Permit


    Other       Location       Number       Number      
    Select in one of the boxes below, which type of isolation you require.
    Short Term Isolation Long Term Isolation
    1: WORK DESCRIPTION
    Isolations required to carry out work on      
         
         
         
         
         
         
    2: ISOLATIONS Isolated De-isolated
    List of systems isolated Lock No. Initial Date Initial Date
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       

    Sign against appropriate isolations which have been identified to perform the work on equipment described in Section 1.
    Relevant P & ID’s Electrical Schematics and Documentation have been referenced where applicable.

    Process Isolations:       Electrical Isolations:      

    Mechanical Isolations:       Systems Isolations:      


    3: EQUIPMENT STATUS
    3a: Authorisation for Isolation 3b: Authorisation for De-isolation
    I authorise the removal from service and isolation of the All cross referenced permits have been signed off this certificate.
    equipment detailed above in section 2 in accordance with I authorise the de-isolation and return of equipment detailed above
    the isolation list. in section 2 in accordance with the re-commissioning list.
    Nominated Responsible Nominated Responsible
    Person’s Person’s
    Signature.....................................……… Date      Signature..........................................……………. Date      
    4: COMPLETION
    Work covered by this certificate is complete, all isolations have been removed. This certificate is now closed.
    Nominated Responsible
    Person’s Signature.............................................................………………….. Date      

    GR-HSEF-011 Ver. 2.0 Page 1 of 1

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