PUBLIC COMPANY ORLEN LIETUVA · of RI card if it is pre-agreed with the Occupational and Process...

PUBLIC COMPANY ORLEN LIETUVA

OCCUPATIONAL HEALTH AND SAFETY PROCEDURE BDS-31 EARTHWORKS

I. GENERAL

Purpose and Scope of Application

1. The purpose of this Occupational Health and Safety Procedure BDS-31 is to establish occupational health and safety (OHS) requirements for earthworks carried out in the territories of Public Company ORLEN Lietuva (hereinafter – the Company) shown in Annex 11 hereto as well as Būtingė Terminal, Biržai and Joniškis Oil Transshipment Stations of Pipelines and Terminal Operations Subdivision.

2. This Procedure applies to: 2.1. All Company's and contractor's (if so set forth in contract concluded between the

Company and contractor) employees involved in organizing, planning and/or performing earthworks; 2.2. Company's employees operating underground utilities as well as employees of contractors outsourced for the location and marking of underground utilities. 3. This Procedure shall not apply to: 3.1. Earthwork within protective zones of main pipelines and nearby telecommunication networks of the Company; 3.2. Earthwork in land lots possessed by the Company other than shown in Annex 11 hereto.

II. REFERENCES

4. This Procedure shall apply in conjunction with the below legal acts (as amended): 4.1. Law on Construction of the Republic of Lithuania; 4.2. Technical Regulation for Construction STR 1.06.01:2016 'Construction.

Supervision of Construction' approved by the Minister of Environment of the Republic of Lithuania; 4.3. Safety Rules for Operation of Electric Equipment approved by the Minister of

Energy of the Republic of Lithuania; 4.4. Geodetic and Cartographic Technical Regulation on Geodetic Surveys of

Underground Networks and Utility Lines under Construction within the Republic of Lithuania GKTR 2.01.01:1999;

4.5. Special Conditions for Use of Land and Forest approved by the Government of the Republic of Lithuania;

4.6. Standard S5 - Safe execution of excavation work of PKN ORLEN S.A. of 28 February 2017.

III. TERMS, DEFINITIONS AND ABBREVIATIONS

5. Terms used herein are defined as follows: 5.1. Fall protection – means designed to prevent employees against falls into

excavations, i.e. barriers, warning signs, covers, etc.

APPROVED BY: General Director

7 December 2017 Order No TV1(1.2-1)-467

Public Company ORLEN Lietuva Occupational Health and Safety Procedure BDS-31 Earthworks

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5.2. Protective systems against cave-ins – an entirety of means designed for protection of employees working in an excavation, in particular:

5.2.1. Benching – the walls of the excavation are benched making either one or a group of horizontal benches (requirements for benching are specified in Annex 8 hereto);

5.2.2. Shoring – special means, e.g. shields, supports, trench boxes, etc. designed to protect workers from cave-ins in a specific area of the trench where they are working;

5.2.3. Sloping – a specifically formed slope of excavation designed for protection of employees against cave-in. Angle of the slope will vary depending on the soil type, local conditions and loads.

5.3. Person responsible for underground utility locatio n – an employee of the Company or contractor trained to locate and mark underground utilities, and furnished with required tools.

5.4. Occupational risk identification card (RI card) – a document (in the form established in Annex 5) that helps the work manager to identify the hazards that workers can be exposed to and take measures to ensure the safety of works. Contractor may use any other form of RI card if it is pre-agreed with the Occupational and Process Safety Control (OPSC) Department of the Company.

5.5. Work coordinator – employee of the Company's organizational unit that initiates earthworks:

– an employee under the authority of Director of Maintenance who passed a test on this OHS Procure as prescribed by Employee Indoctrination Procedure and was appointed by the Deputy Director of Maintenance or Chief Mechanical Engineer to organize and coordinate works carried out during maintenance of static and rotating equipment/facilities, structures/buildings of respective organizational unit;

– Technology & Investment Department employee who passed a test on this OHS Procedure as prescribed by Employee Indoctrination Procedure and was appointed by the Director of Investment & Technology to organize and coordinate technical activities related to implemented projects;

When earthworks are initiated by managers of other organizational units, work coordinator shall be an employee of respective organizational unit initiating earthworks who has passed a test on this OHS Procedure as prescribed by the Employee Indoctrination Procedure and has been appointed by decree by the unit manager to organize and coordinate earthworks.

5.6. Work supervisor – employee of organizational unit that issues a permit who has passed a test on this OHS Procedure as prescribed by the Employee Indoctrination Procedure and has been appointed by the permit issuer to supervise earthworks (senior operator or operator of process units, oil product operator, etc.).

5.7. Work manager – a manager who has been appointed in writing by contractor for organizing and supervising earthworks, has passed a test for work managers in OPSC Department according OHS Procedure for Contractors BDS-40 and holds a valid work manager's certification card, or an employee who has been appointed by organizational unit manager and has passed a test on this OHS Procedure as prescribed by Employee Indoctrination Procedure. When a Company employee is appointed as work manager, he is also required to carry out the duties of work coordinator.

5.8. Workers – employees performing excavation works, including operators of earthmoving machinery.

5.9. Type of soil – type determined according to the size of particles and characteristics of soil, in particular sand, loamy sand, loam, clay and backfill. Types of soils are described in Annex 9 hereto.

5.10. Access/exit means – means designed for safe access to and exit from excavation, in particular stairs, ladders, ramps, etc.

5.11. Daily check – daily check of an excavation in terms of occupational safety and health.

5.12. Permit issuer – manager of organizational unit that operates respective underground utilities (Head of Operations, Deputy Head of Operations, Head of Shop, Head of Unit, Head of Section or other relevant manager), or engineers or shift supervisors appointed by decree by the manager of that organizational unit who have passed test on this OHS Procedure as


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prescribed by Employee Indoctrination Procedure. Permit issuer may issue permits only for earthworks that are carried out in the organizational unit that operates respective underground utilities. If underground utilities are within the territory of other organizational unit of the Company, permit for earthworks shall be issued by the permit issuer of organizational unit where respective earthworks will be performed.

5.13. Dangerous, hazardous environment – work environment that meets at least one of the following criteria:

- oxygen content in air below 19.5 % or above 23.5 %; - concentration of harmful substances exceeds prescribed exposure limits; - concentration of substances hazardous in terms of explosion exceeds 0 % of the

lower explosive limit (LEL). 5.14. Last Minute Risk Analysis (LMRA) - analysis conducted before earthworks in

order to make sure the workers understand the assigned work, know possible hazards and have all mandatory PPE and other required means of work. LMRA is an element of RI card.

5.15. Underground utilities – any underground utilities and equipment, e.g. power or communication cables, process and sewer pipelines, sewer wells, underground tanks, main crude pipeline, etc.

5.16. Underground utility failure – failure of underground utilities which poses inevitable risk of loss of product, actual or potential injury of people, damage to property and/or environment.

5.17. Emergency works – immediate works carried out for the restoration of the condition, process parameters and operational mode of underground utilities and to prevent damage to people, property and/or environment.

5.18. Maintenance unit – organizational unit of the Company operating and/or maintaining underground utilities.

5.19. Geodetic control survey – a map of respective scale and proportion where underground utilities of respective area and their technical details are shown.

5.20. As-built summary map – map which shows as-built underground utilities with exact geodetic coordinates and altitudes.

5.21. Location – process of identifying utility mains that are underground according to existing markers and/or using special devices or other acceptable techniques.

5.22. Marking – the process of marking utility mains that are underground with special markers (examples of markers are provided in Annex 10 hereto).

5.23. Locate sheet – a document of established form which confirms that all area where earthworks will be performed has been verified, location of all underground utilities has been identified and marked with locate markers in the site and shown in the sheet. Form of locate sheet is provided Annex 1 to this Procedure.

5.24. Risk matrix – matrix designed to evaluate the preparations for earthwork and to determine the residual risk. Risk may be low, medium or high depending on its likelihood and the severity of possible damage to human health (Annex 3 hereto).

5.25. Topographical survey – geodetic survey with underground and aboveground utilities and their altitudes marked.

5.26. Earthwork – excavation and piling of earth in connection with an engineering operation or underground works performed using earthmoving machines (excavators, bulldozers, pneumatic hammers, wedge hammers, etc.) or manual digging. If excavation is less than 30 cm in depth, such work shall not be classified as earthwork.

5.27. Permit for earthworks (permit) – a document of form provided in Annex 2 hereto authorizing to carry out earthworks.

IV. DUTIES AND RESPONSIBILITIES OF EMPLOYEES

6. Project Engineering Group of Technology and Inve stment Department must: 6.1. According to locate sheet (Annex 1) presented by organizational unit of the

Company or contractor that will perform earthworks prepare either hard or soft copies of excerpts from topographic surveys or, if such are not available, excerpts from as-built summary map and enter such utilities in the locate sheet;


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6.2. Ensure the updating of as-built summary (master) map of underground utilities and other underground engineering structures.

7. Permit issuer must: 7.1. Issue or extend the permit as prescribed by this Procedure only when directly

requested by the assigned work coordinator and upon receipt of signed locate sheet and excerpt from topographic surveys/as-built summary map.

7.2. Before issue of permit, check the area of earthworks for any leaks or risks that may endanger employees and/or works.

7.3. Before issue of permit, evaluate the safety measures required for the planned earthworks as shown in the risk matrix and specify PPE and other safety techniques to be used during works in section 9 of the permit;

7.4. Fill out the permit in accordance with the requirements of this Procedure; 7.5. Register the permit in the log of hazardous works maintained by the unit that

issued the permit (sample form of log is provided in Annex 4); 7.6. Before issue of permit, check the work manager's certification card for its validity; 7.7. Issue a permit, sign it and allow commencing the works only after making sure that

all persons indicated in the locate sheet and permit have signed them; 7.8. Appoint a work supervisor where needed. Act as work supervisor if none is

appointed by the permit issuer; 7.9. In case works are suspended pursuant to Paragraph 8.2, allow resuming works

only after identifying and removing the causes of unsafe work and only under conditions specified in the permit;

7.10. If permit is extended, before extension make sure the worksite conditions have not changed and sign in the extension section of both counterparts of the permit.

8. Work supervisor must: 8.1. Get familiar with the requirements and safety measures indicated in permit and

confirm this by signing in section 12 of both counterparts of the permit; 8.2. Control earthworks in progress and if they are executed unsafely or become

unsafe due to changed conditions suspend them withdrawing the permit. Immediately report such suspension to permit issuer, workers and/or work manager;

8.3. Upon completion of works specified in the permit, check if the worksite has been cleaned and is orderly and only then sign in section 'Worksite clean' of both counterparts of permit;

8.4. After all works specified in the permit are completed and the requirement set out in Paragraph 8.3 is fulfilled or when the permit has no empty lines left for its extension, close the permit by signing and entering a closing date and time in section 13 'Permit closed'.

9. Work coordinator must: 9.1. Before work, examine locate sheet to make sure that responsible persons of

maintenance unit are aware of upcoming earthworks and that underground utilities specified in locate sheet have been located as required and marked;

9.2. In case of need to excavate roads, organize their closing as prescribed by OHS Procedure BDS-20 'Enclosures';

9.3. Inform the permit issuer about the need to issue/extend a work permit by indicating the date and time of works and the contractor, if any, and the planned works;

9.4. Get familiar with the requirements and safety measures indicated in permit and confirm this by signing in section 12 of both counterparts of the permit;

9.5. Coordinate the execution of works; 9.6. If permit is extended, make sure that the scope and nature of works have not

changed and confirm this by signing in the extension section of the first counterpart of permit. 9.7. Make sure that newly laid mains and other engineering structures of underground

utilities remain unearthed until all geodetic information prescribed by Geodetic and Cartographic Technical Regulation [4.4] is provided to Project Engineering Group of Technology and Investment Department.

10. Responsible persons of maintenance unit must: 10.1. Prior to works, examine locate sheet to make sure that underground utilities

specified in it have been located as required and marked and then sign it;


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10.2. Appoint competent persons to monitor works at restricted zones of underground utilities.

11. Person responsible for underground utility loca tion must: 11.1. As instructed by work manager, identify the location and in the field mark

underground power and telecommunication utilities as shown in geodetic survey with locate markers specified in Annex 10 hereto;

11.2. Check the locate of earthworks and the territory within the radius of 3 meters around it for any underground power and telecommunication mains which may be missing in geodetic survey;

11.3. Mark any new detected underground power and telecommunication mains (which were not shown in geodetic survey) in the worksite and locate sheet;

11.4. After identification of the location of existing and newly detected underground utilities, sign the locate sheet (column ‘Newly Identified Underground Utilities’ of the locate sheet must be signed regardless of whether the new underground utilities have been identified during the check or not).

12. Work manager must: 12.1. Prior to commencing work, contact the work coordinator and agree with him the

date, time, place, scope and sequence of works, the appropriateness of tools and equipment that will be used for the works as well as planned OHS measures;

12.2. Fill out locate sheet (Annex 1), make sure that all underground utilities in the site of planned earthworks have been located and duly marked, agree locate sheet with all maintenance units specified in it and confirm this by signature;

12.3. Present the signed locate sheet and excerpt from topographic surveys/as-built summary map to the permit issuer;

12.4. Get familiar with the requirements indicated in the permit and confirm this by signing in section 12 of both counterparts of the permit;

12.5. Identify the risks that may arise in the course of works, pre-plan safety measures and fill out the RI card and, for any excavation with the depth of 4 m below the ground level, prepare a sketch of the excavation defining organization of work inside (see Paragraph 34 hereof);

12.6. Make sure that work tools and equipment are appropriate, in good repair as well as inspected and tested in accordance with OHS regulations effective in the Republic of Lithuania;

12.7. Appoint adequately qualified workers for the performance of works. Workers must be trained to provide first aid to the injured;

12.8. Indoctrinate the workers on the work to be done and its course, underground utilities within the locate and requirements of work close to them, safe work techniques, required PPE and other safety equipment against signed acknowledgment in the second counterpart of permit and RI card;

12.9. Make sure that works are not commenced by the workers until a permit is issued and workers have been indoctrinated and signed the permit and the RI card.

12.10. Enter the workers in the permit section 'Familiar with works, work conditions and PPE'.

12.11. Inform the permit issuer or work supervisor about the number of workers indicated in the work permit and performing works. In case of any changes to the number of workers during the validity of permit, indicate the new number of workers;

12.12. Prior to work, perform LMRA and make sure the workers understand that all worksite risks are controlled and required preventive measures have been implemented;

12.13. Inspect the excavations, nearby areas and protective systems against cave-ins as prescribed by Paragraph 91 hereof;

12.14. If earthworks get as close as 3 meters from the location of underground utilities, allow further digging only in his/her personal presence;

12.15. Ensure compliance by the workers with the requirements established in the permit, RI card, other OHS Procedures of the Company and regulations effective in the Republic of Lithuania, application of safe work practices, use of personal and other protective equipment.

12.16. Make sure the locate sheet, permit and RI card are available at the worksite at all times;


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12.17. Make sure that the worksite is always in proper order, i.e. waste and irrelevant items are removed from the site, required materials are stored orderly, etc.;

12.18. Notify work coordinator on the planned burying of underground utilities; 12.19. In case of potential emergency, any doubt as to whether it is safe to continue

work or not, detected new underground utilities, unearthed explosives, archaeological and other finds, immediately suspend work and report to the permit issuer, work coordinator (if any) and Project Engineering Group of Technology and Investment Department;

12.20. Prepare geodetic survey of the newly laid underground utilities and other underground engineering structures as prescribed by Geodetic and Cartographic Technical Regulation [4.4] and present it to Project Engineering Group of Technology and Investment Department.

12.21. If during earthworks any engineering utilities which are not shown in the excerpt of summary map of engineering lines provided in the locate sheet are detected, perform geodetic measurements of the detected unearthed part of engineering lines [4.4] and present all geodetic information to Project Engineering Group of Technology and Investment Department;

12.22. Upon completion of works specified in the permit, before the expiry of permit, organize the worksite cleanup and inform the permit issuer or work supervisor about completed works as well as confirm that the site is clean by signing in section 12 'Worksite clean' of the permit;

12.23. If permit is extended, make sure the type and scope of work have not changed, indoctrinate newly assigned workers and sign in the extension section of both counterparts of the permit.

13. Workers must: 13.1. Start the works only being completely aware of any potential hazards at the work

site, having all mandatory and special personal and collective protective equipment indicated in the permit and RI card, and after indoctrination by work manager against acknowledgment in the third counterpart of permit;

13.2. Perform works specified in the permit only and comply with the requirements indicated in the permit, RI card and the applicable OHS procedures of the Company;

13.3. Refrain from any digging closer than 3 meters to underground utilities without work manager's presence;

13.4. Always maintain the worksite in proper order, i.e. keep it free from any irrelevant items, store and keep materials required for works properly, etc.;

13.5. In case of any uncertainty or danger, immediately suspend the works and report to work manager.

14. Manager of organizational unit that issues permits for earthworks must organize and ensure that works under the permit are performed following the requirements established in this Procedure.

15. Any person who is subject to this Procedure must report any noticed irregularity, in particular unsafe execution of earthworks or potential risk of emergency, incident, occupational accident, etc. to permit issuer or work supervisor.

V. ISSUE OF PERMIT FOR EARTHWORKS

16. Earthworks are allowed only under locate sheet and the permit issued in accordance with this Procedure. If during earthworks any other work (maintenance, equipment unsealing, hot) is required in the excavation or if earthworks are performed in excavations deeper than 2 meters, permit issuer must mark respective cells in section 1 of the permit and pre-plan additional safety techniques for this purpose.

17. Permit is executed in two counterparts: the first (top) counterpart (white) is original, the second (pale yellow) – a carbon copy. Electronic permits are also possible (in this case both counterparts are original).

18. The permit must include such details as the name of organizational unit where earthworks will be performed, locate of earthworks, work to be done, contractor or the Company’s organizational unit, completed preparations for earthworks, work-in-progress requirements,


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required special PPE. Locate sheet and excerpt of topographic surveys/as-built summary map must be enclosed to the permit.

19. Depending on completed preparations and potential hazards, additional OHS measures must be also specified in the permit.

20. After filling sections 1, 3-11 of the permit, it is registered in the log of hazardous works maintained by organizational unit which issued it with the registration number and date entered in the permit.

21. Section 12 of the permit must specify the date and time of validity and air testing results (if required) and must be signed by all persons indicated in the permit.

22. Date and time fixed in the permit must not extend beyond the end of shift of the work supervisor or permit issuer.

23. Permit enters into force after it is signed by the permit issuer, work supervisor (if any), work coordinator, work manager and workers.

24. The first counterpart of the permit, locate sheet and excerpt of topographic surveys/as-built summary map shall be kept by the permit issuer in the control room or other established place of issue of permits and the second counterpart of the permit, locate sheet and excerpt of topographic surveys/as-built summary map shall be handed over to the work manager. The second counterpart of the permit, locate sheet and excerpt of topographic surveys/as-built summary map shall be kept in the worksite.

25. Registered permit may be extended for a total of seven 12-hour shifts from the date of issue of permit provided that the nature of works and working conditions will remain the same.

26. Permit for earthworks shall cease to be valid if any of responsible persons who signed the permit (i.e. permit issuer, work supervisor (if any), work coordinator and/or work manager) has been replaced. In such cases a new validity date and time, ambient air test results (if required) signed by the individual who performed such tests and other responsible persons must be entered and signed on both counterparts of the permit.

27. If work manager is replaced, a new work manager must read the RI card and where necessary specify additional safety measures and sign the card.

28. In case of underground utility failure at night (8:00 PM - 8:00 AM), on weekends and public holidays, emergency earthworks may be performed without the duly executed locate sheet and excerpt of topographic surveys/as-built summary map however this must be reported by e-mail to the manager of respective organizational unit where such failure has occurred and maintenance unit. In case of fire water supply line failure, this must be also reported to the Dispatcher of Mažeikiai Fire and Rescue Board for Protection of Facilities (phone 3004). Emergency works must be carried in the presence of the Company's and/or contractor's persons responsible for underground utility location. They must identify the location of underground utilities as precisely as possible and specify the method of digging (mechanical, manual).

29. When emergency works area continued during normal working day, during the execution of such works locate sheet and excerpt of topographic surveys/as-built summary map must be prepared.

VI. TRANSFER OF TERRITORY TO CONTRACTOR

30. In case of long-term construction/installation works within the territory prepared for earthworks (in shut down or newly constructed facilities) pursuant to the requirements established in the Occupational Safety and Health Procedure for Contractors BDS-40, in particular section 'Handover of Worksite to Contractor', the statement-permit for construction works may establish the procedure of execution of earthworks other than prescribed by this Procedure. In this case the territory prepared for earthworks shall be considered the territory where underground utilities do not exist or existing underground utilities are shut down and isolated from any other underground utilities so that any possible damage to such would not pose any danger. Entries to territory transferred to contractor must be fitted by the contractor with informational stands specifying the name of contractor and works performed in the site.


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VII. UNDERGROUND UTILITY LOCATION AND MARKING

31. Prior to excavation works, the land area subject to excavation and 3 meters around it shall be checked in order to identify the location of and to mark in the field all existing underground utilities, either shown or not shown in geodetic survey. This shall be done by the Company's and/or contractor's, as the case may be, persons responsible for underground utility location.

32. Any detected underground utilities which are not shown in geodetic survey must be located and marked in the field and specified in locate sheet and geodetic survey enclosed to it.

33. Underground utilities must be marked with special identification markers along the main at least every 4 meters. If underground main changes its direction, locate markers must be placed closer to each other to show the change of direction. In case of solid surface (concrete, asphalt), underground utility may be marked with paint. After removal of such surface, locate must be marked repeatedly using special locate markers.

VIII. REQUIREMENTS DURING WORKS

Sketch of excavation and entries/exits

34. For any excavation with the depth over 4 m below the ground level, a sketch of the excavation shall be prepared defining its parameters (shape, slopes’ inclination), entries/exits (e.g. stairs, ladders, ramps, etc.) and, depending on the type of soil, depth and width of excavation - slope reinforcement techniques.

35. Entries/exits (e.g. stairs, ladders, ramps, etc.) must be arranged if the depth of excavation is 1.25 m and more. If for access/exit a ladder is used, it must lean out at least 1m over the excavation edge and be securely fixed to ensure its stability.

36. Access/exit points must be arranged with maximum 20 m distance from each other.

Excavation works near the existing underground util ities

37. If earthworks get as close as 3 meters from the location of underground utilities, further digging with earthmoving machinery is allowed only in the presence and under the management by work manager.

38. If excavation works are executed along underground power cable lines and closer than 1 meter, or along telecommunication or cable lines and closer than 2 meters, the workers in the presence of earthwork coordinator (if any appointed), work manager and person responsible for the location of underground utilities shall manually dig test pits at points specified by a person responsible for the location of underground utilities.

39. When unearthing power and communication cables, further excavation works shall be performed only in the presence of work manager and person appointed for the location and marking of these utilities. Work manager must act as instructed by this person.

40. In cable routes, wedge hammers and other impact machinery cannot be used closer than 5 m to the cables. Any heat sources used to de-freeze the soil in winter cannot get closer than 15 cm to the cables.

41. When unearthing other underground utilities (water supply, sewer lines, etc.) and getting as close as 0.5 m from the side and top of the main, it must be further dug manually in presence of work manager and representatives of respective maintenance units.

42. Unearthed underground utilities must be protected against any mechanical damage (protected with covers, shields, etc.)

43. If in the course of earthwork any unmarked underground utilities, explosives, archaeological finds are detected work must be immediately suspended and reported to organizational unit that initiated earthworks and Project Engineering Group of Technology and Investment Department.

Earthwork in vehicle traffic areas

44. If earthwork is performed in traffic areas, appropriate traffic signs must be installed as required by the Traffic Rules of the Republic of Lithuania.


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45. Employees working at traffic areas are required to wear signal vests or reflective work clothing.

Lifting of loads

46. It is prohibited to stand under the loads lifted by earthmoving machines or other lifting equipment.

47. Soil is loaded to dump trucks from rear or lateral side. 48. It is prohibited for drivers or other persons to stay in roofless driver’s cab when

truck is loaded by an excavator or crane.

Dangerous, hazardous environment

49. For entry to excavations in excess of 1 meter, permit issuer must, prior to the issue of permit, evaluate materials/substances present in the excavation, determine required air samples, sampling points and intervals, inform air tester about mandatory PPE and organize workplace air sampling in accordance with the Occupational Health and Safety Procedure BDS-12 'Use of Portable Gas Analyzers'.

50. For excavations deeper than 2 meters or places where dangerous or hazardous environment can occur a permit for work in confined space must be obtained as required by the Occupational Health and Safety Procedure BDS-6/2 'Works in Confined Spaces'.

51. If work environment air in the course of work may change (e.g., damaged pipeline containing petroleum products that can be released to the atmosphere is unearthed), permit must set a requirement to perform continuous air monitoring using a gas analyzer that signals any deviations from fixed values.

Water accumulation

52. Employees are not allowed to work in excavations with accumulated water or in excavations in which water is accumulating, unless adequate precautions have been taken to protect employees against the hazards posed by water accumulation.

53. The precautions necessary to protect employees from accumulated water vary with each situation but must always include at least one of the below measures:

53.1. One or several pumps for controlling the level of accumulating water; 53.2. Installation of special support or shield systems; 53.3. Use of a safety harness and lifeline. 54. If excavation work will interrupt the natural drainage of surface water, diversion

ditches, dikes, or other suitable means must be used to prevent surface water from entering the excavation and to provide adequate drainage of the area adjacent to the excavation.

55. Draining operations next to buildings and other structures are prohibited.

Stability of adjacent structures

56. Where the stability of adjoining buildings or other structures is endangered by excavation operations, appropriate support systems such as shoring, bracing, or underpinning must be provided to ensure the stability of such structures.

57. Excavation under roadways, pavings and associated structures are prohibited unless adequate precautions have been taken to protect employees against the risk of fall of such structures.

Hazard of falling or rolling soil and other objects

58. All materials or equipment on the excavation edge that could pose a hazard by falling or rolling into excavations must be removed or properly secured.

59. Stones, loose rocks and soil posing danger to employees must be removed from bank slopes or appropriate precautions must be installed to prevent such materials from rolling down.

60. It is prohibited to place soil, other materials and tools within 1 meter from the excavation's edge.


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61. If excavated material is placed close to a trench due to obstructions such as fences, buildings or trees, appropriate ground support system and barriers such as toe-boards or geomembranes must be used to prevent the material falling into the excavation.

Use of laser meters

62. When laser meters are used during earthworks, it is necessary to: 62.1. Place warning sings in dangerous workplaces; 62.2. Install laser safety screens in places that may be walked by people. 63. It is prohibited to keep reflective items in the laser beam path.

Fall protection

64. For excavations (trenches) wider than 0.8 meter it is required to install at least 1-meter wide catwalks with protective handrails.

65. Appropriate protections or barriers restricting physical access to danger zones must be installed around excavations close to passenger and/or vehicle traffic areas.

66. Wells, test pits and similar excavations are closed with covers, shields or fenced. 67. All temporary pits, wells and shafts must be immediately backfilled after completing

soil exploration or similar activities.

Use of vehicles near excavations

68. Construction machinery and vehicles may park, operate or move around excavations (pits, trenches, ditches, etc.) with unsupported edges and slopes at a safe distance specified in the construction project.

69. Recommended minimum distance between the excavation edge and the nearest construction machinery (its base) or vehicle is determined based on Table 1. Mass or load and construction machinery or vehicle must be considered when determining a distance.

Table 1

Excavation depth, m

Soil Sand Loamy sand Loam Clay

Distance between excavation edge and the nearest machinery (its base), m

1.0 1.5 1.25 1.00 1.00 2.0 3.0 2.40 2.00 1.50 3.0 4.0 3.60 3.25 1.75 4.0 5.0 4.40 4.00 3.00 5.0 6.0 5.30 4.75 3.50

70. Appropriate protections must be provided to avoid accidental overrunning of construction machinery or vehicles into excavation, e.g., a slope inclined away from excavation, supports on the edge of excavation, etc.

Employee protection in excavations

71. Before earthwork, appropriate systems protecting against cave-ins and ensuring the safety of workers must be provided.

72. Digging of wells, pits and trenches with vertical side-slopes without any protection systems in place is allowed if they do not exceed the following depths:

� 1.00 m – for sand and gravel; � 1.25 m – for loamy sand and loam; � 1.50 m – for clay; � 2.00 m – for highly compact clay soils. 73. People are prohibited to stay inside excavations or trenches when they are being

excavated by earthmoving machinery. 74. Excavation with slopes (without any supports installed) extending above the

groundwater level (including capillary fringes) or in artificially drained soil is allowed when its their depth and slope steepness (slope height-width ratio) corresponds to data provided in Table 2. Slope steepness selection sample is provided in Annex 7.


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Table 2

75. Employees are prohibited to work on slopes or benches if there are other employees working at the lower levels of excavation, except for case when those working at lower levels are properly protected.

76. NOTE. If excavation has different types of soil layers, slope steepness is selected considering the least stable (weakest) layer.

77. When sloping and benching is not possible, appropriate support systems must be applied to ensure the safety of employees.

78. Supporting systems that best ensure the safety of workers and are most appropriate for the performed work are selected.

79. It is allowed to use only safety systems that are specifically designed for this purpose or designed by a qualified engineer and manufactured for specific activities.

80. Selected support systems must be cable of carrying the imposed loads. 81. All support systems are installed, operated and selected in accordance with the

manufacturer's requirements or other documents. 82. All side-slopes must be protected against cave-ins. Exception is made to trenching,

i.e. when the ends of support system elements are open, workers must work at a safe distance from such open ends. Open ends are enclosed with a red signal tape to warn workers of danger.

83. The top part of support system must lean out at least 15 cm over the excavation edge.

84. Materials and equipment used as part of the support system should be free of any defects.

85. If excavation and support system inspection finds that materials and equipment used for protection against cave-ins are damaged, earthwork supervision manager must ensure that materials are replaced and equipment is repaired.

86. Repaired equipment must be checked by a civil engineer with appropriate qualification.

87. Support systems are installed immediately after the excavation works. It is prohibited to leave unsupported excavations even when no works are performed.

88. Additional safety measures must be provided prior to temporary removal of separate reinforcing elements, i.e. installing additional structural elements for supporting structures.

89. Reinforcing elements are first removed at the bottom by going upwards and backfilling the excavation. Elements are disengaged slowly in search for possible defects of the support system or for cave-in symptoms.

90. Excavations are immediately backfilled after removing the support system.

Inspections

91. If workers have to enter excavations in excess of 2 meters, work supervisor must, prior to the work and where needed during a shift, perform daily inspection of excavations, adjacent areas and protection systems against cave-ins. Inspections during shifts are performed after rainfall or in the presence of any other risks by filling an Earthwork Daily Inspection Report (Annex 6).

Soil

Steepness (slope height and width ratio) when depth of trench is not more than:

1.5 m 3 m 5 m

Non-compact backfill 1 : 0.67 1 : 1 1 : 1.25

Sand and gravel 1 : 0.5 1 : 1 1 : 1

Loamy sand 1 : 0.25 1 : 0.67 1 : 0.85

Loam 1 : 0 1 : 0.5 1 : 0.75

Clay 1 : 0 1 : 0.25 1 : 0.5


12–13

92. When inspection determines any potential hazards, workers are not allowed to enter the excavation until appropriate OHS measures are implemented. Additional safeguards are required in case of unfavorable weather conditions (heavy or long-lasting rain, strong wind in excess of 10 m/s, etc.) or, where appropriate, work must be stopped.

Marking of back-filled underground utilities

93. Backfilled newly installed and existing underground utilities are marked by conventional signs appropriate for the type of utilities.

94. When laying underground electrical cables, they are marked and protected as required by the Safety Rules for Operation of Power Facilities [4.3.]. Marking and protection must be agreed with the Company Electrical and Automation Department or Maintenance Department.

95. Newly installed gas and oil product pipelines must be marked with a yellow signal tape laid 0.3 m below the ground surface in parallel to each pipeline.

IX. EMERGENCY PROCEDURES

96. Depending on hazards that may occur in excavation, before the start of work, the work manager must draft a worker rescue plan, prepare the required rescue equipment and appoint a sufficient number of standby employees that could retrieve the workers from the excavation in case of accident. The work manager must discuss the rescue plan with the workers.

97. Each worker entering excavations in excess of 2 meters is required to wear safety harness and have a signal/rescue rope. One end of the signal/rescue rope is attached to the safety harness on the employee's back, other end – to a fixed support outside the excavation. If several workers work within the same level of excavation, one signal/rescue rope is sufficient to rescue a worker when needed. In such case one end of the rope must be next to the workers, the other end is attached to a fixed support outside the excavation.

98. Workers must immediately terminate all activities and evacuate from excavation in cases of fire, emergency, accident or any other hazard, emergency alarm or activated gas analyzer (if any used).

99. All incidents must be immediately reported by the workers and work managers and supervisors to the Company's dispatcher by phone number 3333 (for fixed-line calls) or +370 443 92510 (for any calls) and the staff of the unit where the works were carried out. If works are performed in Būtingė Terminal, all incidents must be immediately reported by the workers, entry attendants, work managers and work supervisors to the Terminal Operations Group shift supervisor by phone number +370 443 93459 or +370 686 78112. If works are performed in Biržai and Joniškis Oil Transshipment Stations – to the Main Pipelines Service Group dispatcher by phone number +370 443 93483 or +370 689 89845.

100. In case of any earthwork incident, the earthwork permit ceases to be valid and all its counterparts are transferred to the respective incident investigation committee

X. DOCUMENT CUSTODY

101. When earthwork is completed, the first counterpart of permit, locate sheet and excerpt of topographic surveys/as-built summary map are retained for 30 (thirty) calendar days by the Company organizational unit that issued the permit.

102. The second counterparts of permit, locate sheet and excerpt of topographic surveys/as-built summary map are retained by the contractor.

103. Daily earthwork inspection reports and excavation sketches must be kept by the work supervisor throughout the duration of the work.

104. A log of hazardous works is kept in the organizational unit for the period of its validity and for another 5 years after it is fully completed.


13–13

XI. EMPLOYEE TRAINING

105. Company employees (permit issuers, work supervisors, work coordinators, work managers and workers) are required to pass a test on this Procedure as required by the Company's Occupational Health and Safety Indoctrination Procedure.

106. Contractor's work managers are required to pass a test on this Procedure prior to commencing works in the Company and thereafter on a periodic basis at least every 12 months. After passing a test, earthwork manager receives a work manager card containing the following information: employee's full name, organization and expiry date. During earthwork, the contractor work manager is required to keep this card at the worksite.

107. Contractor's workers must be indoctrinated on this Procedure in accordance with the contractor's procedures.

X. FINAL PROVISIONS

108. This Procedure sets only basic and minimum OHS requirements for earthworks therefore all employees involved in organizing and/or performing such works must take additional OHS measures if necessary to ensure the safety of works.

109. Responsibility for periodic review and updating of this Procedure, if needed, shall lie with Director of Quality, Labour Safety and Environmental Control.

______________________ Prepared by Control and Prevention Group Manager Egidijus Luomanas _______________ 2017-11-17 Agreed with: Director of Quality, Labour Safety and Environmental Control Arkadiusz Pawlak _______________ 2017-11-

Public Company ORLEN Lietuva Occupational Health and Safety Procedure BDS-31'Earthworks' Annex 1

(form)

LOCATE SHEET

Name of work executor (Company's org. unit or contractor) _______________________________

______________________________________________________________________________

Worksite ______________________________________________________________

Work coordinator _____________________________________________________________ (position, name, surname)

Valid: from_____________ 200__ ____ o'clock to _____________ 200__ ____ o'clock Underground utilities (UU) within the locate area (data from geodetic survey/as-built summary map)

UU name and marking in geodetic survey

Name of locater (Company's org. unit

or contractor)

UU located and marked in the site (to be confirmed by person responsible for UU

location) Name Surname Job title Date Signature

Job title, name, surname, signature of employee from Project Engineering Group who specified UU: Name of newly detected UU (not marked on geodetic survey) and its marking on the geodetic survey

UU maintenance units

Read and made sure that underground utilities specified in the locate sheet have been located and marked:

Name Surname Job title Date Signature

Electrical and Automation Department

Chief Electrical and Automation Engineer

Maintenance Department Chief Maintenance Specialist for Electrical Equipment & Instrumentation

Information Technology Department

Desktop Support Manager

Waste Water Treatment Shop

Head of Shop

Comments of UU maintenance units and persons responsible for UU location and marking:

Work manager __________________________________________________________________ (position, Name Surname, signature)

Public Company ORLEN Lietuva Occupational Health and Safety Procedure BDS-31 'Earthworks' Annex 3

RISK MATRIX

LIKELIHOOD OF RISK MATERIALIZING LOW

This risk is unlikely and has never materialized in execution of works

MEDIUM Most likely that this risk

may materialize in execution of these works

HIGH This risk has materialized in the past, will materialize in

execution of these works and may repeat

SE

VE

RIT

Y O

F

DA

MA

GE

TO

H

EA

LTH

LOW Slight personal injuries not requiring medical treatment

(superficial wounds, minor cuts, minor abrasions) LOW LOW MEDIUM

MEDIUM Minor injuries requiring medical treatment (fractures, dislocations,

muscle sprains, burns or other minor traumas), poisoning LOW MEDIUM HIGH

HIGH Serious injury or fatality (multiple fractures, concussion and other

effects dangerous to life), acute poisoning MEDIUM

HIGH

HIGH

MEASURES APPLICABLE TO IDENTIFIED RISK LEVEL

LOW Worksite and environment are safe, only periodic work supervision is required.

MEDIUM

Work environment may change and therefore it is necessary to specify in Section 9 'Safety requirements applicable to works' of permit the safety measures that must be applied during works. If severity of damage to health is low but the likelihood of risk materializing is high work manager must be always present in the place of work.

HIGH Works may be performed if section 9 of permit ('Safety requirements applicable to works') sets safety measures that allow reducing the risk to medium or low, the work manager is always present at the worksite or if ORLEN Lietuva OHS Procedure BDS-27 'High-Risk Works' is applied.


(form) Log of Hazardous Works

Start of Work End of Work Work Permit

Reg. No.

Date and time of issue of

work permit

Hazardous work

(MW, EDW, HW, WCS,

EW)*

Worksite (Equipment or other

facility, tag No.)

Contractor Permit issuer (full name, signature)

Date and time of expiry of work permit

Permit issuer (full name, signature)

*MW – maintenance works, EDW – equipment depressurization works, HW – hot works, WCS – works in confined space, EW - earthworks


(form)

RISK IDENTIFICATION CARD

Contractor: Work permit registration # and date: Enter hazard abbreviation in column 'HAZARDS': F – fire/explosion HS – hot surfaces P – poisoning N – noise V – vibration; II – inadequate illumination

FTH – fall of things from height FT – fall of things ML – manual lifting of loads FH – falling from height E – hazard related to electricity SS – slippery surfaces TE – thermal environment

UET – hazard related to use of equipment and tools M – hazard related to use of materials MLL – mechanical lifting of loads

Other hazards (enter potential hazards and abbreviations):

OPERATIONS

(ACTIONS) HAZARDS SAFETY EQUIPMENT

Earthwork manager ___________________________________________________________ (Name Surname, signature)


(reverse side of card)

LAST MINUTE RISK ANALYSIS Prior to commencement of work, make sure that the r isk you have estimated beforehand as well as safety measures you have taken are consistent with the situation you encounter at the worksite and all risk are under control. Ask each worker to answer these questions:

YES NO

Do I know what I need to do? Do I know and understand the requirements set in the work permit and the card? Do I have the right tools? Do I have proper safety equipment (PPE)? Is the workplace safe? If anything goes wrong, do I know what I’m supposed to do? Memorize ORLEN emergency phone number: +370 443 9333 If you think that risk is acceptable, indicate YES. If you do not think that risk is acceptable, indicate NO. If at least one NO, do not start work - go to your work manager and discuss the situation. The work I need to do as well as hazards and all safety procedures have been explained to me and I am sure that everything possible to minimise the risk and ensure the safety at work has been done (worker):

Date Full name Job title Signature


EARTHWORK DAILY INSPECTION REPORT

(form)

Date______________ Time ____________ Earthworks Permit No._____________

Worksite ______________________________________________________________

Area of excavation ______________ Depth______________ Width_____________

Checklist for key safety requirements

Means for safe access/exit: ladders_______ stairs________ slopes _______

Are access/exit points arranged every 20 m? ______

Any water accumulated in work area? ______

If the depth of excavation is over 2 m, has the permit for works in confined spaces been obtained?

______

Is the dangerous area properly enclosed? ______

Is lighting available at night time? ______

Check of soil stability

Soil type: _______________ Protection systems against cave-ins: _______________

Slope height and width ratio (when sloping or benching): _____________________________

Any changes of conditions, failures of reinforcements or other unforeseen events:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Completed by ________________________________________________________________ (earthwork manager’s full name, job position, signature)

Public Company ORLEN Lietuva Occupational Health and Safety Procedure BDS-31 ‘Earthworks’ Annex 7

Selection of the Slope of Excavation - Example

Task: to dig 4 m deep and 2 m wide trench.

Slope selection

Determine the type of soil. In this case, loam is taken as example. According to Table 2, excavation slope steepness (height and width ratio) must be 1 : 0.75. When excavation is 4 m deep, height and width ratio will be 4 : 3, i.e. 4 × (1 : 0.75) = (4 × 1) : (4 × 0.75) = 4 : 3

3 m

4 m

2 m


3–13

Annex 8

Requirements for benching

This is an example of benching when slope height and width ratio is 1 : 1. The following requirements shall be met when benching: The benches can be made only in stable soils, e.g. loam, clay and alike. Bench inclination angle (in dotted line) is selected according to Table 2 of this Procedure. Maximum height of each bench is 1.2 m. Each bench should be at least 1.2 m wide.

≤1.2 m 1

≥1.2 m

1


Types of soil

Sand is coarse soil where more than 60 % of its weight consists of particles larger than 0.06 mm (0.06 mm<d<2 mm) but smaller than two millimeters. Sand soils are free of any dust or clay particles. Loamy sand is a multi-granular soil where up to 10 % of its total weight consists of clay fraction particles (0.002 mm<d<0.06 mm). It is impossible to roll a 15mm-thick soil bar out of moist loamy sand as it would crumble.

Loam is a multi-granular soil where from 12 % to 28 % of its total weight consists of clay fraction particles (0.002 mm<d<0.06 mm) and sand particle (0.06 mm<d<2 mm) content is from 40 % to 60 %. It is possible to roll a 15mm-thick soil bar out of moist loam as it does not crumble.

Clay is a fine-grained plastic soil, where more than 40 % of its total weight consists of particles smaller than 0.06 mm and larger than 0.002 mm (0.002 mm<d<0.06 mm).


Annex 10

Markers of underground utilities - examples

Name of underground utility Marker of underground utility (flag)

Underground power cable line

Underground telecommunication system and optic cables

Underground piping

Markers must be 30 cm long and 15 cm wide with stems at least 75 cm long, suitable to stick into the soil or place on solid surface.

CAUTION! Power cable

CAUTION! Communication

cable

CAUTION! Pipeline

Public Company ORLEN Lietuva Occupational Health and Safety Procedure BDS-31 Earthworks Annex 2

1 2

3

4 6 7 9

□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ 8 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

5 □ □ □ □ □ □ 10 Use of Ex equipment required □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

11

12

13

H2S

,

mg/

m3

Ventilation ports isolated

Air testing results

Permit closed: Permit issuer or work supervisor _________________________ Date and time ________________

Other:

Tie-in points marked

Other requirements and authorizations:

Yes No

Works must be continuously supervised by work manager

Flange spreading operation must be watched by responsible personsWorks must be watched by a sufficient number of entry attendantsWorks must be watched by fire watch

DateTime

(from - to)

Work manager

(signature)

Permit valid until Permit issuer

I appoint as work supervisor

(full name)

Low

Air tester (full name, signature)

Protections against fall from height requiredPurged with steam/nitrogen Gas analyzers required

Safety requirements applicable to work:

Mechanical ventilation required

Depressurization points marked

High

MediumHighPeriodic, every _ hours

Not required MediumLow

Medium

Self-contained breathing apparatus requiredBefore start of work

Pressure reduced to atmospheric Face mask with ABEK gas filter: □ Have □ Use Cooled to ≤ 40 °C Dust masks requiredFrequency of testing:

Yes No NA

LowLow

Verified by (signature)

Worksite clean

ABBREVIATIONS: NA – not applicable, PPE– personal protective equipment, EID – energy isolating devices, LEL – lower explosion limit, O2 – oxygen, H2S – hydrogen sulphide

Yes No NA

Preparation of territory: Flammable substances removed

Ignition sources removed Gas release hazard eliminatedSewer facilities tightly closed

LEL: O2:

Low

Likelihood of materializing matrix:

Risk

Other:

Reg. No. ______________

Date

Permit for:

□ MAINTENANCE □EQUIPMENT DEPRESSURIZATION □ HOT WORKS OF CATEGORY __ □ WORKS IN CONFINED SPACES

Hot surfacesFire

H2S

Othe

19.5 – 23.5 vol % Isolated as per EID list No. ________ Fire extinguisher: □ Power □ CO2

Potential hazards:Gas leak Fall from height

Organizational unit__________________________ Equipment No/location ______________________________________ Product/medium removed from equipment ______________________

Contractor ______________________________ Works _____________________________________________________________________________________________________

Preparation of equipment: Yes NoAmbient air testing:

≤ 5 vol %

≤ 7 mg/m3

Hazardous substances removed

Worksite supervision

Severity of damage to

health High Medium High HighMedium Equipment de-energized

Chemical-resistant PPE required Use of harness and lifeline in confined space required

Continuously

LEL%

O2,

%

Tim

e

Oth

er

Wor

k su

perv

isor

(s

igna

ture

)

Work coordinator (full name, signature)I authorize the works

(full name, signature)

Work manager (full name, signature)

1-3

Public Company ORLEN Lietuva Occupational Health and Safety Procedure BDS-31 Earthworks Annex 2

14

1 2 3 4 5 6 7 1 2 3 4 5 6 7

Familiar with works, working conditions and PPE (worker, entry attendant/fire watch):

Name, surname Job title SignatureDate

Name, surname Job title SignatureDate

Each shift, in the column 'Date', work manager enters X for workers and attendants/watchers working in a shift that has been issued the permit.

2-3

Public Company ORLEN Lietuva“ Occupational Health and Safety Procedure BDS-31 'Earthworks' Annex 2

3-3

INSTRUCTIONS FOR FILLING THE WORK PERMIT A permit must be filled in legible handwriting by entering appropriate information in each section of the permit and marking the right boxes with the cross mark 'X'. Section 1 . Mark the appropriate box depending on the type of planned works. For hot works that will be performed in confined spaces, mark the boxes 'HOT WORKS OF CATEGORY I/II' and 'IN CONFINED SPACES’. For earthworks that are performed at depths greater than 2 meters, mark the boxes 'IN CONFINED SPACES' and 'EARTHWORK'. Section 2. Enter the permit registration number and date from the logbook for registration of hazardous works. Section 3. Specify the organizational unit and its tag number or the site where the works will be performed, product/media removed from equipment, contractor and the works. Section 4. Mark 'Yes', 'No' or 'NA' (not applicable) for the listed equipment preparation activities. 'Yes' is marked for activities that have been implemented. If ‘No’ is marked for any box, specify additional safety measures in section 9 'Requirements applicable to works' of the permit or works must be performed following the OHS Procedure BDS-27 'High-Risk Works'. 'NA' is marked for activities that are irrelevant. Section 5. Mark ‘Yes', 'No' or 'NA' (not applicable) for the listed territory preparation activities. 'Yes' is marked for activities that have been implemented. If If ‘No’ is marked for any box, specify additional safety measures in section 9 'Requirements applicable to works' of the permit or works must be performed following the OHS Procedure BDS-27 'High-Risk Works'. Mark 'NA' for activities that are irrelevant. Clarification of some expressions: 'Removed ignition sources' means no hot works of categories I and II are performed, 'Gas release hazard eliminated' means that no depressurization, draining or steaming of equipment are performed. Section 6. Enter the required air tests and their frequency. If no air testing is required, enter 'Not required', If periodic air testing is required, specify the intervals between tests with test results provided in a separate sheet kept at the worksite during the work. Section 7. Indicate possible work hazards in consideration of completed preparation activities. Section 8. Describe the work risks determined using the risk matrix and the safety measures selected in consideration of the risk level:

RISK MATRIX

LIKELIHOOD OF RISK MATERIALIZING LOW

This risk is unlikely and has never materialized in execution of works

MEDIUM Most likely that this risk

may materialize in execution of these works

HIGH This risk has materialized in the past, will materialize in execution of these works

and may repeat

SE

VE

RIT

Y O

F D

AM

AG

E T

O

HE

ALT

H

LOW Slight personal injuries not requiring medical

treatment (superficial wounds, minor cuts, minor abrasions)

LOW LOW MEDIUM

MEDIUM Minor injuries requiring medical treatment

(fractures, dislocations, muscle sprains, burns or other minor traumas), poisoning

LOW MEDIUM HIGH

HIGH Serious injury or fatality (multiple fractures,

concussion and other effects dangerous to life), acute poisoning

MEDIUM

HIGH HIGH

Section 9. Mark ‘Yes’ for safety devices that are mandatory during the work or 'No' for devices that are irrelevant/not required. Specify other precautions that must be taken during the work. Section 10. Mark 'Yes' if works must be watched by the specified persons or 'No' if no watch is required. Requirement 'Flange spreading operation must be watched by responsible persons' means that the permit issuer or his appointed work supervisor must watch the spreading of flanges when depressurizing the equipment. Section 11. Specify additional OHS requirements (if required) that must be observed during the work and the persons (if applicable) that must approve the permit (e.g., in case of hot works on OSBL piping, cable trays and other engineering networks, the permit must be coordinated with the manager of unit where hot works are performed). Section 12. Enter the validity date and time (permit may be issued for a period not longer than a 12-hour shift). Air testing results are entered and signed by the air tester. Enter responsible persons in other columns (to be signed by them): permit issuer, work supervisor (if any), work coordinator and work manager. Each shift, after completion of works for which the permit has been issued, the work manager or person that checks the worksite (permit issuer or work supervisor) signs in the section 'Work completed' of both counterparts of the permit. If permit is extended, the below lines are completed as described above. Section 13. This section is filled after no empty lines are left or all works indicated in the permit are completed by entering the closing date and time in the first counterpart of permit that must be signed by the permit issuer or work supervisor.

Section 14 . To be signed by all workers and appointed attendants/watchers after the indoctrination given by the work manager before the start of work. If permit is extended, it must be signed only by newly appointed workers and attendants/watches after are indoctrinated before the start of work. In the column 'Date', the work manager places X for workers and attendants/watchers working in a shift that has been issued the permit. Distribution of permit: original (white) – retained by the organizational unit that issued the permit, copy (yellow) – submitted to the work manager (must be kept at the worksite). After closing the permit, its first counterpart (original) is retained for 30 days by the organizational unit that issued the permit. After the expiry of the retention period, permits are destroyed at the unit manager’s decision in accordance with the Company Rules for Document Preparation and Management. Permit issuer is responsible for the implementation of requirements set forth in sections 4, 5 and 6 o f the permit and work manager – in sections 10 and 11.

MEASURES APPLICABLE TO IDENTIFIED RISK LEVEL

LOW Worksite and environment are safe, only periodic worksite supervision is required.

MEDIUM Work environment may change and therefore it is necessary to specify in Section 9 'Requirements applicable to works' of permit the safety measures that must be applied during works. If severity of damage to health is low but the likelihood of risk materializing is high work manager must be always present in the place of work.

HIGH Works may be performed if section 9 of the permit ('Requirements applicable to works') sets safety measures that allow reducing the risk to medium or low, the work manager is always present at the worksite or if Company OHS Procedure BDS-27 'High-Risk Works' is applied.


Name of organizational unit Designation of the assigned territory

according to the layout of territories of Public Company ORLEN Lietuva

Operations Subdivision No. 1 T1a T2

Operations Subdivision No. 2 T3

Operations Subdivision No. 3

T5 T6 T7

T7a

T7b

Petroleum Products Loading Shop T8a T8b T8c, T8d

Power Plant T9 Waste Water Treatment Shop T12 QA/QC Center T14 Central Warehouse T16

Service and Car Fleet Administration Group T19

Environmental Department T22 Security Department T18 Pipelines and Terminal Operations Subdivision T23 Mechanical Department T24, T26, T27 Maintenance Department T28

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