Total Sheet 34 Project Name Marunda 2.0 COMPANY Name PT Shell Manufacturing Indonesia CONTRACTOR Name PT JGC Indonesia Purchase Order number 0-0788-0-P-3145-001-A Service name Subcontractor Name Item Number/TAG Number Subcontractor Number Document Title HVAC WORK PT. TATA UDARA NUSANTARA TUN-536 Methode Statement for HVAC Demolish Work COMPANY Document Number 20-3145-001-A-TUN-00536 CONTRACTOR Document Number V-3145-001-A-536 Code 1 Review Code and Status : Approved without Comments Code 2 Approved with Minor Comment Code 3 Rejected with Major Comments Code 4 No Review Required Approval or review hereunder shall not be construed to relieve Vendor / Subcontractor of his responsibilities and liability under the Contract. Name : Signature: Review Date: Next Status Resubmission Date IFI, IFR,AFC,AB 03C 02E 01E 22-June-2022 11-Feb-2022 21-Sept-2021 Approval for Construction Approval for Construction Issue For Review ML ML ML AD KK KK AD KK KK Revision Date Issue Purpose Prepared Checked Approved Methode Statement for HVAC Demolish Work Rev 03C Page 1 of 34 Table of Contents Contents 1. GENERAL ..................................................................................................................3 1.1 Purpose .................................................................................................................. 3 1.2 Scope of Work ........................................................................................................ 3 2. REFERENCES ...........................................................................................................3 3. EQUIPMENT ............................................................................................................3 4. MAN POWER PLANING ..........................................................................................4 5. GENERAL PREPARATION FOR DEMOLISH WORK ..........................................4 6. WORK PROCEDURE ................................................................................................6 6.1 General................................................................................................................... 6 6.2 Build and area preparation..................................................................................... 7 I. DEMOLISH AIR CONDITIONING……………………………………………………………………………………………….7 II. DEMOLISH PIPE REFRIGERANT .........................................................................7 III. DEMOLISH CABLE ..................................................................................................8 IV. DEMOLISH TRAY.....................................................................................................8 V. DEMOLISH SUPPORT .............................................................................................8 VI. DEMOLISH DUCTING ............................................................................................8 VII. DEMOLISH FAN ......................................................................................................8 VIII. DEMOLISH FILTER UNIT ......................................................................................8 IX. DEMOLISH INSTRUMENT DEVICES...................................................................8 X. DEMOLISH PANEL HVAC ......................................................................................9 Flow Chart Demolish HVAC Installation ....................................................................... 10 7. HSSE & ERP REQUIREMENTS ............................................................................ 10 8. SITE DISTURBANCE ............................................................................................. 11 9. ATTACHMENT ....................................................................................................... 11 Methode Statement for HVAC Demolish Work Rev 03C Page 2 of 34 1. GENERAL 1.1 Purpose The purpose of this Procedure is to describe the HVAC Method Statement for HVAC Demolish work. 1.2 Scope of Work Dismantling all used HVAC installations in the 2nd floor admin building first, then proceed with dismantling the 1st floor HVAC installations at the Shell Marunda LOBP Plant Time Line Demolish Work : Demolish 2nd Floor 2. Except IT Room & Electrical Utility Room Demolish 1st Floor REFERENCES Comply with all relevant HSE requirements and specifications on the Marunda 2.0 project including the following procedures : DOC.NO TITLE 20.006-EA-5507-00201 (S-00000-1380-201) Design Basis & Philoshopy of Electrical System Building General Specification Administration Building – AC & Ventilation Installation System Administration Building - Ventilation and Air Conditioning System Laboratory & Control Room AC & Ventilation Installation System Manufacture Record Book of HVAC Work Shell LOBP Monas Project Administration Building AC & Ventilation Installation System 20.006-CB-7770-00001 (S-00000-1340 -001) 10-006-MH-4180-08041 (D-400-134A-804) 20-006-CB-4180-00534 (D-01310-134A004) 10-006-MH-4180-08039 (D-300-134W-804) V-3145-001-A-905-1 10-006-MH-4180-08041-2H 3. Move from Existing Admin To New Admin EQUIPMENT Equipment and tools that will be used for this actifity as below : No Name of Equipment and Spec/Type Tools 1 Hand Tools 2 Scaffolding Mobile 3 Electrical Tools 4 Generator 5 Kva 5 Electric Panel Methode Statement for HVAC Demolish Work Rev 03C Qty 2 2 1 1 1 Unit lot set lot unit set Remarks 1 2 3 4 5 Page 3 of 34 6 • 4. Pick-up vehicle 1 unit 6 All Equipment and Tools Inspection should be done before mobilization to site, certificate and function shall have valid certificate. Function test shall be conduct during inspection. MAN POWER PLANING Man Power Planing proposed by. PT.TUN as bellow : No. Description 1 Site Manager 2 3 4 Site Supervisor Safety Man/First Aider QC Inspector 5 Skill Mechanical 6 Skill Electrical 7 9 Helper Driver Scope Monitoring and assist construction work Construction Supervision HSE implementation / Supervision Monitoring and checking Quality during construction activities Connect and disconnect Pipe Refrigerant to Indoor & Outdoor AC unit With skill mechanical doing mechanical work. Support Construction activity Loading Material and Tools to field Person 1 person 1 person 1 person 1 person 8 person 7 person 4 person 1 person Access Man Power The workers involved in the demolition work will be registered with the shell authorities to be given an access card to make the process of getting in and out of workers into the room easier. 5. GENERAL PREPARATION FOR DEMOLISH WORK • Obtain relevant approved construction drawings from JIND / SMI representative. • • Arrange sequence of work as planned on drawing Prepare Equipment, tool and Material, all equipment and tools (including Radio communication) are prepared and have passed all of inspection requirement and ready to operate. Manpower mobilization worker (Base on qualification of worker) are mobilize base on manpower loading which is has prepared refer to construction schedule. General workers will be giving training base on their activity (e.g Safety induction, WAH, Hot Work, etc ). Safety: every worker shall already train for safety induction. All workers worn PPE Complete before working and shall be conducted HITS before start working Personal Protective Equipment as Shell Requirement 1. Uniform with reflector / long sleeve with reflector 2. Safety helmet with chain strip 3. Safety Glass 4. Hand Glove 5. Safety Shoes 6. Ear Plug 7. Face shield 8. Welding mask & apron • • • Methode Statement for HVAC Demolish Work Rev 03C Page 4 of 34 • • • • • • 9. Full body harness with suspension trauma strap 10. Safety Boot (not allow for working at height) Work permit, Method Statement, JHA, safety induction will be conducted and prepared base on SHELL regulation and procedure. Any tools which use the electricity include cable, connector etc, should be checked periodically as per safety requirement to ensure no electric circuit short. Hard barricade will be installed around demolish area. Hard barricade made from scaffolding tube with clamp pipe. Hard barricade also installed to avoid non construction people entry to demolish area. Workers working above 1,8m must wear body harness and have certificate TKBT-1 for working at flat temporary platform and TKBT-2 for working at slope temporary platform. Convey demolish work to workers that current demolish work is only for 2nd floor HVAC installation. The workers involved in the demolition work will be registered with the shell authorities to be given an access card to make the process of getting in and out of workers into the room easier. Vehicles to transport demolition materials are registered with the shell authorities so that they can enter and park within the admin building area. the goal is to make the process of transporting the demolition material closer to being transported. Mapping pickup material Demolish Methode Statement for HVAC Demolish Work Rev 03C Page 5 of 34 6. 6.1 WORK PROCEDURE General 1. Ensure that all required drawing, instruction, and relevant reference are available prior to commencing installation activities by the latest revision of AFC document. 2. Ensure that there is a sufficiently qualified workforce who is competent to perform the installation work, and that all personnel are qualified to perform the work and fully understand the tools and equipment. 3. Ensure the availability of electricity for disassembly which must use electrical machine tools to carry out dismantling activities. Ensure that work permits are obtained prior to proceeding with the work in the area. 4. Lowering HVAC equipment such as outdoor units, indoor units, mechanical FANs by manual lifting (manual handling). Access for material handling via stairs that have been proposed in the access map route. The use of a hand palette is required to launch demolition materials. The approximate weight of the HVAC equipment is as follows: - Outdoor unit : 32 ~ 77 kg - Indoor unit : 12 ~ 42 kg - Mechanical FAN : 4 ~ 90 kg - Cable Tray : 8 ~ 35 kg Manual Handling - - Methode Statement for HVAC Demolish Work Rev 03C Use the recommended PPE while working. Firmly tie the tool or equipment to be pulled to the hand stacker so that it does not fall. Ask coworkers for help if needed. Page 6 of 34 5. To reach the hvac equipment that you want to remove from the support that is at a height by means of a scaffold attached with a green tagging code. 6.2 Build and area preparation The following dismantle activity will be conduct : 1. Tools Preparation Who the work tools needed, use tools according to their function. Make sure the tool has passed the inspection test which is marked with a sticker. 2. Demolish Dismantling the unused HVAC installation 2nd floor for existing admin building is carried out at each stage of the work. I. Demolish Air Conditioning 1. Make sure the Air Conditioning (AC) unit is turned off, LOTTO on the panel HVAC 2. Recheck the electrical terminals with a volt meter to make sure there is no electric current. 3. Remove the cover of the indoor unit so that the nut & washer can be removed 4. Remove the bolt nut & washer that is supported 5. Remove the Air Conditioning unit from the support slowly 6. Put the Air Conditioning unit that has been removed to the place that has been provided. II. Demolish Pipe Refrigerant 1. Make sure the Air Conditioning (AC) unit is turned off 2. Attach the manifold hose to the freon filling connection on the outdoor unit to releasepressure 3. Open the manifold valve and insert the pressure release hose into the bucket of water. 4. Open the valve slowly and leave it until the gas pressure inside the refrigerant pipeinstallation has run out by looking at the pressure gauge needle showing 0psi. 5. If the pressure in the refrigerant pipe installation is empty, open the pipe Page 7 of 34 Methode Statement for HVAC Demolish Work Rev 03C connectionnipple so that the pipe can be removed. 6. Refrigerant pipe that is no longer used can be cut using a small saw or can also use apipe cutter. 7. Remove the refrigerant pipe that has been cut piece by piece and lower it from thesupport. 8. Collect the refrigerant pipe that has been removed in the space provided III. Demolish Cable 1. Make sure the electric current (MCB) from the panel has been turned off and the lockout/tagout (loto) has been installed 2. Remove all cable tray covers by opening the clamps 3. Open the skun connector on the electrical terminal box on the main equipment hvac 4. Remove the cable tie by cutting using pliers, do it slowly so as not to cut the cable. 5. Unplug the cable installation by pulling slowly. 6. Collect the cables that have been removed from the tray by rolling them up and tie them with ropes and take them to the collection point. IV. Demolish Tray 1. Make sure all the cables that are in the installation tray have been removed all 2. Remove the nut and washer on the tray connection 3. Also remove the grounding cable attached to the tray connection (if any) 4. Remove the tray connection plate by removing the bolt as well. 5. Remove the tray from the support by pulling, pushing and lifting it slowly. 6. Do the same to remove all trays from the supports. V. Demolish Support 1. Make sure there are no more equipment or installations hanging on it. 2. unscrew the nut on the anchor to remove the support. 3. Remove the support from the anchor and collect it in the space provided. VI. Demolish Ducting 1. Make sure the ducting installation to be dismantled is unused. 2. Remove off the insulation attached to the ducting joint (if the ducting is insulating) thenremove the nut and washer or rifet attached to the ducting joint 3. Also remove the grounding cable attached to the duct connection (if any) 4. Then also remove the bolts that are attached to the ducting connection 5. Pry using a screwdriver ducting connection, do it slowly and carefully 6. Remove the ducting support so that the ducting can be pulled or pushed. 7. Lower the ducting from the support and collect it in the space provided. VII. Demolish FAN a. Make sure the ventilation FAN unit is turned off b. Remove the nut & washer ventilation fan support c. Remove the flexible connection on the air inlet and air outlet d. Tie or attach a rope to lower manually the ventilation fan unit from the support. e. Lower the ventilation fan unit down slowly. f. Put the ventilation fan unit that has been removed to the place that has been provided VIII. Demolish Filter unit a. Remove the nut & washer on the filter box connection. b. Disassemble filter box with ducting joint so that the filter box can be lowered. c. Tie the filter case with a rope so that it can be removed and lowered manually. d. Lower the filter slowly and place it in the place that has been provided. IX. Demolish Instrument devices 1. Make sure the instrument is turned off, check the connection terminal 2. Remove the cable termination attached to the device terminal. Methode Statement for HVAC Demolish Work Rev 03C Page 8 of 34 3. Remove the nut or screw attached to the device support. 4. Collect the instrument that has been removed to the place provided. X. Demolish Panel HVAC Existing 1. Before the HVAC Panel is dismantled, first install the temporary panel to move the hvac power in the IT room and weight house (MCB 16A circuit 13 for power supply AC split IT Room & MCB 25A circuit 14 for power supply panel HVAC new weight house) 2. After the temporary panel to continue to supply power to the AC in the IT room and the new weight house, Move circuit 13 & 14 to the temporary panel 3. Move the power supply cable AC IT Room and HVAC Panel New Weight House to the circuit 13 & 14 already installed in the temporary panel. (as a step for safe work, follow the cable transfer procedure) 4. Make sure the incoming electric current (MCB) from the distribution power panel has been turned off and the lockout/tagout (loto) has been installed. 5. Recheck the connection terminals with a voltage meter to make sure there is no more electric voltage. 6. Remove the nuts & washer on the panel supports so that the panels can be removed from the supports. 7. Remove the panel from the support by holding it down manually to lower it. Methode Statement for HVAC Demolish Work Rev 03C Page 9 of 34 Flow Chart Demolish HVAC Installation 7. HSSE & ERP REQUIREMENTS The occurrence of site accidents should be kept to a minimal. Health, Safety, Security and Environment Plan will be provided at site to ensure smooth running of construction works in safe manner, taking into consideration the following precautions : 1. Ensure that all safety precautions and recommendations outlined in the risk assessments have been applied 2. Make sure all personnel including third parties are safety inducted prior to site entry. 3. Make sure operators are qualified, hold license for machine operation and trained in the maintenance of machinery. 4. Provide First Aid Facility on working site in case of minor injury treatment. 5. Arrange for all personnel the pertinent Personal Protective Equipment (PPE) including safety helmet, safety boots, ear/eye protector, dust mask, gloves, and reflective vest. Methode Statement for HVAC Demolish Work Rev 03C Page 10 of 34 6. Place warning signs, barricades, lighting, or fences at relevant location such as excavation location, crossing roads and crossing ditch, demolition areas. 7. Arrange with the owners, subcontractor or third parties like U/G cables, pipelines to make secure to use. 8. Ensure safe access to the right way and maintain the permanent and temporary access roads in a good condition during construction activities. 9. Check, cover and secure all materials debris prior to its movements outside the site. 10. Monitoring regularly by security team that no unauthorized person entry to construction site. 11. Ambulance and first Aider shall be ready near the location. 12. All personnel have additional training regarding snake awareness and the first aid. 13. Pest control will be screening area from bee, snake and controlled. 8. SITE DISTURBANCE 1. Ensure that the site kept in tidy condition at all the times and that all the waste generated by the works is cleared from the site to disposal area. 2. Do not burn combustible material arising from clearance on site without the written consent. 3. Switch off all vehicle engines when not in use to minimize combustion emissions. 4. Collect and disposed used chemicals and engine oils in appropriate containers, prohibiting its discharge to land or surface waters. 5. Store all removable items which are to be preserved on site in a safe location and manner appropriate to their nature. 6. Install all required drainage measures to prevent erosion and washout caused by surface water during times of inclement weather conditions. 9. ATTACHMENT The Attachment/Applicable document for Demolish HVAC Installation : 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Attachment-1 Attachment-2 Attachment-3 Attachment-4 Attachment-5 Attachment-6 Attachment-7 Attachment-8 Attachment-9 Attachment-10 Attachment-11 12. Attachment-12 13. Attachment-13 14. Attachment-14 15. Attachment-15 : HVAC Schematic Diagram Existing Administration Building : LOTTO step 1 HVAC panel Existing Admin Building - 01 : LOTTO step 1 HVAC panel Existing Admin Building - 02 : LOTTO step 1 HVAC panel Existing Admin Building - 03 : LOTTO step 1 HVAC panel Existing Admin Building - 04 : LOTTO step 2 HVAC panel Existing Admin Building - 01 : LOTTO step 2 HVAC panel Existing Admin Building - 02 : LOTTO step 2 HVAC panel Existing Admin Building - 03 : LOTTO step 2 HVAC panel Existing Admin Building - 04 : LOTTO step 2 HVAC panel Existing Admin Building - 05 : Layout 2nd floor Demolish Stage 1st HVAC Installation Existing Admin Building-01 : Layout 2nd floor Demolish Stage 1st HVAC Installation Existing Admin Building-02 : Layout 2nd floor Demolish Stage 1st HVAC Installation Existing Admin Building-03 : Layout roof floor Demolish Stage 1st HVAC Installation Existing Admin Building-04 : Layout 1st floor Demolish Stage 2nd HVAC Installation Existing Admin Building-05 Methode Statement for HVAC Demolish Work Rev 03C Page 11 of 34 16. Attachment-16 17. Attachment-17 18. Attachment-18 19. Attachment-19 20. Attachment-20 : Layout 1st floor Demolish Stage 2nd HVAC Installation Existing Admin Building-06 : Layout 1st floor Demolish Stage 2nd HVAC Installation Existing Admin Building-07 : Layout 2nd floor Demolish Stage 2nd HVAC Installation Existing Admin Building-08 : Equipment Test before Disconeting : PPE Equipment Mandatory Methode Statement for HVAC Demolish Work Rev 03C Page 12 of 34 JHA (Job Hazard Analysis) Sub-Contractor Company : PT. Tata Udara Nusantara (TUN) Job Task Description : Demolish HVAC Installation Location : Brown area No 1 2 3 Work Description Administratio npreparation Date of Assessment : Hazard -Uncontrolled work -Unidentified Hazards -Uncertified manpower -Unskilled manpower Mobilization Demolish Material -Driving to and from Job site -Tired -Slippery road Tools and Equipment Preparation -Pinched by material or tools - Material fallout - Tripping & slipping Methode Statement for HVAC Demolish Work Rev 03C Control Measures Action Party - Prepared method statement, JSA, and PTW - Method statement / JSA has been reviewed and approved by Company HSSE - Registered & approved PTW by Company HSSE - Ensure that only trained and competent Manpower are assigned to the job - Drive defensively - Make sure all tools and material are secured - Pre trip inspection - Always Wear Seatbelts - Watch for overhead wires hanging to low - Let someone else drive - Slow down watch for rain puddles and mud Permit Holder -Do not place hands between the material and stationary object/hard surface during removal material -Provide edge protection / softners workers cut / puncture resistance gloves -Grind burrs / sharp edges down.Ensure access in / out clear from debris and provide signage to clearly identified walkways / access and egress Permit Holder Page 13 of 34 Permit Holder 4 Demolish Work - WAH - Slip, trip and falls. -Sharp edges and sharp objects -Particles penetrating the eye -Drop Object -Energy Realase Methode Statement for HVAC Demolish Work Rev 03C - Follow method statement - Follow PTW - Adequate supervision - Avoid unauthorized entry to the area. - Provide signage for restrict unauthorized personnel to enter area - Awareness shall be provided to the personnel who ever involved in the activities. - JSA briefing shall be done prior to the job along with the toolbox talks - Use appropriate personal protective equipment (Hand gloves, eye protection, face shield, welding mask, apron, hard hat and full body harness with suspension trauma strap). - Provide fire blanket & APAR during hot work. - Gas test shall be conduct before hot work - Fire watcher shall be standby during hot work - Inform Client for approval before starting the job - Tie work equipment with ropes. - Install barricades and signs around the work area. - Do not release the lotto on the electrical circuit (MCB). - Give a cover on the end of the cable (solation on the open end of the cable) Page 14 of 34 Permit Holder Attachment 1- HVAC Schematic Diagram Existing Administration Building Methode Statement for HVAC Demolish Work Rev 03C Page 15 of 34 Attachment 2-LOTTO 1st Stage HVAC panel Existing Admin Building - 01 Methode Statement for HVAC Demolish Work Rev 03C Page 16 of 34 Attachment 3-LOTTO 1st Stage HVAC panel Existing Admin Building - 02 Methode Statement for HVAC Demolish Work Rev 03C Page 17 of 34 Attachment 4-LOTTO 1st Stage HVAC panel Existing Admin Building - 03 Methode Statement for HVAC Demolish Work Rev 03C Page 18 of 34 Attachment 5-LOTTO 1st Stage HVAC panel Existing Admin Building - 04 Methode Statement for HVAC Demolish Work Rev 03C Page 19 of 34 Attachment 6-LOTTO 2nd Stage HVAC panel Existing Admin Building - 01 Methode Statement for HVAC Demolish Work Rev 03C Page 20 of 34 Attachment 7-LOTTO 2nd Stage HVAC panel Existing Admin Building - 02 Methode Statement for HVAC Demolish Work Rev 03C Page 21 of 34 Attachment 8-LOTTO 2nd Stage HVAC panel Existing Admin Building - 03 Methode Statement for HVAC Demolish Work Rev 03C Page 22 of 34 Attachment 9-LOTTO 2nd Stage HVAC panel Existing Admin Building - 04 Methode Statement for HVAC Demolish Work Rev 03C Page 23 of 34 Attachment 10-LOTTO 2nd Stage HVAC panel Existing Admin Building – 05 Methode Statement for HVAC Demolish Work Rev 03C Page 24 of 34 Attachment 11-Layout 2nd floor Demolish Stage 1st HVAC Installation Existing Admin Building-01 Methode Statement for HVAC Demolish Work Rev 03C Page 25 of 34 Attachment 12- Layout 2nd floor Demolish Stage 1st HVAC Installation Existing Admin Building-02 Methode Statement for HVAC Demolish Work Rev 03C Page 26 of 34 Attachment 13- Layout 2nd floor Demolish Stage 1st HVAC Installation Existing Admin Building-03 Methode Statement for HVAC Demolish Work Rev 03C Page 27 of 34 Attachment 14- Layout roof floor Demolish Stage 1st HVAC Installation Existing Admin Building-04 Methode Statement for HVAC Demolish Work Rev 03C Page 28 of 34 Attachment 15- Layout 1st floor Demolish Stage 2nd HVAC Installation Existing Admin Building-05 Methode Statement for HVAC Demolish Work Rev 03C Page 29 of 34 Attachment 16- Layout 1st floor Demolish Stage 2nd HVAC Installation Existing Admin Building-06 Methode Statement for HVAC Demolish Work Rev 03C Page 30 of 34 Attachment 17- Layout 1st floor Demolish Stage 2nd HVAC Installation Existing Admin Building-07 Methode Statement for HVAC Demolish Work Rev 03C Page 31 of 34 Attachment 18- Layout 2nd floor Demolish Stage 2nd HVAC Installation Existing Admin Building-08 Methode Statement for HVAC Demolish Work Rev 03C Page 32 of 34 Attachment 19-Equipment Test before Disconeting Multimeter Test Clamp Amper Meter Manifold for Pressure realase Lotto MCB Methode Statement for HVAC Demolish Work Rev 03C Page 33 of 34 Attachment 20 – PPE Equipment Mandatory Safety Helmet Safety Shoes Safety Glass (indoor) Methode Statement for HVAC Demolish Work Rev 03C Ear Plug Safety Glass (outdoor) Ful Body Harnes (double hook) Page 34 of 34 Gloves Shell Eastern Petroleum (Pte) Ltd Pulau Bukom Manufacturing site Shell Eastern Petroleum (Pte) Ltd Pulau Bukom Manufacturing site HIGH Lifting Plan for Rev. Description of Lifting task 11 LIFTING PLAN PANEL HVAC Project/Work Order No. Date: Signature CRANE SPECIFICATION (See crane manual) 2 PANEL HVAC 1.1 Equipment tag no. Lifting Supervisor 24-Jun-2022 Lift Parameters 1. Lifting Plan for RISK tasks 2.1 Crane Make/Model 1,00 ton 1.2 Estimated Weight of Load 1.3 Contingency weight (30% for used eq) 10,00 % 2.3 Configuration TELESCOPIC 1.4 Block Weight 0,55 ton 2.4 Bare weight of crane (Ton) 36,00 1.5 Rigging Weight (Ton) 0,06 ton 2.5 Counterweight (Ton) 5,80 1,71 Total Weight 1.6 ton 2.6 Total weight of crane (ton) 32,60 m 2.7 Lmin (see sketch below) 4,27 1.8 Lifting Radius, m 18,00 m 2.8 Outrigger Span (Left-Right) (m) 6,40 2.9 5,34 4,40 Boom Angle (Degrees) 3 CALCULATION OF OUTRIGGER LOAD 5,1 Outrigger Mat Size Maximum Outrigger Load 5,4 6 10,24 Siganture 11 LIFTING PLAN PANEL HVAC 0 24-Jun-2022 0 Section B – Details of Lifting Gear (Continue on separate sheet if necessary) Culculated Distance to nearest outrigger No. Qty Type of Gear Type of Hitch (mm) Length (m) S.W.L (ton) 1 2 Maximum allowable Bearing Pressure 21,47 L(m) W(m) Sm2 2,0 2,0 4,00 10,45 5,76 16,21 4,1 Ton/m2 20,00 Ton/m2 Max Outrigger Pressure: 5,3 Date 2,57 4,566769 5.2 Lifting Supervisor 5,34 Safety Factor 4 Description of Lifting task 56,49 10,24 5 ton Rev. 41,80 1.7 Total Boom Length 1.9 Crane Lifting Capacity as per 75% Load Chart RISK tasks LTM-1050 MOBILE CRANE 2.2 Type HIGH Safety Factor on allowable Bearing Pressure > 1.1 Section C - Following documents must be attached to the entire Lifting Plan 4,93 1 GA drawing of the Load Yes No 2 Detailed Rigging Scheme (drawing or sketch) Yes No 3 Ground Bearing Capacity data Yes No Load on Crane Hook (ton) 1,71 4 MSRA and JoHAN tor lifting task Yes No Boom Angle (deg.) 56,49 5 Layout of Lifting zone (drawing) Yes No LOAD Safety Factor 2,57 6 Signed Appendix #9 (ref HS214OP) Yes No GROUND Safety Factor 4,93 7 Copies of LM and LA certificates Yes No 8 Crane Load chart Yes No 9 Copies of Lifting Crew authorization cards Yes No NOTE: Maximum outrigger load calculated for the worst case scenario where the boom is directly above the nearest outrigger. Use 75% Crane Load Chart only to determine lifting capacity (see 1.9) Additional Comments Page 1 of 1 Sling Load Shell Lubricants Lifting and Hoisting Page 1 of 4 Version 1.0 May, 2020 HSSE-ST-GL-009-12a Non-Routine LIFT PLAN *Light Grey areas must be completed* Non-Routine Simple Lift Plan Category Non-Routine Complex Lift Description References Units: Metric (kg-m) LIFTING PLAN PANEL HVAC Lift Plan No. JSA No. Company/Contractor Lift Plan Expires Lift plan number is Date + sequential number of lift plans for that day. (e.g. 01-15-2011-1) ADMIN BUILDING Asset Location Date and Time Authorized Person Name Supervisor Walkthrough Communications Emergency Contact Info Yes Not Required Supervisor Name Radio Hand Signals Weather Conditions: Shell Contact: Emergency Response No. Lift Information LHE #1 Phone No. Lift Information LHE #2 LHE Model: LTM 1050 LHE Model: Parts of line Parts of line 4 Jib Type Jib Type N/A Boom Length: 32,6 Boom Length: m m Hoist Line Pull: 0 kg Hoist Line Pull: kg Counterweight: 0 kg Counterweight: kg Boom Angle at Pick-up: 75,79 degrees Boom Angle at Pick-up: degrees Boom Angle at Set-down: 56,49 degrees Boom Angle at Set-down: degrees Radius at Pick-up: 8 Radius at Pick-up: m m m m Radius at Set-down: 18 Radius at Set-down: Weight of load: 1100 kg Weight of load: kg Weight of rigging: 20 kg Weight of rigging: 0 kg Weight of Additional Items: 590 kg Weight of Additional Items: 0 kg Total weight to be lifted: 1710 kg Total weight to be lifted: 0 kg Capacity of Chart at Pick-up: 10400 kg Capacity of Chart at Pick-up: kg Capacity of Chart at Set-down: 4400 kg Capacity of Chart at Set-down: kg % of Chart Capacity: Pick-up 16,44% Set-down 38,86% % of Chart Capacity: Pick-up #DIV/0! Set-down #DIV/0! Ground Bearing Pressure: Allowable: 40963 Actual: 8397,5 PSF Ground Bearing Pressure: Allowable: Actual: PSF Mat size: 2m x 2m Mat size: RIGGING DATA (SIZE- TYPE-CAPACITY) Webbing Sling L=6 m SWL 3 T Shackle SWL 3T ADDITIONAL WEIGHT ITEMS: Main Block Auxiliary Ball Hoist Line Jib Other QTY: 2 4 WT./each 5 2,5 1 550 1 40 Method of controlling the lift area (brief description) Restricted Access Zone Established Pre-job DROPS inspection Issue Date: WT. TOTAL 10 kg 10 kg 0 kg 0 kg 0 kg 550 0 40 0 0 kg kg kg kg kg RIGGING DATA (SIZE- TYPE-CAPACITY) ADDITIONAL WEIGHT ITEMS: Main Block Auxiliary Ball Hoist Line Jib Other QTY: WT./each WT. TOTAL 0 kg 0 kg 0 kg 0 kg 0 kg 0 0 0 0 0 kg kg kg kg kg SSE: If less than 6 months, controls and approvals are in place Does this job affect others and have they been notified? CAUTION: Printed copies are uncontrolled. Export Control Classification EAR99 Shell Lubricants Lifting and Hoisting Page 2 of 4 Version 1.0 May, 2020 HSSE-ST-GL-009-12a Non-Routine LIFT PLAN Extra safety measures to be considered for Simple (tick as applicable and detail in step-by-step ). List is NOT INCLUSIVE . Lifts over or within 6ʹ (1.8m) of active or energized hydro carbon containing equipment. Lifts using more than one lifting appliance Is there another route to avoid going over or within the equipment. Is load rigged to prevent slippage during hand off. Is each Appliance capable of handling the load on its own. If the load bumped the equipment is there any instrumentation or valves whose breakage would cause damage or release. Care for side loading of sheaves, blocks, trolleys etc… Performed extra thorough pre-use inspection on all equipment associated with this lift. Lifts that expose a synthetic sling to dynamic shock or snatch conditions. Document reason for no practical alternative to wire rope slings. The working load limit is double the weight of the item to be lifted. Lifts with awkward shapes, unbalanced weight, unknown/difficult to estimate weight, center of gravity, or a chance of being stuck. Lifts into or out of confined spaces or shafts. Extra care for blind lifting communications exercised. Extra riggers in place in strategic areas. Additional person in cab to help watch load indicator. Lifts requiring bypass of safety devices. Load indicator used to verify weight not to exceed capacity of lifting appliance. ADDITIONAL MANAGEMENT APPROVAL OBTAINED? Auxiliary devices introduced to free stuck object. If unable to easily determine the COG move to complex lift. Qualified person to perform adjustment or bypassing. Additional personnel added to monitor. Extra safety measures to be considered for Complex Lifts (tick as applicable and detail in step-by-step ). List is NOT INCLUSIVE. Lifts of expensive items, which would have an asset consequence of 4 or higher per the Risk Assessment Matrix. Lifts near overhead electrical power lines as defined by applicable regulations. Get SME or designee input. All special lifting devices reviewed by Lift Sponsor. All special lifting devices certified and inspected. Consider increasing safety factors of lifting accessories. Ensure allowed by local operating procedures. Reference local regulation documentation for proper distances. Post extra watch person as needed. De-energize if possible. Multiple Mobile crane lifts Lifts using both blocks of one crane. Get SME or designee input. Both crane operator fully experienced in tandem lifts. DSP competent and experienced in tandem lifting with cranes. Lifts with “special" non-standard rigging such multiple sheave blocks or multiple spreader bars. Get SME or designee input. All lifting devices certified and inspected. Lifts from uncertified lifting points outside of the scope of RM TA2003 Structural/Piping Guideline Load Matrix. Get SME or designee input. Perform NDE and Inspection per Engineers instructions. Use rigging accessories certified and inspected. Personnel lifts in a suspended work basket. Check operators manual for requirements. Both falls must be capable of carrying the full load. Rigging certified and inspected. Normal Man-riding operations (between monkey board and rig floor). Pre-start checklist filled out. All safety devices operational. Temporary hoist foundation. Get SME or designee input. Tie down performed per Engineers instruction. NDE performed on base per Engineers instruction. Lifts to upend or lay down (turn horizontal 90 degrees or vice versa) and object with a crane. Get SME or designee input. Adhere to requirements of Fall Prevention and Protection Pre-use inspection performed by Qualified Person. Locking latch on crane hook. Blind Lifts Follow blind lifting procedures in SS ST4.10.06 Mobile Lifting Equipment Requirements. Test lift made with weight. Ground conditions are suitable per the requirements. Operator and DSP survey area for potential hang points and other hazards. Keep DSP in visual sight of the operator if at all possible. Lifting of personnel / Complex Prevention of person(s) becoming stuck/trapped Prevention of person(s) falling/being crushed Communications between passengers/operator Suitability of equipment and accessories Issue Date: Environmental hazards Correct PPE/harnesses/etc. Trained/competent personnel Certification/pre-use checks CAUTION: Printed copies are uncontrolled. Site-specific procedures Efficient means of rescue Limiting conditions of use Export Control Classification EAR99 Shell Lubricants Lifting and Hoisting Page 3 of 4 Version 1.0 May, 2020 HSSE-ST-GL-009-12a Non-Routine LIFT PLAN Sketches (may be part of Safe Work Plan and attached if applicable) Sketch detailing the set-up of the lifting equipment and lifting accessories (REQUIRED) Debrief and learning points (did the lift go as planned or are changes to the lift plan required?) Issue Date: CAUTION: Printed copies are uncontrolled. Export Control Classification EAR99 Shell Lubricants Lifting and Hoisting Page 4 of 4 Version 1.0 May, 2020 HSSE-ST-GL-009-12a Non-Routine LIFT PLAN Authorized Person PICL LHE Operator Mobile Crane #1 Operators Certification number: Mobile Crane #2 Operators Certification number: Designated Signal Person Participant Participant Participant Participant Issue Date: Print Name(s) Signature(s) Date Print Name(s) Signature(s) Date Print Name(s) Signature(s) Date Print Name(s) Certification Number: Print Name(s) Certification Number: Print Name(s) Signature(s) Date Print Name(s) Signature(s) Date Print Name(s) Signature(s) Date Print Name(s) Signature(s) Date Print Name(s) Signature(s) Date CAUTION: Printed copies are uncontrolled. Export Control Classification EAR99 UP UP THIS DRAWING PT. TATA UDARA NUSANTARA B UP UP THIS DRAWING 14 1 12 t 14 1 14 1 12 t 12 t 14 1 12 t DETAIL RIGGING LTM-1050 [ 50 TON CRANE ] TOTAL BOOM LENGTH 32.6 m OUTRIGGER SPAN 6.4 m LIFTING RADIUS 18 m B LOAD WEIGHT OF EQUIPMENT PANEL 1 Ton CONTINGENCY WEIGHT 10% 0.10 Ton (50T HOOK) 0.55 Ton LIFTING GEAR 0.06 Ton 1.71 Ton 4.4 Ton BLOCK WEIGHT LIFTING DEVICE WEIGHT TOTAL WEIGHT LIFTING CAPACITY SAFETY FACTOR RADIUS = 18 m 4.40 PT. TATA UDARA NUSANTARA : 1.71 2.57